How to judge a good or bad physiotherapy clinic?

How to judge a  good or bad physiotherapy clinic?

Standard clinics vr low standards clinics.

Physiotherapy is the branch of modern medicine that deals with the diseases and disorders by physical/mobilities.
It is not merely application of physical modalities, but includes screening, evaluation, assessment, planning and application, re-assessment, modification of treatment plan for preventing, alleviating and limiting acute and chronic movement dysfunction and physical disabilities. Physiotherapy also known as physicaltherapy promotes physical fitness, facilitates healing alleviation of pain by modulating physiological responses using physical agents like heat, cold, electricity, exercises and manipulation. In India especially in metro cities and two tiers cities physiotherapy clinics are growing at faster pace. In this race some people are running sub standard clinics without proper facilities. So next time if you visits a physiotherapy clinic check given below list to decide if the clinic is standard one or not?

I will divide the total facilities, utilities and equipments in to two categories one is essential and second is optional:

 Essential

1. Name of Consultant(s)

2. Fire Extinguisher

3. Display of service provided & Charges

4. Drinking Water facility

5. Registration of the patients

6. Waiting area

7. Backup Electricity

8. Hand wash facility

9. Examination/Treatment tables for patient

10. Torch

11. Bio Medical Waste management

12. Thermometer

13. Weighing machine

14. BP apparatus
15. Electrotherapy Equipment/ Modalities :
a) Short Wave Diathermy

b) Ultrasonic Therapy

Ultrasonic therapy

c) Interferential Therapy

IFT

d) Hot Packs

e) Wax Bath

f) TENS

g) Traction Unit (Cervical / Lumbar)

Traction unit

h) Muscle Stimulator

16. Exercise therapy Equipment/ Modalities

a) Cold Packs

b) Shoulder Wheel

c) Over Head PuIIey

d) Wall Ladder /Abduction Ladder

e) Weight Cuffs / WTherapy

Optional

l. Electrotherapy Equipment/ Modalities

a) Micro Wave Diathermy

b) LASER Therapy

 c) Muscle Stimulator Electro-diagnostic

2. Exercise therapy Equipments/ Modalities

a) Cryo Cuff Unit

b) Continuous Passive Motion Exerciser

c) Supinator Pronator Exerciser

d) Heel / Ankle Exerciser

e) Tilt Board

f) Parallel Bar

Parallel bar

g) Mat Exercise Facility

h) Suspension Therapy Unit

 i) Stationary Bicycle

j) Treadmill

k) Vibrator

I) Swiss Ball

m) Rowing Frame Exerciser

n) Gripper / Gel Balls

o) Graded Elastic Exercise Bands

p) Quadriceps Table

Quadriceps table

 Toilets

Noise Pollution Certificate and

Air pollution certification are also need to be their. So next time you visit to a PHYSIOTHERAPIST keep your eyes open and ask for all modalities.






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Future of Home base Physiotherapy

Future of Home base Physiotherapy 

Future of Home base Physiotherapy in India Home based Physiotherapy or domiciliary physiotherapy are the services rendered to patient at his home environment by qualified physiotherapist.

this is the result of today's personalized care and services demand, secondly this is the continuation of physiotherapy treatment after the surgery.

Medical conditions: In case of paralysis where Nero doctor discharge the patient on getting stable, there is continuous demand of physiotherapy exercises and rehabilitation program. This is not feasible to transport patient daily to the hospital so demand for home based physiotherapy increased

. Knee replacement: In these cases also patient have short stay at hospitals but to gain mobility and strengths they require lots of physiotherapy sessions after discharge from surgery unit. Some hospitals of the repute had started domiciliary physiotherapy and they include it as necessary in package of surgery they offer to patient.

Heart surgery: Cardio surgeon now a days taking extra efforts to rehabilitate their patient. Now They appoint cardio-respiratory physiotherapist in their team who take care of their patients after the knife. They also include physiotherapy charges in complete package.

Sports physiotherapist: Sports physiotherapists also provide their service to sports person at home gym or in sports complex. Their earnings are also as par with other physiotherapist, and also depend on the status of sports personal.


Personal physiotherapists: Now a days a new trend is running in business families, they hire their personal physiotherapist for fitness maintenance, and they use to flaunts of it in day to day life.

Many Home based physiotherapy service provider are doing good business. Some of the experienced physiotherapist also starts their franchise model of business. They provide patients to other comparatively new physiotherapists. They trained them well and also help them to earn well. Home based medical services provider like Portea, spectrum, physiotherapy at home, SCM physiotherapy and Max mobility mission are providing good services.

Cut......and commissions in physiotherapy......

Cut
This morning a patient enter to my clinic. She show her old prescription and said doctor x reffer me to you. After seeing this prescription I come to know this Dr.x is a orthopaedic surgeon. This patient was suffering with calcaneal spur, after taking treatment for 6 week, having no relief now referred to physiotherapist.
I was amazed to see that his mobile phone number is also written below his prescription.
Patient took her treatment and left for her home feeling better.
I was going to see next patient, teliphone rang, it was a call on my clinic landline.
Yes, ******* physiotherapy clinic, how may I help you? I asked in a professionals way.
"Hello this is ****** Mishra from ******* orthopaedic centre. I am PR officer to Dr.x." voice from other side.
"Ok ", I said.
Are you a receptionist? He asked.
I feel a bit low, being a physiotherapist having no receptionist.
"No, I am physiotherapist", I replied.
Oh sorry, sir good morning.
Good morning. I said.
Sir Dr.x has told me to call you and to fix the cut.
Cut..... What cut ? I said.
Sir we are referring many patients to your clinic, so it is important to discuss the percentage cut for our future association. We will send more patients to the clinic from where we get more cut.
"I will tell you later" and I put the phone down.
I was feeling cheated and looted.
Standing beside my landline phone, I was thinking of this new style of earning. Earning by CUT.
Now I am in confusion what percentage of my hard earn money I had to spent on this CUT.



Friends if any one had answers to this please tell me in comment box.

what is BPT, History of physiotherapy!

What was in the past of physiotherapy!

History of Physiotherapy

By DrVijay Guleria on Saturday, 9 July 2011 at 09:43

The modern development of physiotherapy as a branch of professional health care began to take shape in the last few decades of the nineteenth century. Earlier physical treatments — in particular hydrotherapy, exercise, and massage — in Europe have their roots in antiquity and the baths and gymnasia of ancient Greece and Rome. In this sense physiotherapy drew upon varying themes of physical health stretching back into the mists of time, but the late-nineteenth-century advent of modern scientific medicine and related new skills had a particular impact. Lay practitioners of ancient skills such as bone setting, herbalism, and a range of physical therapies lost place to a medical profession fortified by accumulating scientific techniques of diagnosis and safer interventions. New ancillary occupations, such as radiography and laboratory science, were developing, thus expanding the division of labour beyond that of doctors and nurses, through a process of specialization that continues to the present day. 

In changing circumstances the more traditional therapists faced a choice, either to continue as part of a broader world of physical culture and practice, or to seek a niche within an increasingly professionalized health care system. Their position was somewhat different, however, to the other emergent occupations associated with particular modern techniques of diagnosis and treatment. Traditional therapists had to find a place within modern medical practice without being a central part of the scientific transformation which was gathering particular force in the latter part of the nineteenth century. Their skills were manual, drug free, and external to the body. Moreover, they were linked to a physical regime of treatment and exercise which was part of the spa culture of the past rather than any clearly new professional domain. They were not, however, anti-scientific, and played a role in the nineteenth-century revival of a general interest in exercise. The Stockholm Central Gymnastic institute and the Ling movement were influential in Britain, and increasingly linked to modernized understanding of physiology. Indeed, Swedish-inspired gymnastics began to influence the curriculum of British schools from the 1870s onwards, but as part of general educational rather than specifically medical developments. Within this general context the modern emergence of physiotherapy came not through any particular therapeutic revolution, but in effect through a professionalizing stratagem of ‘moralizing’ massage in the 1890s. ‘Rubbing’ had long been recognized as a valuable aspect of nursing practice, and doctors involved in mobilizing patients after injury and surgery were looking increasingly for assistance from nurses with these skills. However, ‘massage’ as more widely practised had acquired a lurid and sexual connotation, as highlighted in a British Medical Journal campaign from 1894 onwards against ‘massage centres’ — understood in reality to be brothels. In response to requirements for further training and a morally managed context for sound practice, a number of forward-thinking nurse-masseuses banded together in 1895 to found a Society of Trained Masseuses. They set out to accomplish two linked ends; to organize the training of legitimate masseuses, and to secure the approval of the medical profession for their standards of education and practice. ‘Rubbing’ as traditionally practised and the corruptions of improper ‘massage’ were to be transformed by respectable women trained in anatomy and physiology, working with and through the medical profession. Establishing respectability for physical treatments in the early years involved more than a proper ethical training for practitioners. Many doctors were critical of the therapeutic value of treatments offered by masseuses, and indeed of those medical practitioners working with them. Dr James Mennell, for example, a leading physical medicine specialist and far-sighted advocate of the mobilizing and gentle massage of patients soon after injury, recalled in later life the opposition of his colleagues. Massage and manipulation to assist healing remained for many doctors outside the pale of medical science, which for them centred on drug-based and surgical interventions. The other dimensions of early physiotherapy practice — heat, electrical, and water-based applications to aid muscle and joint movement — were equally thought to be reminiscent of charlatans and exhibitionist ‘healers’ who exploited both the desperately ill and the gullible well by useless practices and machinery. Mennell, closely associated for some three decades with physiotherapy in Britain, was approached as a young doctor by a delegation of his colleagues who asked him not to degrade his profession ‘by studying such a very doubtful branch of medical practice’. The 1914-18 war had a dramatic effect on the status of physiotherapy, in both Britain and North America. An earlier rule prohibiting female practitioners from treating male patients was swept away by the number of casualties.

Men were not allowed to join the main professional association until after the war, and thus were trained and examined separately at this time. Leading masseuses founded the Almeric Paget Massage Corps to co-ordinate services through the War Office, hospital services, and other governmental agencies. In the context of war, the social status, value, and purpose of physical treatments changed considerably in public and professional perception. Consequently, in 1920 the earlier, small ‘Society of Masseuses’ became by royal recognition the ‘Chartered Society of Massage and Medical Gymnastics’. A similar expansion of practitioners and changing medical requirements and attitudes in the US led in 1921 to the founding of the American Physical Therapy Association. The efforts of early physiotherapists to secure medical professional approval brought benefits to physiotherapy's development, but also substantial tensions which have been mainly resolved only from the 1970s onwards. These tensions related to autonomy in treatment procedures and the degree of medical professional supervision required. Over time, the debates on these issues were complicated by the therapeutic eclecticism and swings of fashion at the centre of physical treatment, ranging across massage, hydrotherapy, electrotherapy, exercise machines, ultrasound, and heat treatments in varying combinations and emphases. An early position was set out in 1917 by Dr J Mennell in his influential Massage, its Principles and Practice, and was based upon a clear model of professional subordination. Essentially, within this model the doctor was the thinker — diagnosing, prescribing, and monitoring — whilst the physiotherapist was the technician or assistant working to instruction. Physiotherapists were banned from seeing patients directly without medical referral and prescription. Internal debates over these requirements within physiotherapy, and between physiotherapy and medicine, routinely broke out throughout the first half of the twentieth century. Within the physiotherapy profession, private practitioners broadly chafed at medical restraints on their practice, whereas, at least up to World War II, hospital-based physiotherapists appeared less concerned about medical dominance. During the first half of this century the profession was prevented from throwing off medical tutelage, however much resented by some practitioners, by an overall need to retain its practical advantages. Medical recognition gave access to hospitals, the focus of modern medicine, but also helped in establishing stable frontiers with other trained and untrained health care occupations. In Britain, for example, mergers have sometimes been discussed with occupational therapists, given that there are overlaps between the two groups. In the market-place, historically anybody could legally claim to be a physiotherapist and engage in practice. Equally, hospital employers could employ untrained workers in the absence of strongly organized, validated, and widely-supported certificates of competence. In practice, in many countries, along with other professions, physiotherapists have seen medical control as a step towards securing state licensing or recognition in their own right. After decades of pressure this has usually been attained, provided that local and national medical associations were not antagonistic towards such developments. The earlier period of medical professional monitoring and supervision was characteristic of the first half of this century, and has now passed away under changing historical circumstances. Across time, physical medicine as a speciality area of practice for physicians had become increasingly a very minor part of medical specialization. In practice the everyday medical supervision of physiotherapy treatments had become nominal prior to its formal end in a number of countries. Physiotherapists now see patients with a wide range of conditions, both independently and by medical referral, when illness, injury, or disability inhibit normal movement. Their techniques include exercise and movement therapy, hydrotherapy, massage, and manipulation, and more recent complementary therapies. Physiotherapy has become one of the specialist professions of health care rather than an ancillary or supplementary occupation. This change has to be placed in a broader context of inter-professional relationships in health, moving from hierarchical to more co-operative models of practice. Furthermore the development of all professions in healthcare has been influenced by international social changes. In particular, the wider relationships between gender, status, authority, and work have been changing. At one point, for example, physiotherapists were mostly female, whilst doctors were mostly male. This gender composition and balance has been changing for some decades, alongside wider social challenges to male-oriented dominance within many occupations. Another major change of recent decades, of very notable significance for many health professions, including physiotherapy, has been the educational shift from apprenticeship in the workplace to education in the modern university. This development is likely to foster the growth of a particular scientific knowledge base for physiotherapy practice. Finally, physiotherapy, after a century of modern practice, is in ever greater demand, due to epidemiological and demographic changes. The relatively successful treatment of infectious diseases, and growing life expectancy, have highlighted the prevalence of chronic conditions. At the same time, social expectations of full function and mobility in later life have grown. Thus, in changed but continuing ways, the fundamental rationale for physiotherapy — of finding and applying means of retaining, restoring, and where possible expanding physical function and mobility — remains as relevant at the end as it was at the beginning of this century— G. V. LarkinBibliographyLarkin, G. V. (1983). Occupational monopoly and modern medicine. Tavistock, London and New York.Barclay, J. (1994). In good hands, the history of the Chartered Society of Physiotherapy 1894-1994. Butterworth-Heinemann, Oxford

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