Clinical decision making by experienced and inexperienced pediatric physical therapists for children with diplegic cerebral palsy.

Abstract:

BACKGROUND AND PURPOSE:This qualitative study was designed to explore, identify, and describe clinical decision-making processes used by pediatric physical therapists. SUBJECTS:Clinical decision-making processes of three experienced therapists and three inexperienced therapists were assessed as they worked with 18 children with diplegia. METHODS:Retrospective think-aloud procedures were used to elicit verbalizations, which were transcribed, coded, and analyzed. RESULTS:Four characteristics of clinical decision making were identified: (1) Movement scripts provided insights into the clinical application of cognitive schemata based on previous experiences, (2) procedural changes occurred rapidly during within-session decision making, (3) psychosocial sensitivity was important for positive interaction during therapy, and (4) self-monitoring appeared to be pivotal in making clinical decisions as therapists self-assessed their practice. Contrasting data illustrated similarities and differences of experienced and inexperienced clinicians. CONCLUSION AND DISCUSSION:Findings are generally consistent with existing clinical decision-making literature and provide important information for physical therapy practice, research, and education.

journal_name

Phys Ther

journal_title

Physical therapy

authors

Embrey DG,Guthrie MR,White OR,Dietz J

doi

10.1093/ptj/76.1.20

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

20-33

issue

1

eissn

0031-9023

issn

1538-6724

journal_volume

76

pub_type

杂志文章
  • Comparison of the Berg Balance Scale and the Mini-BESTest for Assessing Balance in Ambulatory People With Spinal Cord Injury: Validation Study.

    abstract:Background:The Berg Balance Scale (BBS) has several constraints-ceiling effect, low responsiveness, and uncertain predictability of falls-in neurological populations. The Mini-BESTest, which has not yet been validated in spinal cord injury (SCI) populations, has shown no ceiling effect, slightly better responsiveness, ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzx030

    authors: Jørgensen V,Opheim A,Halvarsson A,Franzén E,Roaldsen KS

    更新日期:2017-06-01 00:00:00

  • Physical therapy for a patient through six stages of amyotrophic lateral sclerosis.

    abstract:BACKGROUND AND PURPOSE:This case report describes the use of Sinaki and Mulder's approach to staging amyotrophic lateral sclerosis (ALS) and functional outcome measures in designing a treatment program for a 59-year-old woman with ALS. CASE DESCRIPTION AND OUTCOMES:As the patient progressed from stage I through stage ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/78.12.1312

    authors: Dal Bello-Haas V,Kloos AD,Mitsumoto H

    更新日期:1998-12-01 00:00:00

  • Statistical analysis of productivity in one physical therapy department.

    abstract::The purposes of this retrospective study were to document productivity-relevant measurements, describe the relationships between these measurements, and discuss the implications of the relationships in one physical therapy department. The department's inputs (clinician and staff hours worked), outputs (patient visits,...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/67.10.1553

    authors: Bohannon RW

    更新日期:1987-10-01 00:00:00

  • A new evaluation method for lumbar spinal instability: passive lumbar extension test.

    abstract:BACKGROUND AND PURPOSE:Although many studies have described clinical examination measures for the diagnosis of lumbar spinal instability, few of them have investigated the sensitivity and specificity of the measures that were used. The authors devised a passive lumbar extension (PLE) test for assessing lumbar spinal in...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20050281

    authors: Kasai Y,Morishita K,Kawakita E,Kondo T,Uchida A

    更新日期:2006-12-01 00:00:00

  • Predicting Success for Student Physical Therapists on the National Physical Therapy Examination: Systematic Review and Meta-Analysis.

    abstract:BACKGROUND:In physical therapist education, the National Physical Therapy Examination (NPTE) is the predominant measure of student success. Because the NPTE is a high-stakes examination, predicting NPTE performance is important for physical therapist students and programs. PURPOSE:The purpose of this study was to dete...

    journal_title:Physical therapy

    pub_type: 杂志文章,meta分析

    doi:10.1093/ptj/pzz145

    authors: Wolden M,Hill B,Voorhees S

    更新日期:2020-01-23 00:00:00

  • The sit-to-stand movement: differences in performance between patients after primary total hip arthroplasty and revision total hip arthroplasty with acetabular bone impaction grafting.

    abstract:BACKGROUND:Little is known about the functional performance of patients after revision total hip arthroplasty with major acetabular bone impaction grafting. In general, these patients are assumed to perform worse due to a more advanced stage of periarticular tissue degeneration and multiple surgeries compared with pati...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20090376

    authors: Boonstra MC,Schreurs BW,Verdonschot N

    更新日期:2011-04-01 00:00:00

  • Responsiveness and Minimal Important Change for Pain and Disability Outcome Measures in Pregnancy-Related Low Back and Pelvic Girdle Pain.

    abstract:BACKGROUND:Pregnancy-related low back pain and pelvic girdle pain (LBP/PGP) are common and negatively impact the lives of many pregnant women. Several patient-based outcome instruments measure treatment effect, but there is no consensus about which measure to use with women who have these pain presentations. OBJECTIVE...

    journal_title:Physical therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/ptj/pzz107

    authors: Ogollah R,Bishop A,Lewis M,Grotle M,Foster NE

    更新日期:2019-11-25 00:00:00

  • Computer-assisted instruction in curricula of physical therapist assistants.

    abstract::This article compares the effectiveness of computer-assisted instruction (CAI) with written, programmed instruction between two groups of physical therapist assistant students. No significant difference in the amount of material learned or retained after completion of testing using either CAI or a written, programmed ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/67.8.1237

    authors: Thompson EC

    更新日期:1987-08-01 00:00:00

  • Electromyographic analysis of selected muscles during sitting push-ups. Effects of position and sex.

    abstract::The purpose of this study was to determine if differences in EMG activity of the latissimus dorsi, pectoralis major and triceps brachii occurred between muscles and between the 16 male and 16 female subjects performing push-ups from three different sitting positions. Surface electrodes and associated instrumentation r...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/64.1.24

    authors: Anderson DS,Jackson MF,Kropf DS,Soderberg GL

    更新日期:1984-01-01 00:00:00

  • The motor unit. Anatomy and physiology.

    abstract::The physiological and anatomical properties of mammalian motor units are discussed, and the results of human and animal studies are compared. A physiological organization of motor units based on the mechanical properties of their associated muscle units is examined. It is concluded that such an organizing principle ha...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审

    doi:10.1093/ptj/62.12.1763

    authors: English AW,Wolf SL

    更新日期:1982-12-01 00:00:00

  • Novice and experienced physical therapist clinicians: a comparison of how reflection is used to inform the clinical decision-making process.

    abstract:BACKGROUND:Prior experience informs clinical decision making and shapes how reflection is used by novice and experienced physical therapist clinicians. OBJECTIVES:The aims of this research were: (1) to determine the types and extent of reflection that informs the clinical decision-making process and (2) to compare the...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20090077

    authors: Wainwright SF,Shepard KF,Harman LB,Stephens J

    更新日期:2010-01-01 00:00:00

  • After-effect of microneurography in humans. Part IV.

    abstract::Twenty subjects were followed up to three months after microneurographic recording of sympathetic nerve fiber activity to determine the nature and incidence of sequelae to the invasive microneurographic procedure. Skin or muscle parethesias lasting two weeks on the average were reported by the majority of subjects. Ni...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/61.11.1585

    authors: Littell EH

    更新日期:1981-11-01 00:00:00

  • Effect of a single 30-minute treatment of high voltage pulsed current on edema formation in frog hind limbs.

    abstract::The purpose of this study was to investigate the effect of a single treatment of high voltage pulsed current (HVPC) on edema formation. Twenty-four frogs were anesthetized, and both hind limbs of each frog were traumatized by impact. Limb volumes were measured by water displacement immediately before and after trauma ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/72.1.63

    authors: Taylor K,Fish DR,Mendel FC,Burton HW

    更新日期:1992-01-01 00:00:00

  • Physical therapy management of patients with total ankle replacement.

    abstract::Ankle arthrodesis has been the treatment of choice for patients who have arthritic or degenerative ankly disease with disabling pain and loss of motion. But the results of long-term retrospective studies show a significant percentage of arthrodeses are unacceptable to patients and considered to be clinically poor or f...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/60.3.303

    authors: Smith CL

    更新日期:1980-03-01 00:00:00

  • Essential considerations in the use of EMG biofeedback.

    abstract::In light of a developing, widespread interest in electromyographic biofeedback as both a clinical and research modality, this article reviews basic factors that the physical therapist must consider for successful biofeedback applications. These factors include the proper use and care of electrodes, correct grounding p...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/58.1.25

    authors: Wolf SL

    更新日期:1978-01-01 00:00:00

  • Objective determinations of sensibility in the upper extremity. Part III. Application of cutaneous stimuli in patients with peripheral nerve lesions.

    abstract::Quantitative values for pressure, electrical, and two-point touch stimulation were examined in five patients with peripheral nerve injuries of the ulnar or median nerves. Analyses of profiles generated for each stimulus application in each patient participating in this preliminary study suggest that, following the rea...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/57.10.1132

    authors: Wolf SL,Nahai F,Brown DM,Jordan N,Kutner M

    更新日期:1977-10-01 00:00:00

  • Proprietary physical therapy service in entry-level physical therapy curricula.

    abstract::The purposes of this study were to 1) assess the value of including an expanded business administration unit that would include proprietary practice issues in an entry-level physical therapy curriculum and 2) organize topics by priority that could be included in such a unit. Twenty-seven physical therapists (100%) in ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/68.7.1123

    authors: Hulme JB,Newman WC,Miller K,Dougan J

    更新日期:1988-07-01 00:00:00

  • Sleep enhances learning of a functional motor task in young adults.

    abstract:BACKGROUND:Sleep has been demonstrated to enhance simple motor skill learning "offline" in young adults. "Offline learning" refers to either the stabilization or the enhancement of a memory through the passage of time without additional practice. It remains unclear whether a functional motor task will benefit from slee...

    journal_title:Physical therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.2522/ptj.20120502

    authors: Al-Sharman A,Siengsukon CF

    更新日期:2013-12-01 00:00:00

  • Relative decreases in knee extension torque with increased knee extension velocities in stroke patients with hemiparesis.

    abstract::I examined the isokinetic knee extension torque (KET) produced by the paretic and nonparetic lower limbs of 27 stroke patients, with hemiparesis, at knee extension velocities (KEVs) of 30 degrees, 60 degrees, 120 degrees, and 180 degrees/sec. The purpose of this study was to determine whether the relative decreases in...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/67.8.1218

    authors: Bohannon RW

    更新日期:1987-08-01 00:00:00

  • Effects of exercise on hip range of motion, trunk muscle performance, and gait economy.

    abstract:BACKGROUND AND PURPOSE:The purposes of this study were (1) to examine the effects of a passive hip extension stretching exercise program on hip extension range of motion (ROM), (2) to examine the effects of a trunk flexor exercise program on trunk flexor muscle performance, and (3) to examine the effects of passive hip...

    journal_title:Physical therapy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/ptj/73.7.468

    authors: Godges JJ,MacRae PG,Engelke KA

    更新日期:1993-07-01 00:00:00

  • Relief of low back pain by epidural injection. A case report.

    abstract::This report describes the use of epidural injection in the treatment of a patient with severe back pain whose medical history and physical examination suggest a diagnosis of a lumbar disk lesion. The patient's medical history included recurrent episodes of buttock and hip pain that previously responded well to lumbar ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/67.11.1712

    authors: Woodman R,Balavender H,Froeb R

    更新日期:1987-11-01 00:00:00

  • Current principles in the nonoperative management of structural adolescent idiopathic scoliosis.

    abstract::Physical therapists routinely identify and manage adolescents with idiopathic scoliosis. Therefore, it is essential that we maintain a current understanding of both the condition and the treatment principles. This paper includes both a discussion of the personal impact on those left untreated and a review of current c...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审

    doi:10.1093/ptj/63.4.512

    authors: Farady JA

    更新日期:1983-04-01 00:00:00

  • Teaching. A skill in clinical practice.

    abstract::I surveyed by questionnaire a random sample of 585 physical therapists and the administrators of all accredited and developing entry-level educational programs on record with the American Physical Therapy Association in March 1981 to determine attitudes toward, involvement in, and preparation for teaching as a skill i...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/63.10.1627

    authors: May BJ

    更新日期:1983-10-01 00:00:00

  • Development of a clinical prediction rule for guiding treatment of a subgroup of patients with neck pain: use of thoracic spine manipulation, exercise, and patient education.

    abstract:BACKGROUND AND PURPOSE:To date, no studies have investigated the predictive validity of variables from the initial examination to identify patients with neck pain who are likely to benefit from thoracic spine thrust manipulation. The purpose of this study was to develop a clinical prediction rule (CPR) to identify pati...

    journal_title:Physical therapy

    pub_type: 临床试验,杂志文章

    doi:10.2522/ptj.20060155

    authors: Cleland JA,Childs JD,Fritz JM,Whitman JM,Eberhart SL

    更新日期:2007-01-01 00:00:00

  • Low Back Pain--Related Disability in Parkinson Disease: Impact on Functional Mobility, Physical Activity, and Quality of Life.

    abstract:BACKGROUND:People with Parkinson disease (PD) frequently experience low back pain (LBP), yet the impact of LBP on functional mobility, physical activity, and quality of life (QOL) has not been described in PD. OBJECTIVE:The objectives of this study were to describe body positions and functional activities associated w...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzz094

    authors: Duncan RP,Van Dillen LR,Garbutt JM,Earhart GM,Perlmutter JS

    更新日期:2019-10-28 00:00:00

  • Fitkids Treadmill Test: Clinical Utility and Factors Associated With Its Use Among Physical Therapists.

    abstract:BACKGROUND:Although the Fitkids Treadmill Test (FTT) has been validated and normative values are available for healthy 6- to 18-year-old children and adolescents, these facts do not automatically imply uptake of the test in routine practice of physical therapists. OBJECTIVE:The objectives of this study were to evaluat...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzy142

    authors: Kotte EMW,de Groot JF,Winkler AMF,Veenhof C,Takken T

    更新日期:2019-04-01 00:00:00

  • Whirlpool versus whirlpool rinse for removal of bacteria from a venous stasis ulcer.

    abstract::The number of bacteria removed from a venous stasis ulcer by whirlpool treatment alone and that removed by whirlpool treatment followed by vigorous rinsing are compared. A single subject received the whirlpool treatment followed by the rinse on 12 separate occasions. The number of bacteria removed was determined by ta...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/62.3.304

    authors: Bohannon RW

    更新日期:1982-03-01 00:00:00

  • Modified constraint-induced therapy in patients with chronic stroke exhibiting minimal movement ability in the affected arm.

    abstract:BACKGROUND AND PURPOSE:The purpose of this study was to determine the efficacy of a reimbursable, outpatient modified constraint-induced therapy (mCIT) protocol administered to subjects with chronic stroke who initially exhibited minimal movement ability in their affected wrists and fingers. SUBJECTS:The subjects were...

    journal_title:Physical therapy

    pub_type: 临床试验,杂志文章

    doi:10.2522/ptj.20060202

    authors: Page SJ,Levine P

    更新日期:2007-07-01 00:00:00

  • Comparison of gait of young women and elderly women.

    abstract::The purpose of our study was to describe and compare free-speed gait patterns of healthy young women with healthy elderly women. The evaluation was completed with high-speed cinematography using synchronized front and side views of 26 healthy volunteers. One group was composed of 13 subjects 20 to 35 years of age, and...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/66.9.1382

    authors: Hageman PA,Blanke DJ

    更新日期:1986-09-01 00:00:00

  • Use of neuromuscular electrical stimulation and [corrected] dorsal wrist splint to improve the hand function of a child with spastic hemiparesis.

    abstract::This case report describes a program for a child with spastic hemiparesis who had previously received physical therapy with neuromuscular electrical stimulation (NMES). After a year without physical therapy, he returned to continue to receive NMES to strengthen muscles, increase sensory awareness, and improve hand fun...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/77.6.661

    authors: Carmick J

    更新日期:1997-06-01 00:00:00