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Case History Programme

The need for evidence and the argument for Case Histories

Recommending the most effective postural management solutions for individual's with physical disabilities is a tough job. Clinicians have to balance each person’s postural needs with their function and comfort, whilst considering their wishes and those of their families, environmental constraints, growth, transportability, and value for money.

And more recently in the Health Service, clinicians are expected to support their clinical decision-making using a process of evidence based practice.  This is really difficult because actually very little credible evidence exists, particularly where children, young people and specialist equipment are concerned.

There are a number of levels of evidence which are considered worthy in establishing an evidence base. These range from randomised controlled trials (the “gold standard” of research evidence) to anecdotal evidence. Somewhere towards the lower end of the evidence hierarchy is “expert opinion” – this is where case histories fit in. Some case histories can be more rigorous and methodologically sound, but are time consuming to carry out. 

Others are more informal – like the sort of information families and clinicians routinely share with each other in the course of looking after individual needs.  It is this type of case history which we believe can provide sound evidence.  By getting lots of these “expert opinion” case histories, we believe they will tell a much more powerful story than a handful of more detailed ones.

Read our Case Histories

Download our Case History Programme