C-26, r. 202 - Order in Council respecting the integration of physiotherapy technologists into the Ordre professionnel des physiothérapeutes du Québec

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4. Physical therapists may carry out all the activities provided for in section 3.
Physiotherapy technologists may carry out the following activities among those provided for in section 3: where they have a prior assessment that was made by a physical therapist or a medical diagnosis that is not restricted to symptoms and specifies the type of structural disorder, if applicable, with a file documenting the disorder, determine a treatment plan and carry out the necessary interventions in order to obtain the optimal functional performance, to the extent, under the conditions and in the following cases:
(1)  determine a treatment program, make decisions regarding the means of treatment and provide the treatment for a patient, where
(a)  there is a recognized treatment plan in an institution within the meaning of the Act respecting health services and social services (chapter S-4.2) or the Act respecting health services and social services for Cree Native persons (chapter S-5);
(b)  sequellae require rehabilitation to recover functional autonomy or 2nd-stage rehabilitation or maintenance of level of autonomy;
(2)  take part in a treatment program, make decisions regarding the means of treatment and provide the treatment for a patient
(a)  who has an orthopedic or rheumatic disorder other than those referred to in subparagraph a of paragraph 3 or subparagraph e of paragraph 4;
(b)  who requires treatment to prevent complications resulting from peripheral vascular disorders.
Where the therapist has the required etiology or biomechanic information on the disorder and on possible contra-indications, and, if applicable, an indication of the summary, the therapist may establish the treatment program.
(3)  make decisions regarding the means of treatment and provide the treatment for a patient with
(a)  an orthopedic or rheumatic disorder the treatment of which interferes with normal growth;
(b)  a disorder for which the intensive period of functional rehabilitation has ended;
(c)  a chronic and controlled respiratory disorder;
(d)  a peripheral vascular disorder;
(e)  a burn or wound;
(f)  peripheral nerve damage;
(4)  provide a general treatment prescribed by a physician or a physical therapist for a patient
(a)  who requires intensive functional rehabilitation;
(b)  who is a serious burn victim;
(c)  who requires electrical stimulation of an enervated muscle;
(d)  who is a child and requires neurological treatment or treatment as a result of a degenerative disease;
(e)  who requires orthopedic or rheumatic treatment involving a specialized approach or therapy;
(f)  who has an uncontrolled or acute respiratory disorder;
(g)  who requires treatment for a central vascular disorder.
O.C. 923-2002, s. 4; O.C. 1466-2002.
4. Physical therapists may carry out all the activities provided for in section 3.
Physical rehabilitation therapists may carry out the following activities among those provided for in section 3: where they have a prior assessment that was made by a physical therapist or a medical diagnosis that is not restricted to symptoms and specifies the type of structural disorder, if applicable, with a file documenting the disorder, determine a treatment plan and carry out the necessary interventions in order to obtain the optimal functional performance, to the extent, under the conditions and in the following cases:
(1)  determine a treatment program, make decisions regarding the means of treatment and provide the treatment for a patient, where
(a)  there is a recognized treatment plan in an institution within the meaning of the Act respecting health services and social services (chapter S-4.2) or the Act respecting health services and social services for Cree Native persons (chapter S-5);
(b)  sequellae require rehabilitation to recover functional autonomy or 2nd-stage rehabilitation or maintenance of level of autonomy;
(2)  take part in a treatment program, make decisions regarding the means of treatment and provide the treatment for a patient
(a)  who has an orthopedic or rheumatic disorder other than those referred to in subparagraph a of paragraph 3 or subparagraph e of paragraph 4;
(b)  who requires treatment to prevent complications resulting from peripheral vascular disorders.
Where the therapist has the required etiology or biomechanic information on the disorder and on possible contra-indications, and, if applicable, an indication of the summary, the therapist may establish the treatment program.
(3)  make decisions regarding the means of treatment and provide the treatment for a patient with
(a)  an orthopedic or rheumatic disorder the treatment of which interferes with normal growth;
(b)  a disorder for which the intensive period of functional rehabilitation has ended;
(c)  a chronic and controlled respiratory disorder;
(d)  a peripheral vascular disorder;
(e)  a burn or wound;
(f)  peripheral nerve damage;
(4)  provide a general treatment prescribed by a physician or a physical therapist for a patient
(a)  who requires intensive functional rehabilitation;
(b)  who is a serious burn victim;
(c)  who requires electrical stimulation of an enervated muscle;
(d)  who is a child and requires neurological treatment or treatment as a result of a degenerative disease;
(e)  who requires orthopedic or rheumatic treatment involving a specialized approach or therapy;
(f)  who has an uncontrolled or acute respiratory disorder;
(g)  who requires treatment for a central vascular disorder.
O.C. 923-2002, s. 4; O.C. 1466-2002.