American Physical Therapy Association (APTA) is an individual membership professional organization which has set up certain rules and regulations for supervision and teamwork. 1 APTA has defined different types of supervision to be followed by professional personnel. It is important to know those laws to meet the professional standards. Each state has its own practice acts. Michigan’s Department of Licensing and Regulatory Affairs (LARA) has given certain rules which is explained in “Department Of Community Health Board Of Physical Therapy General Rules” 2,7,8 & 9
APTA defined 3 levels of supervision, 3 the first one is General Supervision 3 in which the PT is not required to be on site for direction and supervision, but must be available at least by telecommunications. Next is Direct Supervision 3 wherein the physical therapist is physically present and immediately available for direction and supervision. Telecommunications does not meet the requirement of direct supervision. Lastly, Direct Personal Supervision 3 in which the physical therapist or, where allowable by law, the physical therapist assistant is physically present and immediately available to direct and supervise tasks that are related to patient/client management. The direction and supervision is continuous throughout the time these tasks are performed. Telecommunications does not meet the requirement of direct personal supervision. 3
According to APTA’s Provision of Physical Therapy Interventions and Related Tasks, 4 Physical therapy aides are any support personnel who perform designated tasks related to the operation of the physical therapy service. The tasks only be performed by the aide under direct personal supervision of the physical therapist, or where allowab...
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.... Org Website. http://www.physicaltherapypracticeact.org/michigan-physical-therapy-practice-act/. Accessed May 7, 2014.
9. MPTA/State of Michigan Practice Act resource page. Michigan Physical Therapy Associatio Website. http://www.mpta.com/resources/licensure-info. Accessed May 8, 2014.
10. Lee BG, Cho NS, Rhee YG. Effect of two rehabilitation protocols on range of motion and healing rates after arthroscopic rotator cuff repair [aggressive versus limited early passive exercises]. Arthroscopy. 2012 Jan;28(1):34-42. http://www.ncbi.nlm.nih.gov/pubmed/22014477. Accessed May 7, 2014. PMID: 22014477.
11. APTA/ GUIDELINES: PHYSICAL THERAPY DOCUMENTATION OF PATIENT/CLIENT MANAGEMENT resource page. American Physical Therapy Association Website. http://www.apta.org/uploadedFiles/APTAorg/About_Us/Policies/BOD/Practice/DocumentationPatientClientMgmt.pdf. Accessed May 12, 2014.
Many factors like patients age, symptoms, size of the tear, and nature of onset (traumatic or degenerative) are responsible for determining the prognosis of the physical therapy treatment 9. Since it’s a partial thickness tear of the rotator cuff, the non-operative treatment is reasonable unlike, a full thickness tear where surgery will be required to treat the patient 9. The patient shows symptoms of moderate irritability without significant functional deficit which makes him a good candidate for conservative treatment 10. The pain reported by the patient is 6/10 so the patient participates well in physical therapy exercise to increase shoulder strength, and flexibility. There was a study done from Finland which asserted that physical therapy alone can produce results which are equal to those produced by arthroscopic surgery and open surgical repair in cases of rotator cuff tears 11. In this case, with three weeks of physical therapy the patient has showed a decrease in pain and reported it as 4/10 on pain rating scale and showed improvements in abduction (140̊) and external rotation (65̊). The MMT for shoulder abduction was 4-/5 and external rotation is still same as
When comparing rotator cuff tears from the common people and athletes, they are much more common when a person is physically active in sports. An injury in the rotator ...
The title of physical therapy assistant can be used by a licensed heath care provider who performs patient-related activities under the direction and supervision of the physical therapist according with the Florida Practice Act. The PTA is a technically educated person who assist the physical therapist in the provision of physical therapy.
The profession of physical therapist assistant is a demanding and rewarding career. Physical therapist assistants work under the supervision of a licensed physical therapist. Physical therapist assistants have the pleasure of helping patients regain movement and manage pain caused by injuries, illnesses or surgeries. There are a vast array of subjects to study on the road to becoming a physical therapist assistant. Palliative care, pediatric care and geriatric care, are endearing specialty areas for the physical therapist assistant.
Within the article is the Guide for Conduct of the Physical Therapist Assistant. Its intentions are to present the standards to help the assistants interact with patients ethically. This guide is also used to help develop
Physical Therapists assistant may also involve answering phones , writing out insurance paperwork , getting supplies, all work checked by a licensed physical
“Your job as an aide is to make sure all the patients are attended to without compromise, maintaining the flow of the clinic, and that you represent not just yourself anymore, but the entire physical therapy staff”. I was told these words on my first day as a physical therapy aide. Since this was my first experience in a Physical therapy setting, it made me afraid of the therapist who spoke the words to me, and of the job requirements ahead of me. Overtime, these words set me on the path to learning the important values necessary to be a successful physical therapist. Values such as professional demeanor, accountability, and striving to give the best effort to help the patients were the main points the therapist emphasized in his words to me. All these values had one main goal, and that was so the patient can receive the best possible care. These values stuck
This case involved a 53 year old man who sustained a significant tear of his rotator cuff while playing baseball. He underwent surgical repair and was given a referral for physical therapy. The referral was to begin passive ROM 3 times per week for 2 weeks then initiate a supervised home program of active exercise for 2 weeks, and elastic resistance exercises for internal and external rotation every other day for a month. 2 weeks after surgery, he had his first PT visit in a sports medicine clinic that was managed by an athletic trainer (ATC).”
As an occupation in the medical field, physical therapists have a very long strenuous list of duties. That list includes working with patients with limited use of their bodies due to injury or disability and improving mobility while reducing pain. Physical therapists provide care to people of all ages who have functional problems such as sprains, strains, fractures, arthritis, amputations, stroke, cerebral palsy, other injuries relating to sports, other injuries relating to work, other neurological disorders, and various other conditions. Some ways that physical therapist go about reducing pain levels of their patients is by using exercises, stretching, hands on therapy, and special equipment that is designed to help increase their mobility, prevent further injury, and smooth out the...
As a Physical Therapist Assistant the rewards received from each patient is amazing. Everyday the Physical Therapist Assistant makes someone who is in lack of physical health feel so much better about themselves (APTA). This makes a Physical Therapist Assistant feel like they’re doing miracle work. They truly care about each and every patient and how their body is responding to new things (Vojtko).
All athletes get injured right? So who exactly allows them to run the fields again? There is a specific person meant for just that, a Physical Therapist. A career that would be fit for someone who enjoys being active and being involved in sports. As a way to help people, Physical Therapy is a very important career to any individual who is looking to get better, Physically. They attend any person,it doesn’t matter what age or gender. Over all this career is most important to athletes, who may get injured and need someone to help them get back in shape. As you continue to read, you will learn about the conditions and requirements needed to be a Physical Therapist. You will read about how not everyone is fit
As the need for therapists surges, professionalism becomes increasingly important. Physical therapists follow professional values, outlined in the Guide to Physical Therapist Practice. The Guide outlines behaviors accepted for physical therapists critical in all settings of practice. These “core values” outlined include: “accountability, altruism, compassion/caring, excellence, professional duty, and social responsibility”. 3 In order to follow the core values of professionalism, physical therapists and physical therapy students must take responsibility for their actions in both clinical and classroom settings. Learning and understanding these core values throughout our time in physical therapy school are important for continuing on a professional
The purpose of this paper is to explain the role of Physical Therapist in a School in providing indirect services (services which are not directed to children in the school) to teachers, parents, school educational staff, physicians, or any other service providers.1 The school based PT’s consults and educates them to help improve child’s physical environment, implement program planning, procure assistive devices, develop modification and accommodations for access and successful participation. 1 They even help integrate interventions and recommendations into child’s environment. 1 The PT’s also collaborate with other team members to facilitate wellness issues and disability awareness for the entire school population. 1
Physical therapy is a fun and exciting healthcare profession that helps people. It is all about helping other people who have problems with their body, muscles, joints and other parts of their body. Patients includes accident victims and individuals with disabling conditions such as low back pain, arthritis, heart disease, fractures, head injuries, and cerebral palsy. Physical therapy will perform an evaluation of your problem or difficulty. They evaluate your problem by performing tests and measures to assess the problem. These tests includes muscle strength, joint motion, sensory and neurological, coordination, balance, observation, palpation, flexibility, postural screening, movement analysis, and special tests are designed for a particular problem. Next, they develop a treatment plan and goals and then manage the appropriate treatment to aid in recovery of a problem or dysfunction. Physical therapists are able to treat their patients by using many different treatments depending on the type of injury. Some of the treatments are electrical stimulation, hot and cold packs, infrared and ultrasound to reduce swelling or relieve pain. These treatments are used to help decrease pain and increase movement and function. Therapeutic exercises instructions will help restore strength, movement, balance, or skill as a guide towards full functional recovery. Physical therapy provides "hands on techniques" like massage or joint mobilizations skills to restore joint motion or increase soft tissue flexibility. They will focus on basic skills such as getting out of bed, walking safely with crutches or a walker, moving specific joints and muscles of the body. Physical therapists treatment includes patient education to teach them how to deal with a current problem and how to prevent the problem in the future. Such documentation is used to track the patient's progress, and identify areas requiring more or less attention. They encourage patients to use their own muscles. Their main goal is to improve how an individual functions at work and home.
Physical therapists are health care professionals that provide therapeutic services to their patients who have temporary or chronic physical conditions that were caused from injury or disease. Physical therapist also provided therapeutic services to patients after they have gone through surgery to help them gain back mobility and manage their pain. They can also work in preventive care by promoting healthy life styles and instructing individual patients or groups on preventing injury by using exercises that stretch and strengthen muscles. To help their patients try to recover they use massage techniques, wellness plans, and different types of equipment. When a physical therapist sees a patient for the very first time they must do an examination, evaluation, diagnosis, and then put together a physical intervention to start the rehabilitation process. They also work as a team with other health care professionals to help with their patients needs. Physical therapist can really make a difference in their patient’s lives by not only providing therapeutic services but also encouraging and motivating them so they can get better. The main goals of physical therapist are to help their patients retain or gain back lost physical mobility, eliminate or reduce pain, increase productivity and help promote a healthy life style so patients can have a better quality of life and become more independent.