Section 1: Principles of clinical reasoning in manual therapy
1. Introduction to clinical reasoning
Section 2: Clinical reasoning in action: case studies from expert manual therapists
2. Back and bilateral leg pain in a 63 year old woman 3. Ongoing low back, leg and thorax troubles, with tennis elbow and headache 4. Chronic low back pain over 13 years 5. Unnecessary fear aviodance and physical incapacity in a 55 year old housewife 6. A chronic case of mechanic's elbow 7. Chronic low back and coccygeal pain 8. Ankle sprain in a 14 year old girl 9. Headache in a mature athlete 10. Thoracic pain limiting a patient's secretarial work and sport 11. Bilateral shoulder pain in a 16 year old long-distance swimmer 12. Medial collateral ligament repair in a professional ice hocket player 13. Patellofemoral pain in a professional tennis player 14. Self-management guided by directional preference and centralization in a patient with low back and leg pain 15. Craniovertebral dysfunction following a motor vehicle accident 16.A judge's fractured redius with metal fixation following an accident 17. A university student with chronic facial pain 18. Adolescent hip pain 19. A software programmer and sportsman with low back pain and sciatica 20.An elderl woman 'trapped within her own home' by groin pain 21. Chronic peripartum pelvic pain 22. Acute on chronic low back pain 23. A non-musculoskeletal disorder masquerading as a musculoskeletal disorder 24. Forearm pain preventing leisure activities
Section 3: Theroy and development
25. Educational theory and principles related to learning clinical reasoning 26. Improving clinical reasoning in manual therapy
Appendix 1: Reflective diary
Appendix 2: Self-reflection worksheet
School of Health Sciences, University of South Australia, Adelaide, Australia.
Rivett, Darren A Professor, School of Health Sciences, The University of Newcastle, Callaghan, New South Wales, Australia.