Referral for Imaging in Physical Therapist Practice: Key Recommendations for Successful Implementation

Area of Science:

• Physical Therapy
• Diagnostic Imaging
• Healthcare Policy

Background:

• Diagnostic imaging referral in physical therapist practice is gaining significant interest in the US.
• Direct patient referral for imaging is a long-standing practice in other countries and the US military.
• Accreditation standards now mandate diagnostic imaging content in physical therapist education.

Purpose of the Study:

• To provide recommendations for the effective implementation of diagnostic imaging referral in physical therapist practice.
• To offer guidance for physical therapists incorporating imaging referral privileges.
• To emphasize the importance of communication in this evolving practice.

Main Methods:

• This is a perspective article, not a research study.
• It synthesizes current trends and expert opinion on imaging referral in physical therapy.
• It reviews state practice acts and professional advancements.

Main Results:

• Many US states do not prohibit physical therapists from referring for imaging studies.
• Physical therapists can obtain specialized certification in musculoskeletal sonography.
• There is a growing trend of physical therapists serving as first-contact providers.

Conclusions:

• Effective implementation of imaging referral requires key elements, including strong communication.
• Physical therapists are increasingly positioned to utilize diagnostic imaging.
• Guidelines are needed to support physical therapists in this advanced practice area.