Sahrmann S A
Program in Physical Therapy, Washington University Medical School, St. Louis, MO 63110.
Phys Ther. 1988 Nov;68(11):1703-6. doi: 10.1093/ptj/68.11.1703.
A critical step for the future of the profession of physical therapy is the development of diagnostic categories. The purpose of this communication is to clarify issues regarding the role of the physical therapist in developing classifications of the signs and symptoms that are identified by the therapist's examinations and tests. A primary premise is that treatment should be based on the diagnosis derived by the physical therapist because the medical diagnosis does not provide sufficient direction. A generic definition is given as a guide for development of diagnostic classification schemes. Arguments are provided that these diagnoses will 1) clarify practice, 2) provide an important means of communication with colleagues and consumers, 3) classify and group conditions that can direct research and assessment of treatment effectiveness, and 4) reduce the tendency toward cultism associated with practice based almost entirely on treatment approaches.
物理治疗专业未来发展的关键一步是诊断类别的制定。本交流的目的是澄清有关物理治疗师在制定由其检查和测试所识别的体征和症状分类中的作用的问题。一个主要前提是治疗应基于物理治疗师得出的诊断，因为医学诊断提供的指导不足。给出了一个通用定义作为诊断分类方案制定的指南。文中提出的观点是，这些诊断将：1）明确实践；2）提供与同事和消费者沟通的重要手段；3）对可指导治疗效果研究和评估的病症进行分类和分组；4）减少几乎完全基于治疗方法的实践中出现的宗派主义倾向。
