January 2018 - Volume 29 - Issue 1

  • Sean M. Collins, PT, ScD
  • 1541-7891
  • 2374-8907
  • Quarterly
In this issue of the journal we present Platform and Poster Presentation Abstracts for the Combined Sections Meeting 2018 in New Orleans. Additionally there are two original research reports. Arena et al present their findings investigating "Blood Pressure Attitudes, Practice Behaviors and Knowledge of Outpatient Physical Therapists" which set out to describe the attitudes, practice behaviors and knowledge of blood pressure assessment among physical therapists practicing in the outpatient settings. The authors conclude, "initiatives to address misinformed BP attitudes and behaviors as well as gaps in knowledge of physical therapists providing care in OP settings is warranted." Amundadottir et al present their findings on physical therapists' clinical reasoning and decision-making processes when mobilizing patients who are critically ill. The authors demonstrate that reasoning in these circumstances is "goal oriented and tailored to each patient's needs based on moment-to-moment evaluation of responses." This is contrasted to a protocol-driven approach to reasoning. Clinicians should read this paper part of their development as they reflect on their thinking; and clinical researchers should consider these insights and frameworks for continued study this topic and also for what this means in the study of intervention effectiveness in this population. If reasoning is moment-to-moment based on an evaluation of responses, what do we learn from clinical trials that essentially evaluate protocols and force clinicians into protocol-based reasoning approaches?

Sean Collins, PT, ScD