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DR KIRAN ZEHRA
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The profession is more than
what you see!
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Why the PT profession?
Communication and people Skills
Application of the science and art of the body
Seeing the results of rehabilitation and prevention
Time with patients
Being a good diagnostician
Being part of the rehabilitation team.
Knowing you make a difference
Wearing a number of hats which are important in
life.
Lifestyle of choice
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Definition of Physical Ther-
apy
“PHYSICAL THERAPY IS THE PROMOTION OF
OPTIMUM HEALTH AND FUNCTION THROUGH
THE APPLICATION OF SCIENTIFIC PRINCI-
PLES:
TO PREVENT, IDIENTIFY ,CORRECT OR ALLIVI-
ATE ACUTE OR PROLONG
MOVEMENT,DYSFUNCTION,(due to)
ANATOMIC OR PHYSIOLOGIC ORIGIN.” (APTA)
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WHAT IS PHYSICAL THERAPY?
“PHYSICAL THERAPY IS A DYNAMIC AND EVER
CHANGING FIELD”
PHYSICAL THERAPY IS “TREATMENT BY PHYSICAL MEANS”
PHYSICAL MEANS:
HEAT, COLD, SOUND, WATER, ELECTRICITY, THERAPUTIC
MASSAGE ,RAYS, ICE AND EXERCISES.
THERAPY MEANS:
TENDING TO THE CURE OF DISEASE”SO FOR PHYSIO-
THERAPY” WE CAN SAY IT IS A TREATMENT BY PHYSI-
CAL WAYS BUT SOME TIMES COMPLETE RESTORATION
OF FULL FUNCTION IS NOT POSSIBLE , IT IS THE JOB
OF PHYSICAL THERAPIST TO REHABILITATE.
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The official definition of
physical therapy says
“it is the art and science of treatment
by means of heat, cold, light, water,
manual manipulation, electricity,
therapeutic exercise and other physi-
cal agents.”
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Physical Therapy as a
Profession
“Physical therapy is a health profes-
sion whose primary purpose is the
promotion of optimal health and
function. This purpose is accom-
plished through the application of
scientific principles to the processes
of examination, evaluation, diagno-
sis, prognosis, and intervention to
prevent or remediate impairments,
functional limitations and disabilities
as related to movement and health.” 9
History of Physical
Therapy
Some accounts of massage, hy-
drotherapy, etc. 3000 BC-1800 AD
Chinese and Romans
Electrotherapy in 1600’s
Most significant beginnings in Europe
England and France prior to coming to
US
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Present Day
PT is one of top 10
professions in US
Better training in evi-
dence based practice
Better trained physi-
cians on what PT’s can
do.
Shift to Doctorate pre-
pared PT’s
Allows diagnosis and di-
rect access
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WHO IS PHYSICAL THERAPIST?
PHYSICAL THERAPIST IS HEALTH PROFESSIONAL
WHO EVALUATE AND TREAT PEOPLE WITH VARI-
ETY OF DYSFUNCTIONS.
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What is a Physical Therapist?
Physical therapists (PTs) are health care
professionals who diagnose and treat indi-
viduals of all ages, from newborns to the
very oldest, who have medical problems or
other health-related conditions that limit
their abilities to move and perform func-
tional activities in their daily lives
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THEY ASSESS
JOINT MOTION, MUSCLE STRENGTH, AND
ENDURANCE, CARDIC AND PULMONARY
FUNCTION, SENSATION AND PERCEPTION,
INTEGRITY OF THE SKIN, MUSCLE TONE
AND REFLEXES AND PERFORMANCE OF
FUNCTIONAL ACTIVITIES.
THEY EVALUATE PATIENT’S NEEDS, DIAG-
NOSE PHYSICAL THERAPY PROBLEMS, ES-
TABILISH PLAN OF CARE, AND EVALUATE
THEIR EFFECTIVENESS.
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CLINICAL POSTING
AREAS OF POSTING
OUT PATIENT
IN PATIENT
2.1 ORTHOPAEDIC
2.2 NEURO-SURGICAL
2.3 NEURO MEDICAL
2.4 THORACICSURGERY
2.5 THORACICMEDICAL
2.6 GENERAL SURGICAL
2.7 MEDICAL AND RHEUMA-
TOLOGY
2.8 PAEDIATRICS
2.9 ICU,CCU
2.1 PSYCHIATRIC
2.11 OBS & GYNAE
2.12 GERIATRICS 15
WHERE ARE PHYSICAL THERA-
PISTS EMPLOYED?
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Physical Therapy Prac-
tice Includes Four Main
Areas
Cardiovascular
Musculoskeletal/orthopedic
Neurological
Integumentary (skin)
Gynecology
sports
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Focus arms of PT
Restoration Prevention
Trauma Obesity
Aging issues Physical Condition-
Neurogenic pathol- ing
ogy Ergonomics
Orthopedic pathol- Diabetes
ogy Aging issues
Cardiovascular Fall prevention
pathology
Congenital issues
Genetic issues
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Sports Injuries Rehabilitation FocusClosed Trauma
Biomechanical Injuries Idiopathic Open Wounds
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Practice Settings
Today, PTs provide health care services to patients of
all ages and health conditions in a variety of settings,
including:
Outpatient clinics or offices, Private practice, Direct patient
care
Hospitals
Inpatient rehabilitation facilities, Rehab centers
Homes
Education or research centers, Teaching, Consultation,
Supervision, Administration
Schools, Schools for Handicapped children
Hospice centers(madersa)
Industrial, workplace, or other occupational environments
Fitness centers and sports training facilities
Federal, State, & Local Health Agencies
Pools / Groups
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Pakistani Universities/Col-
leges with Physiotherapy
Degrees
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How long do I need to go to school to
become a Doctor of Physicaltherapist?
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DPT Definition
The Doctor of Physical Therapy Degree
(DPT) is the professional entry level
graduate degree leading to the licen-
sure and practice in the physical ther-
apy profession.
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WHOM DO PHYSICAL THERA-
PIST TREAT?
“PHYSICAL THERAPY HELPS PEO-
PLE OF ALL AGES.”
EVERYONE,ANYONE,ANYTIME,
DURING THEIR LIFE SPAN
FROM NEW BORN TO VERY OLD
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1 HANDICAPPED CHILDREN
LEARN TO LEAD TO FULL USEFUL, HAPPY
LIVES DESPITE CEREBRAL PALSY, MUSCULAR
DYSTROPHY AND OTHER AILMENTS THAT IM-
PAIR MOTION.
2. YOUNG ADULTS
THE ACCIDENT PRONE GOROUP ARE HELPED
BACK TO THE FULLEST POSSIBLE MOBILITY
AND PRODUCTIVELY FASTER..
3. MIDDLE AGED
CAN OVERCOME FROM STROKE, HEART AT-
TACK etc
TO ENJOY MANY ACTIVE YEARS.
4. OLD AGED
CAN BE FREE FROM SOME OF THE PAIN OF
CHRONIC AILMENTS SUCH AS ARTHRITIS &
RHEUMATISM.
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WHEN PHYSICAL THERAPY
NEEDED?
AFTER OPERATION
AFTER INJURY
AFTER BIRTH
AFTER ILLNESS
BEFORE ACCIDENT OR INJURY
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PHYSICAL THERAPISTS ALSO
PROMOTE HEALTHY LIFESTYLES
AND WELLNESS AND TEACH PEOPLE
HOW TO PREVENT INJURIES AND
LOSS OF MOVEMENT.
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Common Reasons to See
Back
a PT
conditions
Knee problems Rehabilitation after a
Shoulder/arm condi- serious injury (eg, bro-
tions ken bones, head injury)
Neck conditions Stroke rehabilitation
Sprains and muscle Problems with balance
strains Disabilities in newborns
Ankle/foot problems Burn rehabilitation
Carpal tunnel syn- Pre-/post-natal pro-
drome, hand/wrist prob- grams
lems Incontinence
Hip fracture Women's health
Post-surgical rehabilita-
tion 28
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What Does a PT Do?
A Physical Therapist evaluates com-
ponents of movement including:
Strength
Range of motion
Flexibility
Balance
Posture
Body mechanics
Coordination
Endurance
General mobility (walking, stair climb-
ing, getting in and out of bed or chairs)
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What Does a PT Do?
After evaluation, the PT will develop a
treatment program unique to each individ-
ual to help decrease deficits and restore
function.
PTs also work with individuals to prevent
the loss of mobility before it occurs by de-
veloping fitness- and wellness-oriented
programs for healthier and more active life-
styles.
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WHAT DOES PHYSICAL THERA-
PIST DO?
A PHYSICAL THERAPIST MAY SPEND TIME IN CONSULTA-
TION, RESEARCH, TEACHING & ADMINISTRATION.
BUT GENERALLY A PHYSICAL THERAPIST’S JOB IS TO:
Examination of
EXAMINATION
ASSESS FINDINGS patients
CLINICAL DECISION Interventions to
PLAN OF TREATMENT treat problems
IMPLEMENTATION OF SKILFUL TECHNIQUES Consultation
EVALUATION Education
MOTIVATION Research
TEACH/INSTRUCT Prevention
MONITOR
COMMUNICATES
REHABILITATION
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HEALTH TEAM MEMBERS
PHYSIATRIST
PHYSIOTHERAPIST
NURSE
PROSTHETIST
ORTHOTIST
OCCUPATIONAL THERAPIST
VOCATIONAL REHABILITATION COUNSELOR
PSYCHAITRIST
MEDICAL SOCIAL WORKERS
SPEECH THERAPIST
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WHY IS PHYSICAL THERAPY IM-
PORTANT?
PHYSICAL THERAPY HELPS PEOPLE LEAD
MORE ACTIVE AND MORE INDEPENDENT
LIVES.
PHYSICAL THERAPY CAN HELP TO:
IMPROVE CIRCULATION
RESTORE MOTION
RELIEVE PAIN
PREVENT INJURY
STRENGTHEN MUSCLES
CORRECT DEFORMITIES
PROMOTE HEALING 34
PHYSICAL THERAPY PROFESSION,
TODAY, SERVES A DYNAMIC
COMPRHENSIVE HEALTH CARE ROLE
IN IMPROVING & MAINTAINING
THE QUALITY OF LIFE OF MILLION
OF PEOPLE.
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