"Physical therapy is not a subspecialty of the medical profession and physical therapists are not medical doctors; we are a separate profession that provides a unique service that physicians are unable and untrained to provide."

Letter to the AMA from the APTA, Dec 2009

Wednesday, December 28, 2011

New Treatment Based Classification Chart with Hyperlinks

These are the Treatment Based Classification rules I've been using the past couple of years. Please use this chart, including the hyperlinks. Let me know if you see any ommissions or if you recommend a rule I have not included.

Rule Author Year Level of Rule Development
Cancer Rule in Lower Back Pain Patients Joines et al 2001 Cost Effectiveness study
Lumbar Manipulation Rule Flynn et al 2002 Broad Validation
Lumbar Stabilization Rule Hicks et al 2005 Derivation
Lumbar Traction Rule Fritz et al 2007 Expert Consensus
Thoracic Manipulation Rule for Neck Pain Cleland et al 2007 Broad Validation by Cleland in 2010 demonstrated NO rule is needed - ALL neck pain patients without "red flags" get manipulation
Ankle Mobilization for Inversion Injuries Whitman et al 2007 Derivation
Hip Manipulation Rule for Knee Pain Currier et al 2007 Derivation
Specific Directional Exercise for Lower Back Pain Browder et al 2007 Expert Consensus
Lumbopelvic Manipulation for Anterior Knee Pain Iverson et al 2008 Derivation
Cervical Traction Rule Raney et al 2009 Derivation
Thoracic Manipulation Rule for Shoulder Pain Mintken et al 2010 Derivation

This chart is regularly updated at www.BulletprootPT.com.


  1. This was very interesting reading. Physical therapy gives relief from pain and also increases the muscle strength. Here is another site which provides the many physical therapy techniques which may help you people.
    Source:physical therapy treatments


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Tim Richardson, PT owns a private practice at Medical Arts Rehabilitation, Inc in Palmetto, Florida. The clinic website is at MedicalArtsRehab.com.

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