Physical therapy
Physical therapy (also known as physiotherapy) is a health profession
concerned with the assessment, diagnosis, and treatment of disease
and disability through physical means. It is based upon principles
of medical science, and is generally held to be within the sphere
of conventional (rather than alternative) medicine. Physiotherapy
is practiced by physiotherapists (also known as physical therapists,
e.g. in the United States), though aspects may also be practiced
under supervised delegation by physiotherapy assistants or other
health professionals.
Scope of practice
Physiotherapists' scope of practice varies considerably across the
world, both in terms of the degree of professional autonomy enjoyed
and the range of conditions managed.
Physiotherapists in some jurisdications, such as the Australian
states, enjoy professional autonomy, with the ability to act as
primary care providers and to determine — and be responsible
for — a patient's management plan. Conversely, physiotherapists
in some other juristictions work upon referral from, and largely
under the direction of, other professionals (typically medical practitioners).
The major conditions managed by physiotherapists can be broadly
grouped into three categories: musculoskeletal, cardiopulmonary
and neurological. Many areas of physiotherapy, e.g. rehabilitation
or paediatrics, cross all three areas. Depending on the local healthcare
system, physiotherapists may be involved in all areas, or may only
manage certain aspects (e.g. in some United States juristictions,
respiratory therapists manage many aspects of cardiopulmonary therapy).
Depending on the structure of the local healthcare system, physiotherapists
may function either privately (e.g. in a private clinic)
or publicly (e.g. in a hospital or community setting).
Furthermore, physiotherapists may work as generalists
managing a wide range of conditions, or may specialise
in certain fields. The process of determining career
structure and specialisation varies geographically
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