The Role of US Military Physical Therapists During Recent Combat Campaigns

Author:

Moore Josef H.1,Goffar Stephen L.2,Teyhen Deydre S.3,Pendergrass Timothy L.4,Childs John D.5,Ficke James R.6

Affiliation:

1. J.H. Moore, PT, PhD, Graduate School, Academy of Health Sciences, US Army–Baylor University Doctoral Program in Physical Therapy, Army Medical Department Center and School, Fort Sam Houston, TX 78234 (USA).

2. S.L. Goffar, PT, PhD, Rehabilitation Service, Landstuhl Regional Medical Center, Landstuhl, Germany, and US Army–Baylor University Doctoral Program in Physical Therapy.

3. D.S. Teyhen, PT, PhD, Telemedicine and Advanced Technology Research Center, US Army Medical Research and Materiel Command, Fort Detrick, Maryland, and US Army–Baylor University Doctoral Program in Physical Therapy.

4. T.L. Pendergrass, PT, DSc, US Army Office of the Surgeon General Allied Health Staff Office, Falls Church, Virginia.

5. J.D. Childs, PT, PhD, MBA, Department of Physical Therapy (MSGS/SGCUY), 81st Medical Group, Keesler Air Force Base, Biloxi, Mississippi.

6. J.R. Ficke, MD, Department of Orthopedics and Rehabilitation, San Antonio Military Medical Center, Fort Sam Houston, Texas.

Abstract

US military physical therapists have a proud history of providing medical care during operational deployments ranging from war to complex humanitarian emergencies. Regardless of austerity of environment or intensity of hostility, US military physical therapists serve as autonomous providers, evaluating and treating service members with and without physician referral. This perspective article suggests that the versatility of US military physical therapist practice enables them not only to diagnose musculoskeletal injuries but also to provide a wide range of definitive care and rehabilitation, reducing the need for costly evacuation. War is not sport, but the delivery of skilled musculoskeletal physical therapy services as close to the point of injury as possible parallels the sports medicine model for on- or near-field practice. This model that mixes direct access with near-immediate access enhances outcomes, reduces costs, and allows other health care team members to work at the highest levels of their licensure.

Publisher

Oxford University Press (OUP)

Subject

Physical Therapy, Sports Therapy and Rehabilitation

Reference27 articles.

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2. Clinical diagnostic accuracy of physical therapists to orthopaedic surgeons at West Point on direct access patients with knee and shoulder injuries [abstract];Moore;J Orthop Sports Phys Ther,2004

3. Clinical diagnostic accuracy and magnetic resonance imaging of patients referred by physical therapists, orthopaedic surgeons and non-orthopaedic providers;Moore;J Orthop Sports Phys Ther,2005

4. Risk determination for patients with direct access to physical therapy in military health care facilities;Moore;J Orthop Sports Phys Ther,2005

5. A description of physical therapists' knowledge in managing musculoskeletal conditions;Childs;BMC Musculoskel Disord,2005

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