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Musculoskeletal imaging in physical therapist practice
1Transitional Doctor of Physical Therapy Program, Rocky Mountain University of Health Professions, Provo, UT, USA. gdeyle@satx.rr.com
The Journal of Orthopaedic and Sports Physical Therapy
|December 17, 2005
Summary
Evidence-based diagnosis for musculoskeletal conditions requires careful use of imaging. Clinical decision rules guide appropriate imaging, preventing overuse, especially with plain film radiographs for low back pain.
Area of Science:
- Musculoskeletal Radiology
- Evidence-Based Medicine
- Diagnostic Imaging
Background:
- Musculoskeletal (MSK) conditions require accurate diagnosis.
- Diagnostic imaging is crucial but can be overused.
- Evidence-based guidelines are needed for appropriate imaging use.
Purpose of the Study:
- To provide an overview of evidence-based diagnosis for MSK conditions.
- To discuss the appropriate use of various imaging modalities.
- To highlight challenges in MSK diagnostic imaging.
Main Methods:
- Review of current concepts in evidence-based diagnosis for MSK conditions.
- Discussion of imaging modalities and their application.
- Analysis of clinical decision rules for imaging.
Main Results:
- Evidence supports appropriate use of diagnostic studies by physical therapists.
- Pathology on imaging must be contextualized with clinical examination.
- Plain film radiographs are overused for conditions like low back pain.
- Clinical decision rules offer evidence-based guidance for imaging.
Conclusions:
- Appropriate use of diagnostic imaging is essential for MSK conditions.
- Clinical decision rules improve the judicious application of imaging.
- Contextualizing imaging findings with clinical presentation is critical.