The Texas PT Practice Act/rules do not prohibit a PTA from performing any specific technique/procedure.
The supervising PT holds the primary responsibility for all physical therapy care rendered under his/her supervision, and is responsible for assuring that a PTA has the competencies required to perform a technique or procedure that is delegated. Consideration should be given to the PTA’s level of skill/training and experience/advanced competency, the practice setting in which the procedure is performed, the type of monitoring that might be needed, and the acuity and complexity of the patient’s condition. Additionally, the PT should personally possess the skills in order to supervise the PTA.
It would be a violation of the PT Practice Act/Rules for a PT to delegate a technique or procedure to a PTA who is not competent to perform it, and it would be a violation of the PT Practice Act/Rules for a PTA to perform or attempt to perform techniques or procedures for which they are not competent.
It is recommended that the rules and regulations of payer sources, i.e. Medicare/Medicaid or private insurance, be reviewed to determine if a specific technique/procedure is reimbursable if performed by a PTA as they can differ from the licensure rules/regs.