- Open Access
Observations and recommendations on the investigation of clinical decision-making and usage involving electrophysical agents
© Selkowitz. 2015
- Received: 20 August 2015
- Accepted: 29 September 2015
- Published: 8 October 2015
Electrophysical agents (EPAs), including electrotherapy, are important components of patient/client management. A recent study by Springer et al. has elucidated the pattern of use and factors in clinical decision-making by Israeli physiotherapists regarding EPAs. It is evident from their data that EPAs, especially those related to electrotherapy, are still considered relevant to physiotherapy practice. Included in this commentary are observations on the findings of the current study, as well as recommendations on an alternative approach to the investigation of clinical decision-making and usage of EPAs. Discussion also includes a proposed and apparent de-emphasis of EPAs in physiotherapy education and practice in the USA, which may impact some of the factors found in the current study to be relevant in clinical decision-making and usage for EPAs.
- Electrophysical agents
- Clinical decision-making
The current study speaks to the use of EPAs in Israel by physiotherapists and provides data that can be built upon to improve continued appropriate use. EPAs appear to be considered relevant to physiotherapist practice in Israel. I have provided recommendations for future study of the use of electrotherapy and EPAs, including investigations based on treatment purpose. The authors of the current study reported that they have additional data, that they can report on in the future, which may address these recommendations.
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- Springer S, Laufer Y, Elboim-Gabyzon M. Clinical decision making for using electro physical agents by physiotherapists, an Israeli survey. Isr J Health Policy Res. 2015;4:14.PubMed CentralView ArticlePubMedGoogle Scholar
- Bellew JW, Beiswanger Z, Freeman E, Gaerte C, Trafton J. Interferential and burst-modulated biphasic pulsed currents yield greater muscular force than Russian current. Physiother Theory Pract. 2012;28:384–90. doi:10.3109/09593985.2011.637286. Epub 2011 Dec 2.View ArticlePubMedGoogle Scholar
- Selkowitz DM. Electrical currents. In: Cameron MH, editor. Physical agents in rehabilitation: from research to practice. Philadelphia: PA, WB Saunders Co; 1999. p. 345–427.Google Scholar
- Selkowitz DM, Rossman E, Fitzpatrick S. Effect of burst-modulated alternating current carrier frequency on current amplitude required to produce maximally-tolerated electrically-stimulated quadriceps femoris knee extension torque. Am J Phys Med Rehabil. 2009;88:973–8.View ArticlePubMedGoogle Scholar
- White NT, Delitto A, Manal TJ, Miller S. The American Physical Therapy Association’s top five choosing wisely recommendations. Phys Ther. 2015. doi:10.2522/ptj.20140287.Google Scholar
- Belanger AY, Cameron MH, Michlovitz SL, Bellew JW, Freeman L. On “The American Physical Therapy Association’s top five choosing wisely recommendations”. White NT, Delitto A, Manal TJ, Miller S. Phys Ther. doi: 10.2522/ptj.20140287. Phys Ther. 2015;95(1):142–3. doi:10.2522/ptj.2015.95.1.142.View ArticlePubMedGoogle Scholar
- Bjordal JM, Ronzio O, Baxter GD, Sluka KA. On “The American Physical Therapy Association’s top five choosing wisely recommendations”. White NT, Delitto A, Manal TJ, Miller S. Phys Ther. doi: 10.2522/ptj.20140287. Phys Ther. 2015;95(2):275–8. doi:10.2522/ptj.2015.95.2.275.View ArticlePubMedGoogle Scholar