A proposal for a universal physical therapy diagnostic concept

Background: In Canada, as in other countries, the physical therapist (PT) must make a diagnosis to comply with direct access responsibilities. This means making a diagnosis is an entry-to -prac-tice essential competency. However, there is no consensus across physical therapy practice domains and contexts regarding the diagnostic concept, i.e., the classification system, labelling and diagnostic format that should be used. Objective: To propose a universal diagnostic concept, one a PT could use regardless of their practice domain or context. Methods: The relevant scientific and grey literature (1986-2022) were searched and key infor-mation was synthesized. Results: Information from 194 retained documents (8506 identified) was synthesized to a list of seven essential criteria that were then used to develop a universal physical therapy diagnostic concept (PT-Dx-C). The PT-Dx-C format consists of three labels in the following order: (1) health problem, (2) primary impairment, and (3) primary activity limitation or participation restriction. Label definitions are those used by the World Health Organization. The specific health problem, impairment, and limitation or restriction making up the diagnosis are determined for each patient using valid tests and measures. Conclusions: The PT-Dx-C is consistent with best practices and could be applied to all patients, in all PT practice domains and contexts. It reflects the PT's expertise in the human movement system and their unique contribution to health care. Furthermore, its use may allow for commu-nication of the PT's conclusions in a manner that can be understood by others thereby facilitating collaborative practice. (c) 2023 Associacao Brasileira de Pesquisa e Pos-Graduacao em Fisioterapia. Published by Elsevier Espana, S.L.U. All rights reserved.

Automated summary

This study aims to propose a universal diagnostic concept for physical therapy, which can be used by physical therapists in any practice domain or context. By synthesizing relevant literature, the study develops a format for the physical therapy diagnostic concept and highlights its applicability and advantages.