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Physical
Therapy
Physical therapy is the service only provided by, or under the direction
and supervision of a physical therapist and includes assessment, diagnosis,
planning, intervention and evaluation.
Assessment includes both the examination of individuals
or group with actual or potential impairments, functional limitations,
disabilities, or other conditions of health by history taking, screening
and the use of specific tests and measures and evaluation of
the results of the examination through analysis and synthesis within
a process of clinical reasoning.
Diagnosis arises from the examination and evaluation and represents
the outcome of the process of clinical reasoning. This may be expressed
in terms of movement dysfunction or may encompass categories of impairments,
functional limitations, abilities/disabilities or syndromes.
Planning begins with determination of the need for intervention
and normally leads to the development of a plan of intervention, including
measurable outcome goals negotiated in collaboration with the patient/client,
family or care giver. Alternatively it may lead to referral to another
agency in cases which are inappropriate for physical therapy.
Intervention is implemented and modified in order to reach agreed
goals and may include manual handling; movement enhancement; physical,
electro-therapeutic and mechanical agents; functional training; provision
of aids and appliances; patient related instruction and counseling;
documentation and coordination, and communication. Intervention may
also be aimed at prevention of impairments, functional limitations,
disability and injury including the promotion and maintenance
of health, quality of life, and fitness in all ages and populations.
Evaluation necessitates reexamination for the purpose
of evaluating outcomes.
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