History of Physical therapy advancement Essay

History of physical therapy from past to present it continues to be an expansive force field in medical field. Historically, during 460 BC primitive physical therapy techniques were employed and applied in diagnosing, daintinessment and worry of the patients. The traditional primitive techniques applied involved rub down and hydrotherapy in treating patients, which was advocated by physicians like hector and Hippocrates (Basmajian, 2000). It is therefore, from this primitive interventional approach in treating individuals with physical injuries that today techniques developed.America in 1924 witnessed a new clack by formation of Physical Therapy Association pipe organized by Mary MacMillan that today is popularly known as APTA (America Physical Therapy Association). This body (APTA) is vital organ in physical therapy bear upond issues and development. In these historical periods, the commonly practiced areas of intervention to patients were in exercise, traction and message. Th e practice environment for therapists was only based on in patient, but today has extended to out-patient accounting to over 63 percent (Basmajian, 2000, p. 10).However, with time therapists moved to out-patent orthopedic clinics, schools, rehabilitation centers and genetriatic settings as opposed to hospital settings. This marked new beginning in blowup of the physical therapy area of operation and services diversity. According to ABPT (American Board of physical therapy), lists several fields that go under physical therapy, but emphasize on six major ones that are universally accepted worldwide.These areas are orthopedic that therapists diagnose marriage and treat injuries and dis order of battles involving the musculoskeletal systems and rehabilitation after surgery practiced especially in outpatients. Secondly, cardiopulmonary therapies that treats and manages patients after surgery or patients without undergoing surgery in cardiopulmonary disorders (Worthingham, 2002). Thir dly, neurological therapies focus on treating and managing after diagnosing patients affected with neurological disorders. Fourthly, pediatric therapies aim at early detection of health problems and treat disorders.Fifth, geriatric therapies focuses on the use of goods and services and management of health issues related to aging old age like osteoporosis cancer and Alzheimers diseases. And lastly, the therapies of integument focus on the treatment of the conditions that involves or relate to skin health problems like would treatment. However, the areas of concern for physical therapists are not limited to the mentioned six but do extend to other relevant appear special fields like clinical electrophysiology and sports injuries (Worthingham, 2002)Advancements in physical therapy A part for tradition practices in the field of physical therapy the past decades there submit been various developments that have facilitated change. For instance, in defined physical therapy as treatmen t by use of exercises and massaging to keep muscles stretched. I have no objection with this comment as it was appropriate and served the purpose at time, in fact to help to come up with a better definition.As effect with need for expansion and growing, needs to be accommodating in physical therapy, (Wyke, 2008), come up with physical therapy as diagnosing, treatment of disorders and injuries with physical means. This new devised therapy practices, but it in any case indicate the expanded view and perception and description of physical therapy in todays world. Thus, the latest advancement in physical therapy was optimal treatment essence to the patients by adaptation of psychological approach.The approach visualize optimal treatment outcome as a function of both clinical pro factors associated with therapist and the psychological factors associated with the patient. In order to achieve this, various advancements has been achieved geared towards making patient health care effec tual. Introduction of sports, recreation and manipulation The incoming and use of sports, recreation and manipulation is one of the advancement witnessed in physical therapy that has really improved patient care.For instance, the cases of shoulder impingement syndrome are managed with a multimodal approach. much(prenominal) patients no wards undergo a multimodal protocol intervention hat encompasses photospheres, rotator cuff and shoulder girdle muscle exercises, diversified manipulation and soft tissue, and finally ease up to normal daily sporting activities and work. The resultant outcome reports mo re than 68% effectiveness at the end of treatment protocol with follow-up of 4 to 12 weeks (Worthingham 239).In sum total, the use of soft tissue techniques like frictional and ischemic compression electrons electro modalities-technique like ultrasound, rehabilitation by are of exercises and manipulation is proved to be useful in improving outcome of the patient care, since it is m ore inter active and centralize patient centered care. Advancement interventions In diagnosis and treatment of muscular-skeletal systems like weakness pain and altered joint properties there has been major advancement in the area of approach.One of the main advancements reached include active assistance of joint range of motion, active assistance of soft tissue morality, passive joint range of motion, functioning multi plane self graded strengthens, kinematic kitchen stove biomechanics and lastly PNF (Proprioceptive Neuro-motor Re-education) (Wyke, 2008) these aspects have been designed to achieve patient friendliness, encouragement of positive carry over between treatments in home based programs, improved patients dexterity to reduce pain by themselves by use of current end ranges of motions and lastly restoration of correct neuro-motor biochemical (Moore, 2007, p. 51) through use of AAROM (Active Assisted chuck of Motions) The results to patient out some proves to be more than 73% effective with follow up of about 5 13 weeks. Whereas in neurology such therapies like constraint induced movement therapy CCI) proves to be efficient in restoring functions in the upper extremities of patients with stroke. Advanced administration and management Physical the rapists in order to deliver best patient care, they need to utilize knowledge and skill in administration or business management to be guiding mannequin for their work.Historically, administration has evolved since the 1999 LAMP document guiding on physical therapists administration. LAMP (leadership administration and management preparation) documented by APTAs (Moore, 2007) can no longer be efficient to function in this era of technology and paradigm shift in administration skills. The basic six areas contained in the document include examinations evaluations, intervention, diagnosis, prognosis and outcome needed to be integrated with business and technological domains in order to advance the field of physical therapy (Basmajian, 2000).For instance, many practioners find it necessary to use management software to standardize practice and facilitate outcome comparison. One such useful gad gets is the PTCMR (physical therapy computerized medical record). This system gather all the incoming study about the patients treatment and evaluation additionally, the system is for clinical research with incorporation of DCDC (Duke cardiovascular database) and ARAMIS (American Rheumatism Association of medical information database) that gives PTCMR with vital information through networks for research.Such aspects of standard physical therapy measures of important like pain, range of motion and strength are also inclusive in the system (effectiveness of the system disturb to table 1). The system proves efficient by resultant of about 32% reduction of pain in patient with TENS (Transcutaneous Electrical Nerve Stimulation) which was tested. Additionally, there noteworthy decreased ambulation a s a result of management enhanced by PTCMR system (Moore, 2007).