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PHYSIOTHERAPY AND CLINICAL APPROACHES – AN OVERVIEW
Physiotherapy (also Physical Therapy as referred to by the World Confederation of Physical Therapy) is a health care profession concerned with human function and movement and maximizing potential. It is concerned with identifying and maximizing quality of life and movement potential within the spheres of promotion, prevention, treatment/intervention, habilitation and rehabilitation. It uses physical approaches to promote, maintain and restore physical, psychological and social well-being, taking account of variations in health status. It is science-based, committed to extending, applying, evaluating and reviewing the evidence that underpins and informs its practice and delivery. The exercise of clinical judgment and informed interpretation is at its core.
Limitations of activities in patients with musculoskeletal disorders
Annals of Medical and Health Sciences Research, 2012
Background: Musculoskeletal disorders (MSD) are the major cause of morbidity throughout the world, having a substantial influence on quality of life (QOL). We studied QOL ascertained by limitations of activities of daily living, impact on family and social relationships, and sleep disturbances among patients with MSD. Aim: Ascertain QOL in MSD. Materials and Methods: A cross-sectional study among 2633 randomly selected subjects. The study was carried out in the field practice area of D Y Patil Medical College, Pune, India. In the first phase of the study, patients of MSD were identified by house-to-house surveys, by face-toface interviews, and clinical examination carried out by trained interns in random samples of selected households. Subsequently, QOL in patients with MSD was elicited by measuring limitations of activities of daily living, impact on family and social relationships and sleep disturbances by structured instrument, using Likert/Dichotomous Scale. Statistical software EPI Info 2002 was used for estimation of sample size, data entry, and analysis. Data were summarized using proportions and percentages. Association of gender and rural-urban background with prevalence of musculoskeletal disorders was explored with odds ratio (OR) with 95% confidence intervals. Results: A total of 2633 subjects were examined. Out of these, 190 (7.2%) suffered from various types of MSD, with higher prevalence in females than males (OR=1.43, 95% CI=1.05 to 1.95). Prevalence was also higher in the rural population compared with urban (OR=2.02, 95% CI=1.45 to 2.83). However, the rural-urban difference may be due to the confounding effect of age, as prevalence was higher in the elderly (48.78%) and the mean age of the rural population was significantly higher than the urban population. Different degrees of limitations among patients of MSD in carrying out specific activities were: Dressing 9.5%, washing hair 11.6%, rising from bed 50%, feeding themselves 6%, walking 39%, taking bath 10%, toilet 37%, rising from chair 47%, rising from floor 55%, boarding bus 30%, and sleep disturbances 47%. These limitations also had impact on their family and social relationships. Conclusions: Patients of musculoskeletal disorders face appreciable limitations in their activities of daily living, which adversely impact their QOL.
Int. J. Environ. Res. Public Health , 2023
Musculoskeletal disorders are responsible for the most prevalent form of pain, andnecessitate a comprehensive approach to rehabilitation [1]. From a therapeutic standpoint,they can vary from myofascial pain syndrome that produces or adds to craniofacial, lowback, shoulder, and knee pain, to intervertebral joints that cause or contribute to comparablediscomfort and cervical pain.Moreover, peripheral nervous tissue is frequently impacted by locomotor systeminjuries or accumulated overloads, both in sports activities and in the execution of profes-sional or daily routines.All of these complaints, and many others connected to them, call for intervention fromvarious disciplines, such as physiotherapy, dentistry, and psychology.
Ein Physiotherapeut malt seine Patienten – Schmerzbilder
physiopraxis, 2012
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Psychology for Physiotherapists
2009
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