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Research and Evidence-based Practice

Critical articles on research and defining evidence-based practice. Rigorous reviews, methods explained, and practical guidance for better decisions in rehab and exercise science.

Levels of Evidence are Flawed

Levels of Evidence are Flawed

Levels-of-evidence pyramids are widely taught as hierarchies of “quality,” yet the metrics by which they are measured are rarely defined, and the research testing the accuracy of rankings is rarely discussed.

New Research is NOT Better Research

New Research is NOT Better Research

The belief that “newer research is better research” is a fallacy. Date of publication does not predict accuracy; however, it could promote recency bias.

Meta-analysis Problems: Why do so many imply that nothing works?

Meta-analysis Problems: Why do so many imply that nothing works?

The explosion in published meta-analyses is not proof that nothing works. It is proof that many researchers do not know when to apply meta-analysis methods, and that averaging the wrong data can hide what actually works.

Is There a Single Best Approach to Physical Rehabilitation?

Is There a Single Best Approach to Physical Rehabilitation?

A formal framework for achieving optimal patient outcomes in physical rehabilitation. Framing clinical intervention selection as a "Constrained Knapsack Optimization Problem."