Document Type : Case Report
Authors
1 Department of Physiotherapy, Centre for the Rehabilitation of the Paralysed (CRP), Savar, Dhaka-1343, Bangladesh
2 Department of Science and Technology, Bangladesh Open University, Gazipur-1705, Bangladesh
3 Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology, Jashore-7408, Bangladesh
4 Department of Physiotherapy, Bangladesh Health Professions Institute (BHPI), Savar, Dhaka-1343, Bangladesh
Abstract
Background: Clinical reasoning refers to professional decisions undertaken for physical rehabilitation. Hypothetico-deductive models of clinical reasoning involve self-images and clinical decision-making processes. This study aimed to evaluate the application of hypothetico deductive reasoning (HDR) process for the physiotherapy management of a meniscus injury patient.
Methods: The reported case for the study was a 42-year-old male banker who was referred for physiotherapy rehabilitation with complaining of severe pain, swelling, catching, and locking of the right knee joint. The single case based study that was solved using the HDR process.
Results: After the 8th week of intervention, improvement was found in pain reduction, progression in muscle power, and increased range of motion of the knee joint. In addition, meniscus evaluation status also progressed from 20.9% to 71.4%, and the subject is currently able to participate in routine tasks. Clinical reasoning is the cornerstone of clinical practice. As meniscus tears were an atypical form, researchers used the HDR process for diagnosis and to solve the problem.
Conclusion: It could easily make sense that the HDR process provides a holistic treatment approach for an unfamiliar condition like a meniscus injury.
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