BACKGROUND AND PURPOSE: This qualitative study was designed to explore, identify, and describe clinical decision-making processes used by pediatric physical therapists. SUBJECTS: Clinical decision-making processes of three experienced therapists and three inexperienced therapists were assessed as they worked with 18 children with diplegia. METHODS: Retrospective think-aloud procedures were used to elicit verbalizations, which were transcribed, coded, and analyzed. RESULTS: Four characteristics of clinical decision making were identified: (1) Movement scripts provided insights into the clinical application of cognitive schemata based on previous experiences, (2) procedural changes occurred rapidly during within-session decision making, (3) psychosocial sensitivity was important for positive interaction during therapy, and (4) self-monitoring appeared to be pivotal in making clinical decisions as therapists self-assessed their practice. Contrasting data illustrated similarities and differences of experienced and inexperienced clinicians. CONCLUSION AND DISCUSSION: Findings are generally consistent with existing clinical decision-making literature and provide important information for physical therapy practice, research, and education.
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Embrey et al. (1996) studied this question.