Department of Physical Therapy, University of Miami Miller School of Medicine, Coral Gables, Florida, USA.
Phys Ther. 2022 Jul 4;102(7). doi: 10.1093/ptj/pzac061.
The purpose of this Perspective is to present an application of script-based reasoning to physical therapist education and practice. Illness script-based reasoning has been described as a cognitive strategy for medical practitioners to diagnose and manage health conditions. Analogous to this medical model of patient management, "movement scripts" can be used by physical therapists in clinical reasoning. Movement scripts use features of the human movement system to recognize, categorize, and substantiate clinical problems and can be used to facilitate the development of master adaptive learners across the spectrum of physical therapist education and practice. Movement scripts are also consistent with the concept of the "human body as teacher" as the signature pedagogy proposed by the National Study of Excellence and Innovation in Physical Therapy Education. Movement of the human body, as captured by the concept of the human movement system, is a vehicle for lifelong adaptive learning for the physical therapist. Script-based learning and practice are consistent with other elements of this model, including practice-based learning and the creation of adaptive expertise. As the role of the movement system as a guide to physical therapist practice continues to evolve, movement scripts can provide a structure to facilitate development of clinical reasoning skills for physical therapist practice and education.
本文旨在将基于脚本的推理应用于物理治疗师的教育和实践中。基于疾病脚本的推理已被描述为医学从业者诊断和管理健康状况的一种认知策略。类似于这种患者管理的医学模式，物理治疗师可以在临床推理中使用“运动脚本”。运动脚本使用人体运动系统的特征来识别、分类和证实临床问题，并可用于促进物理治疗师教育和实践各个层面上的掌握自适应学习者的发展。运动脚本也与“人体作为教师”的概念一致，这是国家卓越和创新物理治疗教育研究提出的标志性教学法。人体运动，如人体运动系统的概念所捕捉到的，是物理治疗师终身适应性学习的载体。基于脚本的学习和实践与该模型的其他要素一致，包括基于实践的学习和适应性专长的创造。随着运动系统作为物理治疗师实践指南的作用不断发展，运动脚本可以为物理治疗师实践和教育的临床推理技能发展提供结构。
