WHAT IS PHYSIOTHERAPY?


Physical therapy is one of the health care profession which provides service to
individuals or patients to develop, maintain and restore maximum
movement and functional ability throughout life. Physical therapy would

be beneficial in conditions where movement and functions are disturbed
by injury, ageing process , some diseases or any environmental factors.

Physiotherapy is concerned with identifying and maximising the quality of life (QOL),improve the movement potential within the limit of promotion,treat, intervene, habilitate and rehabilitate.This process would be a team work which includes a good interaction between patients, other health professionals,families, care givers, using the optimum knowledge and unique skills and techniques.Physical Therapy is
performed by either qualified Physio ( PT ) or Assistant physio(PTA) Prior to arrival at diagnosis, Physio would take the history, asses with physical examination,and chart out the management plan.Incorporating results of laboratory,and imaging 

studies,electro diagnostic tests may also be necessary.


The common specialities in physio are- cardiopulmonary, geriatrics,
neurology,orthopaedic( Musculo skeletal ),and paediatrics.PT s practice
in many settings such as-Hospitals, outpatient clinics, hospice,
fitness training centres, sports training centres ect.
Educational qualifications varies from country to country.In India , many universities offer physiotherapy education in undergraduate, post graduate and doctoral level.
 History

It is believed that Hippocrates, a physician in the year 460B.B.C, had practiced physiotherapy by advocating
manual therapy and Hydrotherapy techniques to his patients. Documented
origin of actual physiotherapy dates back to 1894, when few health care
professionals in Great Britain, formed Chartered society of Physiotherapy.

Researches started accelerating the Physio Movement later on.First Physical therapy
research was published in US in march 1921.Before the second half of
the 20th century,treatment usually consisted of exercise, massage and traction.Practice
of Manipulative techniques began in early 1950s .Later Physical
Therapists started to move beyond hospital based practice.

Specialization in Physical therapy started first in US ,1974.At present they have a
Doctoral education programme and attributes of a doctoring profession.

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Physiotherapy for Incontinence


      

One of the possible causes of incontinence is pelvic floor problems. National guidelines recommend that physiotherapy and pelvic floor exercises should be the first treatment of choice.
Physiotherapists who are experienced in this area are able to assess and treat both male incontinence and female incontinence. They can:
  • teach you how to work your pelvic floor muscles correctly
  • give you advice on what and how much to  drink
  • discuss some simple lifestyle changes which will help reduce the impact that this distressing condition can have on your life

What will happen when I see a physiotherapist?

Your first session with a physiotherapist will usually include a detailed assessment. Everything you tell the physiotherapist will be kept completely confidential. They may ask you questions about your:
  • symptoms of bladder problems
  • bowel symptoms 
  • medical history
  • health, fitness levels and lifestyle
Next your physiotherapist will need to find out how your pelvic floor muscles are working. If you consent to this examination being carried out, you will be asked to remove some clothing so that the physiotherapist can see and feel these muscles. It’s a good idea to wear loose fitting, comfortable clothing to your appointment.
At the end of this appointment your physiotherapist will discuss and agree with you a treatment plan to suit you. They will arrange any follow up appointments, and link closely with other healthcare professionals involved with your treatment.
Some physiotherapists use equipment such as ultrasound scanners or biofeedback machines to measure how the muscles are working at the beginning of your treatment. This assessment can be carried out again once you have had some treatment to show how you have improved.
Your treatment for incontinence plan is likely to include:
  • an exercise programme to do at home, including pelvic floor exercises
  • advice on eating and drinking habits, so that you can avoid any food and drink which may worsen your symptoms
  • advice on lifestyle changes and general exercise to help you achieve your treatment goals
  • electrical stimulation
  • biofeedback
It may take up to three months of exercising your pelvic floor muscles before you see a real improvement in your symptoms.
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