Very great experience. Would highly recommend Dynamic to anyone that needs therapy. Thank you to all staff.
Peter Huijbregts, PT, MSc, MHSc, DPT, OCS, CGIMS, FAAOMPT, FCAMT; Michelle Hobby, BA, MPT;
Penny Salmas, BPE, BSc PT, RCAMT, CGIMS
Peter Huijbregts, PT, MSc, MHSc, DPT, OCS, CGIMS, FAAOMPT, FCAMT
* Assistant Professor Online Education, University of St. Augustine for Health Sciences; * Residency Coordinator/Mentor, OMPT Residency Program Shelbourne Physiotherapy Clinic; * Consultant Physiotherapist, Shelbourne Physiotherapy Clinic Michelle Hobby, BA, MPT
* Resident, OMPT Residency Program Shelbourne Physiotherapy Clinic; * DPT Student, University of St. Augustine for Health Sciences Penny Salmas, BPE, BSc PT, RCAMT, CGIMS
* Mentor, OMPT Residency Program Shelbourne Physiotherapy Clinic; * Owner/Physiotherapist, Shelbourne Physiotherapy Clinic
Physiotherapists establish a diagnosis and a prognosis by way of history taking, systems review, and tests and measures1. The data collected in these processes are used to determine whether the patient will benefit from physiotherapy intervention or needs to be referred for (co-)management with another health care provider. A patient presenting to physiotherapy with an undiagnosed fracture is not only a prime example illustrating the need for referral to a medical physician, but also a plausible scenario in jurisdictions where physiotherapists are allowed to act as direct access health care providers. The British Columbia Health Professions Act2 clearly limits physiotherapy scope of practice disallowing treatment of a recent fracture, except when under physician direction and, therefore, signs and symptoms indicative of a scaphoid fracture constitute a clear indication for referral to a physician in this prvince (and likely also in other jurisdictions).
Evidence-based practice (EBP) represents a recent and major paradigm shift within medicine and allied health education and clinical practice from a reliance on authority-based knowledge and anecdotal evidence to the use of research-based evidence. However, research is not the sole component of EBP: Sackett et al3 defined evidence- based medicine as the process of integrating the best research evidence available with both clinician expertise and patient values. For history items and tests and measures to be clinically useful for diagnosis, prognosis, and treatment planning within the EBP paradigm, the data they yield need to be reliable, valid, and responsive to clinically relevant change1. In the clinical scenario introduced above of a patient presenting to physiotherapy with signs and symptoms indicative of a scaphoid fracture, the question the physiotherapist needs to answer is, when is the probability of a scaphoid fracture high enough to warrant referral to a physician? Knowledge of the statistical measures associated with reliability and concurrent criterion-related validity of available diagnostic tests is a prerequisite to answer this question based on research evidence.
The goal of this article is threefold:
At Dynamic Physical Therapy, our physical therapists are the most experienced and educated in physical therapy treatments. We have six locations throughout Northern Michigan in Cadillac, Manistee, Gaylord, Marion, Buckley and Traverse City. We are the most recommended Northern Michigan physical therapy center for back pain. We also specialize in neck pain, knee pain, arm pain and hand pain, and our physical therapists and aides can help relieve your pain in the most effective way possible. For orthopedic treatment and aquatic therapy, rehab for sports related injuries like shoulder injuries and foot injuries, physical therapy for Cerebral Palsy, stroke rehabilitation, therapy for carpal tunnel syndrome, headaches and arthritis relief, and even jaw pain treatment, Dynamic Physical Therapy is the smartest choice for comprehensive physical therapy care and physical rehabiliation services.