Changing our Diagnostic Paradigm Part II: Movement System Diagnostic Classification

Diagnostic classification is a foundational underpinning of providing care of the highest quality and value. Diagnosis is pattern recognition that can result in categories of conditions that ideally direct treatment. While pathoanatomic diagnoses are common and traditional in orthopaedic practice, t...

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Main Authors: Paula M Ludewig, Gaura Saini, Aaron Hellem, Emily K Kahnert, S Cyrus Rezvanifar, Jonathan P Braman, Justin L Staker
Format: Article
Language:English
Published: North American Sports Medicine Institute 2022-01-01
Series:International Journal of Sports Physical Therapy
Online Access:https://doi.org/10.26603/001c.30177
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author Paula M Ludewig
Gaura Saini
Aaron Hellem
Emily K Kahnert
S Cyrus Rezvanifar
Jonathan P Braman
Justin L Staker
author_facet Paula M Ludewig
Gaura Saini
Aaron Hellem
Emily K Kahnert
S Cyrus Rezvanifar
Jonathan P Braman
Justin L Staker
author_sort Paula M Ludewig
collection DOAJ
description Diagnostic classification is a foundational underpinning of providing care of the highest quality and value. Diagnosis is pattern recognition that can result in categories of conditions that ideally direct treatment. While pathoanatomic diagnoses are common and traditional in orthopaedic practice, they often are limited with regard to directing best practice physical therapy intervention. Replacement of pathoanatomic labels with non-specific regional pain labels has been proposed, and occurs frequently in clinical practice. For example non-specific low back pain or shoulder pain of unknown origin. These labels avoid some disadvantages of tissue specific pathoanatomic labels, but are not specific enough to direct treatment. A previously introduced movement system diagnostic framework is proposed and updated with application to shoulder conditions. This framework has potential for broad development and application across musculoskeletal physical therapist practice. Movement system diagnostic classification can advance and streamline practice if considered while recognizing the inherent movement variability across individuals.
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id doaj-art-82b28b951b204abc99735e10fd926e6b
institution Kabale University
issn 2159-2896
language English
publishDate 2022-01-01
publisher North American Sports Medicine Institute
record_format Article
series International Journal of Sports Physical Therapy
spelling doaj-art-82b28b951b204abc99735e10fd926e6b2025-02-11T20:27:55ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962022-01-01171Changing our Diagnostic Paradigm Part II: Movement System Diagnostic ClassificationPaula M LudewigGaura SainiAaron HellemEmily K KahnertS Cyrus RezvanifarJonathan P BramanJustin L StakerDiagnostic classification is a foundational underpinning of providing care of the highest quality and value. Diagnosis is pattern recognition that can result in categories of conditions that ideally direct treatment. While pathoanatomic diagnoses are common and traditional in orthopaedic practice, they often are limited with regard to directing best practice physical therapy intervention. Replacement of pathoanatomic labels with non-specific regional pain labels has been proposed, and occurs frequently in clinical practice. For example non-specific low back pain or shoulder pain of unknown origin. These labels avoid some disadvantages of tissue specific pathoanatomic labels, but are not specific enough to direct treatment. A previously introduced movement system diagnostic framework is proposed and updated with application to shoulder conditions. This framework has potential for broad development and application across musculoskeletal physical therapist practice. Movement system diagnostic classification can advance and streamline practice if considered while recognizing the inherent movement variability across individuals.https://doi.org/10.26603/001c.30177
spellingShingle Paula M Ludewig
Gaura Saini
Aaron Hellem
Emily K Kahnert
S Cyrus Rezvanifar
Jonathan P Braman
Justin L Staker
Changing our Diagnostic Paradigm Part II: Movement System Diagnostic Classification
International Journal of Sports Physical Therapy
title Changing our Diagnostic Paradigm Part II: Movement System Diagnostic Classification
title_full Changing our Diagnostic Paradigm Part II: Movement System Diagnostic Classification
title_fullStr Changing our Diagnostic Paradigm Part II: Movement System Diagnostic Classification
title_full_unstemmed Changing our Diagnostic Paradigm Part II: Movement System Diagnostic Classification
title_short Changing our Diagnostic Paradigm Part II: Movement System Diagnostic Classification
title_sort changing our diagnostic paradigm part ii movement system diagnostic classification
url https://doi.org/10.26603/001c.30177
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