Florida Physical Therapy Jurisprudence Practice Exam

How should a physical therapist approach a patient when spinal manipulation is contraindicated?

1. Refer to a chiropractor immediately

2. Continue with soft tissue mobilization only

3. Consult the patient about alternative therapies

4. Leave the treatment plan unchanged

The correct answer is: Refer to a chiropractor immediately

When spinal manipulation is contraindicated for a patient, consulting with the patient about alternative therapies is a critical approach for several reasons. This approach ensures that the therapist prioritizes the patient's safety and well-being by recognizing the limitations of the treatment methods that can be applied in such situations. Spinal manipulation carries certain risks, particularly for individuals with specific health conditions, such as fractures, severe osteoporosis, or certain neurological disorders. Therefore, when spinal manipulation is not suitable, considering alternative therapies allows the therapist to explore other options that may be beneficial for the patient. This can include methods such as physical modalities, exercise therapy, or supportive techniques that align better with the patient’s current health status and needs. Referring the patient to a chiropractor may not always be necessary or appropriate, as it can delay access to care and may not address the patient’s overall rehabilitation needs. It’s also important that the physical therapist maintains patient autonomy by discussing therapy options collaboratively with the patient. Leaving the treatment plan unchanged could put the patient at risk or result in ineffective treatment, and while soft tissue mobilization may be useful, it might not fully address the patient’s condition. Hence, encouraging a conversation regarding alternative approaches is a proactive and responsible way to manage care in instances where spinal manipulation is