scholarly journals A Collaborative Model of Service Delivery for Children With Movement Disorders: A Framework for Evidence-Based Decision Making

2006 ◽  
Vol 86 (9) ◽  
pp. 1295-1305 ◽  
Author(s):  
Robert J Palisano

AbstractModels of physical therapist service delivery provide a framework for integration of knowledge, research, and assumptions in a clinically relevant context that facilitates evidence-based decision making. In this perspective, a collaborative model of service delivery for children with movement disorders is presented. The focus is on services that address child and family priorities and preferences in settings where children live, learn, and play. The International Classification of Functioning, Disability and Health (ICF) is applied to identify relationships among the components of functioning, environmental, and personal factors that are important for the plan of care and achievement of outcomes. An assumption of the model is that physical therapists use multiple types of evidence to guide decision making. Application of the model and how child and family priorities change over time are illustrated through a longitudinal case report of a child with cerebral palsy. [Palisano RJ. A collaborative model of service delivery for children with movement disorders: a framework for evidence-based decision making. Phys Ther. 2006;86:1295–1305.]

2021 ◽  
Author(s):  
Philip McClure ◽  
Michael Tevald ◽  
Ryan Zarzycki ◽  
Shailesh Kantak ◽  
Philip Malloy ◽  
...  

Abstract The movement system has been adopted as the key identity for the physical therapy profession and recognition of physical therapists’ primary expertise as managing movement dysfunction is an important achievement. However, existing movement system models seem inadequate for guiding education, practice, or research. Lack of a clear, broadly applicable model may hamper progress in physical therapists actually adopting this identity. We propose a model composed of 4 primary elements essential to all movement: motion, force, energy, and control. Although these elements overlap and interact, they can each be examined and tested with some degree of specificity. The proposed 4-element model incorporates specific guidance for visual, qualitative assessment of movement during functional tasks that can be used to develop hypotheses about movement dysfunction and serve as a precursor to more quantitative tests and measures. Human movement always occurs within an environmental context and is affected by personal factors, and these concepts are represented within the model. The proposed scheme is consistent with other widely used models within the profession such as the International Classification of Functioning, Disability and Health and the Patient Management Model. We demonstrate with multiple examples how the model can be applied to a broad spectrum of patients across the lifespan with musculoskeletal, neurologic, and cardiopulmonary disorders.


2014 ◽  
Vol 67 (5) ◽  
pp. 790-794 ◽  
Author(s):  
Iván Arribas ◽  
Irene Comeig ◽  
Amparo Urbano ◽  
José Vila

2020 ◽  
pp. 204138662098341
Author(s):  
Marvin Neumann ◽  
A. Susan M. Niessen ◽  
Rob R. Meijer

In personnel- and educational selection, a substantial gap exists between research and practice, since evidence-based assessment instruments and decision-making procedures are underutilized. We provide an overview of studies that investigated interventions to encourage the use of evidence-based assessment methods, or factors related to their use. The most promising studies were grounded in self-determination theory. Training and autonomy in the design of evidence-based assessment methods were positively related to their use, while negative stakeholder perceptions decreased practitioners’ intentions to use evidence-based assessment methods. Use of evidence-based decision-making procedures was positively related to access to such procedures, information to use it, and autonomy over the procedure, but negatively related to receiving outcome feedback. A review of the professional selection literature showed that the implementation of evidence-based assessment was hardly discussed. We conclude with an agenda for future research on encouraging evidence-based assessment practice.


2009 ◽  
Vol 12 ◽  
pp. S12-S17 ◽  
Author(s):  
Gordon G. Liu ◽  
Takashi Fukuda ◽  
Chien Earn Lee ◽  
Vivian Chen ◽  
Qiang Zheng ◽  
...  

2021 ◽  
Vol 24 ◽  
pp. S186
Author(s):  
R. Kumar ◽  
C. Suharlim ◽  
A. Amaris Caruso ◽  
C. Gilmartin ◽  
M. Mehra ◽  
...  

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