Qualifications Framework level

EQF level

European Qualifications Framework (EQF) has 8 levels (1 – the lowest, 8 – the highest).

Levels reflect the complexity level of acquired knowledge, skills and competences (learning outcomes).


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6

LQF level

Latvian Qualifications Framework (LQF) has 8 levels (1 – the lowest, 8 – the highest).

Levels reflect the complexity level of acquired knowledge, skills and competences (learning outcomes).

LQF covers stages of education starting from the basic education (level 1 – special basic education) to the highest education (level 8 – doctoral studies).


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6

Level of professional qualification
Till 1 august 2022 in Latvia had a system of five professional qualifications levels (PQL, 1 – the lowest, 5 – the highest).

PQL system covers only professional qualifications (basic education, secondary and higher education stages).

PQL reflects readiness of a person to perform work of certain stage of complexity and responsibility.
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5

Learning outcomes

Learning outcomes are knowledge, skills and competences acquired during a certain period of learning.

In Latvia, learning outcomes are stipulated by state education standards and occupational standards (for the professional qualifications).

Learning outcomes of higher education are defined by higher education institutions.


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Knowledge:
1. is able to demonstrate the basic and specialized knowledge of the profession of physiotherapist and a critical understanding of this knowledge; in addition, part of the knowledge corresponds to the highest level of achievement in the profession of physiotherapist;
2. is able to show an understanding of the most important concepts in the professional field and evidence-based regularities.
Skills:
3. is able to perform examination, evaluation and analysis of the functional condition of patients of any age, to prepare a physiotherapy treatment plan and to implement a patient-centred treatment process;
4. is able to purposefully select and use evidence-based medical technologies of physiotherapy; is able to prepare a conclusion regarding the functional condition of the patient;
5. is able to independently structure their learning and professional development, show a scientific approach to problem solving, performing work individually, in a team or leading the work of other people.
Competence:
6. is able to independently acquire, critically evaluate, select and analyse information and use it, make decisions and solve problems, working individually or collaborating with other health care professionals in a multi-professional team;
7. understands professional ethics, is responsible for the results of his/her professional activity, is able to assess the impact of his/her professional activity on the environment and society and participates in the development of the relevant professional field.

Physiotherapist

  • Knowledge

    Professional knowledge
    At the concept level:
    1. Basic concepts of human embryogenesis, principles of tissue, organ, and system histogenesis.
    2. Microscopic structure (histology) of human cells, tissues, and organs. Fundamentals of pharmacology.
    3. Drug use for various diseases (mechanisms of action, possible side effects, impact on the musculoskeletal, nervous, cardiovascular, respiratory, and mental functions).
    4. Pathogenesis, clinical manifestations, and treatment of the most common diseases (gastroenterology, infectious diseases, dermatology, endocrinology, urology, gynaecology).
    5. Main types of surgical treatment, selection criteria, and risks of complications.
    6. Enzyme activity in the human body, key principles of bioenergetics and metabolism, regulatory mechanisms, hormonal regulation.
    7. Characteristics and specificity of the post-operative period depending on the type of surgical treatment, post-operative care.
    8. Treatment and care in the intensive care and resuscitation unit.
    9. Characteristics and specificity of palliative treatment and care.
    10. Disease progression and side effects of therapies used in treatment.
    11. Paradigms of philosophy.
    12. Concepts of ethics, morality, and values.
    13. Goals and scope of physiotherapy at various stages of treatment of the most common diseases (treatment efficacy and possible side effects: gastroenterology, infectious diseases, dermatology, endocrinology, urology, gynaecology).
    14. Therapeutic effects and application of physical medicine technologies (laser therapy, shockwave therapy, mud therapy, variable pressure therapy, electrophoresis, diadynamic current therapy, sinusoidal modulated current therapy, hydrotherapy).
    15. Professional competences of medical practitioners.
    16. Procedures for organising and funding the healthcare.
    17. Principles of assessing the priorities of health needs for the promotion of the individual’s health.
    18. Basic skills of project management and administration.
    19. Principles of media activities for public health promotion.
    20. Principles of public relations for public health promotion.
    21. Principles of assessing the priorities of health needs for health promotion.
    22. Adaptation of communication to specific population groups.
    23. Cognitive processes, determining and influencing factors.
    24. Models of health behaviour habits.
    25. Concept and components of health literacy.
    26. Use of cognitive-behavioural therapy in changing the behavioural patterns.
    27. Social and professional rehabilitation organisations.
    28. Modern communication technologies and communication theories for the dissemination of professional information.
    29. Operating principles of the World Confederation for Physical Therapy.
    30. Operating principles of the Latvian Association of Physiotherapists.
    31. Operating principles of subgroups within the Latvian Association of Physiotherapists.
    32. Latest trends in physiotherapy globally and in Latvia.
    33. Procedures for organising the healthcare.
    34. Legal aspects of physiotherapy services.
    35. Principles of promotion and maintenance of management in the healthcare system.
    36. Regulations at the national, municipal, and corporate levels that affect the quality of life of individuals.
    37. Procedures for organising the healthcare to ensure the availability of services.
    At the comprehension level:
    1. Psychometric properties of assessment instruments (selection and conditions of use).
    2. Concept of motor control in the process of physiotherapeutic examination.
    3. Psychological development of an individual (cognitive, emotional, and behavioural processes).
    4. Etiopathogenesis, clinical manifestations, diagnosis, and treatment principles of common diseases and conditions (traumatology and orthopaedics, neurology, rheumatology, cardiology, pulmonology, paediatrics, psychiatry, oncology, geriatrics, diabetes, thyroid disorders, renal dysfunction, obesity).
    5. Healthcare needs and approaches (seniors, women during pregnancy and post-partum period, athletes).
    6. Elements of motivational interviewing in collecting medical history.
    7. Concept of a patient-centered practice in collecting medical history.
    8. Basis and manifestations of the interaction between the body and mind.
    9. Types, advantages, and disadvantages of assistive devices.
    10. Impact of psychological defence mechanisms on the process of assessment of an individual.
    11. Medically unstable conditions (definition, common and specific signs, significance of recognition and management in different patient groups and health conditions).
    12. Clinical judgement models.
    13. Clinical judgement models.
    14. Importance of interpersonal communication in the process of informing individuals.
    15. Importance of interpersonal communication in the process of informing individuals.
    16. Integration of philosophical and psychological paradigms in the goal-setting process.
    17. Decision-making methods, their benefits and limitations, characteristics in the healthcare process.
    18. Significance and impact of active listening in clarifying the individual’s goals before starting physiotherapy.
    19. Significance and impact of reflection in clarifying the individual’s goals before starting physiotherapy.
    20. Principles and significance of the establishment of therapeutic relationship.
    21. Principles of cognitive-behavioural therapy in goal setting.
    22. Goals and scope of physiotherapy at different stages of treatment of the most common diseases (treatment effectiveness and possible side effects: neurology, rheumatology, cardiology, pulmonology, psychiatry, paediatrics, traumatology, and orthopaedics, post-partum period).
    23. Goals and scope of physiotherapy at different stages of treatment of the most common diseases (treatment effectiveness and possible side effects: patients with diabetes, thyroid disorders, malnutrition, or obesity).
    24. Guidelines for treatment of musculoskeletal pain and integration of physiotherapy within them.
    25. Organisation of healthcare (primary, secondary, tertiary, outpatient, day care, inpatient).
    26. Healthcare and rehabilitation needs, characteristics of care models for patients at different age groups.
    27. Characteristics of healthcare models in specific target groups (pregnant women, women in the post-partum period, athletes, individuals with congenital or acquired chronic functional impairments, individuals from socially vulnerable groups).
    28. Evidence-based healthcare (principles, basic elements, barriers, facilitators, and benefits).
    29. Integration of scientific evidence into clinical practice (models, principles). Assessment of the reliability and quality of sources of information.
    30. Analysis of evidence levels and quality.
    31. Evaluation and analysis of measurements used in physiotherapeutic assessment.
    32. Principles of motor learning in physiotherapy treatment technologies and methods.
    33. Models of beliefs, attitudes, and behavioural change in physiotherapy treatment.
    34. Patient-centered practice model in the physiotherapy process.
    35. Therapeutic effects and application of physiotherapy technologies and methods in the management of neurologically derived functional limitations (neuro-developmental therapy (NDT), constraint-induced movement therapy (CIMT), mirror therapy, proprioceptive neuromuscular facilitation (PNF), McKenzie therapy, virtual reality, robot-assisted technologies).
    36. Psychophysiological factors influenced by physiotherapy technologies and methods (levels of anxiety and depression, body perception, body image, self-efficacy, cognitive abilities).
    37. Physiotherapy treatment technologies and methods for improving activity performance abilities according to the patient needs (virtual reality, robot-assisted technologies).
    38. Existing regulatory requirements related to patient safety and its monitoring at the medical treatment institution.
    39. Internal quality and patient safety management system within the institution.
    40. Patient safety risks, their identification, prevention or mitigation, monitoring, and improvement in the context of physiotherapy treatment.
    41. Significance of theoretical concepts of human behaviour change in the motivation of a person.
    42. Fundamental principles of pedagogy in shaping motivational processes.
    43. Verbal and non-verbal communication.
    44. Open-ended and closed-ended questions.
    45. Professional competencies and key tasks of specialists involved in multidisciplinary medical rehabilitation (functional specialists, physical medicine and rehabilitation physicians, nurses, medical support staff).
    46. Causes of conflicts and conflict resolution strategies within a multidisciplinary team.
    47. Organisation of group work (methods, team formation, group dynamics). Forms of collaboration between physiotherapists and other healthcare professionals.
    48. Biopsychosocial approach to understanding health at the individual level.
    49. Guidelines and recommendations for physical activities.
    50. European and Latvian action plans or laws and regulations for health promotion and preventive healthcare.
    51. Evidence-based primary and secondary preventive healthcare at the individual level.
    52. Evaluation methods (evaluation of daily activities, physical activities, participation habits).
    53. Biopsychosocial approach to understanding health at the societal level.
    54. Worldwide, European, and Latvian action plans and laws and regulations for health promotion and preventive healthcare.
    55. Health policy and the involvement of society and non-governmental organisations in the planning and implementation of health promotion activities.
    56. Evidence-based primary and secondary preventive healthcare at the societal level.
    57. Awareness of health, its promotion, and preventive healthcare in the biopsychosocial model.
    58. Concept of health behaviour.
    59. Modifiable and non-modifiable health risk factors.
    60. Self-efficacy, its significance, and the need for its development.
    61. Methods of health promotion at the individual, family, and societal levels.
    62. Regulatory norms governing the professional activities of physiotherapists.
    63. Principles of reflection.
    64. Evaluation of the quality of scientific literature, processing of information, and analysis.
    65. Boundaries of the professional competence of a physiotherapist.
    66. Modes of professional communication for the dissemination of information.
    67. Principles of best practice in the dissemination of professional information in physiotherapy.
    68. Procedures of organising the healthcare process for quality control in the work of a physiotherapist.
    69. Basic principles of quality control (quality criteria and assessment methods).
    70. Requirements of medical record-keeping for quality control in the work of a physiotherapist.
    71. Principles of best practice in quality control in the work of a physiotherapist.
    72. Norms governing the profession of a physiotherapist.
    73. Principles of innovative thinking to promote the development of the physiotherapy profession.
    74. Methods for implementing knowledge and innovation in practice.
    75. Basic principles of a patient-centered healthcare system.
    76. Basic principles of a patient-centered healthcare system.
    At the application level:
    1. Significance of the structure and functions of various organ systems in optimal functioning of an individual.
    2. Changes in the structure and functions of organ systems in different developmental stages and conditions (during childhood growth, puberty, aging process, pregnancy, post-partum period).
    3. Different pathologies of organs and organ systems, their etiological mechanisms, and their impact on the functioning of an individual.
    4. Importance of radiological examination results (radiography, computed tomography, magnetic resonance imaging, musculoskeletal ultrasound, vascular Doppler imaging).
    5. Significance of instrumental functional examination results (electrocardiogram, echocardiography, veloergometry, spirography, neurography).
    6. Significance of laboratory examination results (inflammatory markers, standard homeostasis, lipid profile, osteoporosis markers, cardiac markers).
    7. Functional assessment methods used in physiotherapy.
    8. Indications for assessment, absolute and relative contraindications for various health conditions.
    9. Use of a patient-centered practice model in the planning of physiotherapeutic assessment.
    10. Application of the categories of International Classification of Functioning (ICF).
    11. Structure of the medical history and principles of collecting it.
    12. Relationship between complaints and symptoms.
    13. Process of forming interpersonal relationships.
    14. Human body as a unified entity (functions, functioning in normal and pathological conditions).
    15. Interpretation of philosophical paradigms in the context of functioning.
    16. Social and environmental factors of the patient, their impact on functioning.
    17. Significance and nature of an informed consent for the examination of an individual.
    18. Standardised assessment tools in physiotherapy (types, psychometric properties, conformity with ICF categories, principles of selection).
    19. Anatomical structure of the cardiovascular system, normal and pathological physiological functions, principles of assessment.
    20. Anatomical structure of the respiratory system, normal and pathological physiological functions, principles of assessment.
    21. Anatomical structure of the nervous system, normal and pathological physiological functions, principles of assessment.
    22. Normal and pathological structural and functional anatomy of the musculoskeletal system, principles of assessment.
    23. Structural and physiological basis of neuromuscular functions, norm and pathology.
    24. Topographic anatomy of palpable structures.
    25. Biomechanics of the musculoskeletal system.
    26. Application of the concept of motor control and its development in the physiotherapeutic assessment.
    27. Assessment of the range of motion in joints (osteokinematic and arthrokinematic movements).
    28. Principles and techniques of palpation.
    29. Use of the concept of neuromuscular control of movements and posture in the physiotherapeutic assessment.
    30. Use of the concept of the International Classification of Functioning (ICF) in the physiotherapeutic assessment.
    31. Factors influencing the performance of functional tests (psychosocial, cognitive, environmental, biological).
    32. Methods for the functional assessment of the patient’s musculoskeletal system used in physiotherapy.
    33. Methods for the assessment of the patient’s neuromuscular functions (motor abilities, motor control) used in physiotherapy.
    34. Methods for the functional assessment of the patient’s cardiovascular system used in physiotherapy.
    35. Methods for the functional assessment of the patient’s respiratory system used in physiotherapy.
    36. Methods for the functional assessment of the patient’s nervous system used in physiotherapy (reflexes, sensory testing, nerve root tension tests).
    37. Significance and methodology of screening for psychosocial disorders in physiotherapy examination.
    38. Anthropometric indicators important in physiotherapy and methodology for their assessment.
    39. Methods for the assessment of the patient’s activities and their limitations in physiotherapy (objective standardised instruments, patient-reported assessment tools).
    40. Methods for the assessment of the patient’s participation and its limitations in physiotherapy.
    41. Impact of personal and environmental factors on the performance of activities and participation.
    42. Avoidance behaviour (expression, determining factors, impact on activities).
    43. Models explaining patient behaviour and behaviour change.
    44. Indicators that indicate the immediate need to interrupt the patient examination process or a specific examination method (absolute contraindication), recognition and monitoring of these indicators during functional examination.
    45. Monitoring and interpretation of the vital signs during the examination, ‘red flags’ or warning symptoms (evidence-based classification, guidelines, interpretation, planning of actions).
    46. Explanation of the pathogenic mechanisms (dysfunctions) of the patient’s subjective and objective physical functional impairments: (involved mechanisms, their development, triggering and exacerbating factors, mitigating and compensating mechanisms, existing scientific evidence).
    47. Characteristics of the pathogenic mechanisms (dysfunctions) of the patient’s subjective and objective physical functional impairments at different age stages, with different diseases, existing scientific evidence.
    48. Interpretation of the results of the assessment methods used in physiotherapy.
    49. Critical thinking and critical analytical thinking in interpreting examination results.
    50. Analysis of the patient’s functional status in the biopsychosocial model.
    51. Use of a patient-centered practice model in the planning of physiotherapeutic assessment.
    52. Application of components of the International Classification of Functioning (ICF) when interpreting the patient examination results and formulating conclusions.
    53. Factors influencing and modulating the development of activity limitations.
    54. Factors influencing and modulating participation restrictions.
    55. Critical thinking and critical analytical thinking when interpreting examination results, synthesizing knowledge, and taking decisions.
    56. Principles of articulating functional problems.
    57. Forms of communication and their use in shared decision-making and setting of goals.
    58. Application of the patient-centered practice model in decision-making and setting of goals.
    59. Application of the conceptual ICF model (explaining of the assessment results, shared decision-making, and setting of goals).
    60. Principles of shared decision-making between physiotherapist and the patient. Application of shared physiotherapy goals and their importance in the setting of goals.
    61. Principles and specificity of the formulation of goals in physiotherapy.
    62. Definition of goals (achievable, measurable, appropriate, specific, time-bound).
    63. Principles of shared decision-making and their use in practice.
    64. Principles of selecting standardised assessment tools to evaluate the achievement of goals.
    65. Analysis of the patient’s needs and values in the planning of targeted physiotherapy.
    66. Rationale for the selection of physiotherapy treatment technologies and methods.
    67. Indications, contraindications (absolute and relative), and precautions for the use of physiotherapy treatment technologies and methods.
    68. Mechanisms of action of physiotherapy technologies and methods (biomechanical, biochemical, multisensory, neuroplastic, cognitive-behavioural, affective).
    69. Physiotherapy treatment methods and technologies based on the concept of motor control and its development.
    70. Theory of motor learning and principle-based physiotherapy treatment methods and technologies.
    71. Belief and behavioural physiotherapy treatment methods and technologies.
    72. Application of the concept of International Classification of Functioning in the planning of physiotherapy treatment.
    73. Application of the patient-centered practice model in the formulation of goals and planning of a treatment programme.
    74. Approved physiotherapy treatment technologies used in professional physiotherapy practice.
    75. Physiotherapy methods and technologies in the treatment of musculoskeletal functional disorders (mechanisms of action and achievable outcomes, conditions of use, evidence of effectiveness).
    76. Physiotherapy methods and technologies in the treatment of neuromuscular (motor abilities, motor control, joint neuromuscular control) and neurogenic functional disorders (mechanisms of action and achievable outcomes, conditions of use, evidence of effectiveness).
    77. Physiotherapy methods and technologies in the treatment of pain (acute and subacute, chronic) (mechanisms of action and achievable outcomes, conditions of use, evidence of effectiveness).
    78. Physiotherapy methods and technologies in the treatment of the functional disorders of the cardiovascular and respiratory system (mechanisms of action and achievable outcomes, conditions of use, evidence of effectiveness).
    79. Physiotherapy methods and technologies in the treatment of functional disorders caused by mental function disorders (mechanisms of action and achievable results, conditions of use, evidence of effectiveness).
    80. Physiotherapy methods and technologies for improving movement and posture maintenance activities.
    81. Physiotherapy methods and technologies specific to patient target groups in different age groups (adaptation of methods, specificity, current guidelines, recommendations).
    82. Specificity of using physiotherapy methods and technologies in women during pregnancy, childbirth, and the post-partum period (mechanisms of action, achievable results, conditions of use, evidence of effectiveness).
    83. Conditions for the selection and specificity of the use of physiotherapy methods and technologies, recommendations (current guidelines, practice standards) in various treatment and rehabilitation stages (pre- and post-operative period, intensive therapy and intensive care units, acute and subacute inpatient treatment or rehabilitation, outpatient treatment or rehabilitation, late-stage and long-term).
    84. Specificity of using physiotherapy methods and technologies in the prevention of current complications in patients (mechanisms of action and achievable results, conditions of use, evidence of effectiveness).
    85. Specificity of using physiotherapy methods and technologies in patients with oncological diseases in various treatment and rehabilitation stages (mechanisms of action, achievable results, conditions of use, evidence of effectiveness).
    86. Development of the patient’s self-help (self-control) skills in the process of physiotherapy.
    87. Evidence-based physiotherapy treatment methods to reduce catastrophising, false assumptions, and avoidance behaviour, and promote the formation of health behaviour in various patient groups.
    88. Evidence-based physiotherapy treatment methods to enhance the active role and participation of the patient and improve self-efficacy.
    89. Establishment of therapeutic relationships, active listening and reflection, provision of support to the patient as part of the physiotherapy intervention plan.
    90. Organisational planning of physiotherapy treatment (total duration, number and type of sessions, duration of sessions).
    91. Planning of the achievement and reassessment of goals.
    92. Planning of treatment closure and follow-up.
    93. Evaluation of goals achievement over time.
    94. Importance of reassessment in planning further physiotherapy.
    95. Strategies and resources for searching appropriate sources of information.
    96. Principles of obtaining, summarising, analysing, and synthesising evidence regarding the effectiveness of specific physiotherapy treatment methods in different patient groups.
    97. Application and implementation of guidelines in clinical practice, analysis for specific target groups.
    98. Approved clinical guidelines integrating physiotherapy or specific physiotherapy guidelines.
    99. Incorporation of scientific evidence in the clinical reasoning process and decision-making in the professional work of a physiotherapist.
    100. Incorporation of scientific evidence in communication with the patient when planning the physiotherapy treatment plan.
    101. Critical thinking in the processing, analysis, and dissemination of information.
    102. Shared decision-making process in physiotherapy.
    103. Conditions for the use of physiotherapy medical technologies and methods, preparation, contraindications, execution methodology, specificity in different age groups.
    104. Application of the conceptual model of the International Classification of Functioning
    105. in physiotherapy treatment.
    106. Evidence-based physiotherapy treatment methods for musculoskeletal functional disorders.
    107. Evidence-based physiotherapy treatment methods for neuromuscular and neurogenic functional disorders.
    108. Evidence-based physiotherapy treatment methods for pain (acute, subacute, chronic).
    109. Evidence-based physiotherapy treatment methods for functional disorders related to cardiovascular and respiratory disorders.
    110. Evidence-based physiotherapy treatment methods for functional disorders caused by mental disorders.
    111. Physiotherapy treatment technologies and methods for improving mobility and posture maintenance (early mobilisation, verticalization, functional activity training, selection and adaptation of mobility aids).
    112. Use of mobility aids in the treatment process.
    113. Application of evidence-based physiotherapy methods for the treatment of functional disorders in various patient clinical groups (patients with diabetes, thyroid disorders, malnutrition, or obesity) and different age groups.
    114. Application of evidence-based physiotherapy methods for women during pregnancy and post-partum period.
    115. Application of evidence-based physiotherapy methods in the acute hospital phase (pre- and post-operative periods, intensive care and resuscitation units): conditions for method selection, specificity of use, recommendations, guidelines.
    116. Application of evidence-based physiotherapy methods in the acute and subacute inpatient rehabilitation stage (conditions for method selection, specificity of use, recommendations, guidelines).
    117. Application of evidence-based physiotherapy methods in the outpatient treatment or rehabilitation stage (conditions for method selection, specificity of use, recommendations, guidelines).
    118. Conditions, specificity, recommendations, and guidelines for the selection and use of late-stage and long-term physiotherapy treatment technologies and methods.
    119. Specificity of the use of physiotherapy treatment technologies and methods in the prevention of complications.
    120. Specificity of the use of physiotherapy treatment technologies and methods for patients with oncological diseases in various treatment and rehabilitation stages.
    121. Evidence-based physiotherapy methods for changing health beliefs and behaviour (catastrophising, false assumptions, avoidance behaviour; principles, methods).
    122. Evidence-based physiotherapy methods to promote the patient’s active role, self-efficacy, active participation in therapy, and self-help skills.
    123. Principles and significance of therapeutic relationship formation in physiotherapy treatment.
    124. Active listening and reflection in the treatment process.
    125. Provision of support as part of the physiotherapy treatment plan.
    126. Psychophysiological factors influenced by physiotherapy technologies and methods.
    127. Factors influencing the range of active and passive movement (muscle length, strength and tone, ligament elasticity, joint capsule elasticity, arthrokinematic movements).
    128. Impact of physiotherapy technologies and methods on the range of motion (active and passive muscle stretching, improvement of arthrokinematic movements).
    129. Factors contributing to muscle strength and endurance.
    130. Impact of physiotherapy technologies and methods on muscle strength.
    131. Impact of physiotherapy technologies and methods on learning functional activities.
    132. Functions of the cardiovascular and respiratory system influenced by physiotherapy technologies and methods (heart rate, blood pressure, respiratory changes during exercise, physical load tolerance, long-term effects of physical exercise).
    133. Respiratory functions influenced by physiotherapy technologies and methods (respiratory changes during exercise, respiratory frequency, chest excursion, vital capacity, respiratory stereotype).
    134. Mechanisms of acute and chronic pain development and pain pathogenesis.
    135. Impact of physiotherapy technologies and methods on the inflammatory process.
    136. Indications and contraindications for the use of physiotherapy and physical medicine technologies and methods.
    137. Therapeutic effects and application of physical medicine technologies (transcutaneous electrical nerve stimulation (TENS), functional electrical stimulation therapy, ultrasound, massage, heat and cold therapy, magnet therapy, interferential current therapy).
    138. Neurological functions influenced by physiotherapy technologies and methods (muscle tone, central and peripheral reflexes, superficial and deep sensation, balance, movement coordination).
    139. Interpretation of philosophical paradigms in the context of functioning during the implementation of the treatment process.
    140. Modes of implementing physiotherapy treatment (inpatient, day care, outpatient, at the patient’s residence, remotely).
    141. Indicators for discontinuing physiotherapy treatment and their recognition.
    142. Recognition of medically unstable conditions during physiotherapy treatment and appropriate actions.
    143. Possibilities for modifying treatment methods used in physiotherapy in different situations.
    144. Principles and technique of manual contact when performing physiotherapeutic treatment.
    145. Equipment used in physiotherapeutic treatment (technical specifications, usage specifics, maintenance, and storage).
    146. Ergonomically safe physiotherapeutic treatment of patients.
    147. Safety considerations during the performance of functional tasks in physiotherapy treatment.
    148. Conditions for the safe use of the environment and equipment during physiotherapy treatment.
    149. Signs of life-threatening conditions in various patient groups and ages.
    150. Use of a defibrillator/ automated external defibrillator during cardiopulmonary resuscitation.
    151. Vital functions (monitoring, assessment, interpretation, decision-making).
    152. Emergency medical assistance algorithms for different age groups.
    153. Recognition and management of acute health conditions.
    154. Resuscitation measures (cardiopulmonary resuscitation, ensuring airway patency, ventilation) in different age groups.
    155. Principles and elements of motivational interviewing to promote the achievement of physiotherapy goals.
    156. Form of feedback and its impact on physiotherapy (verbal, tactile, visual).
    157. Communication psychology.
    158. Interpersonal relationships for multiprofessional collaboration.
    159. Strategies for health promotion and preventive healthcare (types, conditions for choice, existing evidence of effectiveness) at the individual level.
    160. Health risk screening (biopsychosocial approach, assessment tools, guidelines).
    161. Assessment and application of ergonomic risks in developing health promotion and preventive healthcare programmes at the individual level.
    162. Assessment of daily physical activity habits (patient-reported assessment tools, objective measurements).
    163. Formulation of goals for developing a health promotion plan at the individual level.
    164. Evidence-based health promotion, primary and secondary preventive healthcare measures.
    165. Importance of environmental and personal ergonomics in preventive healthcare.
    166. Strategies for health promotion and preventive healthcare at the societal level (types, conditions for choice, existing evidence of effectiveness).
    167. Formulation of goals for developing a health promotion plan at the societal level.
    168. Implementation of group sessions (approaches, regulations, patient selection criteria, risk factors).
    169. Enhancement of knowledge for specific target groups.
    170. Factors determining and influencing health behaviours. Patient education (principles, activities, methods).
    171. Perception of information and influencing factors.
    172. Theoretical foundation, principles, and methodology of motivational interviewing, application to the promotion of the change of health behaviour.
    173. Principles and methods of self-control, self-management, and self-care, their application in health promotion and preventive healthcare.
    174. Components shaping professional image (behaviour, attitudes, appearance).
    175. Principles of critical thinking and analysis.
    176. Principles and significance of establishing therapeutic relationship in shaping the professional image.
    177. Fundamental principles of a healthy lifestyle and influencing factors.
    178. Maintenance of mental well-being. Appropriate work attire, hygiene, and visual image.
    179. Evidence-based principles of physiotherapy in the dissemination of responsible information.
    180. Principles of critical thinking and analysis in the dissemination of responsible information.
    181. Principles of critical and critically analytical thinking in implementing quality control in the work of a physiotherapist.
    182. Principles of critical and critically analytical thinking in promoting the development of the profession of a physiotherapist.
    183. Principles of critical and critically analytical thinking in promoting the availability of services.
    General knowledge
    At the concept level:
    1. Basic principles of forming and conducting discussions.
    2. Fundamentals of entrepreneurship in providing healthcare services.
    3. Laws and regulations on employment relationship.
    4. Labour Law.
    5. Medical Treatment Law.
    6. Content of the employment contract and collective agreement.
    7. Modern communication technologies, communication theories.
    8. Safety of people, environment, and property.
    9. Recommendations developed by professional associations for the record-keeping of medical documents.
    10. Principles of preparing scientific publications.
    11. Significance of the regulatory framework of research.
    12. Regulatory framework of professional development in physiotherapy.
    At the comprehension level:
    1. Organisation of a professional team (management principles, communication skills).
    2. Work procedure rules and internal rules.
    3. Critical and analytical thinking for the organisation of the professional activity of a physiotherapist.
    4. Methods for implementing knowledge and innovation in the practice of a physiotherapist.
    5. Principles of innovative thinking.
    6. Principles of organisational psychology for the organisation of a professional team.
    7. Principles of preparing a public speech and audio-visual presentations.
    8. Basic principles of reflective thinking for the organisation of a professional team.
    9. Requirements of laws and regulations on labour protection, fire safety, electrical safety, hygiene, environmental protection, and civil defence.
    10. Laws and regulations on employment relationship.
    11. Labour Law.
    12. Medical Treatment Law.
    13. Causes of conflicts and conflict resolution strategies within a multidisciplinary team.
    14. Security of information systems.
    15. Operation of electronic databases for storing medical records.
    16. Ethics of communication, collaboration, and modes of professional communication.
    17. Rights and obligations of the patient and physiotherapist regarding the compliance with ethical norms.
    18. Establishing of therapeutic relationships in accordance with ethical norms.
    19. Causes of conflicts and conflict resolution strategies.
    20. Preventive measures for mitigating disasters and threats.
    21. Importance of documentation, practical and legal contribution.
    22. Operation of electronic databases for storing medical documentation.
    23. Procedures for record-keeping of medical documentation.
    24. Fundamental principles of formulating a research problem.
    25. Data acquisition methods: qualitative, quantitative, mixed type design. Quantitative and qualitative data analysis methods.
    26. Interpretation of data analysis.
    27. Foundations of interpersonal and group psychology for implementing scientific research activities.
    28. Principles of preparing public speech and audio-visual presentations for reporting the scientific research results and process.
    29. Fundamentals of planning educational events.
    30. Principles of evidence-based medicine for pursuing professional development.
    31. Sources of information (evidence-based guidelines, quality standards, formal and informal continuing education).
    32. Learning strategies.
    At the application level:
    1. Professional terminology in the official language.
    2. Scientific language styles.
    3. Language functions: vocabulary, asking of questions, forms of communication.
    4. Diversity of language and communication in different contexts.
    5. Language culture of business writing.
    6. Use of a foreign language in oral and written form.
    7. Vocabulary in one vocabulary.
    8. Professional terminology in one foreign language.
    9. Written language culture.
    10. Intercultural interaction.
    11. Work organisation: planning and delegation of tasks.
    12. Social and ethical norms for the organisation of a professional team.
    13. Conditions for a safe work environment of a physiotherapist.
    14. Working conditions and human health as a condition of quality of life.
    15. Safety requirements for equipment used in physiotherapy.
    16. Work procedure rules and internal regulatory enactments.
    17. Rights, obligations, and responsibility of an employee.
    18. Work culture.
    19. Processing of medical information by using commonly used computer software.
    20. Personal data protection.
    21. Norms of general and professional ethics, fundamental principles, principles of the ethical code for physiotherapists and physicians.
    22. Regulatory framework governing the professional activity.
    23. Principles of deontology.
    24. Principles of confidentiality.
    25. Personal data protection.
    26. Autonomy and rights of a patient.
    27. Gender equality.
    28. Recognition of violence.
    29. Children’s rights.
    30. Actions to take in case of disasters.
    31. Medical terminology in the professional activity of a physiotherapist.
    32. Principles of confidentiality in documenting the patient data.
    33. Fundamental principles of reflection for evaluating own professional activities, pursuing professional development, and transferring knowledge and skills to physiotherapy practice.
    34. Critical and critically analytical thinking in the context of continuing education.
    35. Strategies for searching appropriate sources of information, resources for pursuing professional development.
    36. Critical analysis of scientific literature for professional development.
    37. Methodology and fundamental principles of drawing up reports.
    38. Principles and culture of discussion.

  • Skills

    Professional skills and attitudes
    1. To plan the sequence of physiotherapeutic examinations.
    2. To obtain information about the patient’s health condition from medical documentation and healthcare professionals to perform a physiotherapeutic examination.
    3. To evaluate contraindications for physiotherapeutic examinations or specific examination methods.
    4. To assess indications for patient examination.
    5. To apply clinical reasoning when planning the physiotherapeutic assessment.
    6. To identify the current complaints and needs of the patient or authorised person.
    7. To analyse the current complaints and needs of the patient.
    8. To ask targeted questions to the patient and establish effective communication.
    9. To collect social and family history.
    10. To formulate a hypothesis about the cause of the patient’s complaints.
    11. To clarify the medical history and health condition reported by the patient.
    12. To gather oral or written information about contextual factors interacting with the patient’s functional limitations.
    13. To ascertain the patient’s perspective regarding their functional status and factors affecting it.
    14. To identify the perceived needs of the patient related to their functional status and its improvement.
    15. To use standardised assessment tools to collect the patient’s history.
    16. To reflect on the identified complaints and needs of the patient.
    17. To adapt the examination process to the patient depending on the information obtained from the medical history.
    18. To recognise the personality traits, beliefs, and convictions of the patient, as well as their behaviour patterns that interact with functional limitations.
    19. To obtain an informed patient consent.
    20. To establish effective communication with the patient during the examination.
    21. To use standardised activity assessment tools appropriate to the patient’s needs.
    22. To use standardised self-assessment tools for evaluating functions, activities, and participation appropriate to the patient’s needs.
    23. To actively listen to the patient
    24. during the examination.
    25. To recognise non-verbal cues during the examination.
    26. To perform a general and local visual examination of the patient.
    27. To evaluate the vital signs of the patient in a resting state.
    28. To evaluate the patient’s posture.
    29. To evaluate the changes in various positions and locomotion in different environments.
    30. To evaluate the patient’s gait in different environments.
    31. To evaluate the level and quality of motor control in various positions.
    32. To evaluate the motor control and its development in children of different age groups.
    33. To use standardised assessment tools for examining the motor skills in children.
    34. To evaluate the active and passive joint mobility of the patient (goniometry, inclinometry).
    35. To evaluate the passive joint stability of the patient.
    36. To evaluate the local and global joint stability of the patient.
    37. To evaluate the muscle strength and length of the patient.
    38. To conduct standardised measurements of swelling volume in a patient.
    39. To perform palpation tests.
    40. To evaluate the patient’s cardiovascular response to physical exertion and changes in posture (heart rate, blood pressure, perceived exertion, symptoms).
    41. To evaluate the patient’s exercise tolerance with standardised tests.
    42. To evaluate the patient’s heart rate and blood pressure during physical stress testing.
    43. To evaluate the patient’s respiratory rate, depth, stereotypes, accessory muscle involvement at rest, during physical exertion, and during changes in posture.
    44. To measure the chest excursion of the patient.
    45. To evaluate the patient’s blood oxygen saturation at rest, during physical exertion, and during changes in posture.
    46. To perform percussion and auscultation of the patient’s chest.
    47. To determine the vital lung capacity of the patient by using a spirometer.
    48. To evaluate the muscle tone of the patient by using standardised instruments.
    49. To perform tendon reflex tests.
    50. To perform neurodynamic tests.
    51. To perform clinical tests for superficial tactile and temperature sensation.
    52. To perform kinaesthetic assessment with repositioning error evaluation.
    53. To assess the movement coordination of the patient.
    54. To evaluate the patient’s ability to perceive the body midline and spatial orientation.
    55. To evaluate the balance reactions in various positions and during changes in posture.
    56. To evaluate postural control using standardised assessment instruments in various positions and during changes in posture.
    57. To perform anthropometric measurements on the patient.
    58. To assess the impact of assistive devices on the patient’s mobility activities.
    59. To evaluate the extent of assistance required by the patient.
    60. To evaluate modifications in the activities and participation of the patient indicating avoidance behaviour or the influence of personal factors.
    61. To conduct the screening for symptoms of psychoemotional disorders by using assessment instruments reported by the patient.
    62. To recognize symptoms in the patient that indicate a medically unstable condition.
    63. To identify absolute and relative contraindications.
    64. To identify the ‘red flags’ based on the subjective and objective symptoms of the patient.
    65. To take appropriate action in situations that require discontinuation of the patient examination process.
    66. To inform the patient about findings.
    67. To interpret the relationship between the patient’s complaints, objective findings, and structural damage.
    68. To interpret the relationship between contextual factors and the patient’s complaints, perceived needs, and functional assessment results.
    69. To interpret the relationship between contextual factors and the patient’s complaints and objective finding.
    70. To formulate the functional problem.
    71. To analyse the results of applicable examinations (radiology, laboratory tests, veloergometry, spirometry).
    72. To formulate the pathogenic mechanisms of physical functional limitations.
    73. To identify the strengths in the physical functional status.
    74. To identify the activity and participation restrictions in the context of physical functional impairments.
    75. To communicate the information and conclusions obtained during the assessment process to the patient in a language they can understand.
    76. To explain to the patient the relationship between their experiences and the causes of their complaints, as well as the need to change their habits.
    77. To determine the time for reassessment of the patient.
    78. To understand the perspective of the patient or their authorised person on the functional status and its limitations.
    79. To respect the values, beliefs, and choices of the patient.
    80. To explain the results of the physiotherapeutic examination to the patient.
    81. To justify the results of the physiotherapeutic assessment.
    82. To facilitate shared decision-making with the patient or authorised person.
    83. To recognise obstacles to achieving the goals expressed by the patient.
    84. To set appropriate and achievable physiotherapy goals in collaboration with the patient or authorised person.
    85. To set goals according to the patient’s readiness, ability, and willingness to engage in the treatment process.
    86. To establish significant, specific, measurable, achievable, and time-bound treatment goals.
    87. To respect the individual choices and beliefs of the patient or authorised person.
    88. To select appropriate treatment methods.
    89. To explain the formulated goals and their achievement plan to the patient or authorised person.
    90. To obtain the patient’s or authorised person’s consent for the implementation of the treatment programme.
    91. To plan the assessment of goal attainment and further actions.
    92. To ensure scheduled reassessment of the patient.
    93. To plan the course of physiotherapy treatment (total duration, number and type of sessions, duration of each session).
    94. To provide recommendations to the patient regarding the need to involve other specialists in achieving physiotherapy goals.
    95. To use standardised assessment tools applied in the initial assessment.
    96. To evaluate the need to use additional standardised assessment tools.
    97. To perform the reassessment.
    98. To evaluate the achievement of short-term and long-term goals set for physiotherapy.
    99. To prepare a written physiotherapist’s report on the patient’s functional status.
    100. To find appropriate and reliable sources of information.
    101. To use reliable sources for obtaining scientific evidence.
    102. To summarise scientific evidence on the effectiveness of individual treatment methods or their combination in achieving treatment goals.
    103. To critically analyse the quality and level of current scientific evidence.
    104. To critically analyse the psychometric properties of assessment instruments.
    105. To critically analyse the suitability of assessment instruments for a specific clinical situation.
    106. To integrate scientific evidence into the clinical reasoning process and decision-making.
    107. To use appropriate guidelines in clinical decision-making.
    108. To inform and explain to the patient the application of scientific evidence in the physiotherapy process.
    109. To implement the planned treatment programme.
    110. To adapt physiotherapy treatment according to the current situation, patient’s abilities, and needs.
    111. To promote active patient participation in the implementation of the treatment programme.
    112. To responsibly use physiotherapy treatment technologies and methods in the treatment of musculoskeletal functional disorders.
    113. To responsibly use physiotherapy treatment technologies and methods in the treatment of neuromuscular and neurogenic functional disorders.
    114. To responsibly use physiotherapy treatment technologies and methods in the treatment of pain.
    115. To use physiotherapy treatment technologies and various methods for the treatment of functional disorders in various clinical populations (at different ages).
    116. To use physiotherapy treatment technologies and methods for the treatment of functional disorders related to rheumatic diseases.
    117. To use physiotherapy treatment technologies and methods for the treatment of functional disorders caused by trauma and orthopaedic conditions.
    118. To use physiotherapy treatment technologies and methods for the treatment of functional impairments caused by diabetes, thyroid dysfunction, malnutrition, or obesity.
    119. To responsibly use physiotherapy treatment technologies and methods for the treatment of functional disorders in women during pregnancy, childbirth, and the post-partum period.
    120. To responsibly use physiotherapy treatment technologies and methods for the treatment of functional disorders caused by oncological diseases.
    121. To responsibly use physiotherapy treatment technologies and methods for the treatment of functional disorders caused by cardiovascular system disorders.
    122. To responsibly use physiotherapy treatment technologies and methods for the treatment of functional disorders caused by respiratory system disorders.
    123. To responsibly use physiotherapy treatment technologies and methods for the treatment of functional disorders caused by mental disorders.
    124. To responsibly use physiotherapy treatment technologies and methods for training movement and postural activities.
    125. To apply physiotherapy treatment technologies and methods for maintaining and improving the patient’s motor control.
    126. To apply physiotherapy technologies and methods for maintaining and improving the patient’s range of motion.
    127. To apply physiotherapy technologies and methods for restoring the patient’s functional activities.
    128. To adjust the selection of physiotherapy technologies and methods to achieve the set goals according to changes in the patient’s health and functional status.
    129. To apply physical medicine technologies.
    130. To implement a physiotherapy plan according to the individual’s age group.
    131. To adjust long-term and short-term goals according to the patient’s functional status.
    132. To critically assess the need to adapt professional activities to the current situation.
    133. To use appropriate manual skills in physiotherapeutic treatment.
    134. To adhere to the principles of ergonomics.
    135. To assess safety risks and hazards during physiotherapy treatment.
    136. To mitigate safety risks and hazards during physiotherapy treatment.
    137. To ensure the safe application of treatment methods to the patient.
    138. To responsibly use the necessary equipment and devices during physiotherapy treatment.
    139. To provide respectful attitude towards the patient during physiotherapy treatment.
    140. To ensure patient comfort during physiotherapy treatment.
    141. To recognise urgent conditions related to the general health condition.
    142. To initiate the provision of emergency medical assistance in urgent situations.
    143. To apply emergency medical assistance algorithms for all age groups of patients.
    144. To implement emergency medical assistance in specific situations.
    145. To monitor and assess the vital functions.
    146. To use the principles and elements of motivational interviewing in achieving the set goals of patient treatment.
    147. To educate the patient or authorised person.
    148. To explain physiotherapy treatment methods according to the plan.
    149. To use active listening methods in communication with the patient or their authorised person.
    150. To provide the patient with information about the dynamics of physiotherapy and the achievement of goals.
    151. To provide feedback to the patient on what has been heard.
    152. To adapt the form of feedback to the patient.
    153. To involve other specialists in achieving the long-term and short-term goals of the patient’s therapy.
    154. To respect the professional autonomy and individuality of the specialists involved in the team.
    155. To recognise the possible emergence of problematic situations within a multiprofessional team.
    156. To engage in problem-solving.
    157. To share essential information about the patient with other specialists involved in multiprofessional treatment.
    158. To express a competent professional opinion within an interdisciplinary and multiprofessional team.
    159. To provide physiotherapy treatment within a multiprofessional team.
    160. To participate in goal-setting for rehabilitation within a multiprofessional team.
    161. To recognise and analyse health-promoting and health-inhibiting factors at the individual level.
    162. To analyse the needs of individuals belonging to a specific target group.
    163. To perform screening for ergonomic risk factors.
    164. To assess ergonomic risks in the context of physiotherapy within the framework of health promotion and primary preventive healthcare.
    165. To develop a targeted and specific plan for reducing ergonomic risks in the context of physiotherapy.
    166. To implement a targeted and specific plan for reducing or eliminating ergonomic risks in the context of physiotherapy.
    167. To engage in interdisciplinary collaboration with specialists from other fields to promote the individual’s health.
    168. To collaborate with organisations advocating for the patient’s rights and interests to promote the individual’s health.
    169. To educate patients about health promotion and preventive healthcare.
    170. To provide evidence-based and patient-specific recommendations for physical activities.
    171. To provide evidence-based recommendations for reducing ergonomic risks in the context of physiotherapy.
    172. To recognize and analyse health-promoting and health-inhibiting factors at the societal level.
    173. To analyse the needs of a specific target group.
    174. To educate the public about the importance and benefits of physical activity.
    175. To engage in interdisciplinary collaboration with specialists from other fields to promote health at the societal level.
    176. To collaborate with organisations advocating for the patient’s rights and interests.
    177. To educate the public about the impact of a sedentary lifestyle in different age groups.
    178. To participate in planning and implementing comprehensive health promotion and disease prevention activities for various target groups.
    179. To lead group activities for promoting health.
    180. To educate patient groups about health promotion and preventive healthcare.
    181. To conduct a motivational interview.
    182. To select self-help strategies that conform with the patient’s needs.
    183. To train patients on self-help strategies.
    184. To educate patients about the risks of health disorders and preventive healthcare options.
    185. To work within the scope of competence specified in the professional standard for physiotherapists.
    186. To maintain a professional image that conforms with the professional environment of a physiotherapist.
    187. To assume responsibility to one’s own physical and mental health.
    188. To engage in activities related to a healthy lifestyle.
    189. To critically evaluate the inclusion of professional roles in the healthcare system.
    190. To promote professional recognition.
    191. To disseminate professionally responsible information.
    192. To analyse information related to professional issues in physiotherapy.
    193. To implement professional activities based on quality control requirements.
    194. To carry out the professional activities of a physiotherapist according to the quality indicators and criteria set by the medical treatment institution.
    195. To participate in initiatives to improve quality control.
    196. To base own physiotherapy practice model on guidelines, quality indicators, and criteria that determine professional activities.
    197. To articulate the professional opinion.
    198. To critically evaluate professional conditions, needs, and opportunities.
    199. To analyse current information relevant to the development of the physiotherapy profession.
    200. To comply with the requirements of laws and regulations associated with healthcare.
    201. To engage in interdisciplinary collaboration to promote the development of the field of healthcare.
    202. To critically analyse public health indicators and needs.
    203. To propose recommendations for shaping healthcare policies.
    204. To understand the dynamics of healthcare policy-making.
    205. To be familiar with the laws and regulations on the availability of healthcare services.
    206. To engage in advocating for professional interests in the field of physiotherapy.
    207. To engage in advocating for the interests of patient groups within the context of physiotherapy.
    General skills and attitudes
    1. To communicate in the official language.
    2. To use the professional terminology in the official language.
    3. To observe the norms of Latvian literary language in the business style.
    4. To adapt communication depending on the situation.
    5. To formulate oral and written arguments depending on the context.
    6. To communicate orally and in writing in the specified foreign language.
    7. To use the professional terminology in the officially established foreign language.
    8. To observe the literary language norms.
    9. To organise own professional activity.
    10. To manage own professional activity at the workplace.
    11. To recognise the need to form a professional team.
    12. To involve the necessary specialists in ensuring the treatment process.
    13. To work in a professional team.
    14. To lead a professional team.
    15. To observe collegial, supportive professional collaboration.
    16. To maintain own workplace in conformity with the labour protection requirements.
    17. To ensure the maintenance of physiotherapy equipment in accordance with safety requirements.
    18. To comply with the requirements of laws and regulations on labour protection, fire safety, and environmental protection when performing the work duties.
    19. To assess the impact of environmental factors on one’s own health and the health of the patient.
    20. To ensure patient safety in the physiotherapist’s work environment.
    21. To act in conformity with the fire safety, electrical safety, and civil defence regulations.
    22. To comply with the obligations and rights of the employee.
    23. To comply with the internal rules.
    24. To apply the laws and regulations governing the employment relationship.
    25. To identify the consequences of wilful or unintentional failure to fulfil the obligations.
    26. To recognise the possible emergence of conflict situations within a multiprofessional team.
    27. To comply with the quality control requirements.
    28. To use information and communication technologies and databases.
    29. To be familiar with the current possibilities of disseminating information.
    30. To use office equipment.
    31. To use various communication channels.
    32. To ensure safe exchange of information.
    33. To select appropriate information exchange technologies.
    34. To observe general and professional ethics, including the principles of deontology, in the work of a physiotherapist.
    35. To resolve conflict situations appropriately in the physiotherapist’s work environment.
    36. To carry out the professional activity in conformity with the norms of professional ethics and the regulatory framework.
    37. To assume responsibility for the compliance of own actions with ethical norms.
    38. To be aware of the limits of own knowledge and skills.
    39. To adhere to the principles of confidentiality.
    40. To comply with personal data protection.
    41. To respect the patient’s rights.
    42. To be aware of own professional skills in the event of disasters and threats.
    43. To ensure, to the extent possible, the minimum essential needs of the community in the event of a disaster and its threats.
    44. To provide assistance to those affected by disasters and mitigate the harm.
    45. To maintain clear, understandable, and accurate records in medical documentation.
    46. To use medical terminology and recognisable abbreviations.
    47. To observe ethical principles and data protection requirements when making medical records.
    48. To comply with the internal rules of the medical treatment institutions regarding the drawing up of documentation.
    49. To comply with the recommendations developed by professional associations in the healthcare industry.
    50. To comply with the regulatory framework governing medical record-keeping.
    51. To document the assessment data, physiotherapist’s opinion, set goals, and treatment plan.
    52. To systematically document the treatment process.
    53. To document the conclusion of treatment, assessment of the achievement of goals, and further plans.
    54. To provide feedback to the patient and involved healthcare professionals.
    55. To identify research problems in the field of healthcare and social welfare.
    56. To develop a research work plan.
    57. To apply scientific research methodology.
    58. To work within a research team.
    59. To prepare a report on the process and results of research.
    60. To present a report on the process and results of research.
    61. To prepare a scientific article for publication.
    62. To conduct independent and autonomous scientific research.
    63. To evaluate own professional activity and identify the necessary measures for its improvement.
    64. To reflect on the scope of own professional knowledge, skills, and competences.
    65. To analyse the current trends in the field of physiotherapy and scientific literature.
    66. To reflect on own learning skills.
    67. To plan the improvement of own learning skills.
    68. To select appropriate forms of continuing education that meet the professional development needs.
    69. To reflect on own knowledge, skills, and competences in the supervision of the clinical work of undergraduate students.
    70. To improve own professional competences independently.
    71. To pursue targeted professional development.
    72. To engage in interprofessional learning activities.
    73. To attend formal and informal continuing education events.
    74. To prepare reports for continuing education events by professional organisations.
    75. To apply the skills acquired through professional development in the professional activity.
    76. To reflect on the outcomes of continuing education events.
    77. To participate in the supervision of the clinical work of undergraduate students in the field of physiotherapy.

  • Competences/ autonomy

    Professional competences
    1. Ability to select scientifically sound, targeted, and appropriate assessment methods in physiotherapy based on professional knowledge, skills, and gathered information.
    2. Ability to recognise, evaluate, and interpret indications, their absence, and contraindications for a physiotherapeutic examination and possible treatment of the patient.
    3. Ability to purposefully obtain essential information from the patient or authorised person and medical documentation to ensure the process of physiotherapy treatment.
    4. Ability to apply scientifically based, targeted, and appropriate assessment methods in physiotherapy based on professional knowledge and skills, and the gathered information about the patient’s needs to evaluate their functionality.
    5. Ability to perform a structured and targeted physiotherapeutic examination of the patient at the level of functions and structures, activities and participation, as well as assess contextual factors.
    6. Ability to determine the ‘red flags’ and contraindications for initiating physiotherapy treatment, using professional knowledge and clinical reasoning skills.
    7. Ability to interpret, analyse, and evaluate the results obtained during physiotherapy assessment and determine functional disorders by explaining the causes of the patient’s complaints and the information obtained during the assessment in a language they understand.
    8. Ability to formulate the physiotherapist’s conclusion based on the interpretation of the assessment results by synthesising general and professional knowledge and applying clinical reasoning skills.
    9. Ability to use clinical reasoning and effective communication skills to collaborate with the patient in the shared decision-making process and agree on appropriate goals.
    10. Ability to plan an appropriate physiotherapy treatment programme based on specific, measurable, time-bound, realistic goals by taking into account the individual choices and beliefs of the patient.
    11. Ability to select appropriate evidence-based medical technologies and adapt the planning of physiotherapy treatment to the patient’s individual needs.
    12. Ability to respectfully and comprehensibly explain the process of physiotherapeutic assessment and functional disorders to the patient or authorised person.
    13. Ability to implement an evidence-based practice model in the process of the planning and implementation of physiotherapy by using appropriate and reliable sources of information, critically analysing the available scientific evidence, and integrating it into clinical work.
    14. Ability to use reliable and valid measurement outcomes by critically evaluating their properties and appropriateness to the specific practice context to analyse and, where necessary, adapt own professional activity.
    15. Ability to critically, creatively, and scientifically incorporate the latest knowledge and skills into the professional activity of a physiotherapist.
    16. Ability to provide treatment that meets the patient’s needs by using evidence-based physiotherapy technologies and methods based on the goals set in the treatment plan.
    17. Ability to adapt the treatment process in response to changes in the patient’s health condition and other influencing factors.
    18. Ability to implement safe and effective physiotherapy treatment by using clinical reasoning, appropriate manual skills, and ergonomically safe execution, critically assessing the impact of applied methods and the patient’s current condition, and modifying therapy methods or discontinuing treatment as necessary.
    19. Ability to recognise acute conditions in physiotherapy practice and provide emergency medical assistance to various patient groups in acute and life-threatening situations.
    20. Ability to communicate with the patient or their authorised person by respecting and honouring the beliefs, religion, and culture of the patient and his relatives, providing understandable information, giving recommendations, and providing encouragement.
    21. Ability to provide professional support and motivation to the patient or authorised person in the implementation of the treatment plan and achievement of goals by using the most appropriate form of feedback, as well as educational and motivational measures.
    22. Ability to effectively collaborate with other healthcare professionals in a multiprofessional team while being aware of one’s own and others’ professional roles, respecting autonomy and individuality, to achieve optimal outcomes in a specific situation.
    23. Ability to communicate respectfully and ethically with medical professionals by using evidence-based physiotherapy principles, understanding and promoting the role of a physiotherapist in healthcare system functions and structures.
    24. Ability to participate in the planning and implementation of health promotion and preventive healthcare activities, with the aim of improving the health of an individual, by understanding and applying the biopsychosocial approach, determinants of health, and health promotion and preventive healthcare strategies.
    25. Ability to participate in the planning and implementation of health promotion and preventive healthcare activities at the societal level by understanding and applying the biopsychosocial approach, determinants of health, and health promotion strategies.
    26. Ability to purposefully promote changes in the patient’s health behaviour and self-help strategies that meet the patient’s needs by implementing evidence-based methods.
    27. Ability to demonstrate behaviour and attitude that is appropriate for the professional environment and the profession, while assuming responsibility for own physical and mental health.
    28. Ability to critically evaluate and disseminate information to different target audiences in a comprehensible manner by using current and effective modes of communication.
    29. Ability to engage in the implementation of the quality control process and improvement initiatives within the scope of the professional activity by applying understanding of quality standards and approach in quality management and control in healthcare.
    30. Ability to critically evaluate professional conditions, needs, and opportunities and provide creative and targeted contribution to the development of the profession of a physiotherapist.
    31. Ability to comply with the requirements of laws and regulations on healthcare and health promotion while being aware of the dynamics of health policies.
    32. Ability to advocate for the professional and patient interests in the field of physiotherapy by promoting awareness of the profession and fostering its development, diversity, and accessibility.
    General competences
    1. Ability to communicate with the colleagues adequately by using the professional terminology and communicate with the patients and their relatives both orally and in writing by ensuring the provision of correct information in the official language in conformity with the literary language norms.
    2. Ability to communicate in a foreign language and use the professional terminology.
    3. Ability to purposefully plan, organise, and work in a professional team, while recognising the autonomy and individuality of team members, to ensure effective management and optimal provision of services.
    4. Ability to organise and manage the professional activity in an internship setting by prioritising and managing the workload and effectively utilising the available resources in accordance with professional standards and the code of ethics.
    5. Ability to perform professional duties while ensuring the safety of oneself and the patient in accordance with the requirements of laws and regulations on labour protection, fire safety, environmental protection, and civil defence.
    6. Ability to establish and maintain respectful employment relationships while complying with the internal rules and quality control requirements at the workplace.
    7. Ability to participate in organising and implementing the quality control process within the scope of professional activity.
    8. Ability to develop the professional activity by confidently and safely using information and communication technologies to perform a work task.
    9. Ability to adhere to general and professional ethical and legal norms, and also principles of deontology in the professional activity of a physiotherapist by demonstrating professional conduct and attitudes and critically evaluating the limits of own knowledge and skills.
    10. Ability to respect and ensure confidentiality, protection of personal data, autonomy and rights in the professional activity of a physiotherapist.
    11. Ability to collaborate and take action in emergency situations by responding to existing or potential threats within the scope of own professional competences.
    12. Ability to document the professional activity of a physiotherapist by demonstrating clinical reasoning, adhering to ethical and data protection principles, and using correct terminology and understandable abbreviations.
    13. Ability to timely and comprehensively fill out medical documentation by using professional terminology.
    14. Ability to competently engage in the planning, implementation, and reporting of scientific research in studies related to healthcare and social welfare.
    15. Ability to critically and reflectively evaluate own professional activity by taking into account the principles of evidence-based physiotherapy, identifying and systematically planning the necessary measures for its improvement, and demonstrating initiative and readiness to learn.
    16. Ability to engage in interprofessional learning activities with other professionals.
    17. Ability to enhance and improve the professional activity by continuously updating and developing professional knowledge, skills, and behaviour, engaging in professional development and lifelong learning process, and incorporating the experience in practice.
    18. Ability to participate in the supervision of the clinical work of undergraduate students in the field of physiotherapy.

Qualification acquisition requirements

Previous education
Certificate of general secondary education or Diploma of vocational secondary education
Ways to acquire 
Qualifications can be acquired in the framework of education programs or in the evaluation and recognition of non-formal knowledge, skills and competences acquired (in vocational education LKI Levels 2-4).
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Formal (through education programmes)
ECTS credit points 
Snice 11.10.2022 60 credit points correspond to the study results acquired in full-time studies in one academic year in accordance with the European Credit Transfer and Accumulation System (ECTS).Since 11.10.2022

Till 11.10.2022 1 Latvian credit point corresponds to 1,5 ECTS credit point.
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240
ECTS credit points 
Snice 11.10.2022 60 credit points correspond to the study results acquired in full-time studies in one academic year in accordance with the European Credit Transfer and Accumulation System (ECTS).Since 11.10.2022

Till 11.10.2022 1 Latvian credit point corresponds to 1,5 ECTS credit point.
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240
Duration of study 
Duration of qualification in full-time studies
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4 years

Qualification document

Awarding body

Higher education institution:

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Qualifications Framework level

EQF level

European Qualifications Framework (EQF) has 8 levels (1 – the lowest, 8 – the highest).

Levels reflect the complexity level of acquired knowledge, skills and competences (learning outcomes).


Go to the Glossary section
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6

LQF level

Latvian Qualifications Framework (LQF) has 8 levels (1 – the lowest, 8 – the highest).

Levels reflect the complexity level of acquired knowledge, skills and competences (learning outcomes).

LQF covers stages of education starting from the basic education (level 1 – special basic education) to the highest education (level 8 – doctoral studies).


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6

Level of professional qualification

Till 1 august 2022 in Latvia had a system of five professional qualifications levels (PQL, 1 – the lowest, 5 – the highest).

PQL system covers only professional qualifications (basic education, secondary and higher education stages).

PQL reflects readiness of a person to perform work of certain stage of complexity and responsibility.


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5

LQF PQ level:

Kas ir LKI?2

Theoretical and practical training corresponding to the LQF levels, characterized by the learning outcomes that can be achieved at the relevant level, which gives the opportunity to perform work corresponding to a certain level of complexity and responsibility.
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Qualification field, stage and type

Thematic field (ISCED 2013)
International Standard Classification of Education (ISCED) developed by UNESCO.
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Health (091)

Detailed field: (ISCED 2013)

Therapy and rehabilitation (0915)

Education
Stages of Latvian education system included in the LQF:
- basic education
- secondary education
- higher education
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Higher education

Qualification type
ITypes of Latvian education:
-General education
-Professional education
-Academic education
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Vocational

Full or partial

Full qualification

Other information

National Education Information System

Active qualification

Period for issuing qualification: 2023-2030

Last changes: 02.09.2025

Posted: 20.03.2023