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American Physiotherapy Association (APA)

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Organization (formerly called the American Women's Physical Therapeutic Association) responsible for maintaining high standards and educational programs for physiotherapists; precursor to APTA

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American Women's Physical Therapeutic Association

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First national organization representing "physical therapeutics" Established in 1921 to maintain high standards and provide a mechanism to share information

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autonomous practice

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Services provided by physical therapists using independent, professional judgement within their scope of practice.

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client

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Individual who seeks the services of a physical therapists to maintain health, or a business that hires a physical therapist as a consultant

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Core Values

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Seven characteristics that define and describe professionalism in physical therapy: accountability, altruism, compassion and caring, integrity, professional duty, and social responsibility

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evidence-based practice

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interventions used in physical therapy, based on research that demonstrates the reliability and validity of the procedures

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Guide to Physical Therapist Practice

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Extensive description of the roles and scope of practice of a physical therapist. Describes tests and measures and procedural interventions for patients/clients for musculoskeletal, neuromuscular, cardiovascular, and pulmonary, and integumentary conditions

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patient

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individual who has a disorder that requires interventions to improve function

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physiatrist

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title given to physicians who specialize in physical medicine

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physical therapist

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professional who works to evaluate, treat, and/or prevent physical disability, movement dysfunction, and pain resulting from injury, disability, disease, or other health-related conditions

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physical therapy

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Assessment, evaluation, treatment, and prevention of physical disability, movement dysfunctions and pain resulting from injury, disease, disability, or other health-related conditions

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physiotherapy

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synonym for physical therapy, commonly used outside the US; used by the first national organization, American Women's Physical Therapeutic Association

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physiotherapist

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synonym for physical therapist, commonly used outside the US

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profession

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Career or means of employment demonstrating five characteristics: commitment to field, a representative organization, knowledge in a specific area, social service, and recognized autonomy

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reconstruction aide

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Aide (Exclusively a woman) responsible for providing physical reconstruction to persons injured in war; forerunners of the profession and practice of physical therapy in the US

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Vision 2020

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A statement (and sentence in abridged version) adopted by the American Physical Therapy Association House of Delegates in 2000 that establishes expectations for the practice of physical therapy in the year 2020. It addresses six components: autonomous practice, direct access, practitioner of choice, doctor of physical therapy, evidence-based practice, and professionalism

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assessment

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Measurement or assigned value by which physical therapists make a clinical judgement

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diagnosis

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final interpretation of findings based on examinations

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direct access

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availability of the physical therapist to anyone seeking physical therapy services without stipulation of a referral by another health care provider

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discharge

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Termination of services when goals have been achieved

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discontinuation

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Termination of services as determined by the patient/client or physical therapist (in the latter case when the patient/client is unable to continue or can no longer improve)

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ergonomics

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relationship between the worker, tasks, and work environment

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evaluation

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judgement based on an examination

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examination

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process of gathering information about the past and current status of the patient/client

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functional capacity evaluation

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examination of a worker's physical abilities to perform required tasks

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goals

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measurable, functional objectives that are linked to a problem identified in a patient evaluation

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history

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description of the past and current health status of the patient/client

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intervention

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procedure conducted with the patient/client to achieve the desired outcomes

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plan of care

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goals, interventions (including duration and frequency), desired outcomes, and criteria for discharge

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prevention

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services designed to avoid the occurrence of pain and dysfunction or to limit or reduce those that exist

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primary care

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level of health care delivered by a member of the health care system who is responsible for the majority of the health care needs of the individual

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prognosis

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prediction of the level of improvement and time necessary to reach that level

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screening

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procedure to determine if there is a need for further services of a physical therapist or other health care professional

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secondary care

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services provided by individuals on a referral basis

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SOAP notes

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Documentation format taken from the Problem-Oriented Medical Record System; its components are 1)subjective (what the patient or family member describes) 2) objective (what the physical therapist observes or measures) 3) Assessment (clinical judgement based on the evaluation; includes goals), and 4) Plan (of care)

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Standards of Practice for Physical Therapy

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Document approved by the House of Delegates of APTA that identifies conditions and performances essential for the provision of high-quality physical therapy

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systems review

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Brief examination to provide information about the general health of the patient/client, including the physiologic, anatomic, and cognitive status

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tertiary care

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service provided by specialists who are commonly employed in facilities that focus on particular health conditions

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tests and measures

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specific procedures selected and performed to quantify the physical and functional status of the patient/client

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work-conditioning program

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Intervention for an individual with a work-related injury, focusing mostly on physical dysfunctions (eg. strength, range of motion, and cardiovascular endurance)

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work-hardening program

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intervention for an individual with a work-related injury; broad in scope to include behavioral and vocational management (eg counseling) as well as physical dysfunctions

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acceptable standard of care

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standards established by the APTA for the delivery of physical therapy services

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active members

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former membership category in the APTA for the physical therapist

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Advisory Panel of Physical Therapists Assistants

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Unit within the APTA consisting of five PTA members who provide advice and input to the APTA Board of Directors on matters that pertain to the PTAs

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Affiliate Assembly

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Past components of the APTA that represented and was composed of physical therapist assistants; precursor to the National Assembly.

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affiliate members

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former membership category in the APTA for the physical therapist assistant.

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Affiliate Special Interest Group (ASIG)

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Past component of the APTA that served the interests of the physical therapist assistant; precursor to the Affiliate Assembly.

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career ladder

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Employer's structure, creating levels within a specific field or position to enable promotion of employees in that category

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clinical problem solving

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Area of responsibility of the PTA that includes ability to adjust, modify, or discontinue an intervention within the plan of care established by the PT.

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direct supervision

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Presence on site and immediate availability of a PT when supervising a PTA

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general supervision

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Level of supervision in which the PT is not required to be on site when supervising a PTA. Availability must be at least by telecommunications

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hand-off communication

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procedures to maintain effective communication among caregivers to ensure accurate description and coordination of services

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National Assembly of Physical Therapist Assistants

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Former component of APTA that consisted of all affiliate (physical therapist assistant) and life affiliate (retired) members. Included officers and regional directors who represented the interests of its members.

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physical therapist assistant (PTA)

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Health care provider who assists the PT in the provision of physical therapy and has graduated from an accredited physical therapists assistant associate degree program

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physical therapist of record

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the PT who assumes primary responsibility for patient/client management and is accountable for coordination, continuation, and progression of the plan of care.

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physical therapist aides or technicians

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support personnel who performs designated tasks that do not require the clinical decision making of the physical therapist or the clinical problem solving of the physical therapist assistant

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PT:PTA ratio

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Maximum number of PTAs who can work under the direction and supervision of a PT as defined by policy, law, or regulation

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PT/PTA team

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PTAs working under the direction and supervision of a designated PT to provide physical therapy services. Maximum ratios of PTs and PTAs vary depending on the setting and laws and regulations

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Physical Therapist Assistance Caucus

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a body consisting of one physical therapist assistant representative form each chapter of the American Physical Therapy Association. It meets annually just before the House of Delegates meeting and provides input to the latter through five delegates from the Caucus

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physical therapists assistant members

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membership category in APTA for the PTA

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PTA SIGs

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a subunit of a component of APTA, such as a chapter, that serves the unique professional interests of the members

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recognition of advanced proficiency for the PTA

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formal recognition of advanced clinical skills of the PTA awarded by the APTA

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Representative Body of the National assembly (RBNA)

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Former deliberative body for the physical therapist assistant with representatives from each chapter. Replaced by the PTA Caucus

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sole extender of the physical therapist

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Affirmation by the APTA that the PTA is the only individual recognized to assist the PT in providing selected interventions under the direction and supervision Velocity dependent hypotonia

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Student Assembly

answer

Component of APTA whose members are physical therapist and physical therapist assistant students can better understand their roles

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