Sports Rehab North Vancouver

Sports Rehab North Vancouver

Posture therapy

You'll receive tailored advice on exercises, lifestyle adjustments, and preventive measures to enhance your understanding of your body and how to care for it. It's not just about what you do but how you do it. Why settle for traditional methods when advanced physiotherapy techniques can offer you more targeted and efficient recovery options? Learn more about Sports Rehab North Vancouver here We understand that children aren't just small adults; they've their own set of challenges and milestones. Our goal is to make therapy a positive and empowering experience for your child, setting the foundation for a healthy, active life.
This collaboration fosters a deeper understanding of your body and health, equipping you with knowledge and practices that can prevent future injuries. That's the reality now, thanks to mobile physiotherapists who come to you. You're not just another patient at the Marine Drive Clinic; you're a partner in your health journey. You'll have access to personalized treatment plans that focus on reducing pain, enhancing mobility, and strengthening your body to prevent future injuries.
Understanding chronic pain is crucial, and Easy Allied Health's advanced physio programs are designed to tackle this complex issue head-on, ensuring you receive the most effective treatment. They believe in creating a supportive atmosphere where you can focus on your rehabilitation without stress. Learn more about Easy Allied Health - North Vancouver Physiotherapy, Massage Therapy, and Chiropractor here. Initially skeptical about home physio, she was amazed at the personalized care she received. Whether you're recovering from an injury, managing chronic pain, or looking to improve your overall physical health, they've got you covered.
They're committed to keeping you informed and involved in your treatment every step of the way, ensuring that each session is aligned with your evolving needs. However, after engaging with a program that used virtual reality for posture correction and muscle strengthening, she not only conquered her pain but also improved her overall well-being. You might benefit from a mix of traditional physiotherapy, innovative exercises, or even cutting-edge treatments like shockwave therapy, depending on what's right for you. These stories are just a glimpse of how we're making a difference.



Kinesiotherapist

  • Kinesiotherapist
  • Physical Therapy Assistant
  • Physical rehabilitation therapist
  • Physical therapist
  • Physical Therapist Assistant
  • Physical therapy specialty
  • Physical agents
  • Therapeutic modalities
  • Physical therapist assistants
  • Physiotherapy
  • Physiotherapist
  • Physical therapy assistant
  • Physiotheraphy
  • Posture correction
  • Kinesiotherapist

At Easy Allied Health, we recognize that no two bodies or injuries are the same. But accessibility isn't just about location and timing. That's why we've dedicated ourselves to providing you with innovative and comprehensive approaches to pain management. At Easy Allied Health, we're committed to your post-surgical recovery every step of the way.

The clinic's commitment to using evidence-based practices ensures you're getting the most effective treatment possible, tailored just for you.

Kinesiotherapist

  • Therapeutic modalities
  • Physical therapist assistants
  • Physiotherapy
  • Physical therapy specialty
  • Physical agents
  • Therapeutic modalities
  • Physical therapist assistants
  • Physiotherapy
  • Physical therapy specialty
  • Physical agents
  • Therapeutic modalities
  • Physical therapist assistants
  • Physiotherapy
  • Physical therapy specialty
  • Physical agents
  • Therapeutic modalities
  • Physical therapist assistants
  • Physiotherapy
  • Physical therapy specialty
This helps them tailor a plan that's just right for you. They're chosen specifically for their effectiveness in targeting your areas of concern, ensuring a faster and safer return to your daily activities.

In Sports Rehab North Vancouver, innovative approaches are transforming how you can access physiotherapy services, making it easier and more efficient than ever before. Moreover, Easy Allied Health isn't just about treating current issues. Physical therapy specialty Posture therapy Then there's Mike, a passionate cyclist who developed chronic back pain that threatened to end his days of long rides.

Don't underestimate the power of icing and elevation in the early stages, especially for injuries like ankle sprains. This approach doesn't just look at the symptoms but dives deep into identifying and treating the underlying causes of your discomfort or mobility issues. What sets our therapists apart is their commitment to continuous learning.

Pain Management North Vancouver

Not long after the District of North Vancouver was formed, an early land developer and second reeve of the new council, James Cooper Keith, personally underwrote a loan to commence construction of a road which undulated from West Vancouver to Deep Cove amid the slashed sidehills, swamps, and burnt stumps. The road, sometimes under different names and not always contiguous, is still one of the most important east-west thoroughfare carrying traffic across the North Shore.

Experienced Physiotherapist North Vancouver

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Downtown Vancouver
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Citations and other links

licensed physical therapists Sports Rehab North Vancouver

Flexibility exercises, on the other hand, improve your range of motion, ensuring that your movements are fluid and less prone to causing strain. Their philosophy hinges on the belief that your body's ability to heal is greatly enhanced by staying active, within reason, during your recovery. Physical therapist As they unveil new services and innovative treatments, you may wonder how these customized plans can benefit you specifically. After starting an advanced physio program with Easy Allied Health, incorporating the latest in laser therapy and AI-driven exercise plans, he was back on the field in half the expected time. It's health care made simpler, designed with your convenience and well-being in mind.

Our team employs a variety of techniques, including physical therapy, targeted exercises, and manual therapy, to address the root cause of your pain. This approach helps prevent future issues, making your recovery more sustainable in the long run. Next, we've incorporated shockwave therapy, a non-invasive solution that accelerates recovery. We also incorporate Manual Therapy, tailoring hands-on techniques to your specific needs, ensuring that each treatment is as unique as you are.

You don't have to take our word for it; our patients' experiences speak volumes. Simply book a general consultation, and our team will help guide you toward the right path based on your health concerns and objectives. Regular check-ins are a cornerstone of our care model. Moreover, integrated care often leads to better education on your health condition.

They incorporate mindfulness, stress reduction techniques, and counseling services to ensure you're supported not only physically but also mentally. This is your body signaling that something isn't right.

Posture therapy

  1. Physical therapist assistants
  2. Physiotherapy
  3. Physio
  4. Physiotherapists
  5. History of physical therapy
  6. Physiotherapist
  7. Physical therapy assistant
  8. Physiotheraphy
  9. Posture correction
  10. Kinesiotherapist
  11. Physical Therapy Assistant
  12. Physical rehabilitation therapist
  13. Physical therapist
  14. Physical Therapist Assistant
  15. Physical therapy specialty
  16. Physical agents
  17. Therapeutic modalities
Experiencing integrated care offers a seamless journey towards better health, directly addressing your unique needs with a unified approach. With their supportive team, you're stepping towards a healthier, more balanced life.

licensed physical therapists Sports Rehab North Vancouver
Emergency Physio Clinic Sports Rehab North Vancouver

Emergency Physio Clinic Sports Rehab North Vancouver

This approach not only addresses your immediate concerns but also equips you with preventive measures to ensure long-lasting wellness. At Easy Allied Health in Sports Rehab North Vancouver, you're not just another case file; you're part of a holistic approach that tailors health strategies specifically to meet your needs. It's not just about the therapy sessions; we're here to provide ongoing support and advice, ensuring you have the tools and knowledge to support your child's development at home. This means that from your very first appointment, you're not just another patient; you're a partner in your own recovery journey. Now that you're familiar with the wide array of services offered at Marine Drive Clinic, let's walk through the steps to become a new patient.

Booking your appointment with Easy Allied Health in Sports Rehab North Vancouver is a straightforward process designed to cater to your specific needs and schedule. Through techniques like manual therapy, exercises, and sometimes, modalities like ultrasound or electrical stimulation, you can experience significant pain reduction. You're a unique individual with distinct health goals and challenges. They're continually updating their knowledge with the latest research and techniques to ensure you receive the most effective care possible. Physio

They work together to offer a holistic approach to your health, ensuring that all aspects of your wellbeing are addressed. Initially, he struggled with basic movements, but through a tailored active rehab program, he's not only back on the field but also stronger than ever. When you engage with a team that combines physiotherapy, massage, and chiropractic care, you're not just treated as a set of symptoms. Plus, being in a familiar environment can enhance your comfort and relaxation, crucial elements for effective therapy.

You'll meet with a physiotherapist who'll assess your situation, listen to your concerns, and tailor a program specifically for you. Start by finding a quiet, spacious area in your home where you can move freely without obstacles. Clear the area of any clutter or furniture that might get in the way. Once you're a member, you'll have access to a range of services, including convenient booking options for in-clinic or at-home visits, tailored treatment plans, and ongoing support from dedicated health professionals.

Manual Therapy Downtown Sports Rehab North Vancouver

Our goal is to get you back to your peak performance level safely and efficiently, minimizing the risk of recurrence. They're not just about addressing your current symptoms; they're committed to uncovering the root cause of your discomfort and crafting a personalized treatment plan that fits your lifestyle. Our physiotherapists are trained in the latest methodologies, ensuring that you're not just treated but truly understood. It's about understanding how different elements of your health are interconnected.

Physical therapy modalities

  1. Therapeutic modalities
  2. Physical therapist assistants
  3. Physiotherapy
  4. Physical rehabilitation
  5. Physio
  6. Physiotherapists
  7. History of physical therapy
  8. Physiotherapist
  9. Physical therapy assistant
  10. Physiotheraphy
  11. Posture correction
  12. Kinesiotherapist
  13. Physical Therapy Assistant
  14. Physical rehabilitation therapist
  15. Physical therapist
  16. Physical Therapist Assistant
  17. Physical therapy specialty
  18. Physical agents
  19. Therapeutic modalities
Whether you're recovering from surgery, an injury, or seeking to improve your mobility, our team of experts is here to support you every step of the way.

There's no one-size-fits-all approach here. The Sports Rehab North Vancouver physio team emphasizes the importance of an accurate diagnosis. Kinesiotherapist This approach not only accelerates your recovery but also minimizes the risk of future injuries. Wearable tech, often incorporated into these programs, allows for continuous monitoring of your physical activities, ensuring that exercises are performed correctly and safely.

Whether you're a weekend warrior or a professional athlete, our tailored athletic performance enhancement programs are designed to push your limits while ensuring your body remains in peak condition. No battling traffic, no rearranging your day-just the care you need, right where you are. At Easy Allied Health in Sports Rehab North Vancouver, you're not just getting access to physiotherapy, massage therapy, and chiropractic services under one roof; you're also benefiting from a coordinated approach that saves you time and hassle. Also, wear comfortable clothing that doesn't restrict movement.

This means less time spent in treatment and more time enjoying your life, pain-free. You can do it directly on their website or give them a call, and they'll guide you through the process. Behind every successful treatment at Easy Allied Health, you'll find an expert team of dedicated physiotherapists. Their services go beyond the clinic.

Manual Therapy Downtown Sports Rehab North Vancouver
Walk-In Physical Therapy Sports Rehab North Vancouver
Walk-In Physical Therapy Sports Rehab North Vancouver

You'll learn how to strengthen your body, improve your posture, and increase your flexibility, all of which are key in preventing injuries and maintaining a high quality of life. This area is rich with programs and facilities designed to help you through each step of your rehabilitation process. Our goal is to empower you with the knowledge and tools you need to manage your pain and lead a more active, fulfilling life. They also offer manual therapy techniques, including massage and joint mobilization, to ease pain and improve function. Physical therapy assistant
First up, meet Sarah, a marathon runner sidelined by a knee injury. Physical agents She was skeptical about in-home rehab but decided to give it a shot. Whether you've suffered from a sports injury, a workplace accident, or a mishap at home, we're here to support your path back to full health.
By incorporating targeted exercises and stretches, you're not only working towards healing your current injury but also fortifying your muscles and joints against future issues. Read more about Sports Rehab North Vancouver here Nutrition plays a vital role in recovery. Starting your health journey with Easy Allied Health is as easy as that.
We've embraced cutting-edge approaches that can significantly enhance your rehabilitation process. Physical therapy modalities Understanding the complexities of sports injuries, we tailor our approach to fit your unique needs, ensuring you're not just on the path to recovery but also geared towards preventing future injuries. Our team understands that every patient's journey is different.

in-home registered physiotherapist Sports Rehab North Vancouver

They're here to guide you every step of the way, offering support, encouragement, and expert advice to help you regain your strength and confidence. Lastly, our clinic is one of the few in Sports Rehab North Vancouver to use real-time ultrasound imaging for musculoskeletal assessments.

Physical therapy assistant

  1. History of physical therapy
  2. Physiotherapist
  3. Physical therapy assistant
  4. Physiotheraphy
  5. Posture correction
  6. Kinesiotherapist
  7. Physical Therapy Assistant
  8. Physical rehabilitation therapist
  9. Physical therapist
  10. Physical Therapist Assistant
  11. Physical therapy specialty
  12. Physical agents
  13. Therapeutic modalities
  14. Physical therapist assistants
  15. Physiotherapy
  16. History of physical therapy
  17. Physiotherapist
  18. Physical therapy assistant
  19. Physiotheraphy
  20. Posture correction
It's not only about getting back on your feet; it's about rediscovering your strength and pushing beyond your limits. Active rehab empowers you to take an active role in your recovery.
As you consider joining, think about how this could be the turning point in your journey to better health.

Physical rehabilitation

  1. Physical therapist
  2. Physical Therapist Assistant
  3. Physical therapy specialty
  4. Physical agents
  5. Therapeutic modalities
  6. Physical therapist assistants
  7. Physiotherapy
  8. Physical rehabilitation therapist
  9. Physical therapist
  10. Physical Therapist Assistant
  11. Physical therapy specialty
  12. Physical agents
  13. Therapeutic modalities
  14. Physical therapist assistants
  15. Physiotherapy
  16. Physical rehabilitation therapist
  17. Physical therapist
  18. Physical Therapist Assistant
They'll guide you through specific exercises tailored to your injury, ensuring you're not just healing but also strengthening the affected area to prevent future issues. By incorporating the latest research and technology into our treatments, we ensure that you're receiving the most effective care possible. Physiotheraphy
With our personalized care options, we're here to ensure your journey to recovery is as smooth and swift as possible. For those dealing with workplace injuries or looking to prevent them, ergonomic assessments and education are available to ensure your work environment supports your health. It's not just about novelty; VR has been shown to significantly improve outcomes for patients recovering from strokes, injuries, and surgeries by enhancing their engagement and motivation.
Another resident, a busy mom dealing with chronic back pain from lifting her kids, experienced a significant reduction in pain and an increase in mobility. Our team is dedicated to empowering you with the knowledge and tools you need to take control of your health.

Physiotherapists

  1. Physical therapy specialty
  2. Physical agents
  3. Therapeutic modalities
  4. Physical therapist assistants
  5. Physiotherapy
  6. Physical therapist
  7. Physical Therapist Assistant
  8. Physical therapy specialty
  9. Physical agents
  10. Therapeutic modalities
  11. Physical therapist assistants
  12. Physiotherapy
  13. Physical therapist
  14. Physical Therapist Assistant
  15. Physical therapy specialty
  16. Physical agents
At the heart of these advanced physiotherapy programs lies a dedication to creating personalized care plans tailored specifically for your unique needs and goals.

Explore Sports Rehab North Vancouver here

Physical agents

  • Physical Therapy Assistant
  • Physical rehabilitation therapist
  • Physical therapist
  • Physical Therapist Assistant
  • Physical therapy specialty
  • Physical agents
  • Therapeutic modalities
  • Physical therapist assistants
  • Physiotherapy
  • Physical therapy assistant
  • Physiotheraphy
  • Posture correction
  • Kinesiotherapist
  • Physical Therapy Assistant
  • Physical rehabilitation therapist


Physiotherapist

  • Physical agents
  • Therapeutic modalities
  • Physical therapist assistants
  • Physiotherapy
  • Kinesiotherapist
  • Physical Therapy Assistant
  • Physical rehabilitation therapist
  • Physical therapist
  • Physical Therapist Assistant
  • Physical therapy specialty
  • Physical agents
  • Therapeutic modalities
  • Physical therapist assistants
  • Physiotherapy
  • Kinesiotherapist
  • Physical Therapy Assistant
  • Physical rehabilitation therapist
  • Physical therapist
in-home registered physiotherapist Sports Rehab North Vancouver

Physical therapy / physiotherapy
Military physical therapists working with patients on balance problems, orthopedic, amputee, Examining patient's strength, flexibility, joint range of motion balance and gait.
ICD-9-CM93.0-93.3
MeSHD026761

Physical therapy (PT), also known as physiotherapy, is a healthcare profession, as well as the care provided by physical therapists who promote, maintain, or restore health through patient education, physical intervention, disease prevention, and health promotion. Physical therapist is the term used for such professionals in the United States, and physiotherapist is the term used in many other countries.

The career has many specialties including musculoskeletal, orthopedics, cardiopulmonary, neurology, endocrinology, sports medicine, geriatrics, pediatrics, women's health, wound care and electromyography. PTs practice in many settings, both public and private.[1]

In addition to clinical practice, other aspects of physical therapy practice include research, education, consultation, and health administration. Physical therapy is provided as a primary care treatment or alongside, or in conjunction with, other medical services. In some jurisdictions, such as the United Kingdom, physical therapists may have the authority to prescribe medication.[2]

Overview

[edit]

Physical therapy addresses the illnesses or injuries that limit a person's abilities to move and perform functional activities in their daily lives.[3] PTs use an individual's history and physical examination to arrive at a diagnosis and establish a management plan and, when necessary, incorporate the results of laboratory and imaging studies like X-rays, CT-scan, or MRI findings. Physical therapists can use sonography to diagnose and manage common musculoskeletal, nerve, and pulmonary conditions.[4][5][6] Electrodiagnostic testing (e.g., electromyograms and nerve conduction velocity testing) may also be used.[7]

PT management commonly includes prescription of or assistance with specific exercises, manual therapy, and manipulation, mechanical devices such as traction, education, electrophysical modalities which include heat, cold, electricity, sound waves, radiation, assistive devices, prostheses, orthoses, and other interventions. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness and wellness-oriented programs for healthier and more active lifestyles, providing services to individuals and populations to develop, maintain, and restore maximum movement and functional ability throughout the lifespan. This includes providing treatment in circumstances where movement and function are threatened by aging, injury, disease, or environmental factors. Functional movement is central to what it means to be healthy.[citation needed]

Physical therapy is a professional career that has many specialties including musculoskeletal, orthopedics, cardiopulmonary, neurology, endocrinology, sports medicine, geriatrics, pediatrics, women's health, wound care and electromyography. Neurological rehabilitation is, in particular, a rapidly emerging field. PTs practice in many settings, such as privately-owned physical therapy clinics, outpatient clinics or offices, health and wellness clinics, rehabilitation hospital facilities, skilled nursing facilities, extended care facilities, private homes, education and research centers, schools, hospices, industrial and these workplaces or other occupational environments, fitness centers and sports training facilities.[1]

Physical therapists also practice in non-patient care roles such as health policy,[8][9] health insurance, health care administration and as health care executives. Physical therapists are involved in the medical-legal field serving as experts, performing peer review and independent medical examinations.[10]

Education varies greatly by country. The span of education ranges from some countries having little formal education to others having doctoral degrees and post-doctoral residencies and fellowships.[11]

Regarding its relationship to other healthcare professions, physiotherapy is one of the allied health professions.[12][13][14][15] World Physiotherapy has signed a "memorandum of understanding" with the four other members of the World Health Professions Alliance "to enhance their joint collaboration on protecting and investing in the health workforce to provide safe, quality and equitable care in all settings".[16]

History

[edit]
Exercise to shoulder and elbow to increase motion following fracture and dislocation of humerus is being given by an Army therapist to a soldier patient.

Physicians like Hippocrates and later Galen are believed to have been the first practitioners of physical therapy, advocating massage, manual therapy techniques and hydrotherapy to treat people in 460 BC.[17] After the development of orthopedics in the eighteenth century, machines like the Gymnasticon were developed to treat gout and similar diseases by systematic exercise of the joints, similar to later developments in physical therapy.[18]

The earliest documented origins of actual physical therapy as a professional group date back to Per Henrik Ling, "Father of Swedish Gymnastics," who founded the Royal Central Institute of Gymnastics (RCIG) in 1813 for manipulation, and exercise. Up until 2014, the Swedish word for a physical therapist was sjukgymnast = someone involved in gymnastics for those who are ill, but the title was then changed to fysioterapeut (physiotherapist), the word used in the other Scandinavian countries.[19] In 1887, PTs were given official registration by Sweden's National Board of Health and Welfare. Other countries soon followed. In 1894, four nurses in Great Britain formed the Chartered Society of Physiotherapy.[20] The School of Physiotherapy at the University of Otago in New Zealand in 1913,[21] and the United States 1914 Reed College in Portland, Oregon, which graduated "reconstruction aides."[22] Since the profession's inception, spinal manipulative therapy has been a component of the physical therapist practice.[23]

Modern physical therapy was established towards the end of the 19th century due to events that affected on a global scale, which called for rapid advances in physical therapy. Following this, American orthopedic surgeons began treating children with disabilities and employed women trained in physical education, and remedial exercise. These treatments were further applied and promoted during the Polio outbreak of 1916.[citation needed]

During the First World War, women were recruited to work with and restore physical function to injured soldiers, and the field of physical therapy was institutionalized. In 1918 the term "Reconstruction Aide" was used to refer to individuals practicing physical therapy. The first school of physical therapy was established at Walter Reed Army Hospital in Washington, D.C., following the outbreak of World War I.[24] Research catalyzed the physical therapy movement. The first physical therapy research was published in the United States in March 1921 in "The PT Review." In the same year, Mary McMillan organized the American Women's Physical Therapeutic Association (now called the American Physical Therapy Association (APTA). In 1924, the Georgia Warm Springs Foundation promoted the field by touting physical therapy as a treatment for polio.[25] Treatment through the 1940s primarily consisted of exercise, massage, and traction. Manipulative procedures to the spine and extremity joints began to be practiced, especially in the British Commonwealth countries, in the early 1950s.[26][27]

Around the time polio vaccines were developed, physical therapists became a normal occurrence in hospitals throughout North America and Europe.[28] In the late 1950s, physical therapists started to move beyond hospital-based practice to outpatient orthopedic clinics, public schools, colleges/universities health-centres, geriatric settings (skilled nursing facilities), rehabilitation centers and medical centers. Specialization in physical therapy in the U.S. occurred in 1974, with the Orthopaedic Section of the APTA being formed for those physical therapists specializing in orthopedics. In the same year, the International Federation of Orthopaedic Manipulative Physical Therapists was formed,[29] which has ever since played an important role in advancing manual therapy worldwide.

An international organization for the profession is the World Confederation for Physical Therapy (WCPT). It was founded in 1951 and has operated under the brand name World Physiotherapy since 2020.[30][31]

Education

[edit]

Educational criteria for physical therapy providers vary from state to state, country to country, and among various levels of professional responsibility. Most U.S. states have physical therapy practice acts that recognize both physical therapists (PT) and physical therapist assistants (PTA) and some jurisdictions also recognize physical therapy technicians (PT Techs) or aides. Most countries have licensing bodies that require physical therapists to be member of before they can start practicing as independent professionals.[citation needed]

Canada

[edit]

The Canadian Alliance of Physiotherapy Regulators (CAPR)[32] offers eligible program graduates to apply for the national Physiotherapy Competency Examination (PCE). Passing the PCE is one of the requirements in most provinces and territories to work as a licensed physiotherapist in Canada.[33] CAPR has members which are physiotherapy regulatory organizations recognized in their respective provinces and territories:

  • Government of Yukon, Consumer Services[34]
  • College of Physical Therapists of British Columbia[35]
  • College of Physiotherapists of Alberta[36]
  • Saskatchewan College of Physical Therapists[37]
  • College of Physiotherapists of Manitoba[38]
  • College of Physiotherapists of Ontario[39]
  • Ordre professionnel de la physiothérapie du Québec[40]
  • College of Physiotherapists of New Brunswick/Collège des physiothérapeutes du Nouveau-Brunswick[41]
  • Nova Scotia College of Physiotherapists[42]
  • Prince Edward Island College of Physiotherapists[43]
  • Newfoundland & Labrador College of Physiotherapists[44]

Physiotherapy programs are offered at fifteen universities, often through the university's respective college of medicine. Each of Canada's physical therapy schools has transitioned from three-year Bachelor of Science in Physical Therapy (BScPT) programs that required two years of prerequisite university courses (five-year bachelor's degree) to two-year Master's of Physical Therapy (MPT) programs that require prerequisite bachelor's degrees. The last Canadian university to follow suit was the University of Manitoba, which transitioned to the MPT program in 2012, making the MPT credential the new entry to practice standard across Canada. Existing practitioners with BScPT credentials are not required to upgrade their qualifications.

In the province of Quebec, prospective physiotherapists are required to have completed a college diploma in either health sciences, which lasts on average two years, or physical rehabilitation technology, which lasts at least three years, to apply to a physiotherapy program or program in university. Following admission, physical therapy students work on a bachelor of science with a major in physical therapy and rehabilitation. The B.Sc. usually requires three years to complete. Students must then enter graduate school to complete a master's degree in physical therapy, which normally requires one and a half to two years of study. Graduates who obtain their M.Sc. must successfully pass the membership examination to become members of the Ordre Professionnel de la physiothérapie du Québec (PPQ). Physiotherapists can pursue their education in such fields as rehabilitation sciences, sports medicine, kinesiology, and physiology.

In the province of Quebec, physical rehabilitation therapists are health care professionals who are required to complete a four-year college diploma program in physical rehabilitation therapy and be members of the Ordre Professionnel de la physiothérapie du Québec (OPPQ)[45] to practice legally in the country according to specialist De Van Gerard.

Most physical rehabilitation therapists complete their college diploma at Collège Montmorency, Dawson College, or Cégep Marie-Victorin, all situated in and around the Montreal area.

After completing their technical college diploma, graduates have the opportunity to pursue their studies at the university level to perhaps obtain a bachelor's degree in physiotherapy, kinesiology, exercise science, or occupational therapy. The Université de Montréal, the Université Laval and the Université de Sherbrooke are among the Québécois universities that admit physical rehabilitation therapists in their programs of study related to health sciences and rehabilitation to credit courses that were completed in college.

To date, there are no bridging programs available to facilitate upgrading from the BScPT to the MPT credential. However, research Master's of Science (MSc) and Doctor of Philosophy (Ph.D.) programs are available at every university. Aside from academic research, practitioners can upgrade their skills and qualifications through continuing education courses and curriculums. Continuing education is a requirement of the provincial regulatory bodies.

The Canadian Physiotherapy Association offers a curriculum of continuing education courses in orthopedics and manual therapy. The program consists of 5 levels (7 courses) of training with ongoing mentorship and evaluation at each level. The orthopedic curriculum and examinations take a minimum of 4 years to complete. However, upon completion of level 2, physiotherapists can apply to a unique 1-year course-based Master's program in advanced orthopedics and manipulation at the University of Western Ontario to complete their training. This program accepts only 16 physiotherapists annually since 2007. Successful completion of either of these education streams and their respective examinations allows physiotherapists the opportunity to apply to the Canadian Academy of Manipulative Physiotherapy (CAMPT) for fellowship. Fellows of the Canadian Academy of manipulative Physiotherapists (FCAMPT) are considered leaders in the field, having extensive post-graduate education in orthopedics and manual therapy. FCAMPT is an internationally recognized credential, as CAMPT is a member of the International Federation of Manipulative Physiotherapists (IFOMPT), a branch of World Physiotherapy (formerly World Confederation of Physical Therapy (WCPT)) and the World Health Organization (WHO).

Scotland

[edit]

Physiotherapy degrees are offered at four universities: Edinburgh Napier University in Edinburgh, Robert Gordon University in Aberdeen, Glasgow Caledonian University in Glasgow, and Queen Margaret University in Edinburgh. Students can qualify as physiotherapists by completing a four-year Bachelor of Science degree or a two-year master's degree (if they already have an undergraduate degree in a related field).

To use the title 'Physiotherapist', a student must register with the Health and Care Professions Council, a UK-wide regulatory body, on qualifying. Many physiotherapists are also members of the Chartered Society of Physiotherapy (CSP),[46] which provides insurance and professional support.

United States

[edit]

The primary physical therapy practitioner is the Physical Therapist (PT) who is trained and licensed to examine, evaluate, diagnose and treat impairment, functional limitations, and disabilities in patients or clients. Physical therapist education curricula in the United States culminate in a Doctor of Physical Therapy (DPT) degree,[47] with some practicing PTs holding a Master of Physical Therapy degree, and some with a Bachelor's degree. The Master of Physical Therapy and Master of Science in Physical Therapy degrees are no longer offered, and the entry-level degree is the Doctor of Physical Therapy degree, which typically takes 3 years after completing a bachelor's degree.[48] PTs who hold a Masters or bachelors in PT are encouraged to get their DPT because APTA's goal is for all PT's to be on a doctoral level.[49] WCPT recommends physical therapist entry-level educational programs be based on university or university-level studies, of a minimum of four years, independently validated and accredited.[50] Curricula in the United States are accredited by the Commission on Accreditation in Physical Therapy Education (CAPTE). According to CAPTE, as of 2022 there are 37,306 students currently enrolled in 294 accredited PT programs in the United States while 10,096 PTA students are currently enrolled in 396 PTA programs in the United States.[51]

The physical therapist professional curriculum includes content in the clinical sciences (e.g., content about the cardiovascular, pulmonary, endocrine, metabolic, gastrointestinal, genitourinary, integumentary, musculoskeletal, and neuromuscular systems and the medical and surgical conditions frequently seen by physical therapists). Current training is specifically aimed to enable physical therapists to appropriately recognize and refer non-musculoskeletal diagnoses that may present similarly to those caused by systems not appropriate for physical therapy intervention, which has resulted in direct access to physical therapists in many states.[52]

Post-doctoral residency and fellowship education prevalence is increasing steadily with 219 residency, and 42 fellowship programs accredited in 2016. Residencies are aimed to train physical therapists in a specialty such as acute care, cardiovascular & pulmonary, clinical electrophysiology, faculty, geriatrics, neurology, orthopaedics, pediatrics, sports, women's health, and wound care, whereas fellowships train specialists in a subspecialty (e.g. critical care, hand therapy, and division 1 sports), similar to the medical model. Residency programs offer eligibility to sit for the specialist certification in their respective area of practice. For example, completion of an orthopedic physical therapy residency, allows its graduates to apply and sit for the clinical specialist examination in orthopedics, achieving the OCS designation upon passing the examination.[53] Board certification of physical therapy specialists is aimed to recognize individuals with advanced clinical knowledge and skill training in their respective area of practice, and exemplifies the trend toward greater education to optimally treat individuals with movement dysfunction.[54]

Physical therapist assistants may deliver treatment and physical interventions for patients and clients under a care plan established by and under the supervision of a physical therapist. Physical therapist assistants in the United States are currently trained under associate of applied sciences curricula specific to the profession, as outlined and accredited by CAPTE. As of December 2022, there were 396 accredited two-year (Associate degree) programs for physical therapist assistants In the United States of America.[55]

Curricula for the physical therapist assistant associate degree include:[56]

  • Anatomy & physiology
  • Exercise physiology
  • Human biology
  • Physics
  • Biomechanics
  • Kinesiology
  • Neuroscience
  • Clinical pathology
  • Behavioral sciences
  • Communication
  • Ethics
  • Research
  • Other coursework as required by individual programs

Job duties and education requirements for Physical Therapy Technicians or Aides may vary depending on the employer, but education requirements range from a high school diploma or equivalent to completion of a 2-year degree program.[57] O-Net reports that 64% of PT Aides/Techs have a high school diploma or equivalent, 21% have completed some college but do not hold a degree, and 10% hold an associate degree.[58]

Some jurisdictions allow physical therapists to employ technicians or aides or therapy assistants to perform designated routine tasks related to physical therapy under the direct supervision of a physical therapist. Some jurisdictions require physical therapy technicians or aides to be certified, and education and certification requirements vary among jurisdictions.[citation needed]

Employment

[edit]

Physical therapy-related jobs in North America have shown rapid growth in recent years, but employment rates and average wages may vary significantly between different countries, states, provinces, or regions. A study from 2013 states that 56.4% of physical therapists were globally satisfied with their jobs.[59] Salary, interest in work, and fulfillment in a job are important predictors of job satisfaction.[59] In a Polish study, job burnout among the physical therapists was manifested by increased emotional exhaustion and decreased sense of personal achievement.[60] Emotional exhaustion is significantly higher among physical therapists working with adults and employed in hospitals. Other factors that increased burnout include working in a hospital setting and having seniority from 15 to 19 years.[60]

United States

[edit]

According to the United States Department of Labor's Bureau of Labor Statistics, there were approximately 210,900 physical therapists employed in the United States in 2014, earning an average of $84,020 annually in 2015, or $40.40 per hour, with 34% growth in employment projected by 2024.[61] The Bureau of Labor Statistics also reports that there were approximately 128,700 Physical Therapist Assistants and Aides employed in the United States in 2014, earning an average $42,980 annually, or $20.66 per hour, with 40% growth in employment projected by 2024. To meet their needs, many healthcare and physical therapy facilities hire "travel physical therapists", who work temporary assignments between 8 and 26 weeks for much higher wages; about $113,500 a year.[62] Bureau of Labor Statistics data on PTAs and Techs can be difficult to decipher, due to their tendency to report data on these job fields collectively rather than separately. O-Net reports that in 2015, PTAs in the United States earned a median wage of $55,170 annually or $26.52 hourly and that Aides/Techs earned a median wage of $25,120 annually or $12.08 hourly in 2015.[58][63] The American Physical Therapy Association reports vacancy rates for physical therapists as 11.2% in outpatient private practice, 10% in acute care settings, and 12.1% in skilled nursing facilities. The APTA also reports turnover rates for physical therapists as 10.7% in outpatient private practice, 11.9% in acute care settings, 27.6% in skilled nursing facilities.[64][65][66]

Definitions and licensing requirements in the United States vary among jurisdictions, as each state has enacted its own physical therapy practice act defining the profession within its jurisdiction, but the Federation of State Boards of Physical Therapy [67] has also drafted a model definition to limit this variation. The Commission on Accreditation in Physical Therapy Education [68] (CAPTE) is responsible for accrediting physical therapy education curricula throughout the United States of America.[citation needed]

United Kingdom

[edit]

The title of Physiotherapist is a protected professional title in the United Kingdom. Anyone using this title must be registered with the Health & Care Professions Council[69] (HCPC). Physiotherapists must complete the necessary qualifications, usually an undergraduate physiotherapy degree (at university or as an intern), a master rehabilitation degree, or a doctoral degree in physiotherapy.[70] This is typically followed by supervised professional experience lasting two to three years. All professionals on the HCPC register must comply with continuing professional development (CPD) and can be audited for this evidence at intervals.[71]

Specialty areas

[edit]

The body of knowledge of physical therapy is large, and therefore physical therapists may specialize in a specific clinical area. While there are many different types of physical therapy, the American Board of Physical Therapy Specialties lists ten current specialist certifications. Most Physical Therapists practicing in a specialty will have undergone further training, such as an accredited residency program, although individuals are currently able to sit for their specialist examination after 2,000 hours of focused practice in their respective specialty population, in addition to requirements set by each respective specialty board.[citation needed]

Cardiovascular and pulmonary

[edit]

Cardiovascular and pulmonary rehabilitation respiratory practitioners and physical therapists offer therapy for a wide variety of cardiopulmonary disorders or pre and post cardiac or pulmonary surgery. An example of cardiac surgery is coronary bypass surgery. The primary goals of this specialty include increasing endurance and functional independence. Manual therapy is used in this field to assist in clearing lung secretions experienced with cystic fibrosis. Pulmonary disorders, heart attacks, post coronary bypass surgery, chronic obstructive pulmonary disease, and pulmonary fibrosis, treatments can benefit[72] from cardiovascular and pulmonary specialized physical therapists.[73][verification needed]

Clinical electrophysiology

[edit]

This specialty area includes electrotherapy/physical agents, electrophysiological evaluation (EMG/NCV), physical agents, and wound management.

Geriatric

[edit]

Geriatric physical therapy covers a wide area of issues concerning people as they go through normal adult aging but is usually focused on the older adult. There are many conditions that affect many people as they grow older and include but are not limited to the following: arthritis, osteoporosis, cancer, Alzheimer's disease, hip and joint replacement, balance disorders, incontinence, etc. Geriatric physical therapists specialize in providing therapy for such conditions in older adults.

Physical rehabilitation can prevent deterioration in health and activities of daily living among care home residents. The current evidence suggests benefits to physical health from participating in different types of physical rehabilitation to improve daily living, strength, flexibility, balance, mood, memory, exercise tolerance, fear of falling, injuries, and death.[74] It may be both safe and effective in improving physical and possibly mental state, while reducing disability with few adverse events.[74]

The current body of evidence suggests that physical rehabilitation may be effective for long-term care residents in reducing disability with few adverse events.[74] However, there is insufficient to conclude whether the beneficial effects are sustainable and cost-effective.[74] The findings are based on moderate quality evidence.

Wound management

[edit]

Wound management physical therapy includes the treatment of conditions involving the skin and all its related organs. Common conditions managed include wounds and burns. Physical therapists may utilize surgical instruments, wound irrigations, dressings, and topical agents to remove the damaged or contaminated tissue and promote tissue healing.[75] Other commonly used interventions include exercise, edema control, splinting, and compression garments. The work done by physical therapists in the integumentary specialty does work similar to what would be done by medical doctors or nurses in the emergency room or triage.[citation needed]

Neurology

[edit]

Neurological physical therapy is a field focused on working with individuals who have a neurological disorder or disease. These can include stroke, chronic back pain, Alzheimer's disease, Charcot-Marie-Tooth disease (CMT), ALS, brain injury, cerebral palsy, multiple sclerosis, Parkinson's disease, facial palsy and spinal cord injury. Common impairments associated with neurologic conditions include impairments of vision, balance, ambulation, activities of daily living, movement, muscle strength and loss of functional independence.[73] The techniques involve in neurological physical therapy are wide-ranging and often require specialized training.[citation needed]

Neurological physiotherapy is also called neurophysiotherapy or neurological rehabilitation. It is recommended for neurophysiotherapists to collaborate with psychologists when providing physical treatment of movement disorders.[76] This is especially important because combining physical therapy and psychotherapy can improve neurological status of the patients.[citation needed]

Orthopaedics

[edit]
Treatment by orthopedic physical therapists

Orthopedic physical therapists diagnose, manage, and treat disorders and injuries of the musculoskeletal system including rehabilitation after orthopedic surgery, acute trauma such as sprains, strains, injuries of insidious onset such as tendinopathy, bursitis, and deformities like scoliosis. This specialty of physical therapy is most often found in the outpatient clinical setting. Orthopedic therapists are trained in the treatment of post-operative orthopedic procedures, fractures, acute sports injuries, arthritis, sprains, strains, back and neck pain, spinal conditions, and amputations.[citation needed]

Joint and spine mobilization/manipulation, dry needling (similar to acupuncture), therapeutic exercise, neuromuscular techniques, muscle reeducation, hot/cold packs, and electrical muscle stimulation (e.g., cryotherapy, iontophoresis, electrotherapy) are modalities employed to expedite recovery in the orthopedic setting.[77][verification needed] Additionally, an emerging adjunct to diagnosis and treatment is the use of sonography for diagnosis and to guide treatments such as muscle retraining.[78][79][80] Those with injury or disease affecting the muscles, bones, ligaments, or tendons will benefit from assessment by a physical therapist specialized in orthopedics.[citation needed]

Pediatrics

[edit]

Pediatric physical therapy assists in the early detection of health problems and uses a variety of modalities to provide physical therapy for disorders in the pediatric population. These therapists are specialized in the diagnosis, treatment, and management of infants, children, and adolescents with a variety of congenital, developmental, neuromuscular, skeletal, or acquired disorders/diseases. Treatments focus mainly on improving gross and fine motor skills, balance and coordination, strength and endurance as well as cognitive and sensory processing/integration.[citation needed]

Sports

[edit]

Physical therapists are closely involved in the care and wellbeing of athletes including recreational, semi-professional (paid), and professional (full-time employment) participants. This area of practice encompasses athletic injury management under 5 main categories:

  1. acute care – assessment and diagnosis of an initial injury;
  2. treatment – application of specialist advice and techniques to encourage healing;
  3. rehabilitation – progressive management for full return to sport;
  4. prevention – identification and address of deficiencies known to directly result in, or act as precursors to injury, such as movement assessment
  5. education – sharing of specialist knowledge to individual athletes, teams, or clubs to assist in prevention or management of injury

Physical therapists who work for professional sports teams often have a specialized sports certification issued through their national registering organization. Most Physical therapists who practice in a sporting environment are also active in collaborative sports medicine programs too (See also: athletic trainers).

Women's health

[edit]

Women's health or pelvic floor physical therapy mostly addresses women's issues related to the female reproductive system, child birth, and post-partum. These conditions include lymphedema, osteoporosis, pelvic pain, prenatal and post-partum periods, and urinary incontinence. It also addresses incontinence, pelvic pain, pelvic organ prolapse and other disorders associated with pelvic floor dysfunction. Manual physical therapy has been demonstrated in multiple studies to increase rates of conception in women with infertility.[81][82][83][84]

Oncology

[edit]

Physical therapy in the field of oncology and palliative care is a continuously evolving and developing specialty, both in malignant and non-malignant diseases. Physical therapy for both groups of patients is now recognized as an essential part of the clinical pathway, as early diagnoses and new treatments are enabling patients to live longer. it is generally accepted that patients should have access to an appropriate level of rehabilitation, so that they can function at a minimum level of dependency and optimize their quality of life, regardless of their life expectancy. [85]

Physical therapist–patient collaborative relationship

[edit]

People with brain injury, musculoskeletal conditions, cardiac conditions, or multiple pathologies benefit from a positive alliance between patient and therapist. Outcomes include the ability to perform activities of daily living, manage pain, complete specific physical function tasks, depression, global assessment of physical health, treatment adherence, and treatment satisfaction.[86]

Studies have explored four themes that may influence patient-therapist interactions: interpersonal and communication skills, practical skills, individualized patient-centered care, and organizational and environmental factors.[87] Physical therapists need to be able to effectively communicate with their patients on a variety of levels. Patients have varying levels of health literacy so physical therapists need to take that into account when discussing the patient's ailments as well as planned treatment. Research has shown that using communication tools tailored to the patient's health literacy leads to improved engagement with their practitioner and their clinical care. In addition, patients reported that shared decision-making will yield a positive relationship.[88] Practical skills such as the ability to educate patients about their conditions, and professional expertise are perceived as valuable factors inpatient care. Patients value the ability of a clinician to provide clear and simple explanations about their problems. Furthermore, patients value when physical therapists possess excellent technical skills that improve the patient effectively.[87]

Environmental factors such as the location, equipment used, and parking are less important to the patient than the physical therapy clinical encounter itself.[89]

Based on the current understanding, the most important factors that contribute to the patient-therapist interactions include that the physical therapist: spends an adequate amount of time with the patient, possesses strong listening and communication skills, treats the patient with respect, provides clear explanations of the treatment, and allows the patient to be involved in the treatment decisions.[89]

Effectiveness

[edit]

Physical therapy has been found to be effective for improving outcomes, both in terms of pain and function, in multiple musculoskeletal conditions. Spinal manipulation by physical therapists is a safe option to improve outcomes for lower back pain.[90] Several studies have suggested that physical therapy, particularly manual therapy techniques focused on the neck and the median nerve, combined with stretching exercises, may be equivalent or even preferable to surgery for carpal tunnel syndrome.[91][92] While spine manipulation and therapeutic massage are effective interventions for neck pain, electroacupuncture, strain-counterstrain, relaxation massage, heat therapy, and ultrasound therapy are not as effective, and thus not recommended.[93]

Studies also show physical therapy is effective for patients with other conditions. Physiotherapy treatment may improve quality of life, promote cardiopulmonary fitness and inspiratory pressure, as well as reduce symptoms and medication use by people with asthma.[94] Physical therapy is sometimes provided to patients in the ICU, as early mobilization can help reduce ICU and hospital length of stay and improve long-term functional ability.[95] Early progressive mobilization for adult, intubated ICU patients on mechanical ventilation is safe and effective.[96]

Psychologically informed physical therapy (PIPT), in which a physical therapist treats patients while other members of a multidisciplinary care team help in preoperative planning for patient management of pain and quality of life, helps improve patient outcomes, especially before and after spine, hip, or knee surgery.[97]

Telehealth

[edit]

Telehealth (or telerehabilitation) is a developing form of physical therapy in response to the increasing demand for physical therapy treatment.[98] Telehealth is online communication between the clinician and patient, either live or in pre-recorded sessions with mixed reviews when compared to usual, in-person care.[99] The benefits of telehealth include improved accessibility in remote areas, cost efficiency, and improved convenience for people who are bedridden and home-restricted, or physically disabled.[99] Some considerations for telehealth include: limited evidence to prove effectiveness and compliance more than in-person therapy, licensing and payment policy issues, and compromised privacy.[100] Studies are controversial as to the effectiveness of telehealth in patients with more serious conditions, such as stroke, multiple sclerosis, and lower back pain.[101] The interstate compact, enacted in March 2018, allows patients to participate in Telehealth appointments with medical practices located in different states. [102]

During the COVID-19 pandemic, the need for telehealth came to the fore as patients were less able to safely attend in-person, particularly if they were elderly or had chronic diseases. Telehealth was considered to be a proactive step to prevent decline in individuals that could not attend classes. Physical decline in at risk groups is difficult to address or undo later. The platform licensing or development are found to be the most substantial cost in telehealth. Telehealth does not remove the need for the physical therapist as they still need to oversee the program.[103][104][105]

See also

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[edit]

Physical therapy / physiotherapy
Military physical therapists working with patients on balance problems, orthopedic, amputee, Examining patient's strength, flexibility, joint range of motion balance and gait.
ICD-9-CM93.0-93.3
MeSHD026761

Physical therapy (PT), also known as physiotherapy, is a healthcare profession, as well as the care provided by physical therapists who promote, maintain, or restore health through patient education, physical intervention, disease prevention, and health promotion. Physical therapist is the term used for such professionals in the United States, and physiotherapist is the term used in many other countries.

The career has many specialties including musculoskeletal, orthopedics, cardiopulmonary, neurology, endocrinology, sports medicine, geriatrics, pediatrics, women's health, wound care and electromyography. PTs practice in many settings, both public and private.[1]

In addition to clinical practice, other aspects of physical therapy practice include research, education, consultation, and health administration. Physical therapy is provided as a primary care treatment or alongside, or in conjunction with, other medical services. In some jurisdictions, such as the United Kingdom, physical therapists may have the authority to prescribe medication.[2]

Overview

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Physical therapy addresses the illnesses or injuries that limit a person's abilities to move and perform functional activities in their daily lives.[3] PTs use an individual's history and physical examination to arrive at a diagnosis and establish a management plan and, when necessary, incorporate the results of laboratory and imaging studies like X-rays, CT-scan, or MRI findings. Physical therapists can use sonography to diagnose and manage common musculoskeletal, nerve, and pulmonary conditions.[4][5][6] Electrodiagnostic testing (e.g., electromyograms and nerve conduction velocity testing) may also be used.[7]

PT management commonly includes prescription of or assistance with specific exercises, manual therapy, and manipulation, mechanical devices such as traction, education, electrophysical modalities which include heat, cold, electricity, sound waves, radiation, assistive devices, prostheses, orthoses, and other interventions. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness and wellness-oriented programs for healthier and more active lifestyles, providing services to individuals and populations to develop, maintain, and restore maximum movement and functional ability throughout the lifespan. This includes providing treatment in circumstances where movement and function are threatened by aging, injury, disease, or environmental factors. Functional movement is central to what it means to be healthy.[citation needed]

Physical therapy is a professional career that has many specialties including musculoskeletal, orthopedics, cardiopulmonary, neurology, endocrinology, sports medicine, geriatrics, pediatrics, women's health, wound care and electromyography. Neurological rehabilitation is, in particular, a rapidly emerging field. PTs practice in many settings, such as privately-owned physical therapy clinics, outpatient clinics or offices, health and wellness clinics, rehabilitation hospital facilities, skilled nursing facilities, extended care facilities, private homes, education and research centers, schools, hospices, industrial and these workplaces or other occupational environments, fitness centers and sports training facilities.[1]

Physical therapists also practice in non-patient care roles such as health policy,[8][9] health insurance, health care administration and as health care executives. Physical therapists are involved in the medical-legal field serving as experts, performing peer review and independent medical examinations.[10]

Education varies greatly by country. The span of education ranges from some countries having little formal education to others having doctoral degrees and post-doctoral residencies and fellowships.[11]

Regarding its relationship to other healthcare professions, physiotherapy is one of the allied health professions.[12][13][14][15] World Physiotherapy has signed a "memorandum of understanding" with the four other members of the World Health Professions Alliance "to enhance their joint collaboration on protecting and investing in the health workforce to provide safe, quality and equitable care in all settings".[16]

History

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Exercise to shoulder and elbow to increase motion following fracture and dislocation of humerus is being given by an Army therapist to a soldier patient.

Physicians like Hippocrates and later Galen are believed to have been the first practitioners of physical therapy, advocating massage, manual therapy techniques and hydrotherapy to treat people in 460 BC.[17] After the development of orthopedics in the eighteenth century, machines like the Gymnasticon were developed to treat gout and similar diseases by systematic exercise of the joints, similar to later developments in physical therapy.[18]

The earliest documented origins of actual physical therapy as a professional group date back to Per Henrik Ling, "Father of Swedish Gymnastics," who founded the Royal Central Institute of Gymnastics (RCIG) in 1813 for manipulation, and exercise. Up until 2014, the Swedish word for a physical therapist was sjukgymnast = someone involved in gymnastics for those who are ill, but the title was then changed to fysioterapeut (physiotherapist), the word used in the other Scandinavian countries.[19] In 1887, PTs were given official registration by Sweden's National Board of Health and Welfare. Other countries soon followed. In 1894, four nurses in Great Britain formed the Chartered Society of Physiotherapy.[20] The School of Physiotherapy at the University of Otago in New Zealand in 1913,[21] and the United States 1914 Reed College in Portland, Oregon, which graduated "reconstruction aides."[22] Since the profession's inception, spinal manipulative therapy has been a component of the physical therapist practice.[23]

Modern physical therapy was established towards the end of the 19th century due to events that affected on a global scale, which called for rapid advances in physical therapy. Following this, American orthopedic surgeons began treating children with disabilities and employed women trained in physical education, and remedial exercise. These treatments were further applied and promoted during the Polio outbreak of 1916.[citation needed]

During the First World War, women were recruited to work with and restore physical function to injured soldiers, and the field of physical therapy was institutionalized. In 1918 the term "Reconstruction Aide" was used to refer to individuals practicing physical therapy. The first school of physical therapy was established at Walter Reed Army Hospital in Washington, D.C., following the outbreak of World War I.[24] Research catalyzed the physical therapy movement. The first physical therapy research was published in the United States in March 1921 in "The PT Review." In the same year, Mary McMillan organized the American Women's Physical Therapeutic Association (now called the American Physical Therapy Association (APTA). In 1924, the Georgia Warm Springs Foundation promoted the field by touting physical therapy as a treatment for polio.[25] Treatment through the 1940s primarily consisted of exercise, massage, and traction. Manipulative procedures to the spine and extremity joints began to be practiced, especially in the British Commonwealth countries, in the early 1950s.[26][27]

Around the time polio vaccines were developed, physical therapists became a normal occurrence in hospitals throughout North America and Europe.[28] In the late 1950s, physical therapists started to move beyond hospital-based practice to outpatient orthopedic clinics, public schools, colleges/universities health-centres, geriatric settings (skilled nursing facilities), rehabilitation centers and medical centers. Specialization in physical therapy in the U.S. occurred in 1974, with the Orthopaedic Section of the APTA being formed for those physical therapists specializing in orthopedics. In the same year, the International Federation of Orthopaedic Manipulative Physical Therapists was formed,[29] which has ever since played an important role in advancing manual therapy worldwide.

An international organization for the profession is the World Confederation for Physical Therapy (WCPT). It was founded in 1951 and has operated under the brand name World Physiotherapy since 2020.[30][31]

Education

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Educational criteria for physical therapy providers vary from state to state, country to country, and among various levels of professional responsibility. Most U.S. states have physical therapy practice acts that recognize both physical therapists (PT) and physical therapist assistants (PTA) and some jurisdictions also recognize physical therapy technicians (PT Techs) or aides. Most countries have licensing bodies that require physical therapists to be member of before they can start practicing as independent professionals.[citation needed]

Canada

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The Canadian Alliance of Physiotherapy Regulators (CAPR)[32] offers eligible program graduates to apply for the national Physiotherapy Competency Examination (PCE). Passing the PCE is one of the requirements in most provinces and territories to work as a licensed physiotherapist in Canada.[33] CAPR has members which are physiotherapy regulatory organizations recognized in their respective provinces and territories:

  • Government of Yukon, Consumer Services[34]
  • College of Physical Therapists of British Columbia[35]
  • College of Physiotherapists of Alberta[36]
  • Saskatchewan College of Physical Therapists[37]
  • College of Physiotherapists of Manitoba[38]
  • College of Physiotherapists of Ontario[39]
  • Ordre professionnel de la physiothérapie du Québec[40]
  • College of Physiotherapists of New Brunswick/Collège des physiothérapeutes du Nouveau-Brunswick[41]
  • Nova Scotia College of Physiotherapists[42]
  • Prince Edward Island College of Physiotherapists[43]
  • Newfoundland & Labrador College of Physiotherapists[44]

Physiotherapy programs are offered at fifteen universities, often through the university's respective college of medicine. Each of Canada's physical therapy schools has transitioned from three-year Bachelor of Science in Physical Therapy (BScPT) programs that required two years of prerequisite university courses (five-year bachelor's degree) to two-year Master's of Physical Therapy (MPT) programs that require prerequisite bachelor's degrees. The last Canadian university to follow suit was the University of Manitoba, which transitioned to the MPT program in 2012, making the MPT credential the new entry to practice standard across Canada. Existing practitioners with BScPT credentials are not required to upgrade their qualifications.

In the province of Quebec, prospective physiotherapists are required to have completed a college diploma in either health sciences, which lasts on average two years, or physical rehabilitation technology, which lasts at least three years, to apply to a physiotherapy program or program in university. Following admission, physical therapy students work on a bachelor of science with a major in physical therapy and rehabilitation. The B.Sc. usually requires three years to complete. Students must then enter graduate school to complete a master's degree in physical therapy, which normally requires one and a half to two years of study. Graduates who obtain their M.Sc. must successfully pass the membership examination to become members of the Ordre Professionnel de la physiothérapie du Québec (PPQ). Physiotherapists can pursue their education in such fields as rehabilitation sciences, sports medicine, kinesiology, and physiology.

In the province of Quebec, physical rehabilitation therapists are health care professionals who are required to complete a four-year college diploma program in physical rehabilitation therapy and be members of the Ordre Professionnel de la physiothérapie du Québec (OPPQ)[45] to practice legally in the country according to specialist De Van Gerard.

Most physical rehabilitation therapists complete their college diploma at Collège Montmorency, Dawson College, or Cégep Marie-Victorin, all situated in and around the Montreal area.

After completing their technical college diploma, graduates have the opportunity to pursue their studies at the university level to perhaps obtain a bachelor's degree in physiotherapy, kinesiology, exercise science, or occupational therapy. The Université de Montréal, the Université Laval and the Université de Sherbrooke are among the Québécois universities that admit physical rehabilitation therapists in their programs of study related to health sciences and rehabilitation to credit courses that were completed in college.

To date, there are no bridging programs available to facilitate upgrading from the BScPT to the MPT credential. However, research Master's of Science (MSc) and Doctor of Philosophy (Ph.D.) programs are available at every university. Aside from academic research, practitioners can upgrade their skills and qualifications through continuing education courses and curriculums. Continuing education is a requirement of the provincial regulatory bodies.

The Canadian Physiotherapy Association offers a curriculum of continuing education courses in orthopedics and manual therapy. The program consists of 5 levels (7 courses) of training with ongoing mentorship and evaluation at each level. The orthopedic curriculum and examinations take a minimum of 4 years to complete. However, upon completion of level 2, physiotherapists can apply to a unique 1-year course-based Master's program in advanced orthopedics and manipulation at the University of Western Ontario to complete their training. This program accepts only 16 physiotherapists annually since 2007. Successful completion of either of these education streams and their respective examinations allows physiotherapists the opportunity to apply to the Canadian Academy of Manipulative Physiotherapy (CAMPT) for fellowship. Fellows of the Canadian Academy of manipulative Physiotherapists (FCAMPT) are considered leaders in the field, having extensive post-graduate education in orthopedics and manual therapy. FCAMPT is an internationally recognized credential, as CAMPT is a member of the International Federation of Manipulative Physiotherapists (IFOMPT), a branch of World Physiotherapy (formerly World Confederation of Physical Therapy (WCPT)) and the World Health Organization (WHO).

Scotland

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Physiotherapy degrees are offered at four universities: Edinburgh Napier University in Edinburgh, Robert Gordon University in Aberdeen, Glasgow Caledonian University in Glasgow, and Queen Margaret University in Edinburgh. Students can qualify as physiotherapists by completing a four-year Bachelor of Science degree or a two-year master's degree (if they already have an undergraduate degree in a related field).

To use the title 'Physiotherapist', a student must register with the Health and Care Professions Council, a UK-wide regulatory body, on qualifying. Many physiotherapists are also members of the Chartered Society of Physiotherapy (CSP),[46] which provides insurance and professional support.

United States

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The primary physical therapy practitioner is the Physical Therapist (PT) who is trained and licensed to examine, evaluate, diagnose and treat impairment, functional limitations, and disabilities in patients or clients. Physical therapist education curricula in the United States culminate in a Doctor of Physical Therapy (DPT) degree,[47] with some practicing PTs holding a Master of Physical Therapy degree, and some with a Bachelor's degree. The Master of Physical Therapy and Master of Science in Physical Therapy degrees are no longer offered, and the entry-level degree is the Doctor of Physical Therapy degree, which typically takes 3 years after completing a bachelor's degree.[48] PTs who hold a Masters or bachelors in PT are encouraged to get their DPT because APTA's goal is for all PT's to be on a doctoral level.[49] WCPT recommends physical therapist entry-level educational programs be based on university or university-level studies, of a minimum of four years, independently validated and accredited.[50] Curricula in the United States are accredited by the Commission on Accreditation in Physical Therapy Education (CAPTE). According to CAPTE, as of 2022 there are 37,306 students currently enrolled in 294 accredited PT programs in the United States while 10,096 PTA students are currently enrolled in 396 PTA programs in the United States.[51]

The physical therapist professional curriculum includes content in the clinical sciences (e.g., content about the cardiovascular, pulmonary, endocrine, metabolic, gastrointestinal, genitourinary, integumentary, musculoskeletal, and neuromuscular systems and the medical and surgical conditions frequently seen by physical therapists). Current training is specifically aimed to enable physical therapists to appropriately recognize and refer non-musculoskeletal diagnoses that may present similarly to those caused by systems not appropriate for physical therapy intervention, which has resulted in direct access to physical therapists in many states.[52]

Post-doctoral residency and fellowship education prevalence is increasing steadily with 219 residency, and 42 fellowship programs accredited in 2016. Residencies are aimed to train physical therapists in a specialty such as acute care, cardiovascular & pulmonary, clinical electrophysiology, faculty, geriatrics, neurology, orthopaedics, pediatrics, sports, women's health, and wound care, whereas fellowships train specialists in a subspecialty (e.g. critical care, hand therapy, and division 1 sports), similar to the medical model. Residency programs offer eligibility to sit for the specialist certification in their respective area of practice. For example, completion of an orthopedic physical therapy residency, allows its graduates to apply and sit for the clinical specialist examination in orthopedics, achieving the OCS designation upon passing the examination.[53] Board certification of physical therapy specialists is aimed to recognize individuals with advanced clinical knowledge and skill training in their respective area of practice, and exemplifies the trend toward greater education to optimally treat individuals with movement dysfunction.[54]

Physical therapist assistants may deliver treatment and physical interventions for patients and clients under a care plan established by and under the supervision of a physical therapist. Physical therapist assistants in the United States are currently trained under associate of applied sciences curricula specific to the profession, as outlined and accredited by CAPTE. As of December 2022, there were 396 accredited two-year (Associate degree) programs for physical therapist assistants In the United States of America.[55]

Curricula for the physical therapist assistant associate degree include:[56]

  • Anatomy & physiology
  • Exercise physiology
  • Human biology
  • Physics
  • Biomechanics
  • Kinesiology
  • Neuroscience
  • Clinical pathology
  • Behavioral sciences
  • Communication
  • Ethics
  • Research
  • Other coursework as required by individual programs

Job duties and education requirements for Physical Therapy Technicians or Aides may vary depending on the employer, but education requirements range from a high school diploma or equivalent to completion of a 2-year degree program.[57] O-Net reports that 64% of PT Aides/Techs have a high school diploma or equivalent, 21% have completed some college but do not hold a degree, and 10% hold an associate degree.[58]

Some jurisdictions allow physical therapists to employ technicians or aides or therapy assistants to perform designated routine tasks related to physical therapy under the direct supervision of a physical therapist. Some jurisdictions require physical therapy technicians or aides to be certified, and education and certification requirements vary among jurisdictions.[citation needed]

Employment

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Physical therapy-related jobs in North America have shown rapid growth in recent years, but employment rates and average wages may vary significantly between different countries, states, provinces, or regions. A study from 2013 states that 56.4% of physical therapists were globally satisfied with their jobs.[59] Salary, interest in work, and fulfillment in a job are important predictors of job satisfaction.[59] In a Polish study, job burnout among the physical therapists was manifested by increased emotional exhaustion and decreased sense of personal achievement.[60] Emotional exhaustion is significantly higher among physical therapists working with adults and employed in hospitals. Other factors that increased burnout include working in a hospital setting and having seniority from 15 to 19 years.[60]

United States

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According to the United States Department of Labor's Bureau of Labor Statistics, there were approximately 210,900 physical therapists employed in the United States in 2014, earning an average of $84,020 annually in 2015, or $40.40 per hour, with 34% growth in employment projected by 2024.[61] The Bureau of Labor Statistics also reports that there were approximately 128,700 Physical Therapist Assistants and Aides employed in the United States in 2014, earning an average $42,980 annually, or $20.66 per hour, with 40% growth in employment projected by 2024. To meet their needs, many healthcare and physical therapy facilities hire "travel physical therapists", who work temporary assignments between 8 and 26 weeks for much higher wages; about $113,500 a year.[62] Bureau of Labor Statistics data on PTAs and Techs can be difficult to decipher, due to their tendency to report data on these job fields collectively rather than separately. O-Net reports that in 2015, PTAs in the United States earned a median wage of $55,170 annually or $26.52 hourly and that Aides/Techs earned a median wage of $25,120 annually or $12.08 hourly in 2015.[58][63] The American Physical Therapy Association reports vacancy rates for physical therapists as 11.2% in outpatient private practice, 10% in acute care settings, and 12.1% in skilled nursing facilities. The APTA also reports turnover rates for physical therapists as 10.7% in outpatient private practice, 11.9% in acute care settings, 27.6% in skilled nursing facilities.[64][65][66]

Definitions and licensing requirements in the United States vary among jurisdictions, as each state has enacted its own physical therapy practice act defining the profession within its jurisdiction, but the Federation of State Boards of Physical Therapy [67] has also drafted a model definition to limit this variation. The Commission on Accreditation in Physical Therapy Education [68] (CAPTE) is responsible for accrediting physical therapy education curricula throughout the United States of America.[citation needed]

United Kingdom

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The title of Physiotherapist is a protected professional title in the United Kingdom. Anyone using this title must be registered with the Health & Care Professions Council[69] (HCPC). Physiotherapists must complete the necessary qualifications, usually an undergraduate physiotherapy degree (at university or as an intern), a master rehabilitation degree, or a doctoral degree in physiotherapy.[70] This is typically followed by supervised professional experience lasting two to three years. All professionals on the HCPC register must comply with continuing professional development (CPD) and can be audited for this evidence at intervals.[71]

Specialty areas

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The body of knowledge of physical therapy is large, and therefore physical therapists may specialize in a specific clinical area. While there are many different types of physical therapy, the American Board of Physical Therapy Specialties lists ten current specialist certifications. Most Physical Therapists practicing in a specialty will have undergone further training, such as an accredited residency program, although individuals are currently able to sit for their specialist examination after 2,000 hours of focused practice in their respective specialty population, in addition to requirements set by each respective specialty board.[citation needed]

Cardiovascular and pulmonary

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Cardiovascular and pulmonary rehabilitation respiratory practitioners and physical therapists offer therapy for a wide variety of cardiopulmonary disorders or pre and post cardiac or pulmonary surgery. An example of cardiac surgery is coronary bypass surgery. The primary goals of this specialty include increasing endurance and functional independence. Manual therapy is used in this field to assist in clearing lung secretions experienced with cystic fibrosis. Pulmonary disorders, heart attacks, post coronary bypass surgery, chronic obstructive pulmonary disease, and pulmonary fibrosis, treatments can benefit[72] from cardiovascular and pulmonary specialized physical therapists.[73][verification needed]

Clinical electrophysiology

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This specialty area includes electrotherapy/physical agents, electrophysiological evaluation (EMG/NCV), physical agents, and wound management.

Geriatric

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Geriatric physical therapy covers a wide area of issues concerning people as they go through normal adult aging but is usually focused on the older adult. There are many conditions that affect many people as they grow older and include but are not limited to the following: arthritis, osteoporosis, cancer, Alzheimer's disease, hip and joint replacement, balance disorders, incontinence, etc. Geriatric physical therapists specialize in providing therapy for such conditions in older adults.

Physical rehabilitation can prevent deterioration in health and activities of daily living among care home residents. The current evidence suggests benefits to physical health from participating in different types of physical rehabilitation to improve daily living, strength, flexibility, balance, mood, memory, exercise tolerance, fear of falling, injuries, and death.[74] It may be both safe and effective in improving physical and possibly mental state, while reducing disability with few adverse events.[74]

The current body of evidence suggests that physical rehabilitation may be effective for long-term care residents in reducing disability with few adverse events.[74] However, there is insufficient to conclude whether the beneficial effects are sustainable and cost-effective.[74] The findings are based on moderate quality evidence.

Wound management

[edit]

Wound management physical therapy includes the treatment of conditions involving the skin and all its related organs. Common conditions managed include wounds and burns. Physical therapists may utilize surgical instruments, wound irrigations, dressings, and topical agents to remove the damaged or contaminated tissue and promote tissue healing.[75] Other commonly used interventions include exercise, edema control, splinting, and compression garments. The work done by physical therapists in the integumentary specialty does work similar to what would be done by medical doctors or nurses in the emergency room or triage.[citation needed]

Neurology

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Neurological physical therapy is a field focused on working with individuals who have a neurological disorder or disease. These can include stroke, chronic back pain, Alzheimer's disease, Charcot-Marie-Tooth disease (CMT), ALS, brain injury, cerebral palsy, multiple sclerosis, Parkinson's disease, facial palsy and spinal cord injury. Common impairments associated with neurologic conditions include impairments of vision, balance, ambulation, activities of daily living, movement, muscle strength and loss of functional independence.[73] The techniques involve in neurological physical therapy are wide-ranging and often require specialized training.[citation needed]

Neurological physiotherapy is also called neurophysiotherapy or neurological rehabilitation. It is recommended for neurophysiotherapists to collaborate with psychologists when providing physical treatment of movement disorders.[76] This is especially important because combining physical therapy and psychotherapy can improve neurological status of the patients.[citation needed]

Orthopaedics

[edit]
Treatment by orthopedic physical therapists

Orthopedic physical therapists diagnose, manage, and treat disorders and injuries of the musculoskeletal system including rehabilitation after orthopedic surgery, acute trauma such as sprains, strains, injuries of insidious onset such as tendinopathy, bursitis, and deformities like scoliosis. This specialty of physical therapy is most often found in the outpatient clinical setting. Orthopedic therapists are trained in the treatment of post-operative orthopedic procedures, fractures, acute sports injuries, arthritis, sprains, strains, back and neck pain, spinal conditions, and amputations.[citation needed]

Joint and spine mobilization/manipulation, dry needling (similar to acupuncture), therapeutic exercise, neuromuscular techniques, muscle reeducation, hot/cold packs, and electrical muscle stimulation (e.g., cryotherapy, iontophoresis, electrotherapy) are modalities employed to expedite recovery in the orthopedic setting.[77][verification needed] Additionally, an emerging adjunct to diagnosis and treatment is the use of sonography for diagnosis and to guide treatments such as muscle retraining.[78][79][80] Those with injury or disease affecting the muscles, bones, ligaments, or tendons will benefit from assessment by a physical therapist specialized in orthopedics.[citation needed]

Pediatrics

[edit]

Pediatric physical therapy assists in the early detection of health problems and uses a variety of modalities to provide physical therapy for disorders in the pediatric population. These therapists are specialized in the diagnosis, treatment, and management of infants, children, and adolescents with a variety of congenital, developmental, neuromuscular, skeletal, or acquired disorders/diseases. Treatments focus mainly on improving gross and fine motor skills, balance and coordination, strength and endurance as well as cognitive and sensory processing/integration.[citation needed]

Sports

[edit]

Physical therapists are closely involved in the care and wellbeing of athletes including recreational, semi-professional (paid), and professional (full-time employment) participants. This area of practice encompasses athletic injury management under 5 main categories:

  1. acute care – assessment and diagnosis of an initial injury;
  2. treatment – application of specialist advice and techniques to encourage healing;
  3. rehabilitation – progressive management for full return to sport;
  4. prevention – identification and address of deficiencies known to directly result in, or act as precursors to injury, such as movement assessment
  5. education – sharing of specialist knowledge to individual athletes, teams, or clubs to assist in prevention or management of injury

Physical therapists who work for professional sports teams often have a specialized sports certification issued through their national registering organization. Most Physical therapists who practice in a sporting environment are also active in collaborative sports medicine programs too (See also: athletic trainers).

Women's health

[edit]

Women's health or pelvic floor physical therapy mostly addresses women's issues related to the female reproductive system, child birth, and post-partum. These conditions include lymphedema, osteoporosis, pelvic pain, prenatal and post-partum periods, and urinary incontinence. It also addresses incontinence, pelvic pain, pelvic organ prolapse and other disorders associated with pelvic floor dysfunction. Manual physical therapy has been demonstrated in multiple studies to increase rates of conception in women with infertility.[81][82][83][84]

Oncology

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Physical therapy in the field of oncology and palliative care is a continuously evolving and developing specialty, both in malignant and non-malignant diseases. Physical therapy for both groups of patients is now recognized as an essential part of the clinical pathway, as early diagnoses and new treatments are enabling patients to live longer. it is generally accepted that patients should have access to an appropriate level of rehabilitation, so that they can function at a minimum level of dependency and optimize their quality of life, regardless of their life expectancy. [85]

Physical therapist–patient collaborative relationship

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People with brain injury, musculoskeletal conditions, cardiac conditions, or multiple pathologies benefit from a positive alliance between patient and therapist. Outcomes include the ability to perform activities of daily living, manage pain, complete specific physical function tasks, depression, global assessment of physical health, treatment adherence, and treatment satisfaction.[86]

Studies have explored four themes that may influence patient-therapist interactions: interpersonal and communication skills, practical skills, individualized patient-centered care, and organizational and environmental factors.[87] Physical therapists need to be able to effectively communicate with their patients on a variety of levels. Patients have varying levels of health literacy so physical therapists need to take that into account when discussing the patient's ailments as well as planned treatment. Research has shown that using communication tools tailored to the patient's health literacy leads to improved engagement with their practitioner and their clinical care. In addition, patients reported that shared decision-making will yield a positive relationship.[88] Practical skills such as the ability to educate patients about their conditions, and professional expertise are perceived as valuable factors inpatient care. Patients value the ability of a clinician to provide clear and simple explanations about their problems. Furthermore, patients value when physical therapists possess excellent technical skills that improve the patient effectively.[87]

Environmental factors such as the location, equipment used, and parking are less important to the patient than the physical therapy clinical encounter itself.[89]

Based on the current understanding, the most important factors that contribute to the patient-therapist interactions include that the physical therapist: spends an adequate amount of time with the patient, possesses strong listening and communication skills, treats the patient with respect, provides clear explanations of the treatment, and allows the patient to be involved in the treatment decisions.[89]

Effectiveness

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Physical therapy has been found to be effective for improving outcomes, both in terms of pain and function, in multiple musculoskeletal conditions. Spinal manipulation by physical therapists is a safe option to improve outcomes for lower back pain.[90] Several studies have suggested that physical therapy, particularly manual therapy techniques focused on the neck and the median nerve, combined with stretching exercises, may be equivalent or even preferable to surgery for carpal tunnel syndrome.[91][92] While spine manipulation and therapeutic massage are effective interventions for neck pain, electroacupuncture, strain-counterstrain, relaxation massage, heat therapy, and ultrasound therapy are not as effective, and thus not recommended.[93]

Studies also show physical therapy is effective for patients with other conditions. Physiotherapy treatment may improve quality of life, promote cardiopulmonary fitness and inspiratory pressure, as well as reduce symptoms and medication use by people with asthma.[94] Physical therapy is sometimes provided to patients in the ICU, as early mobilization can help reduce ICU and hospital length of stay and improve long-term functional ability.[95] Early progressive mobilization for adult, intubated ICU patients on mechanical ventilation is safe and effective.[96]

Psychologically informed physical therapy (PIPT), in which a physical therapist treats patients while other members of a multidisciplinary care team help in preoperative planning for patient management of pain and quality of life, helps improve patient outcomes, especially before and after spine, hip, or knee surgery.[97]

Telehealth

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Telehealth (or telerehabilitation) is a developing form of physical therapy in response to the increasing demand for physical therapy treatment.[98] Telehealth is online communication between the clinician and patient, either live or in pre-recorded sessions with mixed reviews when compared to usual, in-person care.[99] The benefits of telehealth include improved accessibility in remote areas, cost efficiency, and improved convenience for people who are bedridden and home-restricted, or physically disabled.[99] Some considerations for telehealth include: limited evidence to prove effectiveness and compliance more than in-person therapy, licensing and payment policy issues, and compromised privacy.[100] Studies are controversial as to the effectiveness of telehealth in patients with more serious conditions, such as stroke, multiple sclerosis, and lower back pain.[101] The interstate compact, enacted in March 2018, allows patients to participate in Telehealth appointments with medical practices located in different states. [102]

During the COVID-19 pandemic, the need for telehealth came to the fore as patients were less able to safely attend in-person, particularly if they were elderly or had chronic diseases. Telehealth was considered to be a proactive step to prevent decline in individuals that could not attend classes. Physical decline in at risk groups is difficult to address or undo later. The platform licensing or development are found to be the most substantial cost in telehealth. Telehealth does not remove the need for the physical therapist as they still need to oversee the program.[103][104][105]

See also

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References

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Frequently Asked Questions

You'd find that the physiotherapists providing these services are highly qualified, holding advanced degrees and certifications. They've got years of experience in rehabilitation, ensuring you receive top-notch care right in the comfort of your home.

You're assured of your privacy and confidentiality as they implement strict protocols and secure systems to protect your information during personalized care sessions. They prioritize your trust and safety in managing your health details.

If your home isn't ideal for certain equipment or exercises, the clinic will adapt the session to fit your space. They'll use alternative methods or portable equipment to ensure you still receive effective treatment.