Spine Orals

Question 1

Clinical Philosophy by Paris

Answer 1

1. Joint injury: impairments/dysfunctions, not disease
2. Impairments are increases or decreases in motion from the expected normal with aberrant movement
3. Hypomobility: treat with manipulation, stretching, promotion of activities that encourage full ROM
4. Hypermobility: increased movement, laxity, instability; treat with stabilization and correction of limitation in neighboring joints
5. Timely PT intervention addressing impairments may slow/reverse degenerative process & negate need for surgery
6. PT’s primary role = exam at tx of impairments
   MD primary role = diagnosis & tx of disease
7. Impairment is the cause of pain; goal of PT should be to correct impairment unless pain is limiting factor
8. Key to understanding impairment is understanding anatomy & biomechanics
9. It is the patient’s responsibility to restore, maintain & enhance their health