North Vancouver physiotherapist

North Vancouver physiotherapist

Physiotherapists

By setting realistic, achievable goals together, you're more motivated and engaged in your treatment plan. Learn more about North Vancouver physiotherapist here Don't ignore the pain or discomfort. Building on our commitment to managing chronic pain, our clinic also offers comprehensive rehabilitation services tailored to meet your recovery needs. Choosing Marine Drive Clinic means you're placing your trust in a clinic that's genuinely committed to your recovery. Learn more about Leading physiotherapists near Marine Drive North Vancouver here. It's all about bringing you comfort, convenience, and effective treatment, ensuring your road to recovery is as smooth and swift as possible.
Choosing a facility like Easy Allied Health, which champions a multidisciplinary team approach, ensures you're getting comprehensive care designed just for you, making your journey to better health smoother and more effective. Upon arrival, you'll be warmly greeted by our friendly staff, setting the tone for a comfortable and supportive experience. We recognize that each individual's experience with chronic pain is unique, which is why we tailor our approach to fit your specific needs. This ensures you're well-informed about your recovery path and any decisions that need to be made. Physiotherapists
After surgery, your body needs a carefully structured approach to regain strength, flexibility, and function. This aspect of home care is particularly beneficial for individuals with compromised immune systems or those looking to avoid public spaces. This philosophy extends beyond just physical recovery. Also, wear comfortable clothing that doesn't restrict movement.

North Vancouver physiotherapist - Physiotherapists

  1. Physical therapies
  2. Exercise therapy
  3. Therapy/Physical
  4. Posture correction
  5. Physical Therapist
  6. Physical agents
  7. Physical rehabilitation therapist
  8. Posture therapy
  9. Physiotherapist
  10. Travel Physical Therapist
  11. Physical therapy specialty
  12. Physical rehabilitation
  13. History of physical therapy
  14. Physical therapist
  15. Physical therapies
  16. Exercise therapy
  17. Therapy/Physical
  18. Posture correction
  19. Physical Therapist

By leveraging the latest in physiotherapy research and technology, they're ensuring you're back on your feet faster than ever before. We don't just address the symptoms; we dive deep to identify and treat the root cause of your pain. Your personalized care plan starts with a comprehensive assessment that looks beyond the surface symptoms to identify the root causes of your issues. Our experienced therapists work closely with you and your child, designing a therapy plan that not only addresses any current issues but also promotes a healthy lifestyle for the future.

North Vancouver physiotherapist - Therapeutic modalities

  1. Physical rehabilitation therapist
  2. Posture therapy
  3. Physiotherapist
  4. Travel Physical Therapist
  5. Physical therapy specialty
  6. Physical rehabilitation
  7. History of physical therapy
  8. Physical therapist
  9. Physical therapies
  10. Exercise therapy
  11. Physical therapy modalities
  12. Physical Therapy/Qualifications
  13. Physical therapy assistant
  14. Physiotherapy
  15. Traveling Physical Therapist

Initially, you'll work towards reducing pain and inflammation. With such a supportive network, you're set up for a faster and more enjoyable recovery process. For those struggling with workplace-related strains, their ergonomic assessments and rehabilitation services can help you return to work safely and efficiently. They don't stop at general treatments.

You'll find that their team doesn't just prescribe exercises; they delve deep into lifestyle factors, stress management, and ergonomic assessments to craft a personalized plan that fits your unique needs. While we're dedicated to managing and rehabilitating sports injuries, it's equally important to address the critical phase of post-surgical recovery to ensure your return to optimal health. Therapeutic modalities Easy Allied Health doesn't just offer a one-size-fits-all approach.

We offer personalized home exercise programs, designed specifically for your needs, ensuring you can continue your progress independently. You'll learn techniques to maintain your health and prevent recurrences, ensuring you stay active and pain-free. Your physio team in North Vancouver physiotherapist will guide you through specific exercises to gently stretch and strengthen the area, ensuring you're moving correctly and safely.

Another testimonial comes from a mother who watched her child gain the confidence to walk after a sports injury, with our therapists' dedicated support. Additionally, the familiar surroundings of your home can provide a comforting and motivating setting for your recovery process. With these new services, they're set to continue their tradition of providing exceptional, personalized care to every patient.

ICBC physiotherapy services North Vancouver

Entity Name Description Source
Physical therapy Therapeutic method of treating physical ailments and disabilities Source
Vancouver A city on the west coast of Canada Source
Pain Uncomfortable physical sensation caused by illness or injury Source
Health insurance Insurance against the risk of incurring medical expenses Source
Massage Manipulation of body tissues to improve health and wellbeing Source
Extracorporeal shockwave therapy Non-invasive treatment using pressure waves to treat various musculoskeletal conditions Source
Acupuncture Technique of inserting thin needles into specific points on the body Source
Sport All forms of physical activity which, through casual or organized participation, aim to maintain or improve physical fitness and mental wellbeing Source
Temporomandibular joint Joint that connects the jaw to the skull Source
Vestibular rehabilitation Therapy program used for treatment of dizziness and balance problems Source
Kinesiology Study of human and non-human body movement Source
Dry needling Treatment technique often used by physical therapists to relieve pain Source
Chronic pain Pain that last a long time, usually more than three months Source
Repetitive strain injury Injury to part of the musculoskeletal or nervous system caused by repetitive use or strain Source
Chronic condition Health condition or disease that is persistent or otherwise long-lasting in its effects Source
Neck pain Discomfort in any of the structures in the neck Source
Pain management Branch of medicine employing an interdisciplinary approach to the relief of pain Source
Temporomandibular joint dysfunction Dysfunction or disorder of the jaw joint and the muscles that control jaw movement Source
Fibromyalgia Long-term condition causing pain all over the body Source
Pelvic pain Pain in the pelvic area or lower abdomen Source
Patient participation Involvement of the patient in healthcare decisions Source

Leading Physiotherapy 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.

Workplace injury physiotherapy North Vancouver

Nearby Tourist Attractions

Totem Poles

Central Vancouver
Tourist attraction
Totem Poles, Vancouver, BC V6G 3E2
Popular site with a collection of nine totem poles sourced from remote areas in British Columbia.

Bright Nights in Stanley Park

Central Vancouver
Tourist attraction
Bright Nights in Stanley Park, Pipeline Rd, Vancouver, BC V6G

Victoria Park

Tourist attraction, Park
Victoria Park, 650 Lonsdale Ave, North Vancouver, BC V7M 2G8
Relaxed city green space featuring walking paths, a garden, art & lots of benches.

Hallelujah Point

Central Vancouver
Tourist attraction, Scenic spot
Hallelujah Point, 1978 Stanley Park Dr, Vancouver, BC V6G 3E2


Citations and other links

North Vancouver physiotherapist physiotherapy center

These stories aren't outliers. Booking your appointment with Easy Allied Health in North Vancouver physiotherapist is a straightforward process designed to cater to your specific needs and schedule. Sports physiotherapy Each member brings a unique set of skills and a passion for improving your health. Our team of experienced physiotherapists employs a holistic approach, integrating manual therapy, exercise, and education to not only address your immediate injuries but also to prevent future occurrences.

You'll also notice an improvement in flexibility and range of motion, crucial components in preventing re-injury. If you're inspired by these success stories and eager to tackle your own health challenges, joining Easy Allied Health's advanced physio programs is your next step. With our comprehensive approach, you can confidently move forward in your recovery, knowing you're in capable hands. Physiotheraphy

That's why our pediatric physiotherapy is tailored to meet the individual needs of each child, helping them achieve their fullest potential.

North Vancouver physiotherapist - Therapeutic modalities

  • Physical agents
  • Physical rehabilitation therapist
  • Posture therapy
  • Physiotherapist
  • Travel Physical Therapist
  • Physical therapy specialty
  • Physical rehabilitation
  • History of physical therapy
  • Physical therapist
  • Physical therapies
  • Exercise therapy
  • Posture correction
  • Physical Therapist
  • Physical agents
  • Physical rehabilitation therapist
  • Posture therapy
  • Physiotherapist
  • Travel Physical Therapist
  • Physical therapy specialty
At our Marine Drive Clinic, we're not just sticking to the basics. Easy Allied Health provides a wide range of physiotherapy services to meet all your needs, ensuring you receive comprehensive care without having to go elsewhere.

North Vancouver physiotherapist - Physical therapist assistant

  • Travel Physical Therapist
  • Physical therapy specialty
  • Physical rehabilitation
  • History of physical therapy
  • Physical therapist
  • Physical therapies
  • Exercise therapy
  • Physiotheraphy
  • Physical Therapist Assistant
  • Therapy/Physical
  • Posture correction
  • Physical Therapist
  • Physical agents
  • Physical rehabilitation therapist
  • Posture therapy
  • Physiotherapist


The professionals here get to know you, diving deep into your health history, lifestyle, and the nuances of your body's condition. If you have pets, consider keeping them in another room to avoid distractions. This means less time spent in treatment and more time enjoying your life, pain-free. Physiotherapy



North Vancouver physiotherapist - Physical Therapy/Qualifications

  1. Travel Physical Therapist
  2. Physical therapy specialty
  3. Physical rehabilitation
  4. History of physical therapy
  5. Physical therapist
  6. Physical therapies
  7. Exercise therapy
  8. Physical therapist assistant
  9. Physiotheraphy
  10. Physical Therapist Assistant
  11. Therapy/Physical
  12. Posture correction
  13. Physical Therapist
  14. Physical agents
  15. Physical rehabilitation therapist
  16. Posture therapy
  17. Physiotherapist
North Vancouver physiotherapist physiotherapy center
Functional Mobility Therapy North Vancouver physiotherapist

Functional Mobility Therapy North Vancouver physiotherapist

You'll receive one-on-one attention tailored to your specific condition. They adapt. We understand that no two bodies are the same, which is why we've ditched the one-size-fits-all approach. Imagine stepping into a facility where your unique needs are immediately recognized. You no longer have to worry about fitting your appointments into a hectic schedule or overcoming mobility challenges to receive care.

Allied Health's physio services in North Vancouver physiotherapist play a pivotal role in bolstering the overall health of the community. During this initial conversation, they'll ask about your specific health concerns and rehabilitation goals. This plan includes a series of exercises, therapies, and possibly modifications to your home environment, all aimed at enhancing your recovery. This allows us to identify the root cause of your discomfort, ensuring that our interventions aren't only effective but sustainable.

For those interested in beginning their recovery journey with in-home rehab, contacting the Physio North Vancouver physiotherapist Clinic is your first step toward a personalized treatment plan. Physical Rehabilitation Lastly, after booking your appointment, you'll receive a confirmation email with all the details of your visit, including the time, date, and any preparations you need to make beforehand. Here, personalized treatment plans are the norm, not the exception. Take Sarah, for example, who came to us after a skiing accident left her with a severe knee injury.

They've embraced active rehab, a method that's turning the tide on traditional recovery protocols. With Easy Allied Health, it's not just about getting better faster; it's about building resilience and ensuring your long-term health and mobility. Our rehabilitation services are designed not just to treat your symptoms but to address the root cause of your condition, ensuring a more sustainable recovery. They're not just professionals; they're compassionate individuals dedicated to your health and well-being.

Specialized Pain Therapy North Vancouver physiotherapist

In essence, technology stands at the forefront of your treatment, transforming traditional methods into a dynamic, interactive, and highly effective rehabilitation experience. This collaborative effort not only enhances the effectiveness of your care plan but also empowers you to take an active role in your recovery process. You're not just doing exercises; you're engaging with smart equipment that adapts to your recovery pace, providing real-time feedback to optimize every session. The team's expertise in both physical rehabilitation and nutritional science ensures you're getting comprehensive care that's specifically designed for you. Let's introduce you to the people who'll be by your side, transforming your health challenges into victories.

Whether you need physiotherapy, massage therapy, or chiropractic care, you won't have to go from place to place. This strategy not only helps you recover from current injuries but also equips your body to withstand future strains. As they unveil new services and innovative treatments, you may wonder how these customized plans can benefit you specifically. But it's not all about physical health.

This approach ensures that treatments complement each other, enhancing your recovery process and preventing the chances of overlapping therapies that could hinder your progress. At Easy Allied Health, we understand that recovery doesn't stop when you leave the clinic. There's no need to worry about the hassle of traveling, which can be particularly beneficial if you're dealing with mobility issues or chronic pain. Well, imagine receiving personalized, one-on-one care from a certified physiotherapist without having to leave the comfort of your home.

North Vancouver physiotherapist - Physical therapists

  1. Physical therapy assistant
  2. Physiotherapy
  3. Traveling Physical Therapist
  4. Physical therapist assistant
  5. Physiotheraphy
  6. Physical Therapist Assistant
  7. Therapy/Physical
  8. Posture correction
  9. Physical Therapist
  10. Physical agents
  11. Physical rehabilitation therapist
  12. Posture therapy
  13. Physiotherapist
  14. Travel Physical Therapist
  15. Physical therapy specialty
  16. Physical rehabilitation
  17. History of physical therapy


The team at North Vancouver physiotherapist's top physio clinic believes that your recovery should be as dynamic and individualized as you are. As a result, you're more likely to stick with your program and see better outcomes. You'll find their approach to scheduling and consultation both flexible and accommodating, ensuring you get the support you need right at your doorstep.

North Vancouver physiotherapist - Physical Therapy/Qualifications

  1. Physical therapist
  2. Physical therapies
  3. Exercise therapy
  4. Physiotherapy
  5. Traveling Physical Therapist
  6. Physical therapist assistant
  7. Physiotheraphy
  8. Physical Therapist Assistant
  9. Therapy/Physical
  10. Posture correction
  11. Physical Therapist
  12. Physical agents
  13. Physical rehabilitation therapist
  14. Posture therapy
  15. Physiotherapist
  16. Travel Physical Therapist
Whether it's physiotherapy, massage therapy, or any of our other allied health services, you can easily choose the option that best fits your health goals.

Specialized Pain Therapy North Vancouver physiotherapist
Individual Physio Care Plans North Vancouver physiotherapist
Individual Physio Care Plans North Vancouver physiotherapist

While we customize treatment plans to fit your unique needs, we also specialize in offering effective solutions for managing chronic pain. We also offer dry needling, targeting muscle knots and tension. Physical therapists This approach not only accelerates your recovery but also minimizes the risk of future injuries. Our team of trusted physio North Vancouver physiotherapist experts is eager to help you on your journey to recovery, but our schedule fills up quickly.

Initiating your journey toward recovery with in-home rehabilitation services is straightforward and personalized to fit your unique health needs. You'll receive personalized follow-up appointments that focus on your progress, adjustments to your treatment plan as needed, and continuous assessment of your health goals. They're dedicated to preventing future injuries through education and proactive care.

Traditional rehab methods had him sidelined for months with slow progress. In North Vancouver physiotherapist, innovative approaches are transforming how you can access physiotherapy services, making it easier and more efficient than ever before. With their supportive team, you're stepping towards a healthier, more balanced life.

It's also about prevention and optimizing your health. Physical therapy modalities This includes personalized exercises, lifestyle adjustments, and even ergonomic recommendations to support your day-to-day life. These programs aren't just about healing; they're designed to empower you, ensuring you regain your strength, mobility, and confidence faster than ever before.

ICBC physiotherapy North Vancouver physiotherapist

This individualized attention ensures that your rehabilitation program isn't only effective but also sustainable within your daily routine. They'll also estimate the number of sessions required and give you a clear idea of what to expect in terms of recovery timeline.

North Vancouver physiotherapist - Physical therapist assistants

  1. Exercise therapy
  2. Physical therapy assistant
  3. Physiotherapy
  4. Traveling Physical Therapist
  5. Physical therapist assistant
  6. Physiotheraphy
  7. Physical Therapist Assistant
  8. Therapy/Physical
  9. Posture correction
  10. Physical Therapist
  11. Physical agents
  12. Physical rehabilitation therapist
  13. Posture therapy
  14. Physiotherapist
  15. Travel Physical Therapist
  16. Physical therapy specialty
  17. Physical rehabilitation
  18. History of physical therapy
By leveraging a multidisciplinary team approach, residents like you can enjoy the benefits of integrated care that not only aims to alleviate immediate discomfort but also focuses on long-term health and mobility. Recognizing the integral role of mental health in your rehabilitation, Easy Allied Health offers tailored support to address this critical aspect of recovery. It's simpler than you might think.
The North Vancouver physiotherapist physio team emphasizes the importance of an accurate diagnosis. You can either give us a call or use our convenient online booking system. Our team harnesses a variety of therapies, from hands-on manual techniques to cutting-edge technology, ensuring you receive the most effective treatment possible. Whether it's recovering from injury, managing chronic conditions, or enhancing overall well-being, we're here for you.
Simply visit the Easy Allied Health website, where you'll find an intuitive booking system at your fingertips. At Easy Allied Health, we recognize that no two bodies or injuries are the same. Read more about North Vancouver physiotherapist here Our goal is to make therapy a positive and empowering experience for your child, setting the foundation for a healthy, active life. Explore North Vancouver physiotherapist here You're more likely to stay committed to your therapy schedule when it's integrated into your daily routine at home.
While online booking simplifies securing your physiotherapy appointments, home visit services further enhance your care by bringing the benefits of rehabilitation directly to your doorstep. Then there's the case of an office worker plagued by repetitive strain injury from years of poor ergonomics. You'll experience how smart tech seamlessly fits into your rehabilitation, making it not just more efficient but also more engaging.

North Vancouver physiotherapist - Sports physiotherapy

  1. Posture correction
  2. Physical Therapist
  3. Physical agents
  4. Physical rehabilitation therapist
  5. Posture therapy
  6. Physiotherapist
  7. Travel Physical Therapist
  8. Physical therapy specialty
  9. Physical rehabilitation
  10. History of physical therapy
  11. Physical therapist
  12. Physical therapies
  13. Exercise therapy
  14. Physical therapist assistants
  15. Therapeutic modalities
  16. Physio
  17. Physical therapy modalities
  18. Physical Therapy/Qualifications
It's not just about treating you; it's about teaching you how to maintain and enhance your physical well-being.

ICBC physiotherapy North Vancouver physiotherapist

Injury prevention is an effort to prevent or reduce the severity of bodily injuries caused by external mechanisms, such as accidents, before they occur. Injury prevention is a component of safety and public health, and its goal is to improve the health of the population by preventing injuries and hence improving quality of life. Among laypersons, the term "accidental injury" is often used. However, "accidental" implies the causes of injuries are random in nature.[1] Researchers prefer the term "unintentional injury" to refer to injuries that are nonvolitional but often preventable. Data from the U.S. Centers for Disease Control show that unintentional injuries are a significant public health concern: they are by far the leading cause of death from ages 1 through 44.[2] During these years, unintentional injuries account for more deaths than the next three leading causes of death combined.[2] Unintentional injuries also account for the top ten sources of nonfatal emergency room visits for persons up to age 9 and nine of the top ten sources of nonfatal emergency room visits for persons over the age of 9.[3]

Injury prevention strategies cover a variety of approaches, many of which are classified as falling under the "3 Es" of injury prevention: education, engineering modifications, and enforcement/enactment of policies.[4] Some organizations and researchers have variously proposed the addition of equity, empowerment, emotion, empathy, evaluation, and economic incentives to this list.[5][6][7]

Measuring effectiveness

[edit]

Injury prevention research can be challenging because the usual outcome of interest is deaths or injuries prevented and it is difficult to measure how many people did not get hurt who otherwise would have. Education efforts can be measured by changes in knowledge, attitudes, and beliefs and behaviors before and after an intervention; however, tying these changes back into reductions in morbidity and mortality is often problematic. Effectiveness of injury prevention interventions is typically evaluated by examining trends in morbidity and mortality in a population may provide some indication of the effectiveness of injury prevention interventions.[citation needed] Online databases, such as the Web-based Injury Statistics Query and Reporting System (WISQARS) allow both researchers and members of the public to measure shifts in mortality over time.[8]

Common types

[edit]

Traffic and automobile safety

[edit]

Traffic safety and automobile safety are a major component of injury prevention because it is the leading cause of death for children and young adults into their mid 30s.[citation needed] Injury prevention efforts began in the early 1960s when activist Ralph Nader exposed automobiles as being more dangerous than necessary in his book Unsafe at Any Speed. This led to engineering changes in the way cars are designed to allow for more crush space between the vehicle and the occupant.[citation needed] The Centers for Disease Control and Prevention (CDC) also contributes significantly to automobile safety. CDC Injury Prevention Champion David Sleet illustrated the importance of lowering the legal blood alcohol content limit to 0.08 percent for drivers, requiring disposable lighters to be child resistant; and using evidence to demonstrate the dangers of airbags to young children riding in the front seat of vehicles.[9]

Engineering: vehicle crash worthiness, seat belts, airbags, locking seat belts for child seats.

Education: promote seat belt use, discourage impaired driving, promote child safety seats.

Enforcement and enactment: passage and enforcement of primary seat belt laws, speed limits, impaired driving enforcement.

Pedestrian safety

[edit]

Pedestrian safety is the focus of both epidemiological and psychological injury prevention research. Epidemiological studies typically focus on causes external to the individual such as traffic density, access to safe walking areas, socioeconomic status, injury rates, legislation for safety (e.g., traffic fines), or even the shape of vehicles, which can affect the severity of injuries resulting from a collision.[10] Epidemiological data show children aged 1–4 are at greatest risk for injury in driveway and sidewalks.[citation needed] Children aged 5–14 are at greatest risk while attempting to cross streets.[citation needed]

Psychological pedestrian safety studies extend as far back as the mid-1980s, when researchers began examining behavioral variables in children.[citation needed] Behavioral variables of interest include selection of crossing gaps in traffic, attention to traffic, the number of near hits or actual hits, or the routes children chose when crossing multiple streets such as while walking to school. The most common technique used in behavioral pedestrian research is the pretend road, in which a child stands some distance from the curb and watches traffic on the real road, then walks to the edge of the street when a crossing opportunity is chosen.[citation needed] Research is gradually shifting to more ecologically valid virtual reality techniques.[citation needed]

Home safety

[edit]

Home accidents including burns, drownings, and poisonings are the most common cause of death in industrialized countries.[11] Efforts to prevent accidents such as providing safety equipment and teaching about home safety practices may reduce the rate of injuries.[11]

Occupational safety and health

[edit]

Occupational safety and health (OSH) is the science of forecasting, recognizing, evaluating and controlling of hazards arising in or from the workplace that could impair the health and wellbeing of workers. This area is necessarily vast, involving a large number of disciplines and numerous workplace and environmental hazards. Liberalization of world trade, rapid technological progress, significant developments in transport and communication, shifting patterns of employment, changes in work organization practices, and the size, structure and lifecycles of enterprises and of new technologies can all generate new types and patterns of hazards, exposures and risks.[12] A musculoskeletal injury is the most common health hazard in workplaces.[13] The elimination of unsafe or unhealthy working conditions and dangerous acts can be achieved in a number of ways, including by engineering control, design of safe work systems to minimize risks, substituting safer materials for hazardous substances, administrative or organizational methods, and use of personal protective equipment.[14]

Other

[edit]

The following is an abbreviated list of other common focal areas of injury prevention efforts:

See also

[edit]

References

[edit]
  1. ^ Bonilla-Escobar, Francisco Javier; Gutiérrez, María Isabel (2014). "Injuries are not accidents". Colombia Médica. 45 (3): 132–135. ISSN 0120-8322. PMC 4225791. PMID 25386040.
  2. ^ a b "Injuries and Violence Are Leading Causes of Death". www.cdc.gov. 2021-08-24. Retrieved 2021-11-17.
  3. ^ "10 Leading Causes of Nonfatal Emergency Department Visits, United States". wisqars.cdc.gov. Archived from the original on 2021-10-08. Retrieved 2021-11-17.
  4. ^ Macpherson, Alison K.; Brussoni, Mariana; Fuselli, Pamela; Middaugh-Bonney, Tara; Piedt, Shannon; Pike, Ian (2015-07-25). "An evaluation of evidence-based paediatric injury prevention policies across Canada". BMC Public Health. 15 (1): 707. doi:10.1186/s12889-015-1986-9. ISSN 1471-2458. PMC 4514983. PMID 26208854.
  5. ^ Giles, Audrey; Bauer, Michelle E. E.; Jull, Janet (2020-02-01). "Equity as the fourth 'E' in the '3 E's' approach to injury prevention". Injury Prevention. 26 (1): 82–84. doi:10.1136/injuryprev-2019-043407. ISSN 1353-8047. PMID 31537617. S2CID 202703212.
  6. ^ NHTSA. 2000. Safe Communities: The First Six Months. https://www.nhtsa.gov/sites/nhtsa.gov/files/firstsixmonths_0.pdf
  7. ^ Geller, Scott (May 1, 2011). "The Human Dynamics of Injury Prevention: Three New E-Words for Occupational Safety". www.ehstoday.com. Retrieved 2021-11-17.
  8. ^ "Data Analysis: Nature & Environmental Injuries in California". Freedman Law. 2022-05-03. Retrieved 2022-10-05.
  9. ^ "CDC Injury Prevention Champion David Sleet Receives 2015 Elizabeth Fries Health Education Award". CDC Foundation. 24 April 2015. Archived from the original on 5 September 2016. Retrieved 6 September 2016.
  10. ^ "Transportation Safety | Motor Vehicle Safety | CDC Injury Center". www.cdc.gov. 2021-06-24. Retrieved 2021-11-17.
  11. ^ a b Kendrick, Denise; Young, Ben; Mason-Jones, Amanda J.; Ilyas, Nohaid; Achana, Felix A.; Cooper, Nicola J.; Hubbard, Stephanie J.; Sutton, Alex J.; Smith, Sherie; Wynn, Persephone; Mulvaney, Caroline (2012). "Home safety education and provision of safety equipment for injury prevention". The Cochrane Database of Systematic Reviews. 2014 (9): CD005014. doi:10.1002/14651858.CD005014.pub3. ISSN 1469-493X. PMC 9758703. PMID 22972081.
  12. ^ Alli, Benjamin (2008). Fundamental principles of occupational health and safety (PDF) (Second ed.). Geneva: International Labour Organization. p. viii. ISBN 978-92-2-120454-1. Retrieved 1 September 2023.
  13. ^ "Understanding the Risks of Musculoskeletal Injury (MSI)".[dead link]
  14. ^ Alli, Benjamin (2008). Fundamental principles of occupational health and safety (PDF) (Second ed.). Geneva: International Labour Organization. p. viii. ISBN 978-92-2-120454-1. Retrieved 1 September 2023.
  15. ^ PLOS ONE Staff (2018-09-06). "Correction: Towards a deeper understanding of parenting on farms: A qualitative study". PLOS ONE. 13 (9): e0203842. Bibcode:2018PLoSO..1303842.. doi:10.1371/journal.pone.0203842. PMC 6126865. PMID 30188948.
[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

[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

[edit]

References

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Frequently Asked Questions

You'll find that Easy Allied Health's physiotherapy pricing models are competitive with traditional services in North Vancouver, offering you more personalized care options without significantly impacting your wallet. It's a great balance of value and quality.

Yes, you'll find that Easy Allied Health offers services in multiple languages to cater to non-English speakers. This ensures you can comfortably communicate in your preferred language while receiving their comprehensive healthcare services.

You should know that certain conditions or patient profiles may not fit well with in-home rehab services. It's best to consult directly to understand if your specific needs can be adequately met at home.