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Procedural Interventions

Based on outcomes one wishes to achieve, the following are options for procedures or interventions in PT practice:

  • ADL training

  • Aerobic capacity/endurance conditioning or reconditioning

  • Airway clearance techniques

  • Balance, coordination, & agility training

  • Body mechanics & postural stabilization

  • Breathing strategies

  • Coordination, communication, & documentation

  • Devices & equipment use & training

  • Electrotherapeutic modalities

  • Flexibility exercise

  • Functional training programs in self-care, home management, work community, & leisure

  • Gait & locomotion training

  • Injury prevention or reduction

  • Integumentary repair & protection techniques

  • Manual therapy techniques & mobilization/manipulation

  • Neuromotor development training

  • Pt/client-related instruction

  • Physical agents & mechanical modalities

  • Positioning

  • Prescription, application, & fabrication of devices & equipment

  • Relaxation training

  • Strength, power, & endurance training for skeletal & ventilatory muscles

APTA, 2001.

Anticipated or Expected Outcomes

  • Ability to perform physical actions/tasks/activities improved

  • Ability to perform, assume, or resume required self-care, home management, work, etc. ↑

  • Aerobic capacity improved

  • Airway clearance improved

  • Atelectasis ↓

  • Balance improved

  • Cough improved

  • Edema, lymphedema, or effusion ↓

  • Endurance ↑

  • Energy expenditure per unit of work ↓

  • Exercise tolerance improved

  • Fitness improved

  • Gait, locomotion, & balance improved

  • Health status improved

  • Integumentary integrity improved

  • Joint integrity & mobility improved

  • Joint swelling, inflammation, or restriction reduced

    • Level of supervision required for task performance ↓

    • Motor function (motor control & motor learning) improved

    • Muscle performance (strength, power, & endurance) ↑

    • Optimal joint alignment achieved

    • Optimal loading on a body part achieved

    • Pain decreased

    • Performance of ADLs with or w/o assistive devices ↑

    • Physical function improved

    • Physiological response to ↑ O2 demand improved

    • Postural control improved

    • Pre- & postoperative complications ↓

    • Quality & quantity of movement of body segments improved

    • ROM improved

    • Relaxation ↑

    • Risk of secondary impairment ↓

    • Risk factors for disease ↓

    • Self-mgmt of Sx improved

    • Sensory awareness ↑

    • Soft tissue swelling, inflammation, or restriction ↓

    • Tissue perfusion & oxygenation enhanced

    • Tolerance of positions & activities ↑

    • Use of physical therapy services optimized

    • Use & cost of health-care services ↓

    • Weight-bearing status improved

    • Work of breathing ↓

APTA, 2001.

Outcome Tools

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Functional Assessment Outcome Tools
Test Description
Barthel Index Measures functional independence in ADLs
Borg Rating of Perceived Exertion Perceived effort w/activity (6–20 scale or 0–10 scale)
Box and Block Test Gross dexterity w/grasp & release/unilateral assessment
Canadian Occupational Performance Measure Pt/client's assessment of performance in self-care over time
Chair Rise Tests

Assesses lower extremity functional strength

  1. Assess pt/client's ability to rise from chair one time, OR

  2. Assess pt/client's ability to rise from chair 5 times, measuring the amount of time it takes (normative values exist)

  3. Count number of times pt/client can rise from & return to chair in 30 sec

Clinical Outcome Variable Scale Assessment of physical mobility
Disabilities of the Arm, Shoulder, & Hand UE disability quantified: physical, social, & Sx measures
Functional Assessment System of Lower Extremity ...

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