Describing the clinical reasoning process: Application of a model of enablement to a pediatric case

Jennifer Furze, Kelly Nelson, Megan O'Hare, Amanda Ortner, A. Joseph Threlkeld, Gail M. Jensen

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Background and purpose: Clinical reasoning is a core tenet of physical therapy practice leading to optimal patient care. The purpose of this case was to describe the outcomes, subjective experience, and reflective clinical reasoning process for a child with cerebral palsy using the International Classification of Functioning, Disability, and Health (ICF) model. Case description: Application of the ICF framework to a 9-year-old boy with spastic triplegic cerebral palsy was utilized to capture the interwoven factors present in this case. Interventions in the pool occurred twice weekly for 1 h over a 10-week period. Outcomes: Immediately post and 4 months post-intervention, the child made functional and meaningful gains. The family unit also developed an enjoyment of exercising together. Each individual family member described psychological, emotional, or physical health improvements. Discussion: Reflection using the ICF model as a framework to discuss clinical reasoning can highlight important factors contributing to effective patient management.

Original languageEnglish (US)
Pages (from-to)222-231
Number of pages10
JournalPhysiotherapy Theory and Practice
Issue number3
StatePublished - Apr 2013

All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation


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