Physical therapists provide services that help restore function,
improve mobility, relieve pain, and prevent or limit permanent
physical disabilities of patients suffering from injuries or
disease. They restore, maintain, and promote overall fitness
and health. Their patients include accident victims and individuals
with disabling conditions such as low-back pain, arthritis,
heart disease, fractures, head injuries, and cerebral palsy.
Therapists examine patients' medical histories and then test
and measure the patients' strength, range of motion, balance
and coordination, posture, muscle performance, respiration,
and motor function. They also determine patients' ability to
be independent and reintegrate into the community or workplace
after injury or illness. Next, physical therapists develop plans
describing a treatment strategy, its purpose, and its anticipated
outcome. Physical therapist assistants, under the direction
and supervision of a physical therapist, may be involved in
implementing treatment plans with patients. Physical therapist
aides perform routine support tasks, as directed by the therapist.
(Physical
therapist assistants and aides are discussed elsewhere in the
Handbook.)
Treatment often includes exercise for patients who have been
immobilized and lack flexibility, strength, or endurance. Physical
therapists encourage patients to use their own muscles to increase
their flexibility and range of motion before finally advancing
to other exercises that improve strength, balance, coordination,
and endurance. The goal is to improve how an individual functions
at work and at home.
Physical therapists also use electrical stimulation, hot packs
or cold compresses, and ultrasound to relieve pain and reduce
swelling. They may use traction or deep-tissue massage to relieve
pain. Therapists also teach patients to use assistive and adaptive
devices, such as crutches, prostheses, and wheelchairs. They
also may show patients exercises to do at home to expedite their
recovery.
As treatment continues, physical therapists document the patient's
progress, conduct periodic examinations, and modify treatments
when necessary. Besides tracking the patient's progress, such
documentation identifies areas requiring more or less attention.
Physical therapists often consult and practice with a variety
of other professionals, such as physicians, dentists, nurses,
educators, social workers, occupational therapists, speech-language
pathologists, and audiologists.
Some physical therapists treat a wide range of ailments; others
specialize in areas such as pediatrics, geriatrics, orthopedics,
sports medicine, neurology, and cardiopulmonary physical therapy.
Ref: US Department of Labor