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ABSTRACT: Background
In Canada, as in other countries, the physical therapist (PT) must make a diagnosis to comply with direct access responsibilities. This means making a diagnosis is an entry-to-practice essential competency. However, there is no consensus across physical therapy practice domains and contexts regarding the diagnostic concept, i.e., the classification system, labelling and diagnostic format that should be used.Objective
To propose a universal diagnostic concept, one a PT could use regardless of their practice domain or context.Methods
The relevant scientific and grey literature (1986-2022) were searched and key information was synthesized.Results
Information from 194 retained documents (8506 identified) was synthesized to a list of seven essential criteria that were then used to develop a universal physical therapy diagnostic concept (PT-Dx-C). The PT-Dx-C format consists of three labels in the following order: (1) health problem, (2) primary impairment, and (3) primary activity limitation or participation restriction. Label definitions are those used by the World Health Organization. The specific health problem, impairment, and limitation or restriction making up the diagnosis are determined for each patient using valid tests and measures.Conclusions
The PT-Dx-C is consistent with best practices and could be applied to all patients, in all PT practice domains and contexts. It reflects the PT's expertise in the human movement system and their unique contribution to health care. Furthermore, its use may allow for communication of the PT's conclusions in a manner that can be understood by others thereby facilitating collaborative practice.
SUBMITTER: Perron M
PROVIDER: S-EPMC10692659 | biostudies-literature | 2023 Nov
REPOSITORIES: biostudies-literature
Perron Marc M Brosseau Rachel R Maltais Désirée B DB Piette Vincent V Godbout Alain A Corriveau Hélène H Hébert Luc J LJ
Brazilian journal of physical therapy 20231107 6
<h4>Background</h4>In Canada, as in other countries, the physical therapist (PT) must make a diagnosis to comply with direct access responsibilities. This means making a diagnosis is an entry-to-practice essential competency. However, there is no consensus across physical therapy practice domains and contexts regarding the diagnostic concept, i.e., the classification system, labelling and diagnostic format that should be used.<h4>Objective</h4>To propose a universal diagnostic concept, one a PT ...[more]