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EDITORIAL
Year : 2015  |  Volume : 1  |  Issue : 2  |  Page : 63-64

Low tech clinical research: A minimum must


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Date of Web Publication7-Jan-2016

Correspondence Address:
A K Purohit
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2395-4264.173427

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How to cite this article:
Purohit A K. Low tech clinical research: A minimum must . Indian J Cereb Palsy 2015;1:63-4

How to cite this URL:
Purohit A K. Low tech clinical research: A minimum must . Indian J Cereb Palsy [serial online] 2015 [cited 2017 Mar 24];1:63-4. Available from: http://www.ijcpjournal.org/text.asp?2015/1/2/63/173427

IACP, the scientific body of professionals on cerebral palsy in India that is totally dedicated for the cause holistically in most scientific way. It is thriving for the best nonbiased scientific methods (modern and traditional) to be evaluated and ascertained, taking care of motor as well as all other associated disabilities that affect the prognosis. Therefore, this issue has all types of such scientific articles on cerebral palsy. Interestingly, the issue has low tech clinical articles and that is what least can be done in developing countries, has been done and is a minimum must.

India, with the second largest populated country in the world having enormous number of children and adults with cerebral palsy (roughly 3 per thousand live births with a 1270 million population) provides the best opportunity to clinically study them. There is a wide gap in this country (and also in all the other developing countries) between the international and traditional management of these children and adults. Painfully, the natural history of cerebral palsy can be seen in India and other SAARC countries quite distinctly. However, these data (on natural history) can be made as control for future studies. Indeed, a perfect scientific recording of the clinical condition and using international measurement tools will provide best opportunity to see the effects of various interventions on natural history in a cost-effective way. Thanks to the authors, the same is seen in many articles of this issue.

At present, various academic bodies are conducting quite well the academic meetings and discussing, reviewing the literature and presenting small series or anecdotes in India. However, the publications in the journals of those bodies are meager and have got diluted by the number of other publications of the disorders to which these academic bodies belong. However, the opportunity of publication through IJCP is surely encouraging the students and teachers of various related fields. With the increasing number of courses that have been started in India, the journal indirectly motivates scholars to come out with high standard hard core scientific studies and same is reflected in this issue too.

Socioeconomic, geographical, and educational status along with motivation of the families influence the outcome of intervention and even the natural history. The goals also do differ in different parts of the world. This is the reason the East and West; developed, developing and under developed parts of the world have different realistic rehab goals taking into consideration the vocation and real need of other members of the family. Say, early in life, the severe musculoskeletal contractures are common in under developed part of the world compared to the developed one. Similarly, in farmer families, the members are more dependent on physical activity related jobs (farming and laboring). Whereas in developed countries, mostly machines do the physical work and they are provided with physical appliances also. These are either not affordable, not available or cannot be used in physical environment (roads and stairs) of the underdeveloped world. Comparative international scientific clinical studies and recommendations are meager. The present publication has addressed some of these issues too.

Scientific proofs of traditional (ours and ancient) methods if fits well with the changes (socioeconomic geographical and lifestyle plus vocational) that have occurred in the past millennium, then these proofs look much more promising. It is because these have withstood test of the time. However, these facts need again the scientific exploration keeping in mind the present scenario. Hopefully, scientific studies will come up for publication in future.

Clinical data are the basic data and recording with perfect clinical methods is a must for any clinical scientific work. However, the extremely high tech sophisticated methods may be of extreme help, but may get outdated too. This has been seen with neurostimulation that came but got partially outdated, say, for SPR (Selective Posterior Rhizotomy). Therefore, while working with high tech, the best clinical practice will still remain one of the foundation guiding source for the scientists in applied medical field. High tech will detect incidental lesions also; it is the best clinical practice that will guide as to how the clinicians should manage these cases. Like qualities of heart, the clinical practice will continue to show the true path in medical field and will never get outdated. The team of editorial boards presents these scientific clinical low tech articles for our deep insight into the management of children and adults with cerebral palsy and future guidelines.




 

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