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Constructs and Concepts That Inform Physical Therapist Practice

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There are four major constructs and concepts that inform current practice: ICF and the biopsychosocial model; evidence-based practice; professional values; and quality assessment.

Education, Specialization, and Licensure

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Physical therapists are professionally educated at the college or university level and are required to be licensed in the state or states in which they practice.

Measurement Concepts

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Measurement is the “numeral assigned to an object, event, or person, or the class (category) to which an object, event, or person is assigned according to rules.”

Measuring Outcomes

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Outcomes are the actual results of implementing the plan of care that indicate the impact on functioning (body functions and structures, activities, and participation).

Selection of Interventions

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The physical therapist uses information gleaned through the examination and evaluation to select interventions best suited to meet the individual's needs according to his or her presentation.

Measurement & Outcomes References

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Reference Rothstein JM,Campbell, SK,Echternach JL, et al; Task Force for Standards of Measurement in Physical Therapy. Standards for tests and measures in physical therapy practice. Phys Ther. 1991;71:589-622. Rothstein JM,Echternach JL. Primer on Measurement: An Introductory Guide to Measurement Issues.

Introduction

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The Guide is the description of physical therapist practice for use by physical therapist and physical therapist assistant educators, students, and clinicians

Measurement & Outcomes

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By selecting and using the appropriate standardized outcome measures to quantify the individual's status throughout an episode of care, the physical therapist is able to demonstrate the value of physical therapy in helping individuals achieve their identified goals.

Tests and Measures

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PTs engage in an examination process that includes taking the individual's history, conducting a standardized systems review, and performing selected tests and measures to identify potential and existing movement-related disorders.

Patient or Client Instruction

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Patient or client instruction is the process of informing, educating, or training patients or clients, families, significant others, and caregivers with the intent to promote and optimize the physical therapist episode of care.