Physiotherapy and rehabilitation have been the most commonly used treatment method since ancient times. It is applied as one of the basic treatment methods in dysfunctions that develop in individuals due to various diseases and disabilities. Hippocrates aimed to improve dysfunctions due to injuries by using massage techniques.
Physiotherapy helps restore movement and function when a person is affected by injury, illness, or disability. It can also help reduce your risk of injury or illness in the future.
It requires a holistic approach that involves the patient directly in his or her care.
What is physiotherapy?
According to the World Physical Therapy Confederation, Physiotherapy is defined as the field of health science responsible for maintaining, improving, and renewing the maximum mobility of individuals throughout their life. It is a health science that helps people to maintain, maximize, or regenerate their strength, movement, and general well-being. Physiotherapy and physical therapy are words that have the same meaning. It is aimed to improve and correct mobility by using physical methods.
Who is physiotherapy applied by?
Physiotherapy is applied by physiotherapists. Physiotherapists are entitled to work as a physiotherapist by receiving a bachelor’s degree from the 4-year Faculty of Health Sciences, Department of Physical Therapy and Rehabilitation. What emerges as one of the most confusing situations among the public;
It is the difference between Physical Therapy and Rehabilitation Specialists and physiotherapists. Physical Therapy and Rehabilitation Specialization is medical science. These people first receive 6 years of medical education and then gain the Specialization Exam (TUS) in the field of medicine and become a Physical Therapy and Rehabilitation Specialist by specializing for 5 years. To summarize simply; Physical Therapy and Rehabilitation specialists evaluate the patients and what treatment method is needed,
What does physiotherapy do?
In order to improve the mobility of individuals with a neurological, neurosurgical, orthopedic, rheumatological, muscular, or skeletal system, and to reduce pain, physiotherapy necessarily develops at some point in their lives.
- Passive exercises are performed by physiotherapists to prevent contractures in the joints of patients who cannot move a certain part of their body in any way, and active exercises for patients with partial paralysis to regain their lost mobility.
- In cases of paralysis due to spinal cord injuries, to relieve pain or to correct the loss of strength due to spinal cord tumors or diseases involving the nervous system,
- In the rehabilitation of muscle or joint movements after the treatment of joint, muscle injuries, fractures, or direct injuries due to sports injuries,
- Pain relief of patients with rheumatological diseases such as rheumatoid arthritis, ankylosing spondylitis, osteoporosis, degenerative joint disease,
- Today, it is very common due to stress, especially in women, fibromyalgia and myofascial pain syndrome due to pain, movement limitations and thus increasing the quality of life of patients,
- In the treatment of pain in patients with lumbar and neck hernia, in rehabilitation to return to daily activities more quickly after the operation, in correcting the loss of strength in patients with loss of strength in the limbs due to hernia,
- In the treatment of headaches caused by pain in the neck muscles, in the treatment of pain due to acute muscle spasms,
- Non-surgical treatment of carpal tunnel syndrome with numbness in the hands,
- For regaining the range of motion after fractures and dislocations healed with plaster, to restore the former normal functions of limbs and joints
- In the treatment of movement disorders that may develop due to nerve damage that may develop after orthopedic surgeries,
Various physiotherapy methods are used. These patients should be evaluated primarily by Physical Therapy Specialists, and the necessary and appropriate physiotherapy methods and how many sessions of physiotherapy the patient needs should be determined. The determining methods are applied to the patients by physiotherapists.
What are the types of physiotherapy?
Today, there are many physiotherapy and rehabilitation methods defined. According to the individual needs of each patient, which of these methods will work is determined by the Physical Therapy and Rehabilitation Physician and applied by the physiotherapists. These applications should generally be done in sessions.
- Exercise: Exercise is the most commonly used form of physiotherapy aimed at strengthening the musculoskeletal system. Exercise method is used to increase the mobility of the non-working limbs in patients with paralysis, to prevent the development of contractures if there is a total loss of motion, to correct the restriction of the joint gap after fracture and plaster applications, to strengthen the tissues in the weakness of the muscle tissue that develops in various neural or muscular diseases. Actively or passively, the muscle groups are exercised manually or by exercise equipment, based on the muscle groups. Exercise methods are used to strengthen the muscles to relieve the pain associated with posture disorders.
- Thermotherapy: Thermotherapy, which means treatment with heat, is one of the common methods in physical therapy applications. Superficial or deep heat applications, especially in painful areas, are based on the principle of heating the tissues using hot water, thermal packs, short-wave radiation, high-frequency electric currents, ultrasound or microwave, infrared rays, sun rays, or paraffin bath. In addition to its ability to relieve pain in tissues, heat has effects such as edema dissolving, increasing blood flow and nerve conduction speed, as well as increasing collagen production and increasing tendon growth rate.
- Manual Therapy: Manual therapy is actually very similar to massage that has been applied since Hippocrates. It is a treatment method applied directly with hands without any tools, heat, or radiation source. Manual therapy is used to reduce pain, increase circulation speed, and prevent muscle spasm.
- Electrotherapy: Electrotherapy is planned to relieve pain by using low or high voltage electrical current. In addition, stimulation and acceleration of nerve healing with electrical current in tissues with nerve damage are among the areas of use of electrotherapy. It reduces edema in areas where electric current is applied and increases blood circulation.
- Phototherapy: It is a treatment method performed by applying laser and UV rays to unhealthy areas. In fact, the most common area of use is the treatment of jaundice that occurs in the neonatal period, but it can also be used as a physiotherapy method by targeting an increase in temperature in deep tissues.
- Hydrotherapy: All physiotherapy methods with water are included in this group. The healing power of water has been known since ancient times. Hot water bath, contrast bath applications, hot water treatments in hot springs are among the hydrotherapy methods. Whirlpool applications, which are defined as whirlpool baths, are local baths in which the extremities are immersed in rapidly circulating water. It benefits from both the heat effect of water and the stimulating effect of hydrostatic pressure. It is thought to reduce scar tissue development in tissues, cause vasodilation, reduce pain by compressing skin receptors, and increase healing.
- Mechanotherapy: It is a physical therapy method in which pressure, traction, and manipulations are applied as well as waist and neck pulling movements using various tools.
- Cryotherapy: The cryotherapy method, which has become very popular in recent years, is a type of physiotherapy applied to the painful area with a cold water pack, ice pack, spray, liquid nitrogen, and cold compresses. With this method, which is also known as freezing among the people, by cooling the deep tissues, cellular metabolism is reduced, blood circulation and connective tissue healing are planned to increase.
- Banding: This application, made with bands with different features such as rigid band, elastic band, is applied either for protection or for correction. While protective taping is generally used to minimize post-injury movement disorders, corrective taping is known to be effective in correcting posture disorders.
- Ultrasound: With the vibration it provides, it affects circulation.
Magneto Therapy: This method, known as vibrating magnetic field therapy, is used to heal cell membranes and accelerate blood circulation. Similarly, it is effective in reducing muscle spasms and healing wounds.
- Tecar Therapy: It is among the treatment methods that reduce edema and shorten the motor recovery period.
- Laser Therapy: This method is used in the treatment of many diseases such as different musculoskeletal diseases, carpal tunnel, fibromyalgia, and myofascial pain.
Physiotherapy and rehabilitation, which is used in many diseases of the musculoskeletal and nervous system, is one of the most indispensable treatment methods in the field of health sciences. If you think you need physiotherapy, do not neglect to make an appointment with a Physical Therapy and Rehabilitation physician. We wish you healthy, painless days.
The role of the physiotherapist
The role of a physical therapist is varied and rarely the same two days. A physical therapist may have to assess a patient’s physical condition to diagnose problems and implement a treatment plan or re-train patients to walk or help others cope with crutches, walking frames, or wheelchairs.
Education also plays an important role in physiotherapy. Physiotherapists spend a lot of time educating patients, their families, and the community to prevent injuries and help people maintain healthy lifestyles. A physical therapist can also plan and implement community fitness programs. Finally, physiotherapists can also issue a sick leave certificate if deemed necessary.
Physiotherapists throughout their careers, children with cerebral palsy, premature babies, pregnant women, rehabilitators, athletes, the elderly (to keep them fit), and heart disease, stroke, or major surgery.
Types of physiotherapy
Physiotherapy can be an effective treatment for many conditions, and the following treatments can help reduce recovery time after various surgeries.
Physiotherapists can specialize in many different fields, including sports medicine, pediatrics, and women’s health, and there are three different application areas within these parameters. These:
- The musculoskeletal system, also called orthopedic physiotherapy, used in conditions such as sprains, back pain, arthritis, injury, incontinence, bursitis, posture problems, sports and workplace injuries as well as reduced mobility Post-operative rehabilitation is also included in this category.
- Neurological. It is used to treat nervous system disorders including stroke, spinal cord injuries, acquired brain injuries, multiple sclerosis, and Parkinson’s disease. It can also be used for rehabilitation after brain surgery.
- Cardiothoracic is the name given to the treatment of asthma, chronic bronchitis, emphysema, and other cardio-respiratory disorders.
Physiotherapists work in …
- Hospitals or acute care facilities
- Rehabilitation centers
- Long term care facilities
- Home care programs
- Public health units
- Private clinics
- Child development centers
- Recreation centers
- Sports clinics and facilities
- Physiotherapy Clinical
Practice Areas include
- Seniors Health
- Physiotherapy Management/Administration
- Private Practice
- Women’s Health
What diseases does physiotherapy treat?
Physiotherapists focus on both prevention and treatment practices. Some diseases that physiotherapy treats:
- Orthopedic problems
Orthopedic physiotherapy is used in the treatment of musculoskeletal diseases such as sprains, back and back pain, sciatica pain, arthritis, strains, urinary incontinence, bursitis, posture problems, sports and workplace injuries, as well as decreased mobility. Postoperative rehabilitation is also included in this category.
Physiotherapeutic treatment methods can alleviate pain or eliminate pain altogether. It can help restore muscle and joint function. Relieving pain or healing the wound with physiotherapy may make surgical intervention unnecessary.
In addition, physiotherapists know the specific injury risks that different sports can pose. They can design appropriate therapies and disability preventive exercise programs to ensure a safe return to sports.
- Neurological problems
Physiotherapy is used for loss of mobility due to nervous system disorders including stroke, spinal cord injuries, brain injuries, MS, and Parkinson’s disease.
Physiotherapy helps strengthen the weakened parts of the body and improve gait and balance. Physiotherapists can improve the ability of stroke patients to be more independent in and around the home by improving their ability to move, and reducing their care needs for daily life activities such as toilet, bathroom, and dressing.
- Diabetes and vascular conditions
As part of a diabetes management plan, exercise helps control blood sugar effectively. People with diabetes may experience numbness in their legs and feet. Physiotherapists can provide these patients with the appropriate care and education needed to prevent and solve such problems.
- Heart and lung diseases
Both physical therapy and rehabilitation are used in the treatment of asthma, chronic bronchitis, emphysema, and other cardio-respiratory disorders. Patients can undergo cardiac rehabilitation after a heart attack or a procedure, or receive physiotherapy for functional impairments.
In lung problems such as asthma and COPD, physiotherapeutic strengthening, conditioning, and breathing exercises can increase the quality of life of patients. Physiotherapy can also help clear fluid from your lungs.
- Balance problems
At the beginning of physiotherapy, a fall risk screening is performed. If you are at high risk of falling, physical therapists can help you with exercises to improve balance and coordination and devices that support your walking. If the problem with the person’s balance system is causing imbalance, physiotherapists can perform specific maneuvers that can quickly repair vestibular functioning, reduce or eliminate dizziness symptoms.
- Problems with old age
Aging people may develop arthritis, osteoporosis, or elderly people who may need joint prostheses. Physiotherapists assist in adapting joint prostheses and managing arthritic or osteoporotic conditions.
Physiotherapy also; can provide specific treatments for bowel incontinence (gas and fecal incontinence), breast cancer, constipation, fibromyalgia, lymphedema, male pelvic health, pelvic pain, and urinary incontinence problems. It can help manage women’s special conditions such as pregnancy and postpartum care.
Physiotherapy is also applied during cancer treatment or palliative care due to fatigue, pain, swelling, stiffness, and loss of muscle strength.
Who is Physiotherapy Applied to?
It is possible to divide physiotherapy patients basically into two according to their physical problems.
- Patients with Pain Complaints: In patients presenting with pain complaints, the reason for this complaint is usually related to lifestyle. Problems related to daily life activities such as constant computer use, posture disorders, impact, and sports injuries cause such pain.
- Patients with Movement Problems: Movement problems in patients can occur as a result of serious diseases such as head trauma, cerebral palsy, and spinal cord paralysis. In addition, patients with heart diseases, vascular diseases, and orthopedic problems can be referred to physiotherapists as a result of the consultation because they are exposed to some movement problems.
What are the Differences Between FTR Specialists and Physiotherapists?
The difference between a physical therapy and rehabilitation (FTR) specialist and a physiotherapist is not clearly known among the public. This situation may cause the application of wrong treatments or prolong the recovery period of the patient. The duties of the physiotherapist and FTR specialist and knowing about physiotherapy make the patient a part of the treatment process. Thus, patients who get the right help from the right specialist can return to their daily lives in a much shorter time in a healthy way. The main tasks that distinguish FTR specialists and physiotherapists from each other are as follows:
- FTR specialist; It is the leader of the rehabilitation team formed by the combination of healthcare professionals with different duties such as a physiotherapist, rehabilitation nurse, therapist, social service specialist, orthosis-prosthesis technician, and psychologist.
- The task of diagnosing the patients belongs to the FTR specialist. The physiotherapy planned in accordance with this diagnosis can be performed by the PHTR specialist himself or by physiotherapists directed by the PHTR specialist.
- Management and control of this process are among the responsibilities of the FTR specialist.
- Physiotherapists (including physiotherapists with a master’s degree) can only work under the control of FTR specialists.
- In the absence of any disease, physiotherapists can also program activities for their patients to lead a healthy life.
What Are the Objectives of Physiotherapy?
Physiotherapy is applied to the patients and it is aimed to eliminate the disorders in the musculoskeletal system. However, when it comes to more specificity, the goals of physical therapy are listed as follows:
- Reducing pain in different parts of the body, especially the waist, back, neck, and legs
- Ensuring the circulatory system to work more regularly with interventions that positively affect blood circulation
- Loosening and relaxing tense muscles
- Reducing drug treatment and restoring the patient’s health with the help of exercise and hot/cold compresses
- Relief of inflammation and burns
- Strengthening the fitness and muscles
- Elimination of loss of function
- Increasing body movements
- Elimination and prevention of posture disorders
What Are the Benefits of Physiotherapy?
As a common treatment method used in different branches of medicine, physiotherapy provides many benefits to people in terms of health and daily life standards. While the most important of these benefits is the elimination of movement disorders, other benefits of physiotherapy can be listed as follows:
- It eliminates numbness, tingling, pain, and weakness caused by both blood circulation and movement disorders.
- Compared to the treatments applied with drugs containing chemical substances, it is a treatment method with extremely few side effects and rarely.
- It prevents medical drug treatments and surgical applications that tire the body in vain.
- In cases where medication use and surgeries cannot cure, it can help the patient regain his health.
- It prevents existing diseases from becoming chronic.
- It prevents the progression of diseases and movement disorders.
- It helps to increase the functions of muscles and joints in the body.
- It increases the quality of life of patients by reducing the need for drugs.
Treatment Period with Physiotherapy
The physiotherapy method is applied to the patients and the duration of the applications varies from patient to patient. Although the complaints of some patients are similar to each other, the treatments applied or the healing process may differ from each other due to factors such as body characteristics and age, gender, genetic factors. Physiotherapy, which usually takes 1-1.5 hours per session, gives results between 10-60 sessions. In treatments supported by regular exercises, patients may need to continue these exercises after completing the physiotherapy.
Who is a physiotherapist, what does he do?
Physiotherapists are highly trained healthcare professionals working on the treatment and prevention of pain and dysfunction caused by injury, illness, and aging. Duties:
- Evaluating the patient’s physical condition to diagnose problems and implement a treatment plan.
- Retraining patients to walk,
- Helping patients cope with crutches, walking supports or wheelchairs,
- They are also responsible for educating patients, their families, and the community in general, to help people lead healthy lifestyles.
In some cases, the physical therapist may be asked to plan and implement community fitness programs.
How do you become a physiotherapist?
To become a physiotherapist, a 4-year Physiotherapy and Rehabilitation Department of universities is required. Throughout their education, students take basic courses such as anatomy, physiology, physics, as well as basic medical courses such as neurology, internal medicine, orthopedics, hydrotherapy, massage, exercise techniques, athlete health, theoretically and practically.
Physiotherapists who have job opportunities in public and private hospitals after graduation specialize in areas such as children, orthopedics, neurological diseases, or sports diseases.
Physiotherapy base scores 2019
For the undergraduate education of the Department of Physiotherapy and Rehabilitation, the universities’ base scores for 2019 are in a range between 208 and 414. Besides state universities, foundation universities also offer options for students who want to study in this department.
Frequently Asked Questions About Physical Therapy and Rehabilitation
Physical therapy is important for your health. Physical therapy has existed as a form of treatment for conditions of dysfunction and disability for thousands of years. It is considered as a basic treatment in the rehabilitation of patients who are uncomfortable or victims of situations caused by accident or illness.
What is Physical Therapy used for?
Physiotherapists are trained in the use of exercise therapy to strengthen your muscles and improve their function. Physical therapy exercises have proven to be one of the most effective ways to relieve pain, heal, or prevent post-injury.
Who is a physiotherapist?
Physiotherapists are well-trained and certified healthcare professionals who can help patients relieve pain and improve or restore immobility, often by reducing the side effects of prescription medications and the need for long-term medication, often without the need for expensive surgeons.
What is a physiotherapist and what does he do?
Physiotherapy is used in the treatment of conditions such as musculoskeletal system sprains, back pain, posture problems, arthritis, strains, urinary incontinence, pouch inflammation, decreased mobility, sports, and workplace injuries, which are also called orthopedic physiotherapy. Rehabilitation following surgical intervention also falls into this category.
What are the benefits of physical therapy?
Physical therapy is applied to correct posture and muscle imbalance and to increase mobility and endurance. It may include point therapy to reduce stiffness and relieve pain in addition to hand therapy exercises to strengthen the joints, mobilize correct soft tissue.
Physical therapy can be of great benefit in patients with neurological disorders such as stroke, multiple sclerosis, Parkinson’s disease, cerebral palsy, and spinal cord injury. Physical therapy movements focus on retraining and controlling muscles, improving daily functions, gaining strength and flexibility, development of fine and gross motor system skills, recovery of gait, improvement, and movement functions.
What is the role of the physiotherapist?
The physiotherapist helps to improve the movement of patients with physical difficulties caused by illness, injury, injury, or aging. They design and review their treatment programs using manual therapies such as massage, therapeutic exercise, and electrotherapy methods.
What is physiotherapy all about?
Physiotherapists assist people affected by injury, illness, or disability through movement, exercise, manual therapy, training, and advice. They try to rehabilitate patients of all ages, manage pain, and prevent disease.
How long does physical therapy take?
Depending on the nature of your health condition, the first appointment usually takes between 45 and 60 minutes. If you want to extend the session duration, your physical therapist can give you information about how long these sessions will last.
What is rehabilitation in physical therapy?
Rehabilitation initiated with physical therapy is a clinical and effective intervention for patients with adverse deformities due to injury, illness, or disability.
Can physical therapy help with back pain?
Physiotherapy may not relieve pain if patients do not perform all the recommended exercises or do not devote enough time to their schedule. Continuing without going below the prescribed therapy period helps alleviate back pain, maintain better posture, and help prevent recurrent pain.
Does physiotherapy work for back pain?
Patients with most types of low back pain are referred to four-week physiotherapy as the first treatment option before considering lumbar back and spine surgery. The purpose of physiotherapy is to teach the patient a maintenance program to reduce back pain, increase muscle function, and prevent future back problems.
Is physical therapy useful in treating arthritis?
A physical therapist can help you understand what happens to your joints and muscles when you have arthritis. Understanding your arthritis will help you manage its effects. Arthritis can cause pain in certain parts of the body, generalized aches, or joint pain. Medications help relieve pain, but a physical therapist can tell you about medications as well as other pain relief methods. Some of these treatments can be applied on your own after your consultation with the physical therapist.
How long does it take for physical therapy to help?
Often, you should continue physical therapy until you reach your goals and have a reassessment with you and your therapist jointly. This situation may vary depending on the severity of the pain. Typically, it takes approximately 6-8 weeks for soft tissues to heal, so your treatment process can take that long.
Is a physiotherapist a medical doctor?
The doctor is the person who treats; is a member of the profession engaged in medical practices concerned with the improvement or maintenance of human health through examination, diagnosis, and treatment of diseases, injuries, and other physical and mental disorders. Physiotherapists are not technicians, physiotherapy is a separate form of treatment.
What is chest physiotherapy?
They are therapeutic treatments applied by expert physiotherapists and are preferred to eliminate respiratory problems caused by mucus from the respiratory tract of the patient.
How much are the physical therapy fees?
While some institutions with SGK agreements are within the scope, some private organizations determine the pricing fees themselves. Physical therapy fees may differ from institution to institution.
Does the physical therapy service have a government agreement?
If the necessary conditions are met and the required report is received, the SSI recently announced that it will meet the physical therapy service. Covering the costs will only be valid if appropriate diagnoses exist. In order to receive physical therapy and rehabilitation services for 31 sessions to 60 sessions, a medical report with at least one physical therapy and rehabilitation specialist is required. A board report is required for 60 sessions or more.
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