خلاصة:
Evidence-Based Practice (EBP) is defined as "a process that combines the best evidence, community values and priorities, and agency, social, and political considerations to create programs and policies that are effective and grounded." EBP is an effective strategy for making informed and wise clinical decisions based on the best available evidence, combined with complex clinical situations, physician expertise, and patient preferences. Our aim was to review attitudes about barriers and experiences of physiotherapists towards EBP. In relevant clinical studies and research, the increase in EBP among physical therapists is partly due to the existence of wide unexplained variations in clinical practice patterns, poor acceptance of treatments with known efficacy, and the use of technologies and interventions that were known to be ineffective. Implementation of EBP is recognized not only as an improvement in understanding and optimization of the care process in terms of knowledge and ability, but also as an ethical obligation. Also, EBP has become an essential competency for rehabilitation and physical therapy practice. Further developments of the EBP movement, such as changing the traditional hierarchy of evidence to the GRADE approach, emphasis on patient values and shared decision-making in the EBP process, and the systematic introduction of evidence-based clinical practice guidelines, are recognized in the standards of physical therapy education and practice. Nevertheless, the obstacles and problems for the implementation and dissemination of the EBP process, in physical therapy, are among the significant differences in countries and fields and specific characteristics of physical therapists. According to a survey of the current situation in the field of EBP among physical therapists, along with teamwork and patient-centered care, it is recognized as a core competency in contemporary health care. However, the dissemination and implementation of EBP remains problematic and dependent on various external and internal factors ranging from personal, institutional to systemic factors with specific characteristics for professions, contexts, as well as facilitators widely across the board. The world has been explored. Finally, this study identified several barriers to the use of EBP by physical therapists, such as the inability to understand statistical data, insufficient support from employers and colleagues, organizational and time constraints, and lack of interest. Understanding potential barriers and providing strategies to resolve them is suggested as an initial step for developing strategies toward successful implementation and dissemination of EBP