## 2 Related Work  
### Clinical Reasoning  
In the past, several studies have highlighted the role of clinical reasoning by focusing on specific points. In [13], the clinical reasoning of experienced musculoskeletal physiotherapists in relation to three different occurrences of pain has been studied and identified five main categories of clinical reasoning: (a) biomechanical, (b) psychosocial, (c) the pain mechanism, (d) temporality, and (e) the irritability/severity of injury. Later, [PERSON] et al. [14] highlighted systematic clinical reasoning in physical therapy (SCRIPT) to guide junior physiotherapists in correctly taking the history of patients with spinal pain. This tool incorporates the severity, irritability, nature, stage, and stability (SINSS) model for clinical reasoning. The severity, irritability, nature, stage, and stability (SINSS) model is a clinical reasoning construct that offers doctors an organized framework for taking a subjective history in order to choose the best objective examination and treatment strategy and to cut down on errors. The SINSS model aids the physiotherapist in gathering comprehensive data regarding the patient's state, sorting and categorizing the data, ranking their list of issues in order of importance, and choosing which tests to administer and when. This ensures that no information is overlooked and that the patient is not checked or treated excessively [7]. Five points of recording and research are included in the SINSS model:  
* The degree of the symptoms, particularly the perceived level of pain, was correlated with the severity of the damage. The level to which the patient's activities of daily living are impacted is a major factor in determining how severe the pain is quantified. Pain can be measured in a variety of methods, including using the Visual Analogue Scale (VAS). * The degree of activity needed for symptoms to worsen, how bad the symptoms are, and how long it takes for the symptoms to go away can all be used to gauge how irritable the tissue is. The ratio of aggravating to mitigating factors is another way to measure irritability. * The patient's diagnosis, the sort of symptoms and/or pain, individual traits/psychosocial factors, and red and yellow flags all contribute to the injury's nature. * The stage of the injury, which refers to how long symptoms have been present. The primary categorizations include the acute phase (spanning less than 3 weeks), the subacute stage (occurring between 3 and 6 weeks), the chronic phase (extending beyond 6 weeks), and the acute stage of a chronic condition (which pertains to a recent exacerbation of symptoms in a condition that the patient has been managing for over 6 weeks). * The stability of the injury, which refers to the way in which the symptoms develop, where it refers to the improvement, deterioration, and unchanging and fluctuating status of the injury. Although the above models seem to give a more comprehensive picture of the patient's injury, several studies have applied specific points from the categories of clinical reasoning. A study [15] used pain severity/irritability in the Maitland construct to study inter-rater reliability among physiotherapists in assessing irritability when applied to patients with low back pain. Additionally, in a study of shoulder irritability, Ref. [16] used the STAR-Shoulder clinical reasoning, which suggests three levels of shoulder tissue irritability with corresponding intervention strategies related to the management of physical stress on shoulder tissues: (a) high irritability (high pain, continuous pain at night or at rest, active less than passive movement, high dysfunction, and pain before full range of motion); (b) moderate irritability (moderate pain, intermittent pain at night or at rest, the same degree of active and passive movement, moderate dysfunction, and pain at full range of motion); and (c) low irritability (low pain, the absence of pain at night or at rest, active more than passive movement, low dysfunction, and minimal pain on application of pressure).