Integrated Framework for Neurologic Physical Therapy Practice

Question 1

Purpose of frameworks for clinical decision making

Answer 1

1. Ensure that patient management is comprehensive
2. Systematic approach
3. Values that are important can be reinforced
4. Framework links larger concepts of health to scope of PT practice

Question 2

Enablement perspective

Answer 2

• Individual’s participation and roles

- Explores skills and resources required for rolls

Question 3

Disablement perspective

Answer 3

• Past medial history & knowledge of pathology

- Impairments associated with conditions

Question 4

HOAC

Answer 4

• PIPs -patient identified problems

- N-PIPs - non-patient identified problems

Question 5

Disablement-enablement model

Answer 5

1. Establish roles of an individual’s needs or desires (disability)
2. Determine the skill that the person needs to fulfill these roles (functional limitation)
3. Identifying the resources needed to accomplish the skills (external and impairment domain)
4. Specifying the neural recovery process

Question 6

System review

Answer 6

• Rule out potential problems and issues that occur with primary disorder but may not exist for patient
• Identify what needs further exam
• Specific impairment that needs to be further examined
• Identify impairments that may be present as sequalle

Question 7

Purpose of the examination

Answer 7

1. Identify need for the referral
2. Describe movement problem
3. Test hypotheses
4. Formulate prognosis
5. Determine beginning approach of POC
6. Select outcome measures
7. Set limits regarding what information should be obtained
8. Develop POC and measure outcome