Should Discharge be the End of Treatment?
It is common among physical therapists to think of therapy episodes as having a conclusive end. Indeed, some jurisdictions even require a formal discharge to be compliant with the state’s practice act. Insurance companies also tend to force patients to end their care definitively. It seems that these realities have influenced physical therapists to avoid looking for the long-term health of the patient.
Of course, the physical therapy profession does not want to be guilty of cajoling our patients to come in more than necessary.
Read full blogPassive Treatment and Self-Efficacy
This blog was inspired by a recent conversation I noticed on the Twitterverse, wherein two PTs were discussing passive treatments (i.e., treatment not requiring the patient to actively participate, including modalities, thrust manipulation, dry needling, other manual therapies) and their effects on self-efficacy. As has become the norm in PT circles, one therapist claimed that over-utilizing passive treatments harm self-efficacy. This idea has become so widely stated and recognized that I was surprised when the other therapist genuinely asked if we had any hard evidence to corroborate this intuition.
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