Physiotherapy

January 2008 Paul Davidson BSc (Hons), MCSP, Registered with the HPC

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PhysiotherapyPhysiotherapy

A science based healthcare A science based healthcare professionprofession


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Emphasises use of physical approaches in:Emphasises use of physical approaches in:– PromotionPromotion– MaintenanceMaintenance– Restoration Restoration

• IndividualsIndividuals– PhysicalPhysical– Psychological Psychological – Social well beingSocial well being– Taking into account the individuals changing Taking into account the individuals changing

health statushealth status


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• Programme equips you with:Programme equips you with:– KnowledgeKnowledge– SkillsSkills– Essential for clinical practice in Essential for clinical practice in

changing healthcare marketchanging healthcare market• ChallengingChallenging• Broad scope of practiceBroad scope of practice• Patient groupsPatient groups• Client groupsClient groups


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• Healthcare delivery settingsHealthcare delivery settings• Intervention Intervention • ProblemsProblems

– ImpairmentImpairment– ActivityActivity– participationparticipation


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• Entry requirementsEntry requirements• You must satisfy the general entry You must satisfy the general entry

requirements for a first degree programme requirements for a first degree programme and have obtained GCSE passes at grade C and have obtained GCSE passes at grade C or above in Mathematics and a science (or or above in Mathematics and a science (or equivalent).equivalent).

All candidates are required to pass a All candidates are required to pass a medical examination and undergo a Pre-medical examination and undergo a Pre-Employment Consultancy Check.Employment Consultancy Check.

Additional selection methods may used.Additional selection methods may used.


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• A LevelA Level– Grades BBB for GCE applicants to Grades BBB for GCE applicants to

include one science subject from Biology, include one science subject from Biology, Chemistry, Maths or Physics. Plus Chemistry, Maths or Physics. Plus satisfactory performance in selection test satisfactory performance in selection test (see below).(see below).

• Irish Leaving CertificateIrish Leaving Certificate– Grades BBBBB at higher level, to include Grades BBBBB at higher level, to include

two subjects from Maths, Physics, two subjects from Maths, Physics, Biology or Chemistry. Biology or Chemistry.


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Selection TestSelection Test

• End of January each year on University End of January each year on University campusescampuses

• 3 elements3 elements– Interpersonal understandingInterpersonal understanding– Critical reasoningCritical reasoning– Written communicationWritten communication

• Allied Health Professional applicantsAllied Health Professional applicants• Australian Council for Educational Research Australian Council for Educational Research

(ACER)(ACER)• Fee £90Fee £90

– Results valid for 2 yearsResults valid for 2 years


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Selection TestSelection Test

• Application alongside UCAS processApplication alongside UCAS process• Details available on university Details available on university

website website http://www.ulster.ac.ukhttp://www.ulster.ac.uk and and http://www.hpat.org.ukhttp://www.hpat.org.uk

• All applicants must complete the All applicants must complete the ACER test to be considered for ACER test to be considered for entry to University of Ulster Allied entry to University of Ulster Allied Health Profession programmesHealth Profession programmes


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PhysiotherapyPhysiotherapy• Batchelor of Science (Honours) Degree Batchelor of Science (Honours) Degree

programmeprogramme• Full timeFull time• 3 year course3 year course• ModularModular• Formal lectures and practical sessionsFormal lectures and practical sessions• The successful student will undertake The successful student will undertake

intensive study, approximately 27 hours per intensive study, approximately 27 hours per weekweek– Ongoing progressive home study is essential equal Ongoing progressive home study is essential equal

to that spent in lectures and practical sessionsto that spent in lectures and practical sessions• Students will undertake a research Students will undertake a research

dissertation as part of their coursedissertation as part of their course


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• Dress code for practical sessionsDress code for practical sessions• Lectures and practical sessions delivered Lectures and practical sessions delivered

by a diverse teaching team including:by a diverse teaching team including:– Physiotherapy lecturersPhysiotherapy lecturers– Visiting physiotherapy lecturersVisiting physiotherapy lecturers– BiologistsBiologists– PsychologistsPsychologists– Occupational TherapistsOccupational Therapists– Nursing lecturersNursing lecturers

• Clinical placement Clinical placement – in-service trainingin-service training


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• AnatomyAnatomy• PhysiologyPhysiology• CommunicationCommunication• AssessmentAssessment• MusculoskeletalMusculoskeletal• RespiratoryRespiratory• NeurologicalNeurological• Conditions commonly encountered as a Conditions commonly encountered as a

physiotherapistphysiotherapist


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• Rheumatological conditionsRheumatological conditions• Respiratory conditions; these include Respiratory conditions; these include

chest, heart and lungschest, heart and lungs• Neurological conditions e.g. CVA, MS, Neurological conditions e.g. CVA, MS,

GBSGBS• SurgicalSurgical• Reduced mobilityReduced mobility• Elderly careElderly care• Fractures Fractures • Moving and handling of patientsMoving and handling of patients• First aidFirst aid


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PhysiotherapyPhysiotherapy• To become a member of the Chartered To become a member of the Chartered

Society of Physiotherapy (MCSP) 1000 hours Society of Physiotherapy (MCSP) 1000 hours of supervised clinical practice must be of supervised clinical practice must be completedcompleted

• 1060 hours is built in to the programme over 1060 hours is built in to the programme over 5 clinical placements of 6 weeks in duration5 clinical placements of 6 weeks in duration

• Assessment of learning include written and Assessment of learning include written and practical examinationspractical examinations

• A portfolio of learning is recommended, this A portfolio of learning is recommended, this is an important reference for later is an important reference for later registration and/or employmentregistration and/or employment– Provides evidence of ongoing learningProvides evidence of ongoing learning– Continual Professional Development (CPD)Continual Professional Development (CPD)


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• Lifelong learnersLifelong learners• Post Graduate coursesPost Graduate courses

– MSc MSc – PhDPhD

• Career developmentCareer development– ? 10? 10% of salary devoted to courses% of salary devoted to courses– CPDCPD

• Membership of clinical interest groupsMembership of clinical interest groups• Subscription to journalsSubscription to journals• Internet forumsInternet forums


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Physiotherapist work Physiotherapist work areasareas

• National Health ServiceNational Health Service• HospitalHospital

– WardsWards– NeurologyNeurology– RespiratoryRespiratory

• Community based rehabilitation programmesCommunity based rehabilitation programmes

– RehabilitationRehabilitation– Elderly CareElderly Care– Day HospitalDay Hospital– Out PatientOut Patient


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Physiotherapist work Physiotherapist work areasareas

• PaediatricPaediatric• Sports MedicineSports Medicine• Occupational Health Occupational Health • Community careCommunity care• DomiciliaryDomiciliary• ResearchResearch

– Important aspect of physiotherapyImportant aspect of physiotherapy• Private practicePrivate practice

– Private health insurance companies require 2-Private health insurance companies require 2-5 years post graduate experience5 years post graduate experience

• Sports TeamsSports Teams


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Sports MedicineSports Medicine

Sports medicine is defined as:Sports medicine is defined as:• PreparationPreparation• TrainingTraining• Prevention of injury and illnessPrevention of injury and illness• Diagnosis and treatment of injury and Diagnosis and treatment of injury and

illnessillness• Rehabilitation and return to active Rehabilitation and return to active

participation in sportparticipation in sport• Relates to the athlete, sport, sporting Relates to the athlete, sport, sporting

equipment and diagnostic instrumentation equipment and diagnostic instrumentation (Peterson and Rentr (Peterson and Rentröm, öm,

1998)1998)


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Sports Medicine TeamSports Medicine Team

• ConsultantsConsultants• PhysiotherapistsPhysiotherapists• Massage therapistsMassage therapists• PodiatristsPodiatrists• OptometristOptometrist• PharmacistsPharmacists• DentistDentist• Gender verifiers *Gender verifiers *• Interpreters *Interpreters *


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Sports Medicine model – Sports Medicine model – professional sportprofessional sport

Doctor

Dietician

Psychologist

Others

Podiatrist

Masseur

Physio

Trainer

Athlete-Coach

The players agent also features prominently in athlete-coach interaction


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Sports PhysiotherapistSports Physiotherapist

• Work with athletes to enable them to Work with athletes to enable them to compete at the highest level.compete at the highest level.

• Participate in pre-competition screening.Participate in pre-competition screening.• Education of athletes and coaches - injury Education of athletes and coaches - injury

risks.risks.• Love thy sport – understand the demandsLove thy sport – understand the demands• Identifying potential risks so reduce injuryIdentifying potential risks so reduce injury• Injury surveillanceInjury surveillance


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• Organise treatment equipment, kit and supplies.Organise treatment equipment, kit and supplies.• Effectively assess and treat injuries part of teamEffectively assess and treat injuries part of team• Time for assessment is shortTime for assessment is short• Tennis allows 180 seconds for assessment and Tennis allows 180 seconds for assessment and

treatment. treatment. • Rugby allows PT’s onto the pitch without Rugby allows PT’s onto the pitch without

stopping play.stopping play.• GAA games must be called on to the pitch by ref. GAA games must be called on to the pitch by ref. • Refer to medical specialists or emergency Refer to medical specialists or emergency

services if required.services if required.


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• Provide basic first aid.Provide basic first aid.• Keep accurate records of injuries Keep accurate records of injuries

and treatments given.and treatments given.• Three Specific TimesThree Specific Times

– Before the game/competitionBefore the game/competition– During the game/competitionDuring the game/competition– At the end of competitionAt the end of competition


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BeforeBefore

PREPARATIONPREPARATION• Pre-games screening Pre-games screening • Gather information on the size of the team Gather information on the size of the team

and the nature of the competitionand the nature of the competition• Make contact with coaches/managers.Make contact with coaches/managers.• Identification of any medical problems Identification of any medical problems

that any of the athletes may suffer from - that any of the athletes may suffer from - asthma.asthma.

• Organise equipment required for every Organise equipment required for every eventuality (telephone) eventuality (telephone)


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BeforeBeforeASSESS THE LOCATIONASSESS THE LOCATION• Quality and ease of access to medical facilities.Quality and ease of access to medical facilities.• Locate physiotherapy facilities/training ground.Locate physiotherapy facilities/training ground.• If travelling to another country - voltage, health If travelling to another country - voltage, health

hazards i.e. water and food, vaccinations required, hazards i.e. water and food, vaccinations required, voltage.voltage.

ONCE YOU HAVE ARRIVEDONCE YOU HAVE ARRIVED• Locate emergency/first aid equipmentLocate emergency/first aid equipment• Is there an emergency planIs there an emergency plan• Other physiotherapy/medical personnelOther physiotherapy/medical personnel• Check out the timetableCheck out the timetable• Set up a treatment areaSet up a treatment area• Liaise with coach/manager to prioritise any pre Liaise with coach/manager to prioritise any pre

competition treatment and tapingcompetition treatment and taping


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DuringDuring

• High level of awareness.High level of awareness.• Assessments of injuries, fast and Assessments of injuries, fast and

accurate.accurate.• Injury managementInjury management• Maintain accurate records of Maintain accurate records of

treatments given and injuries treatments given and injuries received.received.

• Stressful?Stressful?


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AfterAfter

• Initial / early management will Initial / early management will influence long term outcomeinfluence long term outcome

• Continue to assess and treat injuries.Continue to assess and treat injuries.• Possible onward referral.Possible onward referral.• Post-event discussions with athletes Post-event discussions with athletes

and coach, manager.and coach, manager.• Equipment check and restockEquipment check and restock


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Useful websitesUseful websites

• http://prospectus.ulster.ac.uk/coursehttp://prospectus.ulster.ac.uk/course/?id=4760/?id=4760

• http://www.ulster.ac.ukhttp://www.ulster.ac.uk• http://www.hpat.org.ukhttp://www.hpat.org.uk• www.science.ulster.ac.uk/courses/hewww.science.ulster.ac.uk/courses/he

alth/BSc_PhysioG150.pdfalth/BSc_PhysioG150.pdf

Physiotherapy

Health & Medicine

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