Haw. Code R. § 16-110-2

Current through April, 2024
Section 16-110-2 - Definitions

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.

Haw. Code R. § 16-110-2

[Eff 6/5/87; am and comp 12/4/92; am and comp 10/13/94; am and comp 12/9/10] (Auth: HRS § 461J-5) (Imp: HRS §§ 461J-1, 461J-3, 461J-5, 461J-9)

The amended version of this Section by Hawaii Administrative Rules Listing of Filings, 2015-01, February, eff.2/28/2015 is not yet available.