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Glossary of terms

The following terms are defined in the context that they are used within the TREAT site.

Biomechanics

The study of body movements and of the forces acting on the musculoskeletal system.

Biomedical process

The combination of design and problem solving skills of engineering with medical and biological sciences to improve healthcare diagnosis and treatment.

Biopsychosocial approach

Approach that acknowledges that biological, psychological (which entails thoughts, emotions and behaviors) and social factors all play a significant role in human functioning in the context of disease or illness.

Clinical framework

A set of guiding principles developed to assist medical experts in the management of injured workers. These principles are based on a combination of the best available research evidence and consensus clinical opinion.

Clinical guidelines

A set of systematically developed statements or recommendations about appropriate health care for specific clinical conditions.

Costal margin

The medial margin formed by the false ribs – specifically, from the seventh rib to the tenth rib

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Evidence-based practice

The melding of individual clinical judgement and expertise with the best available external evidence to generate the kind of practice that is most likely to lead to a positive outcome for a patient.

Functional capacity evaluation

A series of standardised tests used to assess a worker's functional capacities for work.

Immobilisation

Preventing motion of a body part.

Management

The overall approach to care, or the ‘management plan’ formulated for each individual.

Manipulation

A technique of treatment applied to joints for the relief of pain and improvement of motion. It is a single high velocity, low amplitude movement applied passively to the joint towards the limit of its available range.

Measured trial of no treatment

A break from treatment as a result of cessation of therapy and re-presentation of the worker for a voluntary review. At the review, the worker’s functional level can be assessed using standardised measures for any deterioration during the break.

Multidisciplinary rehabilitation

The involvement of two or more disciplines in assessing and treating the physical, psychological, medical, vocational and social aspects aimed to rehabilitate the injured worker.

Musculoskeletal system

Muscles and their associated ligaments and other connective tissue, bones and cartilage viewed collectively.

Neurodynamic assessment

Assessment of communication between different parts of the nervous system.

Outcome measure

A test or scale that has been shown to measure a patient characteristic of interest. Outcome measures are used to evaluate change from one point in time (before treatment) to another (after treatment).

Passive mobilisation

A technique of treatment applied to joints for the relief of pain and improvement of motion. Mobilisation is the passive application of repetitive, rhythmical, low velocity, small amplitude movements to the joint within or at the end of range.

Passive modalities

Those electrotherapeutic agents that are applied for such purposes as the relief of pain and assisting the resolution of the inflammatory response. They are administered passively to the patient.

Psychological sequelae

Psychological and emotional after effects.

Soft tissue injury

A descriptive term referring to injuries of the muscle, joint, ligament, cartilage tendon or connective tissues (including intervertebral disc injuries). Soft tissue injuries do not include serious pathology (such as tumour and infection), fractures, nerve (neurological) damage, complex regional pain syndrome, or injuries that require or have undergone surgery.

Standardised outcome measure

A tool that has undergone testing to establish its validity, reliability and sensitivity to change.

Stepped approach to care

The intent of a 'stepped' or 'stepped care' approach is to use the appropriate resource at the right time.

Treatment

The therapeutic modalities used as part of a health provider’s management approach.