SCOPE OF

PHYSIOTHERAPY
PRACTICE IN
COMMUNITY AND
INDUSTRY
BY: Jayanta Nath
1 st Year M.P.T.
Moderator Nagraj Sir

INTRODUCTION
PHYSIOTHERAPY IS A SCIENCE BASED
HEALTH
CARE
PROFESSION
WHICH
EMPHASISES THE USE OF PHYSICAL
APPROACHES
IN
PROMOTION,
MAINTAINANCE AND RESTORATION OF
AN
INDIVIDUALS
PHYSICAL,PSYCHOLOGICAL AND SOCIAL
WELL BEING AND TAKES INTO ACCOUNT
AN INDIVIDUALS VARIATION IN HEALTH
STATUS

 PT IS ALLIED HEALTH CARE PROFESSION

AND
ONE
OF
THE
PROFESSION
SUPPLEMENTARY TO
MEDICINE AS ESTABLISHED BY PSM Act
1960
EMPLOYED BY NATIONAL HEALTH SERVICE
(NHS)
PRACTICE IS SUPPORTED AND INFLUENCED
BY EVIDENCE OF CLINICAL EFFICTIVENESS

DEFINITION OF
SCOPE

ACTIVITY
UNDERTAKEN
BY
INDIVIDUAL PT THAT MAY BE
SITUATED WITHIN THE 4 PILLARS OF
PT PRACTICE WHERE INDIVIDUAL IS
EDUCATED,TRAINED & COMPETENT
TO PERFORM THAT ACTIVITY.
SUPPORTED BY BODY OF EVIDENCE

SCOPE OF
PROFESSION

OCUPATIONAL FRAMEWORK
PRACTICE FRAMEWORK

OCUPATIONAL
FRAMEWORK
1.OCUPATIONAL ROLE
2.SECTOR ROLE
1. OCCUPATIONAL ROLE
CLINICIAN
MANAGER
RESEARCHER
EDUCATOR

2.SECTOR ROLE

PUBLIC HEALTH CARE(NHS)

PRIVATE HEALTH CARE
SOCIAL CARE
DH
OTHER PRIVATE /CORPORATE SECTOR
EMPLOYMENT(CSP)
PRIVATE/INDEPENDENT PRACTICE
VOLUNTARY/CHARATABLE
ORGANISATION

CONSULTANCY
INDUSTRY
ACADEMIC
ARMED FORCE
RESEARCH

SECTOR
FRAMEWORK

POPULATION GROUP
SPECIALITY AREAS
TREATMENT APPROACH BASED AREA

SCOPE OF PRACTICE OF
INDIVIDUAL
PHYSIOTHERAPIST
WITHIN 1 3 PILLARS OR EXTENT UPTO 4

ST

WORK EITHER GENERALIST OR SPECIALIST

AREAS ARE..
OCUPATIONAL
SECTOR
ENVIRONMENT
CLIENT
GROUP
SPECIALILITY

 TREATMENT APPROACH/TECHNIQUE
REFFERAL FROM OTHER
WORK WITHIN IAP RULES AND
REGULATION
PRACTICE AREAS

COMMUNITY PT SERVICE
MANAGE CHRONIC CONDITION & PROMOTE
HEALTHIER AGING
FOCUS ON MAINTAINING OR IMPROVING
MOBILITY,FUNCTION &PHYSICAL ACTIVITY
AIM
MAXIMISE INDEPENDENCE
OF
PERTICIPANT
RUN WEEKLY
EMPHASISE ON BALANCE, FLEXIBILITY,
STRENGTH, POSTURE FUNCTIONAL &
CARDIOVASCULAR ABILITY

 ADVICE ON RELEVENT ISSUE

FALL RISK
REDUCTION
POSTURE,BACK
CARE
CONTINANCE,HOME EX
CONTINUE HOSPITAL EX
PROGRAMME IN COMMUNITY
SUPERVISED BY PT

 PROVIDE EDUCATION SESSION &

PROMOTE SELF MANAGEMENT
DELIVERED AT MINIMAL COST TO
PARTICIPANT

PROGRAM OVERVIEWS

HEALTHIER AGEING PROGRAM(HAP)

SPECIALISED PROGRAM
MOBILITY PROGRAM
ABILITIES
AQUA PROGRAM

PROGRAM
HAP
10 WEEK EX + SELF MANAGEMENT PROGRAM
DESIGNED FOR OLDER ADULT, YOUNGER
ADULT
SPECIALISED PROGRAM
10 WEEK EX+SMP
PEOPLE WITH CARDIOVASCULAR OR
NEUROLOGICAL ,RESPIRATORY,ARTHRITIS,

ARTHRITIS,OSTEOPOROSIS,ORTHO
CONDITION,FALL RISK,POOR
BALANCE,DIABETIC
MOBITITY PROGRAM
10 WEEK EX+ SMP FOR PEOPLE AGE
OVER 50
REDUCE RISK OF FALL
CHRONIC DISABILITY PEOPLE

COMMUNITY BASED
REHABILITATION
IT IS A STRATEGY WITHIN COMMUNITY
DEVELOPMENT FOR THE REHABILITATION,
EQUEALIZATION OF OPPORTUNITY AND
SOCIAL INTEGRATION OF ALL PEOPLES
WITH DISABILITIES.IT IS IMPLEMENTED
THROUGH THE COMBINED EFFORT OF
DISABLED PERSON THEMSELVES,THEIR
FAMILIES
AND
COMMUNITIES
AND
APPROPRIATE
HEALTH,
EDUCATIONAL
AND VOCATIONAL SERVICE
WHO 1994

PT ROLE IN COMMUNITY
COMPONENT OF PROGRAME
ASSESSING SITUATION OF DISABLE
PERSON
TRAIN CBR WORKER
HOME VISIT
EXAMINE DISABLE,PLAN OF TREATMENT
REFERRAL TO DIFFERENT LEVEL
TRAIN CBR WORKER ON METHOD OF
EARLY DETECTION

 DISABILITY PREVENTION AND DETECTION

ACTIVITY WITH CBR WORKER
COORDINATION
WITH
DISABILITY
INSTITUTION
COMMUNITY WORK AIMED TO CHANGE
SOCIAL ATTITUTE TOWARDS DISABLED
DESIGNING & MONITORING THE LOCAL
PRODUCTION OF TECHNICAL AIDS FOR
DISABLED

TYPES OF
REHABILITATION SERVICE
ACTIVE REHABILITATION SERVICE
PASSIVE REHABILITATION SERVICE

TYPES OF
REHABILITATION SERVICE
ACTIVE
FUNCTIONAL
TRAINING+
SCHOOLING+VOCATIO
NAL TRAINING
AIM AT INDEPENDENT
&BETTER SOCIAL
INTEGRATION

PASSIVE
DO NOT UNDERGO
ANY TRAINING
DONT AIM AT
INDEPENDENT AND
BETTER SOCIAL
PEOPLE WITH
DISABILITY GIVEN
FOOD AND SHELTER

OUTREACH SERVICE FOR

REHABILITATION
DISTRICT LEVEL
AT THE STATE LEVEL
AT NATIONAL LEVEL

ACTIVITIES OF CBR AT 3
LEVEL
PROMOTION OF +VE ATTITUTE
TOWARDS PEOPLE WITH DISABILITIES
MAKING PUBLIC UTULITY & OFFICES
ACCESSIBLE
PREVENTING CAUSE OF DISABILITY
PROVIDE REHABILITATION SERVICE
FACILITATING EDUCATION & TRAINING
OPPORTUNITIES
MONITORING AND EVALUATING CBR
PROGRAM

INTERNATIONAL
CLASSIFICATION OF
FUNCTIONING AND
HEALTH (ICF)

DEVELOPED BY WHO
COMPONENTS OF HEALTH AND
HEALTH RELATED
PARTS
1 FUNCTIONING AND
DISABILITY
a)BODY FUNCTION &
STRUCTURE
b)ACTIVITIES
c) PARTICIPATION

2 CONTEXTUAL FACTOR
a)ENVIRONMENT
b)PERTIONAL

ENVIRONMENTAL
MODIFICATION
1.BARRIER FREE ENVIRONMENT
2.DETERMINE DEGREE OF SAFETY &
LEVEL OF FUNCTION IN PHYSICAL
ENVIRONMENT
3.IDENTIFY DESIGN BARRIER
4. NEED OF ADAPTIVE EQUIPMENT
5. ASSIST IN PREPARING THE PATIENT TO
RETURN TO FORMER ENVIRONMENT

DISABILITY
EVALUATION

PHYSIOTHERAPY IN
INDUSTRY

ROLE

PREVENTIVE
INTERVENTION
ERGONOMIC
REHABILITATIVE

INDUSTRIAL INJURY
RELATED TO
POSTURE AND
BODY MECHANICS
TINOSINOVITIES
,OTHER SOFT
TISSUE INJURY
LBA 70-80%
MUSCULOTENDINO
US UNIT MOST
AFFECTED

CUMMULATIVE
TRAUMA DISORDER14%
MUSCLE STRAIN
BURSITIS
LIGAMENT INJURY
COMPRESSION
NEUROPATHY
FRACTURE
DISK DISEASE

ROLE OF INDUSTRIAL
PT
TREATMENT OF
INJURED EMPLOYEE
ASSISTING COMPANY
MEDICAL OFFICER
PHYSICAL
EXAMINATION
TRAINING PRINCIPLE
OF KINETIC
HANDLING AND
BODY MECHANICS

ADVICE PROPER
STATIC AND DYNAMIC
POSTURE
ANALYSIS TASK
IDENTIFY JOB
ORIENTED CAUSE OF
INJURY
ASSESS JOB
SUITABILITY
CHECK FITNESS OF
EMPLOYMENT

REPETATIVE STRAIN
INJURY
INJURY OF MUSCULOSKELATAL &
NERVOUS SYSTEM
CAUSED BY REPETATIVE
TASK,FORCEFULL
EXERTION,VIBRATION,MECHANICAL
COMPRESSION &POOR POSTURE
CTS
DEQUERVAINS SYNDROME
CUBITAL TUNNAL SYNDROME
THORACIC OUTLET SYNDROME
MEDIAL &LATERAL EPICONDYLITIS

WORK STATION ERGONOMICS

1.BODY MECHANICS &TRANSFER TECHNIQUES
2.RISK ASSESMENT

THANK
YOU