PMID: 3749271Sep 1, 1986Paper

Hypothesis-oriented algorithm for clinicians. A method for evaluation and treatment planning

Physical Therapy
J M Rothstein, J L Echternach

Abstract

The purpose of this article is to introduce the hypothesis-oriented algorithm for clinicians (HOAC), which is designed to aid physical therapists in clinical decision making and patient management. The HOAC consists of two parts. The first part is a sequential guide to evaluation and treatment planning; the second part consists of a branching program used for reevaluation and the analysis of treatment effectiveness. Problem statements used in the HOAC are similar to those used for problem oriented medical records. The HOAC, however, requires therapists to state hypotheses about why the problems exist and to generate criteria that can be used to test the hypotheses. The benefits of the HOAC are that therapists must clearly state problems in a consistent manner, generate and list hypotheses and test criteria, develop treatment strategies and methods based solely on the hypotheses, and systematically review treatment. The rationale for treatment is identified clearly in the algorithm, facilitating the identification of inappropriate treatments (ie, those not related to the hypotheses). In addition, the branching program is used to identify where in the treatment process failures may be occurring and when a therapist needs to make ...Continue Reading

Citations

Mar 1, 1997·The Journal of Orthopaedic and Sports Physical Therapy·M K MilidonisE Antonucci
Jul 14, 2010·Disability and Rehabilitation·Trine S Hansen, Daniela Jakobsen
Sep 24, 2015·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Jennifer FurzeGail M Jensen
May 14, 1999·The Journal of Orthopaedic and Sports Physical Therapy·M K MilidonisG M Jensen
Dec 23, 2003·Advances in Skin & Wound Care·Robert J GoldmanMichael Rudnick
Feb 5, 2011·The Journal of Orthopaedic and Sports Physical Therapy·Erik J Thoomes, Maarten S Schmitt
Apr 4, 2017·Physical Therapy·Sarah Gilliland, Susan Flannery Wainwright
Jul 7, 2007·Disability and Rehabilitation·Panagiota Nikopoulou-Smyrni, Christos K Nikopoulos
Dec 12, 2020·Physiotherapy Theory and Practice·Rob A B OostendorpEmiel van Trijffel
Nov 20, 2009·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Jane K SweeneyUNKNOWN American Physical Therapy Association
Aug 16, 2021·Journal of Bodywork and Movement Therapies·Adi Halili

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