CHAPTER 3+ 1/30/24

• What is a PTA?

  Physical Therapist Assistant; health care provider who delivers services under the direction and supervision of the PT.
• When was the creation of Physical Therapist Assistant made?

  1967
• What happened on July 5, 1967?

  birth to PTA; APTA HOD adopted the policy statement, "Training and Utilization of the PTA"; need a 2-year associates degree education (CAPTE or Commission on Accreditation in PT Education)
• When did the first 15 PTAs graduate?


  1969
• When did APTA HOD approve the Essentials of an Intern Approved Educational Program for the PTA?

  1975
• What is the purpose of PTAE?

  To perform selected components of interventions and data collection and assess patient's safety in response to interventions provided under the supervision of the PT.
• PTAE Program Models?

  1. One plus one programs - technical PT content like didactic, laboratory and clinical education segments
  2. Integrated 2 year programs - complete foundational and PT requirements
  3. Part-time programs - components of integrated 1+1 programs. Allows PTA student pursue bachelor's degree in a related area while completing the PTA program.
• Responsibilities of a PTA?

  1. Interpretation of referrals when available
  2. Initial Examination, evaluation, diagnosis and prognosis
  3. Development or modification of a plan of care
  4. Determination of when the expertise and decision-making capability
  5. Reexamination of the patient
  6. Establishment of the discharge plan and documentation
  7. Oversight of all documentation
• Levels of Supervision?

  • General Supervision: not required to be on-site but must be available at least by telecommunication; PTA can deliver plan of care
  • Direct Supervision: physically present and immediately available; PT has direct contact with patient
  • Direct Personal Supervision: PTA is physically present to direct and supervise tasks; supervision is continuous as these tasks are performed.
• A growing demand for physical therapy services spurred the creating of PTA in ?

  1960s
• PTA Responsibilities?

  progressing, providing and where, appropriate, modifying physical therapy interventions to maximize patient/client safety, comfort and response within plan of care.
• PTAs should be graduates of?


  • Commission on Accreditation in Physical Therapy Education,
  • accredited PTA education programs and
  • must pass the National Physical Therapy Examination
• the APTA House of Delegates established a task force to investigate the role of support personnel and criteria for PTA in?


  1964
• CAPTE stands for?

  Commission on Accreditation in Physical Therapy Education

  • 2-year associates degree education
• The first 15 PTAs graduated in what year?

  1969
• Who is the sole extender of the physical therapist?

  PTA only
• PTAE prepares graduates to do what?

  perform selected components of interventions and data collection and assess patient's/client's safety and respond to interventions provided under supervision of PT
• PT professional education programs prepare PT students to perform all aspects of what model?

  Patient/Client Management Model

  • Examination
  • Evaluation
  • Diagnosis
  • Prognosis
  • Intervention
• PT vs PTA Education Requirements?

  • PT: completes DPT Program, 3 years Bachelor's Degree (Doctorate in PT; 3 years) makes commands
  • PTA: completes associate degree (2 years) focusing on PT techniques, follows PT
• What is a PT diagnosis?

  physical basis; movement-related
• What is a medical diagnosis?

  deeper measure; diseases; Doctors
• Goniometer measures what?

  angle of joint movement
• In the Muscle Strength Testing, 0 indicates?

  No Movement
• In the Muscle Strength Test, 1 indicates?

  Weakness
• In the Muscle Strength Test, Grade 2 indicates?

  Partial resistance; Gravity eliminated
• In the Muscle Strength Test, Grade 3 indicates?

  Against Gravity; normal
• Medical or PT Diagnosis: Rotator Cuff Tendonitis?

  Medical
• Medical or PT Diagnosis: Impaired Shoulder ROM?

  PT
• Medical or PT Diagnosis: Patellofemoral Pain Syndrome?

  Medical
• Medical or PT Diagnosis: Anterior Knee Pain?

  PT
• Where are Medical Diagnosis made?

  Hospitals; collab with specialists
• Where are PT diagnosis made?

  Clinic; PT
• Can PTs test medical condition through tests?

  YES
• What is direct access?

  • seeks PT services without referrals
  • APTA is supportive of this
• What is autonomous practice?

  • makes independent decisions regarding patient care
  • PTs have more control over their practice to provide more timely care to patients
• DPT?

  • entry-level degree for PTs so needed to have accredited DPT programs
  • DPT is doctorate for autonomous practice
• PRACTICIONER OF CHOICE?

  • seeks musculoskeletal and movement-related health services
  • free to choose PT services
• Nagi Model of Disability?

  • developed by sociologist Howard S. Nagi
  • understands disability within a broader social context
  • introduced in 1960's
• Pathology indicates?

  Abnormality (Deviation from Normal)
• Anatomy indicates?

  Normality