Musculoskeletal imaging in physical therapist practice.
This article presents an overview of current concepts of evidence-based diagnosis using a variety of imaging modalities for a broad spectrum of musculoskeletal conditions and syndromes. There is limited but increasing evidence that physical therapists appropriately use diagnostic studies in clinical practice. Pathology revealed by diagnostic studies must be viewed in the context of the complete examination, as pathology is common in the asymptomatic population. Special diagnostic challenges are presented by patients with areas of referred pain, multiple injuries or multiple areas of pathology, neoplasms, and infections. Plain film radiographs have been overused in the clinical management of many conditions, including low back pain. Clinical decision rules provide simple evidence-based guidelines for the appropriate use of imaging studies.
Deyle
Gail D
GD
Transitional Doctor of Physical Therapy Program, Rocky Mountain University of Health Professions, Provo, UT, USA. gdeyle@satx.rr.com
D003952:Diagnostic Imaging / Q000379:methods / Q000706:statistics & numerical data*; D019317:Evidence-Based Medicine; D006801:Humans; D009140:Musculoskeletal Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging*; D026761:Physical Therapy Specialty; D017009:Professional Autonomy; D011859:Radiography; D014481:United States