dear Bobby,

as much as possible.... and
as far as real evidence based theories can tell me what to do...

In Holland we have been very lucky to have people like the Wikipedia reference-linkBobaths across the Channel and Vojta around the corner ( long ago). In the last 15 years people like dr Prechtl, dr Mijna Hadders Algra and mrs Marjolein Ketelaar ( functional physiotherapy in CP), colleagues Eva Bower, Ann-Christin Eliasson (MACS) Olaf Verschuren ( physical fitness in CP) Raoul Engelbert (connective tissue- JRC) around the corner, and the European Academy of Childhood Disability,EACD -an active organisation promoting research. European Academy of Childhood Disability
Our NVFK ( pediatric group of our National Society) has strict rules about the education of paediatric physios... for more information look at our site NVFK; Nederlandse Vereniging voor Fysiotherapie in de Kinder- en jeugdgezondheidszorg (sorry most is in Dutch- a factsheet is in English). A 4 yrs part time education (used to be 3) covering all aspects of all childhood disabilities. Protocols and guidelines for various childhood diseases are used and being created.
The www.cebp.nl is "made in Holland"!
Look up... NetChild | homepage
Gait labs are working with video analysis, I can send my video to various Gait Labs and have colleagues + rehab specialists "look at my childs problems"

We are lucky....

We are probably one of the only countries with an electronic patient file system specifically for PPTers.

So being an older bird, I can say I was trained in many "old methods" , had to comply to the new regulations and recieved extra education in order to obtain knowledge of current evidence based work. To be registered and to stay in our paediatric physiotherapy register, ongoing postgraduate education was and is mandatory.

Being the clinician, it was nice to finally know the evidence behind the practice.
This sometimes meant changing things and like always.... everytime you hear something new ( in course- book- conference) you always know a patient you definitely want to "try this" with.


and... how about you?

Esther