Patient self-report outcome measures used for the wrist and hand are also included.A research-derived model of clinical reasoning strategies is presented and used to make explicit all of the aspects of practice that physical therapists reason about in order to make wise practice decisions with their patients.Guidance is also provided about ways to appropriately and effectively integrate research evidence into decision-making.
Finally, ways in which critical self-reflection on clinical reasoning experiences can be used to facilitate the growth and development of experiential knowledge and clinical reasoning expertise are discussed. Two case scenarios are presented with application questions embedded within each. The first case is presented in 3 parts, and describes a physical therapists initial visit with a 14-year-old female soccer player and her mother. The case provides the reader with opportunities to analyze examples of clinical reasoning concepts and appropriate application of research evidence in reasoning and decision-making throughout the case. The second case illustrates application of strategies to optimize the learning from a clinical reasoning experience, in this example through a case describing an interaction between a mentor and a physical therapist resident. The key concepts of anatomy and biomechanics forms the basis for many of the most important examination methods. Due to a very high number of available special tests, clinicians must be well-versed in the performance and diagnostic accuracy of these tests to best select optimal testing sequences for specific patient populations. The high reliance of the shoulder on dynamic stabilization requires clinicians to employ evidence-based strategies to improve muscular strength and endurance and to optimize muscle balance. Fortunately, a plethora of studies are now available and are reviewed in this manuscript to enable clinicians to design specific programs for rotator cuff and scapular strengthening. These programs are essential parts of many treatment programs for shoulder pathology. Lastly, mobility is also of critical importance to this complex joint to ensure high levels of human function. Specific techniques can be employed to improve shoulder range of motion and improve function. These techniques, while technical, have strong foundations in the anatomy and biomechanics of the shoulder complex and are also presented in this monograph. Using available evidence, physical exam measures and interventions are presented for the conditions of tendinopathy, ligamentous instability, fractures, and neural disorders that may present with symptoms at the elbow. Both operative and nonoperative management are discussed where appropriate. The diagnostic accuracy of a variety of physical exam measures are given to inform the clinician planning assessment. Available outcomes and rehabilitation guidelines should assist the clinician for intervention planning. Finally functional outcome tools are discussed with the utility for conditions at the elbow region. The fundamental science underlying the anatomy and function of the wrist and hand are highlighted and integrate well with the other major areas of the monograph. Evidence is integrated throughout to provide a rationale for clinical decisions. A differential diagnosis approach forms the basis of the clinical decision-making and principles of treatment dictate the rehabilitation progression presented.
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |