This CPG uses literature available from 2003 through 2014 to address the following aspects of physical therapists’ management of patients with potential or diagnosed VTE. The CPG addresses these aspects of VTE management via 14 action statements. Clinical practice algorithms (Figures 2-4), based upon the key action statements, were developed that can assist with clinical decision making.
KEY ACTION STATEMENTS WITH EVIDENCE:
Action Statement 1: ADVOCATE FOR A CULTURE OF MOBILITY AND PHYSICAL ACTIVITY.
Physical therapists and other healthcare practitioners should advocate for a culture of mobility and physical activity. (Evidence Quality: I Recommendation Strength: Strong)
Value Judgments: Physical therapists should advocate for mobility in all situations
due to the evidence on the benefits of activity and risks associated with inactivity and bed rest except when there could be a risk of harm (e.g. emboli depositing in the pulmonary system).
Intentional Vagueness: None
Role of Patient Preferences: Since the evidence for risks associated with inactivity is strong and with little associated risk of mobility in the absence of thromboembolism, patients should be educated regarding the benefits of mobility and encouraged to maintain mobility as much as possible to decrease the risk of adverse outcomes.
