Professional uncertainty and treatment choices by physical therapists

Archives of Physical Medicine and Rehabilitation
D U Jette, A M Jette

Abstract

To determine patient, clinician, and practice setting characteristics associated with physical therapists' treatment choices in patients with knee, lumbar, and cervical impairments. Secondary analysis of data from the Focus on Therapeutic Outcomes (FOTO) database. Data from 132 physical therapy practices owned by five United States outpatient rehabilitation companies. The database contained information on 5,061 patients with knee, lumbar, or cervical impairments seen in these practices in 1993 and 1994 and agreeing to participate in data collection. Our sample consisted of 2,491 patients, treated by 462 physical therapists, who had complete data on the variables of interest. Physical therapists' treatment choices relied on factors other than the patient's clinical status when the impairment was likely to result in professional uncertainty as to diagnosis and consequences of treatments. For patients with spinal impairments, the clinical status of the patient was associated only with the choice of endurance exercises and modalities. Patient's clinical status was associated with every treatment type in patients with knee impairments. Educational level of the physical therapist, patient load, and payer were associated with a variet...Continue Reading

References

Sep 1, 1985·Clinical Orthopaedics and Related Research·Y Tegner, J Lysholm
Jan 1, 1982·Social Science & Medicine·J E WennbergM Zubkoff

❮ Previous
Next ❯

Citations

Jun 14, 2003·Orthopaedic Nursing·Kathleen L Neville
Apr 25, 2000·The Journal of Orthopaedic and Sports Physical Therapy·D L Hart, E A Dobrzykowski
Oct 18, 2007·The Journal of Orthopaedic and Sports Physical Therapy·Robert S Wainner, Julie M Whitman
Jan 5, 2010·The Journal of Manual & Manipulative Therapy·César Fernández-de-Las-Peñas
Jun 15, 2007·Physiotherapy Theory and Practice·I C S SwinkelsJ Dekker
Jan 10, 2012·Physical Therapy·Diane U Jette, Dianne V Jewell

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Clinica Chimica Acta; International Journal of Clinical Chemistry
Adolfo RomeroManuel Muñoz
The Journal of Orthopaedic and Sports Physical Therapy
Anthony Delitto
The Journal of Orthopaedic and Sports Physical Therapy
D L Hart, E A Dobrzykowski
The Journal of Orthopaedic and Sports Physical Therapy
C GillE Finch
© 2021 Meta ULC. All rights reserved