Analysis of scientific truth status in controlled rehabilitation trials

Evolution of physiotherapy scholarship: A comparative bibliometric analysis of two decades of English published work

OBJECTIVES

To undertake a bibliometric analysis of the physiotherapy literature at two points in time to identify similarities, differences, and the evolution of scholarship over a 40-year time-frame.

METHOD

To undertake a quantitative comparative analysis of the published and indexed scholarship literature contained within Scopus relating to physiotherapy over two 10-year time windows-1978-1987 and 2008-2017. The method used, bibliometrics, is capable of identifying the nature of scholarship, the key actors, and how the focus and methods used to conduct studies have changed. A specialized bibliographic analysis and visualization tool VosViewer (University of Leiden) was used to analyse the extracted results.

RESULTS

There has been a more than 10-fold increase in the number of papers published across the two time-frames (3,384 from the 1978 to 1987 period and 38,434 from 2008 to 2017). The focus of publication has moved from a medical disease orientated approach to one more specifically looking at physiotherapy interventions aimed at addressing functional ability. In addition, a more diverse range of research approaches are being used as well as efforts to synthesize findings across multiple studies using systematic reviews and meta-analytical techniques. Authors now come from a much wider range of countries than they did 40 years ago, and they are more likely to be part of a large international collaborative research teams.

CONCLUSIONS

This unique and comprehensive analysis of physiotherapy scholarship across two different timeframes has provided important insights into the evolution of the profession, its changing focus and methodological approaches as well as the dramatic increase in activity, growth in research teams and diversity of country origins. For anyone entering the profession at this time, it provides a perspective on the pace of change they are likely to experience in their career ahead.

Expanding our perspectives on research in musculoskeletal science and practice

INTRODUCTION

The quantity and quality of scientific research within physiotherapy has unquestionably grown and matured over the last few decades, especially since the "formal" onset of evidence-based physiotherapy in the 1990s. The urgent need to evaluate our practice for effectiveness and efficiency has been responded to with thought and respect to both scientific integrity and shop-floor clinical needs. However, after thirty years or more of a professionally-governed and strategic approach to research activity, it is now timely to reflect, review, and consider the next chapter in the relationship between scientific research and clinical practice.

PURPOSE

This masterclass aims to develop a research vision for the future of physiotherapy. It is proposed that a crisis is evident within evidence-based physiotherapy, particular so given the assumed complexity and context-sensitivity of our clinical practice. This crisis period has highlighted fundamental limitations within the way research and practice are currently related. These limitations are presented and framed within the problematisation of empirical and philosophical concerns. As research becomes increasingly aligned to traditional scientific principles, examination of the real world context in which its outcomes are intended expose critical challenges for both research and clinical practice.

IMPLICATIONS

A reconceptualisation of fundamental elements of scientific research may allow more meaningful relationships between research and clinical practice. A proposed research vision encourages scientific activity to embrace real-world complexity in a way that it is presently unable to. An enhanced person-centered, scientifically-informed world of effective musculoskeletal practice is envisaged.