Clinical reasoning Framework Part II

Clinical reasoning Framework Part II

Part II of Clinical Reasoning Framework examines treatment validation through retesting.

Data is collected via the subjective and objective portions of an examination.  Through data collection, the therapists identify a relevant abnormal finding or a specific test.  A hypothesis is formed on WHY the test abnormality is present and specific treatment is identified.  A treatment is performed and finally the original test is performed again.

PICTURE

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If the test does not produce favorable or improved results than a new test is formulated from your objective data and the cycle continues again. 

When a retest is performed with improved results, then a treatment intervention is positively identified.  It is then important to teach the patient about what just occurred.  If appropriate, the patient will then be given a home program that provides similar treatment strategies. 

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Why is this important.  Patients that have positive improvement WITHIN the first treatment session tend to have improved outcomes compared to those who don’t.  Also, patients that demonstrate improved symptoms BETWEEN the first and second treatment sessions have improved outcomes when compared to those that don’t.  Identifying treatment strategies that can modulate symptoms and improve limitations immediately is important in improving therapeutic alliance.