This article is the forth in a series from our Manual Therapy Student Handbook (See the ‘Contents panel’ for further details) and takes the reader step-by-step through the process of clinical reasoning and how it aids the identification of the tissue that is the source of the patient’s problems. Combined with a knowledge of common clinical conditions, this process allows the therapist to predict a diagnosis, to direct appropriate treatment at the source of symptoms, and helps in the creation of relevant rehabilitation processes for restoring full functional capacity.
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Julian Hatcher Grad Dip Phys MPhil, MCSP FOM is a senior lecturer at the University of Salford and the programme leader for BSc Hons Sport Rehabilitation programme, having created it in 1997. Previously he was senior physiotherapist in Orthopaedic Medicine at Warrington Hospital Trust from 1987–1997. He also worked in Rugby League (including Great Britain BARLA Rugby League) for 7 years as well as running his own Sports Injuries Clinic in Warrington up until 1997.
Julian became a Fellow of Orthopaedic Medicine (FOM) in 2000, and Certified Strength & Conditioning Specialist in 2005. After starting with a Graduate Diploma in Physiotherapy (Grad Dip Phys), he gained his Master of Philosophy (MPhil) from the University of Salford in 2007 and has several publications around the knee, particularly concerning topics such as ‘ACL deficiency: detection, diagnosis and proprioceptive acuity’ and ‘Osteoarthritis long-term outcomes’. Julian is also an Honorary Member of British Association of Sport Rehabilitators and Trainers (BASRaT).
For more information see his profile at the University of Salford website.
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