Archive for category Careers in PT

Industrial Rehabilitation

Industrial Rehabilitation

Specialists in industrial rehabilitation help with those that have suffered on-the-job injuries. Moreover, they will evaluate work tasks, fabricate assistive devices, evaluate your ergonomic situation, and help redesign work flow/tasks to decrease the incidence of injury. Often, industrial rehabilitation specialists will evaluate your ability to perform certain job tasks with a Functional Capacity Evaluation (FCE).

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Fitness and Wellness

Fitness and Wellness

Physical therapists are well trained to help with your fitness needs and wellness programs. If you need an exercise program, have trouble with your weight, are concerned about osteoporosis, have an issue with diabetes, or you would like to learn how to prevent falls, physical therapists can help. The previous examples are just a few of the many programs physical therapists offer.

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Cardiac and Pulmonary Rehabilitation

Cardiac and Pulmonary Rehabilitation

A small percentage of physical therapists practice in this discipline. Those that pass the board certification have the title of Cardiovascular and Pulmonary Certified Specialist (CCS) work with patients who have had heart attacks, bypass surgeries, angioplasty, breathing problems, emphysema, and other heart/lung related conditions. Physical therapists are well equipped to work with these types of patients because many of them have orthopedic ailments that limit their ability to function. In other words, a physical therapist can address the heart and lung problems as well as the muscle problems that are concurrently present.

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Balance, Dizziness, and Vertigo Rehabilitation

Balance, Dizziness, and Vertigo Rehabilitation

Many suffer from dizziness or BPPV (benign paroxysmal positional vertigo). Some clinics specialize in the rehabilitation of patients with vertigo. Patient education, strengthening, safety awareness, posture and balance exercise, walking exercise, and special techniques that affect sensory and balance centers of the brain and limbs are all important components of a rehabilitation program.

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Aquatic Physical Therapy

Aquatic Physical Therapy

Aquatic therapy takes advantage of the physical properties of water to assist with the rehabilitative process. Buoyancy, turbulence, hydrostatic pressure, and thermal properties of water can assist with the rehabilitation of a patient. Those suffering from chronic pain, osteoarthritis, fibromyalgia, rheumatoid arthritis, lumbar fusion surgery, or with a limited weight-bearing status are just a few of the many different patient populations that can benefit from aquatic therapy.

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Amputee Rehabilitation

Amputee Rehabilitation

Many physical therapists specialize in the rehabilitation of amputees. Caring for the injured limb, functional and walking training, training in the use of assistive devices (crutches, canes, prosthetic limbs, etc.) are all provided by a therapist who specializes in care for amputees.

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Hand Therapy

Hand Therapy

Most physical therapists are well trained to treat hand and wrist conditions. Some therapists have taken additional courses and training and have passed a hand therapy certification examination. These therapists are called Certified Hand Therapists (CHTs).

A Certified Hand Therapist (CHT), as defined by the Hand Therapy Certification Commission (HTCC), is an occupational therapist or physical therapist who has a minimum of five years of clinical experience, including 4,000 hours or more in direct practice in hand therapy, and has successfully passed a comprehensive test of advanced clinical skills and theory in upper quarter rehabilitation. CHTs are required to demonstrate continued professional development and competency by recertifying every five years.

A hand therapist works with patients who may have been affected by an accident or trauma leaving them with wounds, scars, burns, injured tendons or nerves, fractures, or even amputation of the finger, hand, or arm.

A hand therapist also treats patients who are disabled from the effects of cumulative trauma disorders – such as tennis elbow or carpal tunnel syndrome. Many patients seeking the care of a hand therapist also suffer from such chronic problems as arthritis or a neurological condition.

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What Physical Therapists Do

Physical therapy helps patients suffering from disease or injuries improve mobility; relieve pain; increase strength, coordination, and balance; and decrease or prevent deformity. Physical therapists assess, plan, organize, and participate in rehabilitative programs. In addition to “hands-on” care, which consists of joint and soft tissue mobilization and spinal manipulations, physical therapists also educate patients in proper posture and body mechanics and design home exercise programs for patients to address their specific impairments. Many physical exercises are used in conjunction with therapeutic modalities such as heat, cold, ultrasound, electrical stimulation, whirlpool and traction. Physical therapists are experts at treating movement and neuro-musculoskeletal disorders. Pain often accompanies a movement disorder, and these therapists can help correct the disorder and relieve the pain.

Most commonly seen conditions by a physical therapist are:

  • Neck and back: herniated discs, spondylolisthesis, spondylosis, sciatica, radiculopathies and bone spurs.
  • Shoulder: Rotator tendinitis/tears, bursitis, dislocations, labral tears, impingement, AC joint separations, scapular instabilities, thoracic outlet syndrome, and adhesive capsulitis (frozen shoulder).
  • Elbow: medial epicondylitis (golfers elbow), lateral epicondylitis (tennis elbow), and cubital tunnel.
  • Wrist and Hand: See Hand Therapy.
  • Hip: total hip replacements, bursitis, labral tears and SI joint dysfunctions.
  • Knee: meniscal tears, ACL tears, ligament sprains/strains, bursitis, chondromalacia patella (patellofemoral pain) and patellar tendinitis.
  • Ankle/foot: ligament tears, flat feet (over pronation), plantar fasciitis, heel spurs, and ankle instability.
  • Other: Degenerative Joint Disease (Arthritis), fracture, dislocation, sprain and strain, post-stroke rehabilitation, balance deficiency, fitness and wellness training, and sports injuries rehabilitation.

Because physical therapists are experts in movement and function, they do not confine their talents to treating people who are ill. A large part of a physical therapist’s program is directed at preventing injury, loss of movement, and even surgery. Physical therapists work as consultants in industrial settings to improve the design of the workplace and reduce the risk of workers overusing certain muscles or developing low back pain. They also provide services to athletes at all levels to screen for potential problems and institute preventive exercise programs. With the boom in the golf and fitness industries, a number of physical therapists are engaged in consulting with recreational golfers and fitness clubs to develop workouts that are safe and effective, especially for people who already know that they have a problem with their joints or their backs.

The cornerstones of physical therapy treatment are therapeutic exercise and functional training. In addition to “hands-on” care, physical therapists also educate patients to take care of themselves and to perform certain exercises on their own. Depending on the particular needs of a patient, physical therapists may also “mobilize” a joint (that is, perform certain types of movements at the end of your range of motion) or massage a muscle to promote proper movement and function. Physical therapists also use methods such as ultrasound (which uses high frequency waves to produce heat), hot packs, and ice. Although other kinds of practitioners will offer some of these treatments as “physical therapy,” it’s important for you to know that physical therapy can only be provided by qualified physical therapists or by physical therapist assistants, who must complete a 2-year education program and who work only under the direction and supervision of physical therapists.

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Physical Therapy Specialties Overview

There are many specialty areas in the field of physical therapy. Although this is well known throughout the profession, it is often overlooked by the general public. Below is a brief description of the five most common specialty areas in physical therapy.

Orthopedic- Orthopedic physical therapists diagnose, manage, and treat disorders and injuries of the musculoskeletal system as well as rehabilitate patients post orthopedic surgery. This specialty of physical therapy is most often found in the out-patient clinical setting. Orthopedic therapists are trained in the treatment of post operative joints, acute sports injuries, arthritis, and amputations just to name a few. Joint mobilizations, strength training, hot/cold packs, and electrical stimulation are modalities often used to expedite recovery in the orthopedic setting. Those who have suffered injury or disease affecting the muscles, bones, ligaments, or tendons of the body will benefit from assessment by a physical therapist specialized in orthopedics.

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: arthritis, osteoporosis, cancer, alzheimer’s disease, hip and joint replacement, balance disorders, incontinence and more.
Geriatric physical therapy helps those affected by such problems in developing a specialized program to help restore mobility, reduce pain, increase fitness levels and more.
Neurological – Neurological physical therapy is a discipline focused on working with individuals who have a neurological disorder or disease. These include Alzheimer’s disease, ALS, brain injury, cerebral palsy, multiple sclerosis, Parkinson’s disease, spinal cord injury, and stroke. Common problems of patients with neurological disorders include paralysis, vision impairment, poor balance, inability to ambulate, and loss of functional independence. Therapists work with patients to improve these areas of dysfunction.

Cardiovascular and Pulmonary Rehabilitation – Cardiovascular and pulmonary rehabilitation physical therapists treat a wide variety of patients with cardiopulmonary disorders or those who have had cardiac or pulmonary surgery. Primary goals of this specialty include increasing patient endurance and functional independence. Manual therapy is utilized in this field to assist in clearing lung secretions experienced in patients with cystic fibrosis. Patients with disorders including heart attacks, post coronary bypass surgery, chronic obstructive pulmonary disease, and pulmonary fibrosis are only a few examples of those who would benefit from cardiovascular and pulmonary specialized physical therapists.

Pediatric- Pediatric physical therapy assists in early detection of health problems and uses a wide variety of modalities to treat 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 on improving gross and fine motor skills, balance and coordination, strength and endurance as well as cognitive and sensory processing/integration. Children with developmental delays, cerebral palsy, spina bifida, and torticollis are a few of the patients treated by pediatric physical therapists.

Vestibular Rehab: The vestibular system is part of the inner ear and the brain that controls balance and eye movement. If your inner ear or the brain are damaged by disease or injury, vestibular disorders can result. Symptoms such as dizziness, vertigo, nausea and instability can be dramatically improved with specialized exercises and activities.

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LPN wants to move into Therapist work

I am an LPN who is thinking of going into Occupational Therapy. Can I do this online or what is required? I am 49 so dont want to school for years!

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