Standards of Practice for Registered Kinesiotherapists

Preamble:

These standards have been established by the Council on Professional Standards for Kinesiotherapy and are endorsed by the American Kinesiotherapy Association. The intent of these standards is to serve as guidelines for Registered Kinesiotherapists and to provide a basis for assessment of Kinesiotherapy practice. A Registered Kinesiotherapist has attained that status upon passing the registration examination of the Council on Professional Standards for Kinesiotherapy. Herein after in this document a Registered Kinesiotherapist will be referred to as an RKT.

Standard 1: Only individuals who qualify by virtue of their education and clinical experience can practice Kinesiotherapy.

1.1 An RKT must have a minimum of a baccalaureate degree with didactic preparation in the following areas:

1.101 Human physiology
1.102 Exercise physiology
1.103 Kinesiology/biomechanics
1.104 Therapeutic exercise/adapted physical education
1.105 Growth and development
1.106 Motor learning/control/performance
1.107 General psychology
1.108 Organization and administration
1.109 Test, measurement, research methods and/or statistics
1.110 First aid and cardiopulmonary resuscitation

1.2 An RKT must have completed a minimum of 1,000 hours of clinical practice in approved training sites to qualify for certification and subsequent registration.
1.3 An RKT must not perform any treatment beyond the Kinesiotherapy Scope of Practice unless credentialed or otherwise qualified to do so.
1.4 An RKT can administer treatment only upon receipt of a prescription from qualified physicians, nurse practitioners and/or physician’s assistants who have been privileged to make such referrals.
1.5 An RKT will adhere to all policies and protocols established by the profession and the work setting.
1.6 An RKT will comply with local, state and federal requirements for administering health care.
1.7 An RKT must demonstrate competency to maintain a safe treatment environment.

Standard 2: Referrals shall contain appropriate information before treatment can be administered by an RKT.

2.1 Prescriptions for kinesiotherapy should contain descriptive information to include the following:

2.11 Client’s name and/or identification number
2.12 Diagnosis and problem to be addressed
2.13 Indications/contraindication for treatment
2.14 Client’s assigned medical setting or address

Standard 3: An RKT shall develop an individual treatment plan for each client.

3.1 An RKT is responsible for documentation of the treatment plan in the client’s permanent medical record as dictated by the work setting.

3.2 The client and family should actively participate as appropriate in the formulation of the treatment plan.
3.3 Client/family education shall be addressed as appropriate in the treatment plan.
3.4 The treatment plan should be updated on a regular basis or as required by national accrediting bodies and/or the treatment facility.

Standard 4: An RKT shall perform assessments on the first visit and on subsequent visits as change in status dictates.

4.1 An RKT will evaluate the physical capabilities and capacities of the patient, including:

4.11 Muscular strength and endurance
4.12 Functional stability and mobility
4.13 Neuromuscular coordination
4.14 Kinesthesis, propioception, and sensory deficits
4.15 Flexibility/joint range of motion
4.16 Aerobic fitness
4.17 Reaction time

4.2 An RKT will assess various psychosocial components, which include:

4.21 Appropriateness of behavior
4.22 Enhancers/barriers to learning
4.23 Capability of task planning and goal-directed behavior
4.24 Orientation
4.25 Affect
4.26 Social interaction
4.27 Motivation

4.3 Only an RKT with specific academic and professional training will be qualified to assess prosthetic and orthotic devices with regard to fit and appropriateness of prescription.
4.4 An RKT will assess clients for ambulation and mobility aids.
4.5 Client/family involvement will be encouraged as a part of the assessment process.

Standard 5: An RKT shall administer therapeutic exercise or activity to accomplish the stated goals of the treatment plan.

5.1 An RKT shall instruct clients in the following interventions:

5.11 Strengthening exercise

5.111 Isometric
5.112 Isotonic
5.113 Isokinetic
5.114 Endurance exercise
5.115 Aerobic exercise
5.116 Muscular endurance

5.12 Functional mobility training and ambulation training
5.13 Flexibility and range of motion exercise

5.131 Passive
5.132 Active-assistive
5.133 Active

5.14 Aquatic exercise
5.15 Balance and coordination exercise/activity
5.16 Neuromuscular re-education
5.17 Work conditioning exercise

5.2 An RKT will monitor client treatment and intervene regularly to facilitate progress toward stated goals.
5.3 An RKT shall be responsible for the treatment process and will provide a safe environment that is conducive to achievement of the treatment objectives.
5.4 An RKT will be trained in the safe use of equipment employed in the treatment process.

Standard 6: An RKT shall educate the client and family/caregiver as appropriate to accomplish the stated goals of the treatment plan.

6.1 An RKT shall provide instruction in the following areas:

6.11 Implications of disease/disability process, progression, and expectations for client and family
6.12 Home exercise programs
6.13 Body mechanics/functional mobility
6.14 Home and/or worksite modification

Standard 7: An RKT shall document patient treatment information.

7.1 An RKT shall document progress toward established goals.

7.11 An RKT will be responsible for entering progress notes into the permanent patient record.
7.12 Time frames of completion of notes will conform to those as specified in Standard 3.
7.13 An RKT will provide a written summary of treatment, which includes recommendations for follow-up care.
7.14 All notes will be signed either in writing or electronically.
7.15 Documentation shall be subject to peer review on a regular basis so as to insure conformity to stated standards and as part of the facility’s total quality management system.

Standard 8: An RKT shall actively participate in the activities congruent with health care delivery.

8.1 An RKT shall attend client-planning functions and provide input as deemed appropriate.
8.2 An RKT shall at all times conduct themselves as professionals and accord client, family, medical staff and visitors respect and dignity.
8.3 An RKT shall work as a member of the health care team by participation in total quality management programs.
8.4 An RKT shall notify the Council on Professional Standards as to improprieties of another RKT.
8.5 An RKT shall inform appropriate individuals or agencies of any improprieties in the delivery of health care to the client.
8.6 An RKT shall participate in continuing education as required to insure quality client care.

Standard 9: An RKT shall follow established quality assurance guidelines to assure quality and appropriateness of treatment provided.

9.1 A written plan shall exist that describes program objectives, organization and scope.
9.2 There will be a planned, systematic and ongoing process for monitoring and evaluating client care. Solutions will be developed when problems are identified.
9.3 Records are maintained to document all quality improvement activity.

Revised: 2003-07-23


Bear