Know the Role of Physiotherapy and its Handling

Physiotherapy is a form of health service aimed at individuals and/or groups to develop, maintain and restore body movement and function by using manual handling, and/or using functional training aids.

In particular, physiotherapy plays a role in the healing process, recovery, maintenance and promotion of prevention of potential disability (disability), by managing movement and function disorders, increasing optimal body functional abilities.

 

Scope of Physiotherapy Services

The following are disorders of function and movement in patients who require physiotherapy treatment based on disorders of the body system:

 

Nervous System Disorder

Handling physiotherapy in individuals with disorders of the central nervous system, peripheral nervous system, such as in stroke, Parkinson's, post head injury, multiple sclerosis. Physiotherapy plays a role in restoring, developing movement abilities and body functions so as to prevent further effects such as paralysis, inability to carry out activities and other accompanying disorders such as difficulty speaking.

 

Disorders of the Muscular, Joint and Bone System

Physiotherapy treatment for individuals with muscle, joint and bone disorders, such as neck pain, shoulder pain, low back pain, post-fracture, and joint inflammation. Physiotherapy plays a role in restoring, developing the ability to move and function of the body so as to prevent further effects such as prolonged pain and unable to do activities.

Disorders of the Heart and Circulatory System

Handling of physiotherapy on individual conditions with disorders related to the work of the heart and blood circulation, such as in conditions of heart disease, bed rest. Physiotherapy plays a role in restoring, developing the ability to move and function of the heart and blood circulation so as to prevent further effects such as decreased fitness and cardiorespiratory endurance.

Respiratory System Disorders

Handling physiotherapy for individual conditions with respiratory-related disorders, such as asthma, a lot of mucus, chronic cough, and acute COVID-19 patients. Physiotherapy plays a role in restoring and developing lung function so as to prevent further effects such as respiratory failure, prolonged shortness of breath and use of a ventilator

Developmental Disorder

Handling physiotherapy for children with growth and development disorders, such as cerebral palsy, Down syndrome, developmental delays, birth defects. Physiotherapy plays a role in developing motor and sensory functions so that children are able to follow the stages of development well

What is the Form of Physiotherapy Services?

Services performed by a physiotherapist are:

1. Post-stroke physiotherapy
2. Physiotherapy after fracture
3. Asthma physiotherapy, post-covid, relieves the airway
4.Physiotherapy of cerebral palsy, child development delay
5.Physiotherapy treats pain in muscles and joints
6. Physiotherapy for the elderly
7. Occupational health physiotherapy
8. Home visit program 
9. physiotherapy Baby massage
10. Gymnastics

Physiotherapy Service Process

The physiotherapist will conduct an examination and assessment of the problem according to the patient's complaints, determine the diagnosis of physiotherapy, determine the priority of the problem, determine the type of physiotherapy action, perform physiotherapy actions, conduct a post-therapy evaluation.

Types of Physiotherapy Services

Manual therapy is by using the hands of a physiotherapist with stretching techniques, touch stimulation, joint mobilization, strengthening weak muscles, and helping to expel thick mucus.

Therapy using electrotherapeutic equipment (electromagnetic waves, sound waves, electrical stimulation, heat/cold therapy, mechanical stretching, nebulization)

Exercise Therapy: therapy carried out in the form of movement actualization such as walking exercises, therapy in the water (hydrotherapy), therapy using certain methods (ex. bobath, vojta, etc.), gymnastics, muscle strengthening exercises, musculoskeletal endurance exercises (muscles and bones) , cardiorespiratory endurance (heart, lungs)

Well, there are quite a number of services that physiotherapists can provide, plus there are several forms of therapy that you can do yourself at home (Home Program).

Of course, you must first consult with a Medical Rehabilitation Specialist to be given a physiotherapy program (type of therapy, intensity, frequency, and evaluation time), and follow the technical instructions for therapy from a physiotherapist in order to be able to carry out a therapy program at home.

To find out the practice schedule of Dr. Sunaryo B. Sastradimaja, Sp. KFR and register, you can go through:
1. Hermina Hospital website
2. Hermina Mobile Application "PT Medikaloka Hermina Tbk" (available on Playstore/Appstore)
3. Call Center 1500488

Referensi

WCPT. Policy statement: Description of physical therapy

Peraturan Menteri Kesehatan No 65 tahun 2015 tentang Standar Pelayanan Fisioterapi)

Heran BS, ChenJM, Ebrahim S, Moxham T, Oldridge N, Rees K, Thompson DR, Taylor RS. Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane Database Syst Rev. 2011;6(7):CD001800.

ACCP/AACVPR Pulmonary Rehabilitation Guidelines Panel.Pulmonary rehabilitation. Joint ACCP/AACVPR Evidence-Based Guidelines.Chest, 131 (2007), pp. 4S-51S

Physiotherapist's Perspective on Pediatric Rehabilitation Miss. Kajal Kadge , DR. Mandar Malawade, Miss OshinBagde , Miss Dhanashree Chivate DR. A.P.J. Abdul Kalam College of Physiotherapy, Pravara Institute of Medical Sciences ( DU ) , Loni , India PIMS, Loni

Moffatt, F., Goodwin, R., & Hendrick, P. (2018). Physiotherapy-As-First-Point-Of-Contact-Service for Patients with Musculoskeletal Complaints: Understanding the Challenges of Implementation. Primary Health Care Research & Development. 19(2), pp. 121–130.