Yes Despite its good it can suck too!!!!! Read on to find out.
Here's my list of 10 things the PT Profession seriously need to re-evaluate , ea personal opinion of mine.
I believe things will change but only with effort.
If they do, I feel massive progress will ensue.
1 – the PT world is full of the charlatans
Problem: there’s nothing to back up their claims, they capitalise on the helpless sheep that follow
-A long as the internet exists, the PT profession will be riddled with online gurus who proclaim their expertise.
-The gurus use flashy tricks, tips, and cleverly convincing marketing to fool onlookers.
-Even more convincing is seeing method, pattern or institute above their name with a big copyright logo.
They must be the real thing right!!! NO not so much and more often than not, they're motives are selfish,
of money, instead of the selfless motives of teaching ( psssss the stuff is recycled )
2- PT treatments are largely non specific,(shooting in the dark)
The problem? So long as we shoot in the dark the longer well forever miss our target
-As PTs, we tend to name and treat, We name conditions using the terms “ology” “syndrome” or something “Pain” to help guide us.
-To Treat, We use the tools at our disposal. But where are we aiming? Or are we simply hoping for the best?
-Most of the time, we don’t diagnose, specify and then treat.
-There’s likely 30 possible factors a back could hurt!!! So a cookie cutter approach won’t work.
3- Were not as effective as we think.
The Problem? No scrutiny, no revision, no renovation
-I’ve realized over time that the Physical therapy profession is unlike any other profession
In that the PT profession has been subject to almost no debate compared to chiropractic, homeopathy, acupuncture and most other alternative therapies.
-But PT isnt all that flawless, and some studies show that. So it definitely needs scrutiny.
4—Too many doctors of PT
The problem? A heightened ego doesn't translate to improved clinical outcomes.
-Doctorate programs of PT were awarded in a minority of Universities in the 2000s.
-Now in 2016, all universities have jumped on the DPT bandwagon.
-So now 90% of graduates will refer to themselves as Doctors upon graduation!!!!!! Sighhhhhh
5—There's too much effeciency and too little Innovation.
The Problem? Without the time to think, we won’t have the chance to create
-Efficiency in Healthcare is always sacrificed and put in front of innovation.
-Most Physical therapists are in an out, done and dusted. An 8 hour day. Mon-Friday. Cool
-But do these rigid work hours allow us to theorise, create, and experiment?
Or are they conducive to treatment, you know, the way we always do it?
6- Badly in touch with the human side of PT.
The Problem? Well fail to optimize treatment by abandoning the human side of PT.
-PTs treat people not robots, but our prevailing treatment seems more preferenced to the latter.
- Unlike robotic repairs which usually need a few screws tightened, a couple of parts replaced. Humans are different!
-We're complex, an arrangement of self conscious emotions, feeling and beliefs. All are important. yet ignored and replaced with fixing the physical stuff.
7-The PT profession has an identity crisis.
The problem? Despite the name, We’re not movement experts, and we won’t be until we understand and master the movement system..
Our identity as physical therapists is in crisis.
The world association of the profession refers to PTs as movement experts.
"Practitioners who treat and correct functional impairments of the movement system."
But all I hear in relation to movement, is stretch this and strengthen that! A major oversimplification!!!!!!
8- We love Tools ( maybe too much)
The problem, we’ve replaced the basics with these fancy tools that hold us back.
-More and more these days, therapists use instruments. needling, massage,taping, laser the list goes on.
-PTs have jumped on the bandwagon and there's always some new toy, which replaces the last one, Its really just a period of popularity until something else comes along.
-These tools often make up the bulk of treatment, but these tools have proven to be almost useless when it comes to chronic conditions. and some have little evidence at all.
9- Continuing education is few and far between!
The problem? We wont progress intellectually as a profession and neither will our skills
-CE in physical therapy is important! It’s of the many obligations of PT associations.
-Its clear why. Outcomes improve with therapists who develop it.
-But there’s serious boundaries that stop the large part of the profession from getting started such as time, resource constraints and even effort.
10- Division and A lack discourse
Problem: Lack of ongoing discourse stops assessment, debate and important connection. Things are left the way they are and wont change.
The key to the development of any profession is an ongoing intra and inter professional discourse about key relevant subjects. But, sadly its not the case in the PT world.
- transparency of clinical results is lacking.
- Most PT clinics are team or individually based and rarely multidisciplinary,
-Debate is rarely brought up, and is largely limited to a few courageous bloggers like pain science and Adam sports physio.
- The current gap of understanding and knowledge between researchers, clinicians and patients is enormous. A massive disconnect.
Caolan here. Im a curious man to say the least and as an enthusiastic enrolling physiotherapy student. I have felt the need to share my thoughts and conclusions on the topic that is pain. Its something that will effect us all. Above all its very mysterious, misunderstood and complicated one and Im here to figure out more.