Scientific Evidence vs. Science (part I)

Each patient’s experience is different, so trauma, tissue stress, pathologies, hydration or nutrition problems, as well as the scars suffered by each patient, generate alterations in epidermal neuronal signaling that cause abnormal sensory transmission and unique fascial force vectors in each individual that may impair the ability of each individual’s body to adapt to a new stressor such as inhibition tests, tests, mobilizations or techniques used in science to assess their effects.

Therefore, the treatment to normalize the different dysfunctions will be unique for each patient and the treatment performed will not be reproducible.

When trying to perform scientific evidence studies when treating a sample of patients, it is possible to reproduce a treatment methodology with equipment that does not touch the person, but it is not possible to isolate the anatomical elements where the effect acts since the different people in the research have rested differently, feel differently, have had different pathologies and experiences.

If they are treated with manual therapy, touching them, besides not being an isolable treatment, it is no longer reproducible.Although patient samples are sought to be as homogeneous as possible, since they involve, among many other things, the intention, pressure and movement performed by the physiotherapist, so that the inputs created when touching cannot be identical and therefore the same information is not sent.

When palpating, the factors that should be controlled to achieve reproducibility when conducting research increase, therefore, it is difficult to make scientific evidence.