Evidence-based recommendations have been issued by the American Physical Therapy Association (APTA). The APTA partnered with the American Board of Internal Medicine (ABIM) Foundation’s Choosing Wisely® campaign to provide specific, evidence-based recommendations that encourage both patients and PTs to make wise decisions about the most appropriate care. APTA is one of the first non-physician groups, joining more than 50 medical specialty societies that have produced a list of 5 things members of their profession and patients should question.
- Don’t use (superficial or deep) heat to obtain clinically important long term outcomes in musculoskeletal conditions.
- Don’t prescribe under-dosed strength training programs for older adults. Instead, match the frequency, intensity and duration of exercise to the individual’s abilities and goals.
- Don’t recommend bed rest following diagnosis of acute deep vein thrombosis (DVT) after the initiation of anti-coagulation therapy, unless significant medical concerns are present.
- Don’t use continuous passive motion machines for the postoperative management of patients following uncomplicated total knee replacement.
- Don’t use whirlpools for wound management.
- “Choosing Wisely: The Right Care at the Right Time.” Choosing Wisely: The Right Care at the Right Time. American Physical Therapy Association, 18 Nov. 2015. Web. 22 March 2016.