Sports Physiotherapy

Sports and Exercise Physiotherapists are involved in the prevention and management of injuries resulting from sport and exercise participation at all ages and at all levels of ability. These specialised physiotherapists provide evidence-based advice on safe participation in sport and exercise. Furthermore, they promote an active lifestyle to aid individuals in improving and maintaining their quality of life. Sports and Exercise Physiotherapists also play a huge role in helping athletes of all ages and all levels of ability to enhance their performance.

[1] Grant et al.[2] summarises the role of the sports physiotherapist as follows: “The essential role of the sports physiotherapist is to provide treatment and rehabilitation of injuries and also to provide support for performance through injury prevention, maintenance and recovery interventions.”

Old Age Physiotherapy

Aging or getting old makes our body go through many physical changes. These changes usually cause a decrease in muscle strength, bone density, body coordination, and even make the joints stiffer, which sometimes can lead to falls and fractures. For elderly citizens, exercising may be the key for bringing back and sustaining the physical function required in daily living. Exercise programs set by a physiotherapist can help in reducing body pain, enhancing the movement of joints, facilitating coordination, and boosting respiratory function.  Elderly people suffering from chronic diseases can also obtain benefits from physiotherapy. Though physiotherapy cannot stop the process of aging it can help to reduce the impact that it has on our bodies. Physiotherapists are trained professionals who can identify the factors that prevent elderly people from being active and independent. Exercising on regular basis can also help to reduce the risk and impact of illnesses that are more likely to affect older people.

Respiratory Programs

Physiotherapy is relevant to the treatment of patients with acute and chronic lung disease, but it is also effective in patients with advanced neuromuscular disorders, in patients admitted for major surgery and patients with critical illness in the intensive care unit (ICU). Physiotherapy contributes to the assessment and treatment of various aspects of respiratory disorders, such as airflow obstruction, atelectasis, mucus retention, respiratory and peripheral muscle weakness, impaired exercise performance, dyspnoea, and quality of life. This overview discusses the contribution of physiotherapy in three conditions related to respiratory disease: deconditioning; dyspnoea and respiratory pump dysfunction; and impaired airway clearance and lung inflation.

Cardiac Rehabilitation

A cardiac physiotherapist is a physiotherapist who cares for clients post cardiac event; angina, heart attack, heart failure or pacemaker insertion. The physiotherapists’ experience is invaluable in the assessment of cardiac patients, as many present with non-cardiac conditions such as arthritis, back pain, joint replacements, stroke and respiratory problems.

In the area of prevention the cardiac physiotherapist is in a good position to exercise test and prescribe an exercise regime for you to help control blood pressure, cholesterol and weight management’s.

Neurological Rehabilitation

Physiotherapy in  neuro-rehabilitation population is one who specializes in the evaluation and treatment of individuals with movement problems due to disease or injury of the nervous system in which the goal is to aid in recovery, minimize, and/or compensate for any residual functional alterations or deficits.

Orthopaedic Physiotherapy

Orthopaedic Physiotherapy primarily focus on orthopedics and treatment conditions affecting the musculoskeletal system, which are composed of joints, muscles, bones, ligaments, and tendons.It diagnoses, manage, and cure the disorders of the musculoskeletal system and recuperate patients after the orthopaedic surgery. Any condition that causes pain or limited functional mobility as a result of an injury to bony or soft tissue structures in your body may benefit from the skilled services of orthopedic physical therapy.

Orthopedic injuries and conditions may include:

Muscle strains
Ligament sprains
Post-operative conditions
Strengthening exercises
Stretching and flexibility exercises
Exercises to improve range of motion
Balance exercises
Functional mobility exercises
Endurance exercises
Plyometric and jumping-type

Gynecological Condition

Objective: To advise obstetric and gynaecology care providers of the physical, psychological, and environmental factors that affect women’s posture throughout their lifespan, from adolescence to menopause. To outline the physiotherapy management of obstetrics, osteoporosis, and urinary incontinence in women and to identify recommendations for referral to a physiotherapist.

Outcomes: Knowledge of abnormal postures, contributing factors and recommendations for physiotherapy management.

Evidence: MEDLINE, PEDro, and Cochrane Library Search from 1992 to 2003 for English-language articles and references from current textbooks related to posture and women’s health conditions that are managed by physiotherapists.

Values: The evidence collected was reviewed by the authors and quantified using the evaluation of evidence guidelines developed by the Canadian Task Force on the Periodic Health Exam.

Recommendations: 1. Pelvic floor muscle training with a physiotherapist is recommended to prevent urinary incontinence during pregnancy and after delivery (I-A). 2. Core stability training with a physiotherapist is recommended to prevent and treat back and pelvic pain during and following pregnancy (I-B). 3. Physiotherapist-prescribed exercises are recommended for women to elicit positive changes in bone mass and to reduce fall and fracture risk (I-A). 4. Pelvic floor muscle training with a physiotherapist is recommended for women with stress urinary incontinence (I-A). The Canadian Physiotherapy Association and Society of Obstetricians and Gynaecologists of Canada have developed this joint policy statement regarding posture in women’s health that highlights the physical, psychological, and environmental factors that affect women’s posture throughout their lifespan, from adolescence to menopause. This statement outlines the role of physiotherapy in the assessment and treatment of women’s posture; outlines the physiotherapy management of obstetrics, osteoporosis, and urinary incontinence; and identifies recommendations for referral to a physiotherapist. The quality of evidence and classification of recommendations have been adapted from the Report of the Canadian Task Force on the Periodic Health Exam