When it comes to clinical practice, what matters most to real-world MLD therapists simply isn’t what’s being measured in “Level I evidence”. To understand this disconnect we need to revisit what evidence based practice really means. Evidence based therapy is a synthesis of research evidence, clinical experience and observation, in the context of the desired outcomes of the recipient. Relying on Level 1 evidence alone is just not enough. Yet systematic reviews and meta-analy

The demand for level 1 studies is largely driven by academic needs, rather than tangible, clinically relevant outcomes.

There has been a lot of discussion lately around systematic reviews and RCTs on the effectiveness of MLD in our treatment mix. Measuring tre