Abstract
[Extract] SIR–In responding to the letters that have been sent regarding our paper, it is clear we are all passionate about our own specialities; at the same time we believe that the optimal well-being of children with cerebral palsy (CP) must remain at the centre of this debate. We take this opportunity to state that we strongly uphold the principles of evidence-based medicine (EBM), wherein the integration of clinical expertise, client values, and best evidence is considered paramount to quality clinical decision-making. The purpose of a systematic review is to summarize the best available evidence. We provided such a summary, but this should not be misread as a clinical ‘cookbook’. We concur with EBM experts that, ‘Systematic reviews can define the boundaries of what is known and what is not known. . . Systematic reviews can aid, but can never replace, sound clinical reasoning.’
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