Healths Home Physiotheraphy.

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Hello friends, today we are talking about. Home Physiotheraphy health.

            Swami Vivekanand National Institute of Rehabilitation Training and Research (S.V. NIRTAR) is an autonomous institute functioning under the Ministry of Social Justice and Empowerment of India. It is the most prestigious institution in the field of rehabilitation. It is in Olatpur, 30 km from Cuttack.

Rehabilitation services.

                       Patients with locomotor/orthopaedic, neurologic, or developmental disabilities due to ailments like poliomyelitis, cerebral palsy, congenital deformities, leprosy, burn contracture, paraplegia, hemiplegia, etc., and hearing and speech disabilities are treated and rehabilitated. People with disabilities requiring artificial limbs and other rehabilitation aids and appliances are provided to prevent the impairment leading to disability and to make them near normal and to carry on their activities for daily living.

The rehabilitation is provided through the following infrastructure:

·         100 bedded hospital.

·         Prosthetic and Orthotic Dept.

·         Physiotherapy Dept.

·         Occupational therapy Dept.

·         Physical Medicine and Rehabilitation.

·         Two well equipped operation theatres for performing corrective and reconstructive surgeries.

·         Microsurgery.

·         Assessment Clinic consisting of Rehabilitation Specialists & professionals to evaluate the patients.

·         Radiological and Pathological investigation Units.

·         Cerebral Palsy Clinic.

                     Physical therapy (PT), also known as physiotherapy, is one of the allied health professions that, by using mechanical force and movements (bio-mechanics or kinesiology), manual therapy, exercise therapy, and electrotherapy, remediates impairments and promotes mobility and function. Physical therapy is used to improve a patient's quality of life through examination, diagnosis, prognosis, physical intervention, and patient education. It is performed by physical therapists (known as physiotherapists in many countries).

                         In addition to clinical practice, other activities encompassed in the physical therapy profession include research, education, consultation and administration. Physical therapy services may be provided as primary care treatment or alongside, or in conjunction with, other medical services.

                          Modern physical therapy was established towards the end of the 19th century due to events that had an effect on a global scale, which called for rapid advances in physical therapy. Soon following American orthopedic surgeons began treating children with disabilities and began employing women trained in physical education, and remedial exercise. These treatments were applied and promoted further during the Polio outbreak of 1916. 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. 

Courese service.

                       The institute offers Bachelor's degrees in Physiotherapy (B.P.T.), Bachelor in Occupational therapy (B.O.T.), Bachelor's degree in Prosthetics and Orthotics (B.P.O.) of 4½ years including 6 months compulsory Internship as per rule of the University/ Rehabilitation Council of India in accredited hospitals, rehabilitation organizations in rural area/district rehabilitation centre, 2 - year Master's degree in Occupational therapy (Neurology, Hand Therapy, Developmental Disabilities & Rehabilitation), Physiotherapy (Neurology, Paediatric, Musculoskeletal Conditions & Rehabilitation), and Master in Prosthetics and Orthotics (MPO) as well as Diplomate in National Board of Examination (DNB). It also conducts short orientation courses, Continuing Medical Education courses for rehabilitation professionals, awareness programmes for the functionaries of government and non-government persons with disabilities and their relatives, etc

Education.

                     Educational criteria for physical therapy providers vary from state to state and from 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 a member of before they can start practicing as independent professionals

Canada.

                  Canadian physiotherapy programs are offered at 15 universities, often through the university's respective college of medicine. Each of Canada's physical therapy schools has transitioned from 3-year Bachelor of Science in Physical Therapy (BScPT) programs that required 2 years of prerequisite university courses (5-year bachelor's degree) to 2-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.

·         Government of Yukon, Consumer Services

·         College of Physical Therapists of British Columbia

·         Physiotherapy Alberta College + Association

·         Saskatchewan College of Physical Therapists

·         College of Physiotherapists of Manitoba

·         College of Physiotherapists of Ontario

·         Ordre professionnel de la physiothérapie du Québec

·         College of Physiotherapists of New Brunswick/Collège des physiothérapeutes du Nouveau-Brunswick

·         Nova Scotia College of Physiotherapists

·         Prince Edward Island College of Physiotherapists

·         Newfoundland & Labrador College of Physiotherapists

Employment.

                       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. Salary, interest in work, and fulfillment in job are important predictors of job satisfaction. In a Polish study, job burnout among the physical therapists was manifested by increased emotional exhaustion and decreased sense of personal achievement.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

Specialty areas.

                       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 nine current specialist certifications, the ninth, Oncology, pending for its first examination in 2019. 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

Geriatric.

                 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

 Integumentary.

                 Integumentary 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.^[Other commonly used interventions include exercise, edema control, splinting, and compression garments. The work done by physical therapists in the integumentary specialty do work similar to what would be done by medical doctors or nurses in the emergency room or triage.

Neurological.

                 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. The techniques involve in neurological physical therapy are wide-ranging and often require specialized training.

Neurological physiotherapy is also called neurophysiotherapy or neurological rehabilitation.

Orthopedic.

              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 speciality of physical therapy is most often found in the out-patient 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.

             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. Additionally, an emerging adjunct to diagnosis and treatment is the use of sonography for diagnosis and to guide treatments such as muscle retraining. Those who have suffered injury or disease affecting the muscles, bones, ligaments, or tendons will benefit from assessment by a physical therapist specialized in orthopedics.

Pediatric.

                Pediatric physical therapy assists in 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.

 Sports.

              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 sport teams often have a specialized sports certification issued through their national registering organisation. Most Physical therapists who practice in a sporting environment are also active in collaborative sports medicine programs too (See also: athletic trainers

Women.

                Women's health 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, 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

Back pain treatment.

                   Physiotherapy is scientifically proven to be one of the most effective ways to treat and prevent pain and injury. It strengthens muscles and improves function.

It not only reduces or removes pain for a short time, but also reduces the risk for future back-pain re-occurrence. Based on the particular diagnosis, varied methods are practiced by physiotherapists to treat patients. They may follow pain management program, which helps get rid of inflammation and swelling for some.

Physical therapist–patient collaborative relationship.

                 A systematic review that included patients with brain injury, musculoskeletal conditions, cardiac conditions, or multiple pathologies found that the alliance between patient and therapist positively correlates with treatment outcome. Outcomes includes: 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.

                  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. 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 it is important for physical therapists 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 Practical skills such as the ability to educate patients about their conditions, and professional expertise are perceived as valuable factors in patient 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.

Environmental factors such as the location, equipment used, and parking are less important to the patient than the physical therapy clinical encounter itself.

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.

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