No drugs.. no medicine.. no side effects..

Faseha Misdari B(hons). Physiotherapy, UiTM Physiotherapist Putra Specialist Hospital.

Definition
Physical- Of or relating to the body as distinguished from the mind or spirit Therapy-treatment of illness or disability, rehabilitation

PHYSIOTHERAPY
the profession concerned with promotion of health, with prevention of physical disabilities, with evaluation and rehabilitation of persons disabled by pain, disease, or injury, and with treatment by physical therapeutic measures as opposed to medical, surgical, or radiologic measures.

 Physiotherapists help and treat people of all ages with physical problems caused by illness, accident or ageing. Physiotherapy is a healthcare profession which sees human movement as central to the health and wellbeing of individuals. Physiotherapists identify and maximize movement potential through health promotion, preventive healthcare, treatment and rehabilitation. The core skills used by physiotherapists include manual therapy, therapeutic exercise and the application of electro-physical modalities. Physiotherapists also have an appreciation of psychological, cultural and social factors which influence their clients.

Where can be found?

Hospital
Ward Out patient

Physiotherapy center Leisure & sport Industry Special school Education House call

How to be?
Training consists of a recognised three or four year university-based course leading to a BSc in physiotherapy.

Roles
Pain management ROM Muscle power Balance Coordination Respiratory function Muscle properties Ambulation Improve Quality of Life

Goals
No pain Restore back normal functional activities Maximize functional independent

Sport Injury
Strain Tear Cramp Sprain Soft tissue injury Fracture

Foot injuries, plantar fasciitis, and stress factures Shin splints and ankle sprains Knee injuries (including ACL/PCL and meniscal) Thigh injuries Hip and groin injuries Neck and low back soft tissue injuries Shoulder injuries, rotator cuff tears, and AC joint separation Chest and abdominal soft tissue strains Hand and wrist injuries

Accident
Fracture Traumatic brain injury Permanent loss ability Nerve injury Spinal cord injury Soft tissue injury Sprain Strain Chest or Knee contusions (due to impact with the steering wheel or airbags)

Geriatric
Arthritis Osteoporosis Cancer Alzheimer's disease hip and joint replacement balance disorders Incontinence Respiratory problem

Pre and post Operative

Pain Respiratory Phlegm Mobility Positioning Exercise

 Back surgeries Elbow, wrist, and shoulder surgeries (including rotator cuff repair) Foot and ankle surgeries Hip and knee replacements Fractures Knee arthroscopes Others

Pregnancy Cancer Incontinence Menstrual Menopause

Womens Health

Orthopedic Syndrome
Include muscular and joint pain Carpal Tunnel Syndrome Osteoarthritis RSI : Computer Related Repetitive Strain Injury Arthritis Back Pain Basic Back Biomechanics Bursitis Sciatica Tennis Elbow Trigger finger Frozen shoulder

Neurological
Brain injury or damage Cerebral Palsy CP (Cerebral Palsy) is actually an umbrella term describing a number of different motor conditions that cause disabilities in term of motor function. The cerebrum is affected in these conditions, and it is damaged during brain development at any point between pregnancy and approximately three years of age. These disorders tend to present with various symptoms like postural and movement difficulties which are a physiotherapists concern. Other diagnostic symptoms include perceptual difficulties and problems in communication. Chronic pain Dementia

 Parkinsons disease Spinal Cord injury Stroke

Back care Awareness

Spondylosis Prolapse intervertebral disc Spondylolisthesis Back pain Spinal stenosis Disc degenerative disease Ankylosing Spondylitis Sacroiliac Joint Dysfunction

Cardiac rehab
program of exercise, education and support for people who have had a heart attack, bypass surgery, angioplasty or other cardiac surgery.

Respiratory
Chest physiotherapy is aimed at maximising respiratory function by clearing secretions from the lungs and improving ventilation with chest massage techniques. COPD Asthma Ventilated patients Post cardiac surgery

Amputee
Cardiovascular disease (diabetes) Infection Deformities Trauma

Management
Pre surgical advice and treatment (if planned amputation) Post operative bed exercises in first couple of days Strengthening and stretching exercises Mobility and gait re-education Wheel chair provision Transfer practice Prosthetic advice Pain Management

Paediatrics
Musculoskeletal injuries (fractures and soft tissue injuries) Respiratory conditions (cystic fibrosis and asthma) Developmental delays (physical milestones e.g. walking) Neurological conditions (Cerebral Palsy)

 Developmental delay Cerebral palsy and other neurological conditions Acquired brain injury Gross motor delay Hypotonia Genetic Disorders Developmental Co-ordination Disorder Motor Delays related to sensory disorders De-conditioning from prolonged illness or hospitalization Cystic fibrosis Acute chest conditions Torticollis General orthopaedic conditions

Management
Stretching and strengthening exercises (to be done by the child or the parent / carer) Stimulation treatments (to encourage muscle and nerve activation) Gait education / reeducation Hydrotherapy Co-ordination exercises

 musculoskeletal posture, movement, strength and endurance gross and fine motor skills sensory issues balance and co-ordination play based learning skills functional activities of daily living adapted or specialized equipment social, cognitive and communication skills motivation and emotional support

Learning Difficulties
Running Walking Jumping Skipping Writing Riding a bike Buttoning shirts Exercise therapy (stretching and strengthening) Manual therapy Hydrotherapy Co-ordination rehabilitation Balance exercises