Shirley A Sahrmann

       “I believe consideration of the interactive roles of the muscular, neurological, cardiopulmonary, and metabolic systems in movement-related syndromes is consistent with physical therapy moving precisely along the path toward the level of professional identity needed for the next century.”

   “We must not take the path of least resistance by:

• ·         Teaching basic science without noting ways in which the basic sciences can be used to explain clinical conditions and clinical methods.
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• ·         Failing to provide the current pathophysiological information about the impairments of the movement system.
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• ·         Teaching clinical techniques without critical analysis of their effect on the impairments for which the patient is being treated.
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• ·         Expecting each student to apply information obtained in basic science to clinical practice without faculty or clinicians demonstrating the use of clinical science information.”

     “Today, more emphasis seems to be placed on learning techniques from continuing education courses than on trying to understand underlying mechanisms.”

     “One of my strongest beliefs is that a system of diagnostic categories designed to direct physical therapy treatment could provide a precise focus for education, as well as practice.”

“We must follow the example of medical practitioners by developing diagnostic categories, standardized examinations, and guidelines for interventions.” 

“To move precisely, we must:

Promote the development and use of diagnostic Categories that direct physical therapy.

Develop and utilize standard examinations and terminology.

Emphasize treatment that is based on a thorough knowledge of basic anatomy and kinesiology.

Pursue knowledge of underlying science with as much commitment as we pursue the latest treatment methods.

Recognize our responsibility to protect patients’ frorn treatment fads that have a highly questionable scientific basis.

Maintain adequate standards of practice by demanding adequate time for examination, development of a diagnosis, and treatment.”

“What I would like to stress in regard to practice is the importance of having a  strong foundation knowledge of anatomy and kinesiology, and knowing how to apply this knowledge to practice.”

“Keep in mind that, traditionally, orthopedic residents have not been expected to learn kinesiology. They are not the movement experts-we are. Do not ask them what we should do about movement dysfunction.”

“To be respected for our expertise, the concepts upon which we base our examinations and treatments must be justified on the basis of scientific rationale and, whenever possible, by the results of clinical studies.”

“If we are basing our programs on scientific knowledge, our documentation should reflect that knowledge.”

“The world needs what we have to offer. We have so much to give to aid the physically challenged and to guide the physically able, be they young or old.”