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Picture

The Questions I need answers to as your PT

12/18/2013

3 Comments

 
Picture
Our roles as physical therapists is constantly changing & seems to differ extraordinarily depending on what type of patient population you see. Currently, I see A LOT of chronic pain. If someone presents with chronic pain, usually this means the traditional medical model of care will not suffice. In these situations, it is important to use the biopsychosocial model of care if I plan to be successful. Part of the biopsychosocial model is understanding what barriers a person has to therapy. By addressing these barriers, the therapist will best be able to address impairments in the scope of the patient's life. Also by looking at these barriers, you will be able to see if a patient is ready for physical therapy. "Ready" you may be asking yourself? One reality I quickly stumbled across while practicing at a community hospital is that certain people have so many life stresses that take priority before their musculoskeletal health. If a patient comes to see you with cLBP, but also has a history of depression, transportation issues, financial problems, family problems, and reports little to no exercise, strengthening the PGM may not be the first thing they need. I would recommend starting this patient on a general exercise program and a few basic exercises. Going back to barriers, one of the biggest barriers I face each day is patient adherence and compliance. I often struggle with how to address these issues. Which clients are appropriate for PT and which are unfortunately not ready to change? Check out this post by Chris Johnson. He poses some great questions that will put you and the patient on the same level regarding your goals and their expectations of physical therapy. They may save you some time down the road.

-Jim     

3 Comments
roberto
12/19/2013 12:16:48 am

Muy interesante,un aporte con razonamiento y una lógica diferente del sistema medico hegemónico que intenta solo disminuir los síntomas sin considerar lo psicosocial que es de acuerdo a trabajos publicados lo relevante en el dolor crónico
Gracias

Reply
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As your personal trainer, I aim to provide comprehensive guidance for your fitness journey. Understanding your goals, limitations, and preferences is crucial. The questions I need answers to include your medical history, current fitness level, dietary habits, and any injuries or health concerns. This information helps tailor workouts and ensure safety. Remember, open communication is key to achieving optimal results. For reliable supplements, consider BorderFreeHealth pharmacy online.

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  • Home
  • About Us
  • TSPT Academy
  • Resources
    • Newsletter
    • Orthopedic Blog
    • Featured Articles
    • Research Articles
    • Residency Corner
  • Special Tests
    • Cervical Spine >
      • Alar Ligament Test
      • Bakody's Sign
      • Cervical Distraction Test
      • Cervical Rotation Lateral Flexion Test
      • Craniocervical Flexion Test (CCFT)
      • Deep Neck Flexor Endurance Test
      • Posterior-Anterior Segmental Mobility
      • Segmental Mobility
      • Sharp-Purser Test
      • Spurling's Maneuver
      • Transverse Ligament Test
      • ULNT - Median
      • ULNT - Radial
      • ULNT - Ulnar
      • Vertebral Artery Test
    • Thoracic Spine >
      • Adam's Forward Bend Test
      • Passive Neck Flexion Test
      • Thoracic Compression Test
      • Thoracic Distraction Test
      • Thoracic Foraminal Closure Test
    • Lumbar Spine/Sacroiliac Joint >
      • Active Sit-Up Test
      • Alternate Gillet Test
      • Crossed Straight Leg Raise Test
      • Extensor Endurance Test
      • FABER Test
      • Fortin's Sign
      • Gaenslen Test
      • Gillet Test
      • Gower's Sign
      • Lumbar Quadrant Test
      • POSH Test
      • Posteroanterior Mobility
      • Prone Knee Bend Test
      • Prone Instability Test
      • Resisted Abduction Test
      • Sacral Clearing Test
      • Seated Forward Flexion Test
      • SIJ Compression/Distraction Test
      • Slump Test
      • Sphinx Test
      • Spine Rotators & Multifidus Test
      • Squish Test
      • Standing Forward Flexion Test
      • Straight Leg Raise Test
      • Supine to Long Sit Test
    • Shoulder >
      • Active Compression Test
      • Anterior Apprehension
      • Biceps Load Test II
      • Drop Arm Sign
      • External Rotation Lag Sign
      • Hawkins-Kennedy Impingement Sign
      • Horizontal Adduction Test
      • Internal Rotation Lag Sign
      • Jobe Test
      • Ludington's Test
      • Neer Test
      • Painful Arc Sign
      • Pronated Load Test
      • Resisted Supination External Rotation Test
      • Speed's Test
      • Posterior Apprehension
      • Sulcus Sign
      • Thoracic Outlet Tests >
        • Adson's Test
        • Costoclavicular Brace
        • Hyperabduction Test
        • Roos (EAST)
      • Yergason's Test
    • Elbow >
      • Biceps Squeeze Test
      • Chair Sign
      • Cozen's Test
      • Elbow Extension Test
      • Medial Epicondylalgia Test
      • Mill's Test
      • Moving Valgus Stress Test
      • Push-up Sign
      • Ulnar Nerve Compression Test
      • Valgus Stress Test
      • Varus Stress Test
    • Wrist/Hand >
      • Allen's Test
      • Carpal Compression Test
      • Finkelstein Test
      • Phalen's Test
      • Reverse Phalen's Test
    • Hip >
      • Craig's Test
      • Dial Test
      • FABER Test
      • FAIR Test
      • Fitzgerald's Test
      • Hip Quadrant Test
      • Hop Test
      • Labral Anterior Impingement Test
      • Labral Posterior Impingement Test
      • Long-Axis Femoral Distraction Test
      • Noble Compression Test
      • Percussion Test
      • Sign of the Buttock
      • Trendelenburg Test
    • Knee >
      • Anterior Drawer Test
      • Dial Test (Tibial Rotation Test)
      • Joint Line Tenderness
      • Lachman Test
      • McMurray Test
      • Noble Compression Test
      • Pivot-Shift Test
      • Posterior Drawer Test
      • Posterior Sag Sign
      • Quad Active Test
      • Thessaly Test
      • Valgus Stress Test
      • Varus Stress Test
    • Foot/Ankle >
      • Anterior Drawer
      • Calf Squeeze Test
      • External Rotation Test
      • Fracture Screening Tests
      • Impingement Sign
      • Navicular Drop Test
      • Squeeze Test
      • Talar Tilt
      • Tarsal Tunnel Syndrome Test
      • Test for Interdigital Neuroma
      • Windlass Test