chinese Physiotherapy,Physical therapy

 Physcal hrapy or physohrapy ofn abbrva o P s a physcal mcn an rhablaon spcaly ha, by usng mchancal forc an movmns, rmas mparmns an promos mobly, funcon, an qualy of lf hrough xamnaon, agnoss, prognoss, an physcal nrvnon  s prform by physcal hrapss known as physohrapss n many counrs

 

n aon o clncal pracc, ohr acvs ncompass n h physcal hrapy profsson nclu rsarch, ucaon, consulaon, an amnsraon Physcal hrapy srvcs may b prov alongs, or n conjuncon wh, ohr mcal srvcs

Ovrvw

Physcal hrapy or Physohrapy amps o arss h llnsss, or njurs ha lm a prson's abls o mov an prform funconal acvs n hr aly lvs Ps us an nvual's hsory an physcal xamnaon o arrv a a agnoss an sablsh a managmn plan an, whn ncssary, ncorpora h rsuls of laboraory an magng sus lk X-rays, C-scan, or MR fnngs lcroagnosc sng g, lcromyograms an nrv conucon vlocy sng may also b us P managmn commonly nclus prscrpon of or asssanc wh spcfc xrcss, manual hrapy an manpulaon, mchancal vcs such as racon, ucaon, physcal agns whch nclus ha, col, lcrcy, soun wavs, raaon, rays, prscrpon of asssv vcs, proshss, orhoss an ohr nrvnons n aon, Ps work wh nvuals o prvn h loss of mobly bfor  occurs by vlopng fnss an wllnss-orn programs for halhr an mor acv lfsyls, provng srvcs o nvuals an populaons o vlop, manan an rsor maxmum movmn an funconal ably hroughou h lfspan hs nclus provng hrapuc ramn n crcumsancs whr movmn an funcon ar hran by agng, njury, sas or nvronmnal facors Funconal movmn s cnral o wha  mans o b halhy

Physcal hrapy s a profssonal carr whch has many spcals nclung spors, nurology, woun car, MG, caropulmonary, grarcs, orhopcs, womn's halh, an parcs Nurologcal rhablaon s n parcular a raply mrgng fl Ps pracc n many sngs, such as prva-own physcal hrapy clncs, oupan clncs or offcs, halh an wllnss clncs, rhablaon hospals facls, skll nursng facls, xn car facls, prva homs, ucaon an rsarch cnrs, schools, hospcs, nusral an hs workplacs or ohr occupaonal nvronmns, fnss cnrs an spors ranng facls

Physcal hrapss also pracs n h non-pan car rols such as halh polcy, halh nsuranc, halh car amnsraon an as halh car xcuvs Physcal hrapss ar nvolv n h mcal-lgal fl srvng as xprs, prformng pr rvw an npnn mcal xamnaons

ucaon vars graly by counry h span of ucaon rangs from som counrs havng ll formal ucaon o ohrs havng ocoral grs an pos ocoral rsncs an fllowshps

Hsory

Glob con

h xampls an prspcv n hs scon may no rprsn a worlw vw of h subjc You may mprov hs arcl, scuss h ssu on h alk pag, or cra a nw arcl, as appropra May  Larn how an whn o rmov hs mpla mssag

xrcs o shoulr an lbow o ncras moon followng fracur an slocaon of humrus s bng gvn by an Army hraps o a solr pan

Physcans lk Hppocras an lar Galn ar blv o hav bn h frs praconrs of physcal hrapy, avocang massag, manual hrapy chnqus an hyrohrapy o ra popl n  BC[vrfcaon n] Afr h vlopmn of orhopcs n h ghnh cnury, machns lk h Gymnascon wr vlop o ra gou an smlar sass by sysmac xrcs of h jons, smlar o lar vlopmns n physcal hrapy h arls ocumn orgns of acual physcal hrapy as a profssonal group a back o Pr Hnrk Lng, "Fahr of Swsh Gymnascs," who foun h Royal Cnral nsu of Gymnascs RCG n  for manpulaon, an xrcs h Swsh wor for physcal hraps s sjukgymnas = somon nvolv n gymnascs for hos who ar ll n , Ps wr gvn offcal rgsraon by Swn's Naonal Boar of Halh an Wlfar Ohr counrs soon follow n , four nurss n Gra Bran form h Charr Socy of Physohrapy h School of Physohrapy a h Unvrsy of Oago n Nw Zalan n , an h Un Sas'  R Collg n Porlan, Orgon, whch graua "rconsrucon as" Snc h profsson's ncpon, spnal manpulav hrapy has bn a componn of h physcal hraps pracc

Morn physcal hrapy was sablsh owars h n of h h cnury u o vns ha ha an ffc on a global scal, whch call for rap avancs n physcal hrapy Soon followng Amrcan orhopc surgons bgan rang chlrn wh sabls an bgan mployng womn ran n physcal ucaon, an rmal xrcs hs ramns wr appl an promo furhr urng h Polo oubrak of  urng h Frs Worl War womn wr rcru o work wh an rsor physcal funcon o njur solrs, an h fl of physcal hrapy was nsuonalz n  h rm "Rconsrucon A" was us o rfr o nvuals praccng physcal hrapy h frs school of physcal hrapy was sablsh a Walr R Army Hospal n Washngon, C, followng h oubrak of Worl War  Rsarch caalyz h physcal hrapy movmn h frs physcal hrapy rsarch was publsh n h Un Sas n March  n "h P Rvw" n h sam yar, Mary McMllan organz h Physcal hrapy Assocaon now call h Amrcan Physcal hrapy Assocaon APA n , h Gorga Warm Sprngs Founaon promo h fl by oung physcal hrapy as a ramn for polo ramn hrough h s prmarly conss of xrcs, massag, an racon Manpulav procurs o h spn an xrmy jons bgan o b pracc, spcally n h Brsh Commonwalh counrs, n h arly s Aroun hs m whn polo vaccns wr vlop, physcal hrapss hav bcom a normal occurrnc n hospals hroughou Norh Amrca an urop n h la s, physcal hrapss sar o mov byon hospal-bas pracc o oupan orhopc clncs, publc schools, collgs/unvrss halh-cnrs, grarc sngs skll nursng facls, rhablaon cnrs an mcal cnrs Spcalzaon for physcal hrapy n h US occurr n , wh h Orhopac Scon of h APA bng form for hos physcal hrapss spcalzng n orhopacs n h sam yar, h nrnaonal Fraon of Orhopac Manpulav Physcal hrapss was form, whch has vr snc play an mporan rol n avancng manual hrapy worlw

ucaon

Man arcl: Physcal hrapy ucaon

ucaonal crra for physcal hrapy provrs vary from sa o sa an from counry o counry, an among varous lvls of profssonal rsponsbly Mos US sas hav physcal hrapy pracc acs ha rcognz boh physcal hrapss P an physcal hraps asssans PA an som jurscons also rcognz physcal hrapy chncans P chs or as Mos counrs hav lcnsng bos ha rqur physcal hrapss o b a mmbr of bfor hy can sar praccng as npnn profssonals

Physcal hrapss

Un Sas

h prmary physcal hrapy praconr s h Physcal hraps P who s ran an lcns o xamn, valua, agnos an ra mparmn, funconal lmaons an sabls n pans or clns Physcal hraps ucaon currcula n h Un Sas culmna n a ocor of Physcal hrapy P gr, bu many currnly pracsng Ps hol a Masr of Physcal hrapy gr, an som sll hol a Bachlor's gr Currnly h ucaon programs for physcal hrapy hav chang h Masr of Physcal hrapy an Masr of Scnc n Physcal hrapy grs ar no longr offr, an h nry-lvl gr s h ocor of Physcal hrapy gr, whch ypcally aks  yars Ps who hol a Masrs or bachlors n P ar ncourag o g hr P bcaus APA's goal s for all P's o b on a ocoral lvl[WCP rcommns physcal hraps nry-lvl ucaonal programs b bas on unvrsy or unvrsy-lvl sus, of a mnmum of four yars, npnnly vala an accr Currcula n h Un Sas ar accr by h Commsson on Accraon n Physcal hrapy ucaon CAP Accorng o CAP, as of  hr ar , suns currnly nroll n  accr P programs n h Un Sas Upa CAP sascs ls ha for -, hr ar , suns nroll n  accr P programs n h Un Sas

h physcal hraps profssonal currculum nclus conn n h clncal scncs g, conn abou h carovascular, pulmonary, nocrn, mabolc, gasronsnal, gnournary, ngumnary, musculosklal, an nuromuscular sysms an h mcal an surgcal conons frqunly sn by physcal hrapss Currn ranng s spcfcally am o nabl physcal hrapss o appropraly rcognz an rfr non-musculosklal agnoss ha may prsnly smlarly o hos caus by sysms no appropra for physcal hrapy nrvnon, whch has rsul n rc accss o physcal hrapss n many sas

Pos-ocoral rsncy an fllowshp ucaon prvalnc s ncrasng saly wh  rsncy, an  fllowshp programs accr n  Rsncs ar am o ran physcal hrapss n a spcaly such as acu car, carovascular & pulmonary, clncal lcrophysology, faculy, grarcs, nurology, orhopacs, parcs, spors, womn's halh, an woun car, whras fllowshps ran spcalss n a subspcaly g crcal car, han hrapy, an vson  spors, smlar o h mcal mol Rsncy programs offr lgbly o s for h spcals crfcaon n hr rspcv ara of pracc For xampl, complon of an orhopac physcal hrapy rsncy, allows s grauas o apply an s for h clncal spcals xamnaon n orhopacs, achvng h OCS sgnaon upon passng h xamnaon Boar crfcaon of physcal hrapy spcalss s am o rcognz nvuals wh avanc clncal knowlg an skll ranng n hr rspcv ara of pracc, an xmplfs h rn owar grar ucaon o opmally ra nvuals wh movmn ysfuncon

Canaa

Canaan Physohrapy programs ar offr a  Unvrss, ofn hrough h unvrsy's rspcv collg of mcn n h pas ca, ach of Canaa's physcal hrapy schools has ranson from -yar Bachlor of Scnc n Physcal hrapy BScP programs ha rqur  yars of pr-rquss unvrsy courss -yar bachlor's gr o -yar Masr's of Physcal hrapy MP programs ha rqur pr-rqus bachlor's grs h las Canaan unvrsy o follow su was h Unvrsy of Manoba who ranson o h MP program n , makng h MP crnal h nw nry o pracc sanar across Canaa xsng praconrs wh BScP crnals ar no rqur o upgra hr qualfcaons

n h provnc of Qubc, prospcv physohrapss ar rqur o hav compl a collg ploma n hr halh scncs, whch lass on avrag wo yars, or physcal rhablaon chnology, whch lass a las hr yars, o apply o a physohrapy program or program n unvrsy Followng amsson, physcal hrapy suns work on a bachlor of scnc wh a major n physcal hrapy an rhablaon h BSc usually rqurs hr yars o compl Suns mus hn nr graua school o compl a masr's gr n physcal hrapy, whch normally rqurs on an a half o wo yars of suy Grauas who oban hr MSc mus succssfully pass h mmbrshp xamnaon o bcom mmbr of h Orr profssonnl  la physohérap u Québc OPPQ Physohrapss can pursu hr ucaon n such fls as rhablaon scncs, spors mcn, knsology, an physology

o a, hr ar no brgng programs avalabl o facla upgrang from h BScP o h MP crnal Howvr, rsarch Masr's of Scnc MSc an ocor of Phlosophy Ph programs ar avalabl a vry unvrsy As from acamc rsarch, praconrs can upgra hr sklls an qualfcaons hrough connung ucaon courss an currculums Connung ucaon s a rqurmn of h provncal rgulaory bos

h Canaan Allanc of Physohrapy Rgulaors CAPR, or smply known as h Allanc, offrs lgbl program grauas o apply for h naonal Physohrapy Compncy xamnaon PC Passng h PC s on of h rqurmns n mos provncs an rrors o work as a lcns physohraps n Canaa h Allanc has mmbrs whch ar physohrapy rgulaory organzaons rcognz n hr rspcv provncs an rrors:

h Canaan Physohrapy Assocaon offrs a currculum of connung ucaon courss n orhopacs an manual hrapy h program consss of  lvls  courss of ranng wh ongong mnorshp an valuaon a ach lvl h orhopac currculum an xamnaons aks a mnmum of  yars o compl Howvr, upon complon of lvl , physohrapss can apply o a unqu -yar cours-bas Masr's program n avanc orhopacs an manpulaon a h Unvrsy of Wsrn Onaro o compl hr ranng hs program accps only  physohrapss annually snc  Succssful complon of hr of hs ucaon srams an hr rspcv xamnaons allows physohrapss h opporuny o apply o h Canaan Acamy of Manpulav Physohrapy CAMP for fllowshp Fllows of h Canaan Acamy of manpulav Physohrapss FCAMP ar consr lars n h fl, havng xnsv pos-graua ucaon n orhopacs an manual hrapy FCAMP s an nrnaonally rcognz crnal, as CAMP s a mmbr of h nrnaonal Fraon of Manpulav Physohrapss FOMP, a branch of h Worl Confraon of Physcal hrapy WCP an h Worl Halh Organzaon WHO

Physcal hraps asssans

Physcal hraps asssans may lvr ramn an physcal nrvnons for pans an clns unr a car plan sablsh by an unr h suprvson of a physcal hraps Physcal hraps asssans n h Un Sas ar currnly ran unr assoca of appl scncs currcula spcfc o h profsson, as ouln an accr by CAP As of Augus , hr wr  accr wo-yar Assoca gr programs for physcal hraps asssans n h Un Sas of Amrca Accorng o CAP, as of  hr ar , suns currnly nroll n  accr PA programs n h Un Sas Upa CAP sascs ls ha for -, hr ar , suns nroll n  accr PA programs n h Un Sas

Currcula for h physcal hraps asssan assoca gr nclu:

Som jurscons allow physcal hrapss o mploy chncans or as or hrapy asssans o prform sgna roun asks rla o physcal hrapy unr h rc suprvson of a physcal hraps Som jurscons rqur physcal hrapy chncans or as o b crf, an ucaon an crfcaon rqurmns vary among jurscons

Canaa

n h provnc of Qubc, physcal rhablaon hrapss ar halh car profssonals who ar rqur o compl a hr-yar collg ploma program n physcal rhablaon hrapy an b mmbr of h Orr profssonnl  la physohérap u Québc OPPQ n orr o pracs lgally n h counry

Mos physcal rhablaon hrapss compl hr collg ploma a Collèg Monmorncy, awson Collg, or Cégp Mar-Vcorn, all sua n an aroun h Monral ara

Afr complng hr chncal collg ploma, grauas hav h opporuny o pursu hr sus a h unvrsy lvl o prhaps oban a bachlor's gr n physohrapy, knsology, xrcs scnc, or occupaonal hrapy h Unvrsé  Monréal, h Unvrsé Laval an h Unvrsé  Shrbrook ar among h Québécos unvrss ha am physcal rhablaon hrapss n hr programs of suy rla o halh scncs an rhablaon n orr o cr courss ha wr compl n collg

Un Sas

Job us an ucaon rqurmns for Physcal hrapy chncans or As may vary pnng on h mployr, bu ucaon rqurmns rang from hgh school ploma or quvaln o complon of a -yar gr program O-N rpors ha % of P As/chs hav a hgh school ploma or quvaln, % hav compl som collg bu o no hol a gr, an % hol an assoca gr

mploymn

Physcal hrapy-rla jobs n Norh Amrca hav shown rap growh n rcn yars, bu mploymn ras an avrag wags may vary sgnfcanly bwn ffrn counrs, sas, provncs or rgons

Un Sas of Amrca

Accorng o h Un Sas parmn of Labor's Burau of Labor Sascs, hr wr approxmaly , Physcal hrapss mploy n h Un Sas n , arnng an avrag $, annually, or $ pr hour, wh % growh n mploymn projc by h yar  h Burau of Labor Sascs also rpors ha hr wr approxmaly , Physcal hraps Asssans an As mploy n h Un Sas n , arnng an avrag $, annually, or $ pr hour, wh % growh n mploymn projc by h yar  o m hr ns, many halhcar an physcal hrapy facls hr "ravl physcal hrapss", who work mporary assgnmns bwn  an  wks for much hghr wags; abou $, a yar Burau of Labor Sascs aa on PAs an chs can b ffcul o cphr, u o hr nncy o rpor aa on hs job fls collcvly rahr han sparaly O-N rpors ha n , PAs n h Un Sas arn a man wag of $, annually or $ hourly, an ha As/chs arn a man wag of $, annually or $ hourly n 

Spcaly aras

h boy of knowlg of physcal hrapy s larg, an hrfor physcal hrapss may spcalz n a spcfc clncal ara Whl hr ar many ffrn yps of physcal hrapy, h Amrcan Boar of Physcal hrapy Spcals lss nn currn spcals crfcaons, h nnh, Oncology, pnng for s frs xamnaon n  Mos Physcal hrapss praccng n a spcaly wll hav unrgon furhr ranng, such as an accr rsncy program, alhough nvuals ar currnly abl o s for hr spcals xamnaon afr , hours of focus pracc n hr rspcv spcaly populaon, n aon o rqurmns s by ach rspcv spcaly boar

Carovascular & pulmonary physohrapy

Carovascular an pulmonary rhablaon rspraory praconrs an physcal hrapss offr hrapy for a w vary of caropulmonary sorrs or pr an pos carac or pulmonary surgry An xampl of carac surgry s coronary bypass surgry Prmary goals of hs spcaly nclu ncrasng nuranc an funconal npnnc Manual hrapy s us n hs fl o asss n clarng lung scrons xprnc wh cysc fbross Pulmnary sorrs, har aacks, pos coronary bypass surgry, chronc obsrucv pulmonary sas, an pulmonary fbross, ramns can bnf[caon n] from carovascular an pulmonary spcalz physcal hrapss[vrfcaon n]

Clncal lcrophysology

hs spcaly ara nclus lcrohrapy/physcal agns, lcrophysologcal valuaon MG/NCV, physcal agns, an woun managmn

Grarc

Grarc physcal hrapy covrs a w ara of ssus concrnng popl as hy go hrough normal aul agng bu s usually focus on h olr aul hr ar many conons ha affc many popl as hy grow olr an nclu bu ar no lm o h followng: arhrs, osopoross, cancr, Alzhmr's sas, hp an jon rplacmn, balanc sorrs, nconnnc, c Grarc physcal hrapss spcalz n provng hrapy for such conons n olr auls

ngumnary

ngumnary physcal hrapy nclus h ramn of conons nvolvng h skn an all s rla organs Common conons manag nclu wouns an burns Physcal hrapss may ulz surgcal nsrumns, woun rrgaons, rssngs an opcal agns o rmov h amag or conamna ssu an promo ssu halng Ohr commonly us nrvnons nclu xrcs, ma conrol, splnng, an comprsson garmns h work on by physcal hrapss n h ngumnary spcaly o work smlar o wha woul b on by mcal ocors or nurss n h mrgncy room or rag

Nurologcal

Nurologcal physcal hrapy s a fl focus on workng wh nvuals who hav a nurologcal sorr or sas hs can nclu srok, chronc back pan, Alzhmr's sas, Charco-Mar-ooh sas CM, ALS, bran njury, crbral palsy, lgb synrom[clarfcaon n], mulpl sclross, Parknson's sas, facal palsy an spnal cor njury Common mparmns assoca wh nurologc conons nclu mparmns of vson, balanc, ambulaon, acvs of aly lvng, movmn, muscl srngh an loss of funconal npnnc h chnqus nvolv n nurologcal physcal hrapy ar w rangng an ofn rqur spcalz ranng

Nurologcal physohrapy s also call nurophysohrapy or nurologcal rhablaon

Orhopc

ramn by orhopc physcal hrapss

Orhopc physcal hrapss agnos, manag, an ra sorrs an njurs of h musculosklal sysm nclung rhablaon afr orhopc surgry acu rauma such as sprans, srans, an njurs of nsous ons such as nnopahy an burss hs spcaly of physcal hrapy s mos ofn foun n h ou-pan clncal sng Orhopc hrapss ar ran n h ramn of pos-oprav orhopc procurs, fracurs, acu spors njurs, arhrs, sprans, srans, back an nck pan, spnal conons, an ampuaons

Jon an spn moblzaon/manpulaon, ry nlng smlar o acupuncur, hrapuc xrcs, nuromuscular chnqus, muscl rucaon, ho/col packs, an lcrcal muscl smulaon g, cryohrapy, onophorss, lcrohrapy ar moals mploy o xp rcovry n h orhopc sng[vrfcaon n] Aonally, an mrgng ajunc o agnoss an ramn s h us of sonography for agnoss an o gu ramns such as muscl rranng hos who hav suffr njury or sas affcng h muscls, bons, lgamns, or nons wll bnf from assssmn by a physcal hraps spcalz n orhopcs

Parc

Parc physcal hrapy assss n arly con of halh problms an uss a lm vary of moals o prov physcal hrapy for sorrs n h parc populaon hs hrapss ar spcalz n h agnoss, ramn, an managmn of nfans, chlrn, an aolscns wh a vary of congnal, vlopmnal, nuromuscular, sklal, or acqur sorrs/sass ramns focus manly on mprovng gross an fn moor sklls, balanc an coornaon, srngh an nuranc as wll as cognv an snsory procssng/ngraon

Spors

Physcal hrapss ar closly nvolv n h car an wllbng of ahls nclung rcraonal, sm-profssonal pa an profssonal full-m mploymn parcpans hs ara of pracc ncompasss ahlc njury managmn unr  man cagors:

acu car - assssmn an agnoss of an nal njury;

ramn - applcaon of spcals avc an chnqus o ncourag halng;

rhablaon - progrssv managmn for full rurn o spor;

prvnon - nfcaon an arss of fcncs known o rcly rsul n, or ac as prcursors o njury, such as movmn assssmn

ucaon - sharng of spcals knowlg o nvual ahls, ams or clubs o asss n prvnon or managmn of njury

Physcal hrapss who work for profssonal spor ams ofn hav a spcalz spors crfcaon ssu hrough hr naonal rgsrng organsaon Mos Physcal hrapss who pracc n a sporng nvronmn ar also acv n collaborav spors mcn programs oo S also: ahlc ranrs

Womn's halh

Womn's halh physcal hrapy mosly arsss womn's ssus rla o h fmal rproucv sysm, chl brh, an pos-parum hs conons nclu lymphma, osopoross, plvc pan, prnaal an pos-parum pros, an urnary nconnnc  also arsss nconnnc, plvc pan, an ohr sorrs assoca wh plvc floor ysfuncon Manual physcal hrapy has bn monsra n mulpl sus o ncras ras of concpon n womn wh nfrly

Pallav car

Physohrapy n h fl of oncology an pallav car s a connuously volvng an vlopng spcaly, boh n malgnan an non-malgnan sass Rhablaon for boh groups of pans s now rcognz as an ssnal par of h clncal pahway, as arly agnoss an nw ramns ar nablng pans o lv longr  s gnrally accp ha pans shoul hav accss o an appropra lvl of rhablaon, so ha hy can funcon a a mnmum lvl of pnncy an opmz hr qualy of lf, rgarlss of hr lf xpcancy

ffcvnss

A  sysmac rvw foun vnc o suppor h us of spn manpulaon by physcal hrapss as a saf opon o mprov oucoms for low back pan A  sysmac rvw suggs ha spn manpulaon an hrapuc massag ar ffcv nrvnons for nck pan;  also suggs, howvr, ha lcroacupuncur, sran-counrsran, rlaxaon massag, ha hrapy an ulrasoun hrapy ar no ffcv an hus no rcommn for h ramn of nck pan

Un Sas

fnons an lcnsng rqurmns n h Un Sas vary among jurscons, as ach sa has nac s own physcal hrapy pracc ac fnng h profsson whn s jurscon, bu h Amrcan Physcal hrapy Assocaon APA has also raf a mol fnon n orr o lm hs varaon, an h APA s also rsponsbl for accrng physcal hrapy ucaon currcula hroughou h Un Sas of Amrca