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Effectiveness of Physiotherapy for injury

 

Introduction

The word physiotherapy is a protected title in the UK and cannot be used without obtaining a degree in this subject!

Physiotherapists are clinicians in their own right with their own skills in assessment, clinical reasoning, and treatment aiming to improve the function and well-being of their patients.

Physiotherapy is concerned with the assessment, diagnosis, and management of patient problems related to the neuromuscular, musculoskeletal, cardiovascular, and respiratory systems.

Although it is a broad field covering a wide range of activities, physiotherapy has manual practical involvement in patient therapy, mainly towards muscle and joint care. Physiotherapists employ a wide range of treatment approaches for prevention and management of musculoskeletal conditions, such as manual and exercise therapy approaches.

Physiotherapy is a healthcare profession with a principal focus on the science of movement. Physiotherapists aim to improve the wellbeing and quality of life of people through appropriate exercise, manual therapy, physical agents, and advice.

In the treatment of a musculoskeletal disorder, the physiotherapist plays an important role, focusing on the restoration of activity, prevention of exacerbations, and maintenance or enhancement of function. Patient advice and education are crucial components of treatment, aiming to empower patients to improve their physical health and manage pain.

Definition

Physiotherapists work in a wide variety of specialty areas of health and social care. They give high-quality care in a culturally and socially competent manner. They work in partnership with each patient and their supporters.

They comply with all legislation, standards, and values that support the human rights of individuals. Physiotherapists maintain high standards of professionalism and personal accountability.

Physiotherapy uses forms of heat, cold, light, water, electricity, pressure, stretch, and resistance exercise to both provide relief from stiffness, swelling, discomfort, and pain, and to maximize movement, balance, strength, and speed. Many physiotherapists are also involved in promoting good health and well-being beyond trials of treatment programs, and recognize the health benefits delivered by an active lifestyle.

This can involve taking up regular exercise, shoulder exercises at work, walking to the local shop instead of driving, strength training, advice on pitched sports, or advice on how to avoid work-related injuries.

They do spinal conditioning exercises, Pilates, and general well-being exercises. They advise about ergonomic equipment in the home or workplace, minor adaptations in the home and activity or not, and achieving everyday tasks.

They may also advise devices to help individuals move around or to ease pain. They consider a variety of health conditions, including those affecting the nervous, muscular, bone and joints, circulatory, lymphatic, and respiratory systems, as part of their diagnostic process. They use a broad range of physical tests and measurements. They are also involved in education, health promotion, prevention, and rehabilitation.

There is also the concept, enshrined in the Declaration of Human Rights, that all members of a society should have an equal right to structure and function; and it is within the scope of physiotherapy to address these issues on behalf of the individual, his or her carers, and the society in which they live.

Not only do physiotherapists treat a person’s injury or condition, but they tailor each recovery program to meet specific goals and objectives set by a person and his/her family and/or partners in each rehabilitation or reconditioning.

Physiotherapy is a healthcare profession concerned with human function and movement, and maximizing physical potential throughout life. Physiotherapy employs a holistic approach to recovery, which acknowledges that many factors can affect optimal recovery.

These can include disease, genetic and congenital conditions, diet, exercise, occupation, lifestyle, and security of caring and loving relationships. This approach does not just include the individual: one person’s loss of mobility can have widespread social and financial consequences.

The struggle to meet these standards was slow but, ultimately, a successful physical therapy organization learned to accommodate various interests.

The organizations first sought to establish formal education standards to control the practice of physical therapy, then they began working to provide a scientific rationale for physiotherapies. Subsequently, organized physical therapy focused on distinguishing physiotherapy from medicine, establishing national and state practice standards, in addition to credentialing regulations.

This was difficult to do, given the subjective, “ancient art” approach that many in the practice advocated. The use of invalid interventions and lack of care were also tightly linked to marketing success for many providers; the “magic cure” concepts had been popular throughout American medical history.

The profession gradually made its first move toward minimal educational standards, but there was strong pushback from the apprentices and lay masseurs. These groups pressed for the continuation of the status quo, which allowed anyone to assume the title “physical therapist.” The inability of the organized profession to present a united leadership front allowed the growth of physical therapy while physicians and chiropractors increasingly adopted its methods.

In the early 20th century, there was a movement to establish a clinical science in physiotherapy. The movement advocated for objective assessments and care. The movement also supported the need for formal, rigorous education and research that could establish the science that supports the clinical practice.

Since the origin of the word “physiotherapy,” the development of the profession has evolved from a variety of different, traditional “master providers” of care.

Early references to the practice of physical therapy clearly indicate that massage, manipulation, and exercises were used to relieve pain, primarily in the muscles, tendons, joints, bones, and subcutaneous tissues. Quackery, defined in part as the placement of individuals in unlicensed, unregulated healthcare settings, continued through the 19th century and into the early part of the 20th century. With the turn of the 20th century, the concept of physiotherapy began developing.

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