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BFR Pico

The document provides guidance on building a well-structured clinical question including components for the patient, intervention, comparison and outcome. It also recommends the ideal study type for different types of clinical questions such as therapy, prevention, diagnosis and prognosis.

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ErLz Catubig Almendral
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203 views1 page

BFR Pico

The document provides guidance on building a well-structured clinical question including components for the patient, intervention, comparison and outcome. It also recommends the ideal study type for different types of clinical questions such as therapy, prevention, diagnosis and prognosis.

Uploaded by

ErLz Catubig Almendral
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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The Well-Built, Patient-Oriented Clinical Question

Question Components Your Question

P – Patient or Population

Describe the most important characteristics of the 30year old male with patellofemoral pain
patient.
(e.g., age, disease/condition, gender)

I – Intervention; Prognostic Factor; Exposure


Quadriceps strengthening with
Describe the main intervention. blood flow restriction
(e.g., drug or other treatment, diagnostic/screening test)

C – Comparison (if appropriate)


Quadriceps strengthening without
Describe the main alternative being considered. blood flow restriction
(e.g., placebo, standard therapy, no treatment, the gold standard)

O – Outcome

Describe what you’re trying to accomplish, measure, Decrease patellofemoral pain


improve, affect.
(e.g., reduced mortality or morbidity, improved memory, accurate and
timely diagnosis)

The well-built clinical question:


“For 30-year old male with patellofemoral pain, is quadriceps strengthening with blood flow
restriction more effective than quadriceps strengthening alone in reducing patellofemoral pain?”

Type of Question Ideal Type of Study


 Therapy RCT
Prevention RCT > Cohort Study > Case Control

Diagnosis Prospective, blind controlled trial comparison to gold standard


Prognosis Cohort Study > Case Control > Case Series/Case Report
Etiology/Harm RCT > Cohort Study > Case Control

Cost analysis economic analysis


Note: Meta-analyses and systematic reviews, when available, often provide the best answers
to clinical questions.

Search Strategy Development

Primary search term Synonym 1 Synonym 2


P Male Man Boy
Patellofemoral pain Runner’s Knee Anterior knee pain

I Quads strengthening with Blood flow restriction Occlusion training Hypoxic training

C Quads strengthening without blood flow restriction

O Decrease patellofemoral pain Relieve pain Alleviate pain

Dartmouth Biomedical Libraries 10/12/2006

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