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This essay is by Jim Meadows, BScPT, MCPA, FCAMPT. It is the sixth in a series on clinical reasoning in physical therapy. The question posed is this: is it possible to make the force of a manipulation specific to a given segment? But more than this we should ask whether it is necessary to do

This essay is by Jim Meadows, BScPT, MCPA, FCAMPT. It is the fourth in a series on clinical reasoning in physical therapy. No single method of clinical reasoning works for every clinician, every patient, or every problem. The method that serves best depends on the clinician’s experience, the nature of the problem, and which signs

This essay is by Jim Meadows, BScPT, MCPA, FCAMPT. It is the third in a series on clinical reasoning in physical therapy. Clinical reasoning rarely happens in a vacuum. Before any formal process begins, most clinicians are already working with quick mental shortcuts — rules of thumb drawn from experience, pattern instincts, and guiding principles

This essay is by Jim Meadows, BScPT, MCPA, FCAMPT. It is the second in a series on clinical reasoning in physical therapy. Humans are pattern-recognition machines. We do it constantly, automatically, and often without realizing it. We read facial expressions, form first impressions in seconds, and reach conclusions from fragments of information — and most

This essay is by Jim Meadows, BScPT, MCPA, FCAMPT. It is the first in a series on clinical reasoning in physical therapy. Most clinical training teaches you to gather as much information as possible before committing to a diagnosis. Comprehensive history, thorough objective assessment, rule out everything — then decide. This approach makes sense on