Clinical Reasoning Framework

Question 1

Initial intake

Answer 1

History
Patient identified problems
Symptom identification
Review of systems

Question 2

Initial intake allows you to

Answer 2

Interview
Know impact on participation
Medical review
Initial flags

Question 3

Hypotheses

Answer 3

Connects all components of the model

Informed by initial intake and or activity based movement analysis

Question 4

Physical examination

Answer 4

Selection of tests and measures that align with hypothesis
Related to body structure and function or activity limitations

Question 5

Evaluation

Answer 5

Enables pt to rule up or rule down hypotheses

Question 6

Diagnosis

Answer 6

Label that is formed from results of evaluation

Question 7

Prognosis

Answer 7

Predicting finals and outcomes of patient management

Question 8

Intervention

Answer 8

Must account for findings in all categories
Focus on returning patients ability to participate in society

Directly relate to movement goals and diagnosis
Align with theoretical approaches or clinical practice
Provide specific details for practice sessions and feedback style and strategies
Strategies to progress and or discharge

Arguments based on
Promotion of neuroplasticity
Impact on foundation sciences
Facilitation of motor learning
Relevance to published clinical practice guidelines

Question 9

Outcomes

Answer 9

Relates to tests and measures

Changes in-
Body structure and functions
Activity limitations
Participation restrictions

Question 10

Reflective practitioner

Answer 10

Hypotheses and management strategies( physical examination, evaluation, diagnosis and prognosis) are modified based upon patient response to intervention analysis of outcome measures and emerging factors