ABPTS PCS study materials
ABPTS PCS study resources

ABPTS PCS key terms

ABPTS PCS · Get comfortable with the vocabulary.

Life-span developmental model

Framework describing human growth and decline across physical, cognitive, and psychosocial domains from conception through death, emphasizing that change is lifelong, multidimensional, and shaped by context and timing.

Related: Developmental milestones, Sarcopenia
Developmental milestones

Age-referenced functional skills such as sitting, walking, or speaking that clinicians compare against norms to screen for delay or deviation in infants and children.

Related: Life-span developmental model, Primitive reflex
Primitive reflex

Stereotyped movement present in early infancy that normally integrates as cortical control matures; persistence beyond expected ages may signal neuromotor delay.

Related: Developmental milestones, Postural control
Postural control

The ability to maintain, achieve, or restore stability during static and dynamic tasks by integrating sensory input with anticipatory and reactive motor responses.

Related: Primitive reflex, Sarcopenia
Sarcopenia

Age-related loss of skeletal muscle mass, strength, and function that increases fall risk, disability, and mortality in older adults.

Related: Frailty, Postural control
Frailty

A syndrome of reduced physiologic reserve across multiple systems, leaving an older adult vulnerable to stressors and adverse outcomes such as falls, hospitalization, and functional decline.

Related: Sarcopenia, Polypharmacy
Polypharmacy

Concurrent use of multiple medications, common in older adults, that raises risk of drug interactions, adverse effects, and impaired balance or cognition relevant to rehabilitation.

Related: Frailty
Homeostasis

The body's coordinated regulation of internal conditions such as temperature, pH, and glucose within narrow ranges despite external change.

Related: Negative feedback loop, Acid-base balance
Negative feedback loop

A control mechanism in which a deviation from a set point triggers responses that reduce the deviation, restoring the regulated variable toward normal.

Related: Homeostasis, Acid-base balance
Acid-base balance

Regulation of hydrogen ion concentration in body fluids through buffering, respiratory carbon dioxide elimination, and renal bicarbonate handling to keep arterial pH near 7.35 to 7.45.

Related: Homeostasis, Negative feedback loop
Stroke volume

The volume of blood ejected by one ventricle per contraction; together with heart rate it determines cardiac output.

Related: Cardiac output, Starling law
Cardiac output

The volume of blood pumped by the heart per minute, calculated as heart rate multiplied by stroke volume; a key determinant of oxygen delivery during exercise.

Related: Stroke volume, Starling law
Starling law

The principle that increased ventricular filling stretches cardiac muscle and increases contraction force, raising stroke volume within physiologic limits.

Related: Stroke volume, Cardiac output
Ventilation-perfusion ratio

The relationship between air reaching the alveoli and blood flow perfusing them; mismatch impairs gas exchange and produces hypoxemia.

Related: Diffusing capacity, Oxyhemoglobin dissociation curve
Oxyhemoglobin dissociation curve

Graph showing hemoglobin oxygen saturation across partial pressures; shifts in position reflect altered affinity from pH, temperature, carbon dioxide, or metabolic byproducts.

Related: Ventilation-perfusion ratio, Diffusing capacity
Diffusing capacity

A measure of how readily a gas moves from alveolar air into pulmonary capillary blood, reflecting alveolar membrane integrity and capillary blood volume.

Related: Ventilation-perfusion ratio
Hypothesis-oriented examination

An examination approach in which the clinician generates competing diagnostic hypotheses early and selects tests that best confirm or refute each one.

Related: Differential diagnosis, Clinical decision rule
Differential diagnosis

A ranked list of plausible conditions that could explain a patient's presentation, progressively narrowed by history, examination findings, and response to intervention.

Related: Hypothesis-oriented examination, Red flag
Red flag

A historical or examination finding suggesting serious pathology such as fracture, infection, tumor, or neurologic compromise, prompting referral or modified care.

Related: Differential diagnosis, Clinical decision rule
Clinical decision rule

A validated tool combining specific history and examination variables to estimate the probability of a diagnosis and support standardized decisions.

Related: Hypothesis-oriented examination, Sensitivity
Sensitivity

The proportion of people who truly have a condition and test positive; a highly sensitive test is useful for ruling out disease when negative.

Related: Specificity, Likelihood ratio
Specificity

The proportion of people without a condition who test negative; a highly specific test is useful for ruling in disease when positive.

Related: Sensitivity, Likelihood ratio
Likelihood ratio

The ratio of the probability of a given test result in people with disease to that in people without disease, used to shift pretest to posttest probability.

Related: Sensitivity, Specificity
Intraclass correlation coefficient

A reliability statistic expressing agreement among repeated measurements, commonly used to quantify interrater and intrarater reliability of clinical measures.

Related: Standard error of measurement, Minimal detectable change
Standard error of measurement

An estimate of the typical error in an individual's observed score, used to build confidence intervals around a measurement and judge true change.

Related: Intraclass correlation coefficient, Minimal detectable change
Minimal detectable change

The smallest change in score beyond measurement error that can be considered real for an individual with a given confidence level.

Related: Standard error of measurement, Minimal clinically important difference
Minimal clinically important difference

The smallest change in an outcome that patients perceive as beneficial and that would justify altering clinical management.

Related: Minimal detectable change
Goniometry

Measurement of joint range of motion in degrees using a goniometer aligned with bony landmarks, with documented reliability depending on joint, method, and examiner training.

Related: Manual muscle testing, Outcome measure
Manual muscle testing

Graded assessment of a muscle's ability to generate force against gravity and resistance, scored on an ordinal scale from absent to normal.

Related: Goniometry, Handheld dynamometry
Handheld dynamometry

Use of a portable force transducer to quantify isometric muscle strength objectively, offering interval-level data with established reliability when standardized.

Related: Manual muscle testing
Outcome measure

A standardized instrument or test used to quantify a patient's status or change over time in body function, activity, or participation.

Related: Minimal clinically important difference, International Classification of Functioning
International Classification of Functioning

World Health Organization framework organizing health information into body functions and structures, activities, participation, and environmental and personal contextual factors.

Related: Outcome measure
SMART goal

A patient-centered rehabilitation goal written to be specific, measurable, achievable, relevant, and time-bound, linking intervention to a defined outcome.

Related: Outcome measure
Informed consent

A patient's voluntary authorization of examination or intervention after receiving and understanding information about purpose, risks, benefits, and alternatives.

Related: Autonomy, Scope of practice
Autonomy

The ethical principle that patients have the right to make decisions about their own care according to their values, free from coercion.

Related: Informed consent, Fiduciary duty
Fiduciary duty

A clinician's obligation to act in the patient's best interest, placing the patient's welfare above personal or institutional gain.

Related: Autonomy, Scope of practice
Scope of practice

The legally and professionally defined activities a clinician is authorized to perform based on licensure, training, and jurisdictional regulation.

Related: Informed consent, Fiduciary duty
Evidence-based practice

Clinical decision-making integrating the best available research evidence, clinician expertise, and patient values and circumstances.

Related: Likelihood ratio, Outcome measure