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Lecture 24 aug

Role of rehab in pt. care

Maximize independence, addressees sequelae of pathology rather than pathology itself,

Goal of PT

To restore function and reduce pain

A diagnosis in PT is...

A result from evaluation of the PT; Label/description of pt. pathology, impairments, functional limitations, disabilities, handicaps; helps guide the rest of treatment decisions

Prognosis is...

a prediction of how long it will take to reach certain goals in POC and the results

Plan of Care includes

Goals, Frequency, types of interventions and expected outcome

3 procedural interventions

Restorative interventions, compensatory interventions, preventative interventions

Procedural interventions used by PTAs

Therapeutic exercise; functional training in home, community and/or work; manual therapy; prescription, application, and fabrication for devices and equipment; airway clearance techniques; wound management; electrotherapeutic modalities; physical agents and mechanical modalities

Evidence-Based Practice

The integration of best research evidence with clinical expertise and pt. values


disease, illness


issues with ROM or strength

functional limitations

limitations in ability to preform activities due to impairments

Health (traditionally)

free or absent from disease

Health (contemporary)

acknowledges the importance of societal, psychological, and physical functioning in the presence of disease, examines an individual's ability to carry out necessary life tasks and function within society


The consequences of disease as they pertain to the relationship between body structures, ability to carry out tasks, and ability to function within society


International Classification of Functioning, disability, and Health

Purpose of ICF

to provide uniform standard language for describing health and health-related states; it integrates the biomedical, psychological, and social aspects of diseases and their associated disabilities so it is called a biopsychosocial model

Disability (ICF)

encompasses impairments, activity limitations, and participation restrictions

Impairment (ICF)

a problem with body function or structure such as a deviation or loss

Activity limitations (ICF)

difficulties that might be encountered by an individual attempting to complete a task or carry out an activity

Participation restrictions (ICF)

problems an individual might face while involved in life situations

Pathology (NAGI)

interruption or interference with normal process and the simultaneous body efforts to heal itself or regain a normal state

Impairment (Nagi)

a loss or abnormality of an anatomical, physiological, mental, or emotional nature

Functional limitation (nagi)

an abnormality or limitation in an individual's ability to carry out a meaningful action, task, or activity


Basic activities of Daily living (moving in bed, transferring from one surface to another, rising from a chair, ambulating, dressing, bathing)


Instrumental Activities of Daily Living (community ambulation, grocery shopping)

Disability (nagi)

the inability or limitation in performing socially defined roles and tasks that would normally be expected of an individual within a given culture or environment

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