APTEI: Bahram Jam's Thoughts on "PTs as Movement Specialists"
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- Опубліковано 23 січ 2019
- Bahram Jam's Thoughts are available on www.aptei.ca "Video Library". Please subscribe to view these and several other videos to enhance your patient outcomes.
My hope when I did my PhD was to introduce physiotherapists as the ideal primary care professionals who should be health promotion leaders and target chronic disease prevention and management through prescription of physical activity and exercise. Watching this video makes me VERY happy. I simply
Great concept, physiotherapists should be focusing on getting people back to function, by providing movement and exercises. 👏👏👏
I feel your frustration completely!! I don't use modalities in my physiotherapy practice. The occasional client will receive an entire one-on-one, individualized session, and at the end, ask ''aren't you going to do any physiotherapy for me?" I've also had clients ask me why I don't use the thumper on them for massage. There needs to me so much education and awareness about our scope of practice. I also have clients who will tell me in passing that they have back pain so they will go see a chiropractor, and are surprised when I tell them I can treat them for that, too. And education needs to increase for doctors who send people for ultrasounds/Xrays/MRIs before a client is assessed by the physios...we would save the health care system so much money! Anyway, thanks for raising awareness and being committed to providing good care!
I completely agree with you Bahram, and that's the way I practice physiotherapy. I beleive public education (including MD's) is the way to go, and the best way to refute de myths of what physio is. Thank you for the capsules, i always appreciate hearing your point of view!
I have to say this has been my personal experience. I am a physiotherapist working in the public sector who has needed to consult private sector physiotherapists for myself and my daughter through the years. I have experienced some who completely encourage active movement and spend the TIME to teach the exercises and EDUCATE on their importance. Unfortunatley, I have also met some who are obviously highly skilled and knowledgeable but spend 3/4 of the session on heat/modalities. My favorite place?...unfortunately for my profession, a local athletic therapy clinic with a large gym where they will get down on the floor with you when needed and TEACH you the right exercises. The whole session is also one on one, with some manual therapy where needed. Where do I recommend my patients to go after they have "graduated" from my "free" public sector sessions...more often the exercise based place where I know there will be a continuation of functional movement patterns to help them get back to what they want to do. We can do better physios!
Absolutely :-) well said
I feel that it is more the fault of ortho practitioners who abused the system of use of modalities, becoming lazy (and greedy) in the process, instead of the modalities themselves. Ultimately, that gets reflected back to the MD's. Let's not blame the machines, instead blame the overuse and reliance and general laziness of the physio. They absolutely have a time and place when used as a secondary or even tertiary additive to a proper restorative exercise program. But i'm also not ignorant to the fact that it is a widespread problem that MUST be addressed in the education system.
I agree with you Rick, and I am sure you agree that Short wave diathermy from 1960's has no place in our University education!
Hi. Carful not to generalize. I am an orhto practitionner, and VERY RARELY use modalities! I use manual therapy, exercice therapy, and a functionnal assessment of mouvement.
What is wrong with sending someone to see an athletic therapist ?🤔
Absolutely nothing wrong with seeing an Athletic therapist! In fact I am saying that PT should role model ATs for being known as exercise prescribers rather than passive modality providers. If you are an AT, good on you.
I apologize , I misunderstood what you meant. I am an AT, considering branching out to either PT or DOMP. Very much in agreement with you re: modalities and core etc, I hate it! I’m not even convinced transverse friction massage is that beneficial !
terribly frustrating indeed. Physiotherapists could have been more forceful in insisting that this is how long we spend with someone, and bill appropriately for our time. Courses to learn how to do things well cost a fair bit, so unless there is a mandate of some sort that encourages patient-specific care, and individualized plans, modality therapy will win. The adulation of science in schools has lead physios to love machines and tech-y stuff but that won't figure out the mechanical cause of that tendinitis, will it? Yet most do not graduate knowing how to pick their way through a complex problem. Universities could install much more curiosity and problem-solving understanding, so that grads would find their work fun and interesting, and take pride in it. (Less microbiology and more manual treatment skills please). PS we should be thoroughly learning the neurodevelopment sequence and the primitive reflexes and how to work with them; they are incredibly important in adult movement and pain. Primitive reflexes are in all of us to the grave and they are the foundation of all movement, so we really need to know them inside and out, not just for pediatrics. But when I talk like that to physios, their curiosity does not kick in, which says something about us collectively, and possibly our training.