Physiotherapy diagnosis in clinical practice: a survey of orthopaedic certified specialists in the USA

Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy
Marcia Miller Spoto, Jennifer Collins

Abstract

Diagnosis is a complex process that involves clinical decision-making along several dimensions, culminating in the assignment of a label or labels which inform(s) treatment decisions. Much of the attention given to physiotherapy diagnosis has been devoted to specific, disparate classification systems for low back pain. The purpose of the present study was to investigate how physiotherapists view and approach diagnosis in clinical practice in the USA. A survey was developed to collect both quantitative and qualitative data related to diagnostic process and classification in orthopaedic practice. Subjects comprised 253 Board-certified orthopaedic physiotherapy practitioners. A total of 850 surveys were administered; 253 surveys were completed, representing a return rate of 30%. Eighty-four per cent of the respondents report patient care as their primary professional practice area. Seventy-six per cent of the subjects utilized a diagnostic classification system distinct from the medical diagnosis when managing patients with low back pain. Of those, the largest percentage (38%) utilized a general pathophysiological classification system, 32% utilized the McKenzie system and, in decreasing order of frequency, treatment-based classif...Continue Reading

References

Jan 1, 1987·Spine·D R GoreM P Murray
Jan 8, 2000·Journal of Manipulative and Physiological Therapeutics·P M Delaney, M J Hubka
Jul 25, 2000·The Journal of Orthopaedic and Sports Physical Therapy·H RazmjouR Yamada
Apr 20, 2004·The Journal of Orthopaedic and Sports Physical Therapy·Nancy J Zimny
Mar 26, 2005·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Gwendolen Jull

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Citations

Jun 26, 2010·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Trevor RussellBradley Richardson
Jun 8, 2012·Manual Therapy·Jon Joseph Ford, Andrew John Hahne
Dec 3, 2011·Archives of Physical Medicine and Rehabilitation·Adriaan LouwEmilio J Puentedura
Jun 26, 2015·The Journal of Manual & Manipulative Therapy·Eira KarvonenAri O Heinonen
Jul 5, 2011·Physiotherapy Theory and Practice·Claire Davies, Dana Howell
Aug 26, 2014·Physiotherapy Theory and Practice·Marcia Miller Spoto, Greg Dixon
Feb 28, 2014·Physiotherapy Theory and Practice·Claire DaviesDorothy Brockopp
May 14, 2016·The Journal of Orthopaedic and Sports Physical Therapy·Brittney MazzoneSara Gombatto
Jan 17, 2012·Physical Therapy·Luke D SurkittJoan M McMeeken
Nov 12, 2010·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Connie C Johnson, Toby Long
Jun 17, 2020·BMC Sports Science, Medicine and Rehabilitation·N R HeneghanA Rushton

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