Man wasn't designed to walk on legs...

[nari]

The frequent response to a problem is:

Only medicos can really fix it
If they can't, they soon will be able to with surgery and drugs,
in the meantime, occupy the patient with "occupational" therapy;
or send them off for a swim..

Actually, there is a TV program here called "Alternative Choices", one per week, where they interview kinesiologists, acupuncturists, reiki practitioners, muscle energists, rolfers, masseurs (I gave up after they talked about 'curing' chronic pain) and quite a few GPs interested in these methods.

Do I hear rumblings in the distant horizon? The end of physiotherapy?

nari

[bernard]

The end of physiotherapy?

The One who thinks that technology or drugs will deliver Humankind from OA and pain, is certainly on the wrong way!

More Medicine looks to Technology and drug, more it goes far from Truth!

It is sure that medicine wants that PT becomes uncovered by social insurances but it will give more room for us?

[nari]

Ah, Bernard, but Truth does not always win in the battle for the health dollar.


Nari

[bernard]

But good sense remains, ever! (Well, I'm optimistic today :lol: ).

[emad]

Hi Nari & Bernard :

At least The Truth takes time to prove itself .


Regards

Emad

[Diane]

Vertebrates were likely never meant to come out of the ocean either, and use lungs to breathe, and grow legs, yet we did, and successfully too.
Diane

[nari]

Ah Diane, but some vertebrates returned to the sea....

We're still evolving into upright critters, but who knows where it will cease and we become extinct.
We are highly successful, but the insects, nanobes amd microbes leave us for dead with their efficiency and resourcefulness.


Nari

[Diane]

I agree Nari, but disagree with the assertion that we were not meant to walk on two hind legs. I think we do that rather well, as well as quadrupeds 'quadrupedal', or other primates brachiate.
Diane

[rajulvasa]

The end of physiotherapy?

The One who thinks that technology or drugs will deliver Humankind from OA and pain, is certainly on the wrong way!

More Medicine looks to Technology and drug, more it goes far from Truth!

It is sure that medicine wants that PT becomes uncovered by social insurances but it will give more room for us?

Hi All
R V also not promoting technology in some ways? specially in Neuro rehab?
How easily head injury patient, stroke pt & CP child is permenantly surrendered to the elecric wheelchir! Chain of complications follow soon
because of lack of movement.

How easily physios promote electric overhead supported tread mill walking for stroke patient when it actually leads to disaster!

Elecric stimulation & EMG biofeedback for painful subluxated shouder in stroke patient is like treating symtoms locally for circulation & local weakness that makes the patient focus local & not link the root for pain in shoulder with lower limb segments, trunk & the global COM

Law of the nature is survival of fittest.
Physios will survive if they upgrade themselves to understand movement & total body link & mind & emotions & make the pt more indepandant from needing the physios for "hands on" all the time.
Profession will survive if we R able to free the patient from their needs of us sooner than expected.

[nari]

Rajul

I agree with you..we are too dependent on whizz bang gadgets to technically rehabilitate the patient, while their emotional welfare sometimes is overlooked in the treatment plan. I think the gadgets (like the overhead treadmill) are there to take the load off the PT, save time and dependence on assistants to be available for help.

We spend a lot of money on EMS when the evidence for its long term effect is slim. We still discharge stroke patients with little or no follow-up to review changes in function/motor activity; once a hemi. always a hemi. We rush in and arrange wheelchairs and frames to keep them safe, which is fair enough, BUT a disservice to the patient.


Nari

[Diane]

Physios will survive if they upgrade themselves to understand movement & total body link & mind & emotions & make the pt more indepandant from needing the physios for "hands on" all the time.
Profession will survive if we R able to free the patient from their needs of us sooner than expected.

Rajul, I couldn't agree more.
:lol:
Diane

[nari]

Unfortunately physio has so much to offer neuroRehab patients from day 1; whereas a lot of physio time and effort is spent on unnecessary post-surgical stuff and many 'sport' injuries, who generally will get better by themsleves.

I think a move has been made towards a brain-centred attitude by some clinicians generally and certainly by more researching physios; but it is only a small percentage. The cry of the Cartesians seems to be: "But I get good results with what is done now!" True. but those results tend to be short term (such as manual therapy for spinal pain) and create dependency amongst the passive-style clientele.

If we survive, it will be due to those physios who keep on thinking big picture and take the trouble to update their think tanks. The sound of distant drumming from other health professionals is getting louder.


Nari

[rajulvasa]

We are focused on treatment and treatments' efficiency but I didn't found any study related to the physiotherapist (approach, listening...) himself.
Hi Bernard
You have hit the nail at the right spot.
We need to look into ourselves, analyse where we are heading, & after almost 80 years for the birth of our profession, have we advanced at a good pace or are we slowing down in our efforts to bring our profession to be the core service not depanding on drugs.
As physical therapists how much we exploit patient's PHYSIC & Laws of Physics ? & Mutual minds? to deliver results!
Is advanced technology to serve us or to make us a slave?
Last Century knew us as technicians now we have to rise ourselves to be the directors directing the patients how to restore movement of their body with their brain & their muscles with their active contribution with therapist's role as a director & guide.
Some areas in our profession are such wherein only physiotherapists can solve problem & nobody else, so we must take pride of that & make our colleagues in medicine know that in bold letters.

Technology producers promote their business not always for the benifit of the patient.