Physiotherapy / Physical Therapy

Terms

Worldwide the physiotherapy community is divided by name, with three different primary titles used: physiotherapy, physical therapy and kinesiotherapy. Notwithstanding, that within the term physiotherapist, there are also language derivations such as fisio, fisicos, fysio and fiso.  Finding a single word to describe the community is always goingto be difficult.

Introduction

Physiotherapy (also Physical Therapy as referred to by the WCPT) is a health care profession concerned with human function and movement and maximising physical potential. It is concerned with identifying and maximising quality of life and movement potential within the spheres of promotion, prevention, treatment/intervention, habilitation and rehabilitation[1]. It uses physical approaches to promote, maintain and restore physical, psychological and social well-being, taking into account variations in health status.  It is science-based, committed to extending, applying, evaluating and reviewing the evidence that underpins and informs its practice and delivery.  The exercise of clinical judgement and informed interpretation is at its core[2].

Examples of definitions of physiotherapy from around the world indicate that there is consensus that ‘movement’ is the core expertise/business of physiotherapy[3]

Examples of professional and consumer definitions of physiotherapy.
Professional definitions
World Confederation of Physical Therapists
Physical therapy is concerned with identifying and maximising quality of life and movement potential within the spheres of promotion, prevention, treatment/intervention, habilitation and rehabilitation.

http://www.wcpt.org/policy/ps-descriptionPT#appendix_1

Australian Physiotherapy Council
Physiotherapy…involves the holistic approach to the prevention, diagnosis and therapeutic management of pain, disorders of movement or optimisation of function to enhance the health and welfare of the community from an individual or population perspective.

http://www.physiocouncil.com.au/standards

Canadian Physiotherapy Association
The heart of the physiotherapy profession is understanding how and why movement and function take place. Physiotherapy is anchored in movement sciences and aims to enhance or restore function of multiple body systems.

http://www.physiotherapy.ca/getmedia/e3f53048-d8e0-416b-9c9d-38277c0e6643/DoPEN(final).pdf.aspx

Consumer definitions
Chartered Society of Physiotherapy
Physiotherapy helps restore movement and function when someone is affected by injury, illness or disability.

http://www.csp.org.uk/your-health/what-physiotherapy

European Region – World Confederation of Physical Therapists
Physiotherapists are experts in developing and maintaining peoples' ability to move and function throughout their lives.

http://www.physio-europe.org/index.php?action=136

Australian Physiotherapy Association
Physiotherapists are experts in movement and function who work in partnership with their patients, assisting them to overcome movement disorders… http://www.physiotherapy.asn.au/APAWCM/Physio_and_You/physio/APAWCM/Physio_and_You/physio.aspx?hkey=25ad06f0-e004-47e5-b894-e0ede69e0fff

Australian Physiotherapy Association
A consumer video on youtube to closely align physiotherapists with the assessment and management of various manifestations of disorders of movement. Improve Your Move? https://www.youtube.com/watch?v=CWDzA0pnaAY


Physiotherapists and Physical Therapists (PTs) work within a wide variety of health settings to improve a broad range of physical problems associated with different 'systems' of the body. In particular they treat neuromuscular (brain and nervous system), musculoskeletal (soft tissues, joints and bones), cardiovascular and respiratory systems (heart and lungs and associated physiology).

Physiotherapists work autonomously, often as a member of a team with other health or social care professionals. Physiotherapy practice is characterised by reflective behaviour and systematic clinical reasoning, both contributing to and underpinning a problem-solving approach to patient-centric care.

People are often referred for physiotherapy by doctors or other health and social care professionals. Increasingly, as a result of changes in health care, people are referring themselves directly to physiotherapists (first-line access) without previously seeing any other health care professional. Trends in Canada and Australia, for example, are even exploring the role of the physiotherapist within the triage system of emergency departments.

History

Physicians like Hippocrates, and later Galenus, are believed to have been the first practitioners of physiotherapy, advocating massage, manual therapy techniques and hydrotherapy to treat people in 460 B.C.[4] 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 physiotherapy.[5]
Shoulder Massage: Relief at Museum in Cyrene Libya thought to be 2000 years old

The earliest documented origins of actual physiotherapy 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 massage, manipulation, and exercise. 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.[6] The School of Physiotherapy at the University of Otago in New Zealand in 1913,[7] and the United States' 1914 Reed College in Portland, Oregon, which graduated "reconstruction aides."[8]

Research catalyzed the physiotherapy movement. The first physiotherapy research was published in the United States in March 1921 in The PT Review. In the same year, Mary McMillan organized the Physical Therapy Association (now called the American Physical Therapy Association (APTA). 

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.[9][10] Later that decade, PTs started to move beyond hospital based practice, to outpatient orthopedic clinics, public schools, college/universities, geriatric settings, rehabilitation centers, hospitals, and medical centers.

Specialization for physical therapy in the U.S. occurred in 1974, with the Orthopaedic Section of the APTA being formed for those physical therapists specializing in orthopaedics. In the same year, the International Federation of Orthopaedic Manipulative Therapy was formed,[11] which has played an important role in advancing manual therapy worldwide since.

Presentations

Alice Thompson. Becoming a Physiotherapist Is Physiotherapy the career for you?An interactive insight into the profession and a quick guide to getting onto the degree course. 2012

Clinical Specialities

Because the body of knowledge of physiotherapy is quite large, PTs tend to specialize in a specific clinical areas. These include:

Worldwide Physiotherapy Practice

References

  1. WCPT. Policy statement: Description of physical therapy. http://www.wcpt.org/policy/ps-descriptionPT#appendix_1
  2. Chartered Society of Physiotherapy."What is Physiotherapy?". Chartered Society of Physiotherapy. http://www.csp.org.uk/director/public/whatphysiotherapy.cfm. Retrieved 2010-07-10
  3. Jull, G; Moore, A. Physiotherapy's Identity. Manual Therapy, Volume 18, Issue 6 , Pages 447-448, December 2013
  4. Wharton MA. Health Care Systems I; Slippery Rock University. 1991
  5. Sarah Bakewell, "Illustrations from the Wellcome Institute Library: Medical Gymnastics and the Cyriax Collection," Medical History 41 (1997), 487-495.
  6. Chartered Society of Physiotherapy (n.d.). "History of the Chartered Society of Physiotherapy". Chartered Society of Physiotherapy. http://www.csp.org.uk/director/about/thecsp/history.cfm. Retrieved 2008-05-29.
  7. Knox, Bruce (2007-01-29). "History of the School of Physiotherapy". School of Physiotherapy Centre for Physiotherapy Research. University of Otago. http://physio.otago.ac.nz/about/history.asp. Retrieved 2008-05-29.
  8. Reed College (n.d.). "Mission and History". About Reed. Reed College. http://www.reed.edu/about_reed/history.html. Retrieved 2008-05-29.
  9. McKenzie, R A (1998). The cervical and thoracic spine: mechanical diagnosis and therapy. New Zealand: Spinal Publications Ltd.. pp. 16–20. ISBN 978-0959774672.
  10. McKenzie, R (2002). "Patient Heal Thyself". Worldwide Spine & Rehabilitation 2 (1): 16–20.
  11. Lando, Agneta (2003). "History of IFOMT". International Federation Orthopaedic Manipulative Therapists (IFOMT). http://www.ifomt.org/ifomt/about/history. Retrieved 2008-05-29.