Hawaii Administrative Rules › Title 16 - DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS › Chapter 110 - PHYSICAL THERAPY › Subchapter 1 - GENERAL PROVISIONS › Section 16-110-2 - Definitions

Current through June, 2024
As used in this chapter:
"Accredited physical therapist assistant program" means a
				  post-secondary physical therapist assistant program that is accredited by the
				  Commission on Accreditation in Physical Therapy Education, its predecessor
				  organization, or its successor organization.
"Accredited physical therapy program" means a post-secondary
				  physical therapy program that is accredited by the Commission on Accreditation
				  in Physical Therapy Education, its predecessor organization, or its successor
				  organization.
"APTA" means the American Physical Therapy Association,
				  which is the primary, voluntary, national professional organization of physical
				  therapists and physical therapist assistants.
"Commission on Accreditation in Physical Therapy Education"
				  or "CAPTE" means an independent accrediting body that is recognized by the
				  United States Department of Education and by the Commission on Recognition of
				  Postsecondary Accreditation, or their successor organizations as the entity in
				  the United States that is responsible for accrediting education programs for
				  the preparation of physical therapists and physical therapist
				  assistants.
"Department" means the department of commerce and consumer
				  affairs, unless otherwise identified.
"Director" means the director of the department of commerce
				  and consumer affairs or the director's departmental representative.
"Encumbered" means a license issued by any state or
				  territory of the United States for the practice of physical therapy that is
				  revoked, suspended, or made probationary or conditional by the licensing or
				  registering authority in that state or territory.
"Evaluation" means the dynamic process in which the physical
				  therapist makes clinical judgments based on data gathered during the physical
				  therapy examination. Findings from the physical therapy examination are
				  integrated to establish a diagnostic classification, prognosis, and plan of
				  care. This process may identify problems that require consultation with or
				  referral to another provider.
"Federation of State Boards of Physical Therapy" or "FSBPT"
				  means the not-for-profit organization established on February 12, 1987, under
				  the laws of the State of Alabama. The FSBPT develops and administers the
				  National Physical Therapy Examination and also works towards reasonable
				  uniformity in regulation and standards through ongoing communications between
				  it and the states and territories of the United States.
"Licensure examination" means a national physical therapy
				  exam approved by the board for the licensure of a physical therapist.
"Patient" means an individual who is the recipient of
				  physical therapy examination, evaluation, diagnosis, prognosis, and
				  intervention and who has a disease, disorder, condition, impairment, functional
				  limitation, or disability and also includes a person who may engage the
				  services of a physical therapist, who can benefit from the physical therapist's
				  consultation, interventions, professional advice, prevention services, or
				  services promoting health, wellness, and fitness.
"Physical therapist assistant" or "PTA" means an individual
				  who has graduated from an accredited physical therapist assistant program or an
				  accredited physical therapy program.
"Physical therapy examination" means the process of
				  obtaining a history, a systems review, and selecting and administering tests
				  and measures to gather data about the patient. The initial physical therapy
				  examination is a comprehensive screening and specific testing process. Tests
				  and measurements may include, but are not limited to:
(1) Muscle strength, force, endurance, and tone;
(2) Joint motion, mobility, and stability;
(3) Reflexes and automatic reaction;
(4) Movement skill and accuracy;
(5) Sensation and perception;
(6) Peripheral nerve integrity;
(7) Locomotor skill, stability, and endurance;
(8) Activities of daily living;
(9) Cardiac, pulmonary, and vascular functions;
(10) Fit, function, and comfort of prosthetic, orthotic, and
				  other assistive devices;
(11) Posture and body mechanics;
(12) Limb length, circumference, and volume;
(13) Thoracic excursion and breathing patterns;
(14) Vital signs;
(15) Nature and locus of pain and conditions under which pain
				  varies;
(16) Photosensitivity; and
(17) Home, community, and work physical environments.
"Student" means an individual who is currently enrolled in
				  an accredited physical therapist assistant program or in an accredited physical
				  therapy program.
"Support or auxiliary personnel" means a physical therapist
				  assistant, a temporary physical therapist licensee, or a physical therapy
				  student who perform duties delegated by the supervising physical
				  therapist.
"Temporary physical therapist licensee" means a person who
				  meets the applicable requirements set forth in section
				  16-110-40.
"Treatment" or "Intervention" means purposeful and skilled
				  interaction between the physical therapist, PTA, temporary physical therapist
				  licensee or student and the patient in the care of the patient using various
				  physical therapy methods and techniques to produce changes in the patient's
				  condition that are consistent with the diagnosis and treatment. A physical
				  therapy treatment or intervention may consist of the following
				  components:
(1) Air;
(2) Sound;
(3) Compression;
(4) Light;
(5) Mechanical stimulation;
(6) Biofeedback;
(7) Positioning;
(8) Therapeutic heat and cold;
(9) Therapeutic exercise;
(10) Gait training;
(11) Activities of daily living and functional
				  training;
(12) Therapeutic electric current;
(13) Therapeutic massage;
(14) Ultrasound;
(15) Behavior modification;
(16) Traction;
(17) Hydrotherapy;
(18) Pulmonary therapy;
(19) Wound care and external dressings;
(20) Orthoses and external supports;
(21) Assistive/adaptive devices;
(22) Therapeutic equipment;
(23) Neurodevelopmental activities;
(24) Mobilization and manipulation;
(25) Posture training;
(26) Prosthetic management;
(27) Cardiopulmonary rehabilitation;
(28) Coordination, communication and documentation;
(29) Patient-related instruction; and
(30) Procedural interactions including but not limited
				  to:
(A) Therapeutic exercise;
(B) Functional training in self-care and home management,
				  including activities of daily living and instrumental activities of daily
				  living;
(C) Functional training in work, including school and play,
				  community and leisure integration or reintegration, including instrumental
				  activities of daily living, work hardening, and work conditioning;
(D) Manual therapy techniques, including mobilization or
				  manipulation;
(E) Prescription, application, and, as appropriate,
				  fabrication of devices, and assistive, adaptive, orthotic, protective,
				  supportive, and prosthetic equipment;
(F) Airway clearance techniques;
(G) Integumentary repair and protection techniques;
(H) Electrotherapeutic modalities;
(I) Physical agents; and
(J) Mechanical modalities.
The amended
				  version of this Section by
				  Hawaii
				  Administrative Rules Listing of Filings, 2015-01, February,
				  eff.2/28/2015 is not yet
				  available.