What is a Physical Therapist?

A physical therapist is someone who diagnoses and treats people (of all ages) who have injuries, medical problems or other health-related conditions that limit their ability to function and move properly in their daily lives. Physical therapists develop a recovery plan designed for each patient's specific needs, and provide treatment and therapy that will improve movement and manage pain. They are often an important part of an individual's rehabilitation and treatment protocol.

Physical therapists take on leadership roles in prevention, health maintenance, and rehabilitation, and are involved with programs that promote health, wellness and fitness. With their specialized training, they are able to treat a variety of health conditions such as: arthritis, back and neck pain, joint injuries, cerebral palsy, fibromyalgia, balance issues, cystic fibrosis, muscle strains, osteoporosis, sports injuries, multiple sclerosis, spinal cord injuries, birth defects, parkinson’s disease, post-operative rehabilitation, fractures, carpal tunnel syndrome, and chronic pain.

What does a Physical Therapist do?

A physical therapist is someone who helps people with injuries or illnesses improve their movement and manage their pain.

Physical therapists typically do the following:

  • Diagnose patients’ dysfunctional movements by watching them stand or walk and by listening to their concerns, among other methods
  • Set up a plan for their patients, outlining the patient's goals and the planned treatments
  • Use exercises, stretching maneuvers, hands-on therapy, and equipment to ease patients’ pain and to help them increase their ability to move
  • Evaluate a patient’s progress, modifying a treatment plan and trying new treatments as needed
  • Educate patients and their families about what to expect during recovery from injury and illness and how best to cope with what happens

Physical therapists provide care to people of all ages who have functional problems resulting from back and neck injuries; sprains, strains, and fractures; arthritis; amputations; stroke; birth conditions, such as cerebral palsy; injuries related to work and sports; and other conditions. They are trained to use a variety of different techniques—sometimes called modalities—to care for their patients. These techniques include applying heat and cold, hands-on stimulation or massage, and using assistive and adaptive devices and equipment.

The work of physical therapists varies with the type of patients they serve. For example, a patient suffering from loss of mobility due to Parkinson’s disease needs different care than an athlete recovering from an injury. Some physical therapists specialize in one type of care, such as pediatrics (treating children) or sports physical therapy.

They work as part of a healthcare team, overseeing the work of physical therapist assistants and aides and consulting with physicians and surgeons and other specialists. They also work at preventing loss of mobility by developing fitness- and wellness-oriented programs to encourage healthier and more active lifestyles.

The field of physical therapy has sub-specialties in five areas. Physical therapists can specialize as:

Orthopedic Physical Therapists
Orthopedic physical therapists focus on restoring function to the musculoskeletal system, and many sports injuries fall into this category. Joints, tendons, ligaments, and bones are treated with stretching, strength training, endurance exercises, hot and cold packs, ultrasound, electrical muscle stimulation, and joint mobilization.

Conditions that can be treated by orthopedic physical therapists may include: tendonitis, arthritis, ligament tears, sprains, joint stiffness, joint pain, strains, muscle tears, joint inflammation, muscle inflammation, tendon inflammation, post-fracture injury, rotator cuff repair, ACL (Anterior Cruciate Ligament) reconstruction, and post-arthroscopic and total joint replacement surgeries.

Geriatric Physical Therapists
Geriatric physical therapists focus on older adults and help them to reduce pain, improve their balance, increase their fitness level and strength, restore mobility, build their confidence, and remain active. They treat them for conditions such as arthritis, cancer, osteoporosis, incontinence, Alzheimer's disease, hip and joint replacement, and balance disorders.

Geriatric physical therapists seek to help their older clients restore their mobility as much as possible while still being aware of and accommodating any physical limitations. This type of therapy helps older adults to remain strong, independent and productive. Physical therapy can also help older adults to avoid falls, as falling is one of the biggest risks older adults face, often leading to things such as hip fractures/replacements which can sometimes lead to a downward health spiral.

Neurological Physical Therapists
Neurological physical therapists focus on helping and treating people that have neurological conditions and impairments such as: Alzheimer's disease, Guillain-Barre Syndrome, brain injury, cerebral palsy, multiple sclerosis, Parkinson's disease, spinal cord injury, and stroke.

The nervous system is an intricate and complex system that controls all the workings of the body. If something goes wrong with a part of this nervous system, an individual can experience trouble moving, breathing, speaking, swallowing, or learning, and can also experience issues with their memory and senses.

Physical therapy helps patients who have had or who presently have neurological diseases or injuries to achieve function for living as independently as possible. Every patient's treatment approach is individually tailored by the neurological physical therapist and addresses specific problem areas. Without physical therapy, these patients may not be able to perform certain activities, lose many of their functions, and eventually lose their independence due to decreased activity. This can then lead to other health issues, such as diabetes, heart problems, or lung problems.

Cardiopulmonary Physical Therapists
Cardiopulmonary physical therapists focus on helping individuals who suffer from cardiovascular and pulmonary conditions such as heart attacks, chronic obstructive pulmonary disease (COPD), and pulmonary fibrosis. The goal is to improve overall health, increase endurance, improve functional independence, and reduce the risk of future cardiovascular episodes.

Cardiovascular rehabilitation deals with a patient’s mental and emotional well-being after a traumatic cardiac event. It is important to mobilize patients as soon as they are clinically stable, often within 24-48 hours of the episode. Cardiac rehabilitation can be separated into several phases or steps. For example, a cardiopulmonary physical therapist can help a patient progress through the following steps: sitting on the edge of the bed; light activity (such as sitting, standing, or walking) in the room; walking up and down the hospital hallways; measuring the amount of effort it takes to do an activity using the Borg Rating of Perceived Exertion (RPE) scale (should be 13 or less); keeping the heart rate below 120 beats per minute; helping the patient exercise two to four times per day.

Pulmonary rehabilitation helps patients with a pulmonary disease, most commonly chronic obstructive pulmonary disease (COPD), to increase awareness of their lungs in regards to performing activity and to help improve overall pulmonary function. Pulmonary rehabilitation may include: breathing strategies; energy-conservation techniques; relaxation techniques; nutritional counseling; psychological counseling; exercise training; and group support. Patients often report less shortness of breath and more energy after working with a pulmonary therapist.

Pediatric Physical Therapists
Pediatric physical therapists treat musculoskeletal problems and improve the mobility of infants, toddlers, children, and adolescents facing numerous health conditions. This field of therapy was started during the polio epidemic in the 1920s and has since been used to treat genetic disorders, injuries, birth defects, muscle diseases, developmental delays, orthopedic disabilities, and limb deficiencies.

Pediatric physical therapists use a variety of methods and treatments for children, such as specialized equipment, functional training and exercise, diet changes, and medication - all designed to help treat conditions that hinder mobility and also help alleviate pain. For treatment after an injury or post surgery, a pediatric physical therapist will look at the specific areas of the body that are involved and determine what type of therapy and treatment will be needed for a successful rehabilitation process.

A pediatric physical therapist addresses and treats the same underlying issues as they would do if working with an adult, the only difference being in the context of a child's mobility and movements. For babies, the focus is on the development of gross motor skills, which can include learning how to sit up, roll over, crawl, stand, and walk. For young children, improving movement issues may be the focus, such as balance or coordination deficits. These issues can be treated by developing better mobility (helping them play, jump, and run) and by increasing core strength.

A physical therapist helping a child with his treatment by having him use an elastic exercise band.

Are you suited to be a physical therapist?

Physical therapists have distinct personalities. They tend to be social individuals, which means they’re kind, generous, cooperative, patient, caring, helpful, empathetic, tactful, and friendly. They excel at socializing, helping others, and teaching. Some of them are also investigative, meaning they’re intellectual, introspective, and inquisitive.

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What is the workplace of a Physical Therapist like?

Physical therapists can work in a variety of settings, such as schools, private offices, hospitals, home health agencies, outpatient clinics, office work settings, sports and fitness facilities, and nursing homes. Some physical therapists are self-employed, meaning that they own or are partners in owning their practice.

Physical therapists spend a lot of time on their feet and are quite active during the course of their day. Because they are so physically active (lifting or moving their patients), it’s important for physical therapists to learn proper body mechanics and care, and use those principles in their daily work to avoid injuring themselves.

Physical therapists typically work a Monday-to-Friday work week, however, some may need to work evenings or weekends depending on their work setting.

What is the difference between a chiropractor and a physical therapist?

A chiropractor has an expansive diagnostic education, while a physical therapist has a therapeutic, or intervention-based education. Although a chiropractor can provide rehabilitative exercise and modality treatments to the client, his/her main type of treatment is spine manipulation. A physical therapist may also provide manual therapy-type techniques to their patients, but activity modification, therapeutic exercise and modalities are the foundation and focus of a physical therapy practice.

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What is the difference between a physical therapist and an occupational therapist?

Occupational therapists and physical therapists often address similar conditions using similar treatment methods and tools. Interestingly, at one time occupational therapists and physical therapists were both known as reconstruction aides. These 'reconstruction aides' worked to rehabilitate veterans in World War I and gave credibility to physical rehabilitation interventions. Today, both professions are able to help with improving and arresting deterioration of a patient’s physical ability - the ultimate goal of both practices is to help patients carry out their daily activities with as much ease as possible. Both professions are able to work with their patients on a longterm basis (if required) and increase their patient’s independence and quality of life.

In certain settings, occupational therapists and physical therapists may look identical, however there are specific distinctions between the two disciplines:

Occupational therapy focuses on evaluating and improving a person's functional ability, and on how the patient uses fine motor and cognitive skills to perform tasks that are meaningful to them. Simply put, occupational therapists help their patients perform day-to-day tasks. Patients recovering from injuries or have developmental or cognitive disabilities affecting their motor skills, emotions or behaviour are not directly treated for their injury by the occupational therapist, but are helped with their independence, the improvement of their life skills, and assisted with their ability to accomplish daily activities following their injury. Some occupational therapy may happen in a hospital or in the occupational therapist's office, however a big chunk of the therapy will be done in the patient’s home or work environment. The reason for this is that occupational therapy puts a strong emphasis on the practical aspects of helping individuals do the things they need to do in order to live their life to the fullest.

Physical therapy’s main focus, on the other hand, is working with people recovering from injuries and specifically working on a patient's gross motor functions. A physical therapist will focus on evaluating, diagnosing and treating a person's injured tissues and structures, and may use massage therapy, exercise, or acupuncture to treat these injuries. Therapy usually happens in a physical therapist's office, and not in a person's home. Physical therapy can also focus on preventing injuries, and it can help people avoid having to go through surgery or provide enough relief to get people off of pain medications. Physical therapists are specifically trained in body mechanics and in how various body systems are affected by motion, positioning, and exercise. In order to ease or increase body movement, they typically focus on improving strength, balance, and range of motion, often targeting the spine and lower body extremities.

In some cases, patients may begin treatment by seeing a physical therapist first, and then move on to seeing an occupational therapist. For example, a patient might see a physical therapist after having a stroke in order to build back muscle strength. However, once the muscles have strengthened, that patient may see an occupational therapist to help with taking a bath or shower, eating, buttoning a shirt, or using the restroom.

Occupational therapist helping a man eat after a stroke.

What is the difference between a physical therapist and a physiotherapist?

Physical therapists use a holistic approach that is based on the manual treatment of soft tissue, for example, tendons, ligaments, muscles and fascia. They do not specifically treat the spine. Physical therapists complete a three year part time degree which will consist of twenty weekends per year over three years, and carry out their clinical practice in a private setting.

Physiotherapists have an extensive scientific and clinical background which helps them assess, diagnose and treat illnesses and conditions. They use electrotherapy, medical acupuncture and dry needling, manipulation, mobilization, massage, and prescriptive exercise to help their patients. Physiotherapists complete a four year full time degree, which includes one thousand hours of clinical placement in a community, primary care, or hospital setting prior to qualification.

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What is some good advice for getting into physical therapy school?

A minimum 3.0 GPA is usually required. Make sure you complete all the required courses before enrolling, although most schools will still allow you to apply if you haven't completed all the courses at the time of application, as long as they are completed before you start the program. Use the Physical Therapy Centralized Application Service (PTCAS) if possible, as you'll only have to fill out one application form and then be able to submit it to multiple schools. Work experience in a physical therapy setting is highly recommended and for some programs it is required. Most programs will accept fifty to one hundred hours of experience.

What is it like being a physical therapist?

A physical therapist spends their day improving the quality of people's lives. For a patient, this may mean getting to their goal of walking without a cane, or it could mean getting through an injury in time to run a marathon. Exceptional people skills are needed on a daily basis. Physical therapists work very closely with their patients, and it is crucial to have the patient trust the therapist's abilities, and be open to the therapy that will be introduced. On a daily basis, physical therapists see the work they do have an impact on their patients, which is a very fulfilling and rewarding experience.

Physical Therapists are also known as:
Orthopedic Physical Therapist Geriatric Physical Therapist Neurological Physical Therapist Cardiopulmonary Physical Therapist Pediatric Physical Therapist Home Care Physical Therapist Outpatient Physical Therapist Registered Physical Therapist