The John Stanley Coulter Memorial LectureThe State of Rehabilitation Research: Art or Science?
Section snippets
The art and science of rehabilitation
Concepts of art and science are often thought of as opposites, yet their twin characteristics of creation and discovery suggest many similarities between the 2. Leonardo DaVinci exemplified this holistic principle. He was a Renaissance painter, architect, engineer, mathematician, and philosopher who flexibly contributed to both scientific and creative fields. Sigmund Freud described him as a man who awoke too early in the darkness, while others were all still asleep.1 The creation and discovery
The need for evidence-based rehabilitation
The difficulties associated with the use of the scientific method in rehabilitation have been many. They, in turn, have affected the perceived rate of scientific progress in the field. The many impediments related to the adequate execution of clinical trials are just an example of the barriers precluding use of the scientific method in rehabilitation. As a consequence, the field is viewed as lacking the solid foundation of empirically derived data needed to show the efficacy of key
An assessment of rehabilitation research accomplishments
I conducted an assessment of our accomplishments based on the number and the quality of research studies (specifically controlled trials and randomized clinical trials) and systematic reviews published in rehabilitation during the past 5 years. In the hierarchy of research methodology, randomized controlled trials (RCTs) are viewed as providing evidence of the highest grade.11, 12 Randomized trials (controlled or clinical) are experiments in which subjects are randomly allocated to receive and
Identification of strengths and weaknesses: Challenges and opportunities
The information reviewed for this lecture provides a unique perspective on the quantity and quality of rehabilitation research completed during the past 5 years by classifying these studies by levels of scientific evidence and comparing numbers of rehabilitation trials by areas and with those of other disciplines. This information also describes the state of our knowledge, empirical and inventive, based on systematic reviews conducted in our field. Although these indicators of scientific
Challenges to rehabilitation science
From a conceptual perspective, rehabilitation research covers a wide range of issues and domains. The multidisciplinary nature of its domains makes rehabilitation interdisciplinary by nature and, therefore, difficult to define by contrast. Rehabilitation research is often context specific and defined as the interaction between the individual and the environment. As such it includes physical, social, institutional, and cultural conditions of life and practice, which are interconnected and can be
Requirements for a common vision of rehabilitation science
Defining the scope of rehabilitation research to include its several conceptual domains, as discussed during the 2005 Rehabilitation Medicine Summit meeting,23 requires the object of our studies to be contextually interpreted with its facets best suited to be tested through a variety of scientific methods to include a combination of both quantitative and qualitative designs. Building a common science in rehabilitation requires that we embrace its many domains and redefine our science to include
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