A proposal for a universal physical therapy diagnostic concept.
Classification
Clinical practice
Diagnosis
Physical therapy
Physiotherapy
Journal
Brazilian journal of physical therapy
ISSN: 1809-9246
Titre abrégé: Braz J Phys Ther
Pays: Brazil
ID NLM: 101615124
Informations de publication
Date de publication:
07 Nov 2023
07 Nov 2023
Historique:
received:
05
10
2022
revised:
25
03
2023
accepted:
25
10
2023
medline:
19
11
2023
pubmed:
19
11
2023
entrez:
18
11
2023
Statut:
aheadofprint
Résumé
In Canada, as in other countries, the physical therapist (PT) must make a diagnosis to comply with direct access responsibilities. This means making a diagnosis is an entry-to-practice essential competency. However, there is no consensus across physical therapy practice domains and contexts regarding the diagnostic concept, i.e., the classification system, labelling and diagnostic format that should be used. To propose a universal diagnostic concept, one a PT could use regardless of their practice domain or context. The relevant scientific and grey literature (1986-2022) were searched and key information was synthesized. Information from 194 retained documents (8506 identified) was synthesized to a list of seven essential criteria that were then used to develop a universal physical therapy diagnostic concept (PT-Dx-C). The PT-Dx-C format consists of three labels in the following order: (1) health problem, (2) primary impairment, and (3) primary activity limitation or participation restriction. Label definitions are those used by the World Health Organization. The specific health problem, impairment, and limitation or restriction making up the diagnosis are determined for each patient using valid tests and measures. The PT-Dx-C is consistent with best practices and could be applied to all patients, in all PT practice domains and contexts. It reflects the PT's expertise in the human movement system and their unique contribution to health care. Furthermore, its use may allow for communication of the PT's conclusions in a manner that can be understood by others thereby facilitating collaborative practice.
Sections du résumé
BACKGROUND
BACKGROUND
In Canada, as in other countries, the physical therapist (PT) must make a diagnosis to comply with direct access responsibilities. This means making a diagnosis is an entry-to-practice essential competency. However, there is no consensus across physical therapy practice domains and contexts regarding the diagnostic concept, i.e., the classification system, labelling and diagnostic format that should be used.
OBJECTIVE
OBJECTIVE
To propose a universal diagnostic concept, one a PT could use regardless of their practice domain or context.
METHODS
METHODS
The relevant scientific and grey literature (1986-2022) were searched and key information was synthesized.
RESULTS
RESULTS
Information from 194 retained documents (8506 identified) was synthesized to a list of seven essential criteria that were then used to develop a universal physical therapy diagnostic concept (PT-Dx-C). The PT-Dx-C format consists of three labels in the following order: (1) health problem, (2) primary impairment, and (3) primary activity limitation or participation restriction. Label definitions are those used by the World Health Organization. The specific health problem, impairment, and limitation or restriction making up the diagnosis are determined for each patient using valid tests and measures.
CONCLUSIONS
CONCLUSIONS
The PT-Dx-C is consistent with best practices and could be applied to all patients, in all PT practice domains and contexts. It reflects the PT's expertise in the human movement system and their unique contribution to health care. Furthermore, its use may allow for communication of the PT's conclusions in a manner that can be understood by others thereby facilitating collaborative practice.
Identifiants
pubmed: 37979247
pii: S1413-3555(23)00081-3
doi: 10.1016/j.bjpt.2023.100560
pmc: PMC10692659
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
100560Informations de copyright
Copyright © 2023 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. Publicado por Elsevier España, S.L.U. All rights reserved.
Déclaration de conflit d'intérêts
Conflicts of interest None.
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