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Embodied-enactive clinical reasoning in physical therapy

机译：物理疗法中的体现主动临床推理

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Clinical reasoning is essential in physical therapy practice. Instrumental approaches and more recent narrative approaches to clinical reasoning guide physical therapists in their understanding of the patient's movement disturbances and help them to plan strategies to improve function. To the extent that instrumental and/or narrative models of clinical reasoning represent impairments as mere physical disturbances, we argue that such models remain incomplete. We draw on a phenomenologically inspired approach to embodied cognition (termed "enactivism") to suggest that the dynamics of lived bodily engagement between physical therapist and patient contribute to and help to constitute the clinical reasoning process. This article outlines the phenomenologically informed enactive perspective on clinical reasoning, with special reference to clinical work that addresses impairments as sequelae of neurological diseases.
机译：临床推理在物理治疗实践中至关重要。仪器方法和临床推理的最新叙述方法可指导理疗师了解患者的运动障碍，并帮助他们规划改善功能的策略。在某种程度上，临床推理的工具和/或叙述模型将损伤表示为仅是身体上的干扰，我们认为这种模型仍然不完整。我们采用现象学启发的方法来实现具体化的认知（称为“ Enactivism”），以表明理疗师和患者之间生活的身体互动的动态有助于并帮助构成临床推理过程。本文概述了对临床推理的现象学知情的积极观点，并特别参考了将损伤作为神经系统疾病后遗症的临床工作。

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