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Evidence practice

How current research reaches the treatment plan — and the writing that comes out of it.

The method

  1. Index the literature, don't recall it

    Rehabilitation evidence moves faster than memory. Studies are read, indexed and linked by condition, intervention, outcome measure and population, so the relevant trial is retrievable at the moment a plan is being written rather than half-remembered from a lecture.

  2. Structure it as a graph, not a folder

    Papers connect to each other: a return-to-sport criterion cites a strength threshold, which cites a testing protocol. Holding those links explicitly makes the chain of reasoning behind a decision visible — and makes it possible to see when newer evidence breaks a link.

  3. Tie every plan to a measure

    FIM, Berg Balance Scale, Timed Up and Go, GMFCS and GMFM, range of motion, manual muscle testing, pain scoring and functional testing. A plan without a baseline cannot be shown to have worked, and cannot be corrected while there is still time to correct it.

  4. Write the programme for after discharge

    Every patient leaves with a programme they can carry out without a therapist present, and criteria that tell them when to progress. Family and carers are trained in safe handling and the home programme wherever the condition calls for it.

A literature base built by hand

Maintained personally, searchable, and used with AI research tooling to ground assessment and treatment planning. It is not a library of bookmarks — it is structured so that a question asked during a session can be answered from evidence before the session ends.

indexed clinical studies
1,000+
A worked example of the mechanism: a study underlies a testing protocol, which underlies a strength threshold, which underlies a return-to-sport criterion. A named outcome measure, the Berg Balance Scale, and a named intervention, manual therapy, each add a further line of evidence. All three converge on one treatment plan.

Writing

Explanations of the questions patients and athletes ask most, written from the evidence base and from clinical training.

All articles

These articles are general information about rehabilitation, not medical advice, and they do not create a therapeutic relationship. For a problem you are living with, see a licensed clinician in person.