Is radiologic examination necessary for a 9-year-old girl with a knee injury?

Smith, Britt; Cleland, Joshua A.

doi:10.1093/ptj/84.11.1092

Cited by 2 publications

(2 citation statements)

References 17 publications

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“…CPRs can streamline the assessment process and improve clinical precision [4]. As such, they may reduce uncertainty in patient care [5] and give clinicians more confidence in their decisions [6].…”

Section: Introductionmentioning

confidence: 99%

Physiotherapy clinical educators’ perceptions and experiences of clinical prediction rules

2015

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Section: Introductionmentioning

confidence: 99%

Physiotherapy clinical educators’ perceptions and experiences of clinical prediction rules

2015

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“…The distinguished education received by PTs in musculoskeletal evaluation is evident in their utilization of musculoskeletal imaging. USA PTs have demonstrated reliable behaviours, ordering imaging appropriately and consistent with evidence‐based guidelines in 83–91% of cases (R. Boyles, ; Crowell et al, ; Deyle, ; A. P. Keil, Baranyi, Mehta, & Maurer, ; Learman, Ellis, Goode, Showalter, & Cook, ; Mabry, Ross, & Tall, ; Smith & Cleland, ). By comparison, primary care providers only order imaging consistent with evidence‐based guidelines in 65–68% of cases (Jenkins et al, ).…”

Section: Introductionmentioning

confidence: 99%

Physical therapy musculoskeletal imaging authority: A survey of the World Confederation for Physical Therapy Nations

Mabry

Boyles

Brismée

et al. 2019

Physiotherapy Res Intl

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Objectives Medical evidence largely supports PTs in expanded roles, however, healthcare policy within the United States (USA) typically restricts PTs from ordering musculoskeletal (MSK) imaging. It is unknown how MSK imaging policy in the USA compares to other World Confederation for Physical Therapy (WCPT) member nations. The primary objective of our study was to investigate the authority of PTs to order MSK imaging. A secondary objective was to identify factors associated with the authority for PTs to order MSK imaging. Methods 111 WCPT member nations were surveyed over a 2‐month period on the authority of PTs ordering MSK imaging within their nation. A secondary analysis utilizing a step‐wise binary regression compared member nation demographic statistics to MSK imaging authority. Results 81 member nations responded to the survey. 31 (38.3%) of member nations reported having some level of PT MSK imaging authority while 50 (61.7%) did not. Member nations with lower per capita healthcare costs were significantly more likely to allow PTs to order MSK imaging (p = 0.02). Those with direct access authority were 7.4 times more likely to authorize PTs to order MSK imaging (p < 0.01). Entry‐level clinical degree and years of entry‐level collegiate credit were not associated with imaging authority. Conclusion This is the first study to report MSK imaging policy within the WCPT member nations. While many nations within the WCPT allow PTs to order MSK imaging, the majority of nations still restrict PTs from such practice. Lower per capita healthcare costs and direct access authority were significant predictors of MSK imaging authority, however, causation cannot be established within the confines of this study. Future studies should consider issues such as restrictive policy origin (i.e. governmental vs. institutional), insurance reimbursement (i.e. private vs. public sector policy), and limitations on imaging modality

show abstract

Is radiologic examination necessary for a 9-year-old girl with a knee injury?

Cited by 2 publications

References 17 publications

Physiotherapy clinical educators’ perceptions and experiences of clinical prediction rules

Physiotherapy clinical educators’ perceptions and experiences of clinical prediction rules

Physical therapy musculoskeletal imaging authority: A survey of the World Confederation for Physical Therapy Nations

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