Advanced Theraputic int. wk 11-Still need classwork

Hypothetico-Deductive (backwards) Reasoning

Hypothetico-deductive (backwards) reasoning is a method of starting with a hypothesis or possible explanation and working backward to identify evidence that supports or disproves it

Pattern Recognition (forward) Reasoning

Pattern recognition (forward) reasoning is a method of identifying patterns in observations or evidence and using them to develop a possible explanation or conclusion.

Dual Processing Theory

Dual Processing Theory is the idea that the brain uses two types of thinking: fast, automatic thinking (intuition) and slow, deliberate thinking (careful reasoning).

• Experienced clinicians primarily draw on forward reasoning

• Must draw on hypothetico-deductive reasoning

  in unusual or unfamiliar situations

____ _____ identifies the health

condition AND ALSO contributing or resulting

factors; impairments, activity limitations…

diagnostic process

_________ is the lens of PT clinical reasoning

Movement

What is “the problem”?

• Why can’t the patient do what they want to do?

• What are all the issues that limit their participation?

How do you plan your intervention for this session?

1. Preparation

• Manual therapy

• Physical agents; estim etc

2. Basic exercise; impairment level: ROM, Strength etc.

3. Functional exercise; activity-oriented exercises/movements

4. Specific task training; gait, bed mobility, sit to

stand, sport specific..

Script Concordance Test

An assessment tool designed to probe whether knowledge of examinees is efficiently organized for clinical actions

• Examinees must be faced with an ill-defined

clinical situation and must choose from realistic

options

• The response format reflects complex problem-

solving situations

• Scoring considers the variability of experts

making decisions

There is no “correct” answer! Clinical experts are polled to determine their decisions

Script Concordance Test

Does not measure recall of facts but _____ of many factors and how these are related and organized

interpretation

Script concordance tests offer one

of the most validated ways to assess _____ _____

clinician reasoning