SCHOOL OF SCIENCE AND TECHNOLOGY
Course Code: RRDM -1141
Rehabilitation Reasoning and Decision Making
BANGLADESH OPEN UNIVERSITY
SCHOOL OF SCIENCE AND TECHNOLOGY
II
Rehabilitation Reasoning and Decision Making
Course Code: RRDM -1141
Course Development Team
Write r_______ _____ ___
Md. Feroz Kabir
BPT (DU), MPT (DU), MPH (BSMMU)
Senior Physiotherapist, Dhaka University Medical Center
& Hospital (Ex) and
Faculty Member, Faculty of Health Science
Jessore University of Science and Technology
Editors ___ ___________ _
Prof. Altaf Hossain Sarker
BPT (DU), MPT (PUB), PhD
Professor of Physiotherapy & Chairman (Ex), PUB and
Visiting Professor of Geriontology
University of Dhaka
Md. Obaidul Haque
BPT (DU), MPT (DU), MPH (NSU)
Associate Professor of Physiotherapy & Department Head
(Academic), BHPI, CRP, Savar, Dhaka
Sharmila Jahan
BPT (DU), Specialized Masters-Geriontology (DU)
Clinical Neuro-dynamics (Australia)
Physiotherapist, Dhaka University Medical Center &
Hospital
Style Editors _____ __ ___ _
Dr. Md. Abdul Mojid Mondol
Associate Professor
School of Science and Technology
Bangladesh Open University
Overall Supervision_______
Professor Dr. Sharker Md. Numan
Dean SST, BOU
Professor Dr. K.M. Rezanur Rahman
SST, BOU
BANGLADESH OPEN UNIVERSITY
SCHOOL OF SCIENCE AND TECHNOLOGY
III
Rehabilitation Reasoning and Decision Making
Course Code: RRDM -1141
Published By:
Publishing, Printing and Distribution Division
Bangladesh Open University, Gazipur-1705
School of Science and Technology
Bangladesh Open University, Gazipur-1705
November 2017
Computer Composed and Desktop Processing by:
MS Sabina Yesmin
Cover Designer:
Printed by:
ISBN
All right reserved. No part of this book may be reproduced in any
means without prior permission of the copyright holder
SCHOOL OF SCIENCE AND TECHNOLOGY
BANGLADESH OPEN UNIVERSITY
IV
Preface
Disability is one of the global burdens in current and next generation health issue as the non-
communicable diseases are increasing day by day and communicable disease burden is also
exists. So its double burden of health issues. For the proper management and rehabilitation
it’s essential to take comprehensive steps which can reduce and manage global burden.
Physiotherapists and other rehabilitation professional are playing vital role of disability
rehabilitation and management where they required more specialized higher education which
could make them more specialized and confident in this field. It has just tried here to write-up
this facilitating book of “Rehabilitation Reasoning and Decision Making” for future
rehabilitation professionals who will lead the disability rehabilitation and management
ground. If this facilitating book helps them a little bit it’s our only happiness as we believe
that without the proper utilization of differently able people it’s never possible to achieve the
SDG’s and other global objectives. This book just wants to facilitate and want to be the part
of global disability awareness and management issues.
During writing and editing this book we have used lot of information from different books,
journals and website which we strongly tried to acknowledge and referencing properly. But if
not anything addressed properly that’s our unwanted mistake and we are apologizing for this
and we hope we shall get positive and related critiques and also suggestion from the readers
and social contributors for further enriching this module.
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Contents
Rehabilitation Reasoning and Decision Making
Unit 1 : Rehabilitation Reasoning 1-20
Lesson 1 : Basics of Disability Rehabilitation and Rehabilitation Promotion 2-5
Lesson 2 : Basics of Rehabilitation Reasoning 6-9
Lesson 3 : 9-13
Process of Clinical or Rehabilitation Reasoning
Lesson 4 : Process of Effective Reasoning and Reasoning Requirements 14-16
Lesson 5 : Narrative Reasoning and Reasoning Cycle 17-20
Unit 2 : Disability Management 21-34
Lesson 1 : Use of Clinical reasoning in disability management & rehabilitation 21-24
Lesson 2 : Concept of Clinical reasoning in disability management & 25-29
rehabilitation
Lesson 3 : 29-31
Importance of Clinical reasoning in disability management &
rehabilitation
Lesson 4 : Factors to be considered to establish clinical reasoning in disability 32-34
Rehabilitation Science
Unit 3 : Methodology in Rehabilitation 35-67
Lesson 1 : Application of Clinical / rehabilitation reasoning in practice 35-39
Lesson 2 : The research methodologies in Rehabilitation Reasoning 40-44
Lesson 3 : The various approaches of clinical reasoning used by different 45-55
disciplines and settings.
Lesson 4 : Use of evidence in decision making 56-60
Lesson 5 : Problem oriented clinical decision making concept 61-67
References 68-72
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Introduction to the Module
The module of Rehabilitation Reasoning and Decision making is one of the modules on Master
of Disability and Rehabilitation Studies (MDRS). Rehabilitation Reasoning and Decision
making includes the fields of rehabilitation reasoning for specific case of rehabilitation and its
implication and also the measurement in daily practice. In the module, Evaluation of
Interventions in Practice, an attempt has been made to include the introduction to the research
and evidence based disability management with critical analysis of different interventions. Some
of the lessons in one field may also be a lesson in other field, but for the convenience of the
learner it has been put where it is in the module. The lessons have been so designed that it just
gives a basic idea of the topic under discussion. As the users are future health professionals, the
examples cited are all health-related instances.
Through this open education program the learner will be able to learn about different topics, with
the help of materials, without attending any formal classes. This module is a bit different from
those used in existing formal education in classroom situation. Before going through this
module, carefully read the following points on how to use the book to get the maximum benefit.
Format of this Module
This module includes three units. Each unit has a unit title followed by a brief introduction to the
unit lesson objectives are given at the beginning of each lesson.
The important points in the text have been highlighted in boxes on the left margin. Besides the
text, each lesson is supplemented by figures, diagrams, pictures and flow charts as applicable for
clearer understanding of the subject. A hypothetical problem, the exercise, is included in most of
the lesson so that the learner can solve them in the light of the relevant lesson. This exercise will
invite participation on the part of the learner to feel that he/she is an active participant in an
exciting intellectual endeavour. There is a scope of self-evaluation at the end of each lesson. This
is done by both short and essays types of questions.
How to use (read) the Module
Read carefully the learning objectives of the lesson before going through the text. How much of
the learning objectives have been achieved will be assessed by the learner at the end of the text.
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If the learner is not satisfied, she/he will go through the text, as many times necessary, till she/he
is satisfied about the learning objectives. When the learning objectives are achieved, the learner
will proceed with the exercise and questions.
For any Clarification
The learner is advised to listen and/or view the scheduled televisions and radio programs along
with e-Learning Platform of Blended mode delivery by Bangladesh Open University on
Rehabilitation Reasoning and Decision Making. The learner will read the relevant lessons before
starting the course. At the scheduled audio-video broadcasting time she/he will be ready with the
pen, paper and book in front of the television/radio set. The learner will take note, if any part of
the program is not understood. She/he will discuss these with the tutor in the tutorial session.
If the module and radio/TV program has not been able to clarify a point, there the learner may
discuss it with the tutor in scheduled tutorial session. The tutorial sessions are different from
traditional classes, as the tutor will help only where the learner has difficulty.
So, the learner should go through the lessons and find out the difficult parts before going to the
tutorials. The tutor will also advice and guides the learner to successful completion of the course.
Learners are strongly advised to use a Standard English dictionary for comprehension.
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