After APTA's House of Delegates (House) adopted the vision statement for the physical therapy profession in 2013, the Board of Directors (Board) recognized that, in order for the physical therapy profession to achieve the vision as articulated by its guiding principles, it would be necessary to integrate consistent application of the "movement system" (as mentioned in the guiding principle on "Identity") in physical therapist practice, education, and research.
The Board convened a work group to define the concept of the movement system. After careful consideration of various theoretical, linguistic, and conceptual possibilities, the work group created a definition that was adopted by the Board (listed below).
In response to House action (Management of the Movement System (HOD P06-15-25-24)) stating that "APTA endorses the development of diagnostic labels and/or classification systems that reflect and contribute to the physical therapists' ability to properly and effectively manage disorders of the movement system," APTA is in the process of developing a diagnostic classification system for movement system diagnoses.
Movement System Templates Feedback
Thank you to those who took time to provide examples and feedback on the movement system diagnosis and movement screen templates. Over the next few months, APTA staff and leadership will review these and aggregate the data and provide a summary of our findings and next steps in the Fall of 2019.
Definition of the 'Movement System'
The "movement system" represents the collection of systems (cardiovascular, pulmonary, endocrine, integumentary, nervous, and musculoskeletal) that interact to move the body or its component parts.
Physical Therapist Practice and the Movement System
Human movement is a complex behavior within a specific context.
- Physical therapists provide a unique perspective on purposeful, precise, and efficient movement across the lifespan based upon the synthesis of their distinctive knowledge of the movement system and expertise in mobility and locomotion.
- Physical therapists examine and evaluate the movement system (including diagnosis and prognosis) to provide a customized and integrated plan of care to achieve the individual's goal-directed outcomes.
- Physical therapists maximize an individual's ability to engage with and respond to his or her environment using movement-related interventions to optimize functional capacity and performance.
View the Movement System Diagram (.pdf)
Movement System Summit
In 2016, the Movement System Summit brought together 100 thought leaders in the physical therapy profession to provide input on recommendations for integrating the movement system concept into physical therapist practice, education, and research.
At the summit, diagnostic criteria were agreed upon and subsequently approved at the April 2017 Board of Directors meeting. This was the first step in addressing the 2015 House of Delegates position Management of the Movement System, which states "APTA endorses the development of diagnostic labels and/or classification systems that reflect and contribute to the physical therapists' ability to properly and effectively manage disorders of the movement system." The following criteria can be used by any stakeholder group that is developing diagnostic classification systems/labels:
- Use recognized movement-related terms to describe the condition or syndrome of the movement system.
- Include, if deemed necessary, the name of the pathology, disease, disorder, anatomical or physiological terms, and stage of recovery associated with the diagnosis.
- Be as succinct and direct as possible to improve clinical usefulness.
- Strive for movement system diagnoses that span all populations, health conditions, and the lifespan. Whenever possible, use similar movement-related terms to describe similar movements, regardless of pathology or other characteristics of the patient or client.
Learn more about the movement system in the white paper below.