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Table 2 Competencies and their association with the interventions

From: Rubric for the evaluation of competencies in traumatology in the Degree of Physiotherapy: Delphi approach

Specific competencies of the White Paper about the Degree of Physiotherapy

Interventions of the rubric

1. Elaborate and complete the clinical physiotherapy history.

Elaborate and complete the clinical physiotherapy history in a systematic manner

Correctly record and write the most relevant aspects of the valuation of the patient: anamnesis, inspection, observation, exploration, extraction of data of medical reports and diagnostic tests

2. Examine and assess the functional state of the patient/user.

Identify alarm signs that may influence the evolution of the treatment and/or may require referral to the specialist during the evaluation/treatment of the patient

Perform, in patients who require so, an evaluation (visual and/or instrumental) of the movement of the patient (range, quality, strength,…) and its possible alterations, recording such results adequately

Assess and record pain, in patients who require so, through validated instruments, and identify the type of pain observed (nociceptive, visceral, neuropathic or chronic-dysfunctional)

When appropriate, conduct a neurological assessment of the patient through a superficial and deep sensitivity test and a reflex test, recording such information with proper terminology and interpreting the results adequately

3. Determine the physiotherapy diagnosis.

Identify most of the symptoms and signs reported by the patient

Correctly select and conduct orthopedic and/or functional tests and adequately interpret the results

Be able to perform clinical reasoning, proposing coherent hypotheses and strategies of differential diagnosis

4. Design the physiotherapy intervention or treatment plan.

Correctly prescribe and control physical exercise in its different modalities (isometric, concentric and eccentric isotonic, functional, motor control, conscious movement, etc.), adequately selecting among them to achieve the best result according to the objective set in a musculoskeletal dysfunction

Prescribe, perform and/or control the Proprioceptive and Neuromuscular Re-education Techniques in their different phases, adequately selecting the techniques according to the evolutionary phase of the patient to achieve the best result based on the objective set

5. Execute, direct and coordinate the physiotherapy intervention plan.

Correctly propose coherent physiotherapeutic objectives in the short, medium and long term, considering the pathology and the individuality of the user and his/her expectations and preferences

Plan the treatment based on the objectives set, attending to the criteria of adequacy, validity and efficiency, considering risks and contraindications and efficiently managing the treatment time

Correctly perform a bandaging (functional, neuromuscular, compressive), knowing the best choice among the different materials and techniques to achieve the best result according to the objective set

Correctly carry out an application of electrotherapy (motor electrostimulation, TENS, galvanic current, magnetotherapy, laser, shock waves), selecting among the different parameters, and establishing dosimetries and application times, etc., to achieve the best result according to the objective set

Know the effects of the different techniques of Manual Therapy: massage therapy (decontraction, bowel evacuation, cicatrization massage, Cyriax), adequately selecting among them and correctly executing them to achieve the best result according to the objective set

Correctly carry out an application of thermotherapy (paraffin baths, MW, PSWT, radiofrequency, etc.), selecting among the different parameters, and establishing dosages and application times, etc., to achieve the best result according to the objective set

Carry out the procedure of progressive loading and gait reeducation in patients who require so due to the lower limbs injuries

Correctly carry out the following techniques of Manual Therapy: neuromuscular techniques, adequately selecting among them to achieve the best result according to the objective set

Correctly carry out the following techniques of Manual Therapy: articulatory techniques, adequately selecting among them to achieve the best result according to the objective set

Correctly carry out the following techniques of Manual Therapy: neurodynamic techniques, adequately selecting among them to achieve the best result according to the objective set

6. Motivate others.

Explain to the patient the purpose of the therapeutic interventions to achieve their adherence to the treatment

7. Evaluate the evolution of the results.

Re-evaluate the results periodically and adapt the intervention plan

8. Provide an efficient and integral care.

In patients who require so, apply techniques of cortical reorganization (motor imagery, mirror therapy, graded exposure to movement)

9. Incorporate scientific research and evidence-based practice as professional culture.

Know the indications and contraindications of all the proposed therapeutic interventions

10. Intervene in health promotion and disease prevention.

Know, design and implement educational programmes for the health of the patient in different situations (chronic diseases, pain, risk groups, etc.)

11. Write the physiotherapy discharge report.

Write the physiotherapy report of the progress and/or discharge of the patient

12. Keep knowledge, abilities and attitudes up to date.

Consider safety measures such as handwashing, the use of gloves and protection of the injured areas (based on the progress period)

13. Manage stress.

Know and use relaxation techniques in patients who require so