Happy Physical Therapy Month from all of us at AllTimeCare Physical Therapy. Our clinical lead Therapist Lily Wang DPT., takes a look at the long history of Physical Therapy both in America and in Asia. Read on to learn about the origins of the modern physical therapy career!
Physical therapy techniques have been documented throughout history as a means to treat pain. As early as 300 B.C. the Chinese used rubbing as therapeutic measures. In 460 B.C., Hippocrates and the Romans wrote about massage, manual therapy techniques, and hydrotherapy. But it was Per Henrik Ling, the “Father of Swedish Gymnastics”, who founded the Royal Central Institute of gymnastics in 1813, and is credited as creating the original profession of physical therapy.
In the United States, Physical Therapy began in response to the needs of shoulders injured during World War I. The wounded needed to return to battle, creating a demand for rehabilitation. The Surgeon General decided to adopt a plan following the European model for rehabilitation. He defined physiotherapy as ‘physical measures such as are employed under physiotherapy, including hydro, electro, mechano therapy, active exercise, indoor and outdoor games, and passive exercise in the form of massage. (Granger, 1923).
In 1917, the Division of Special Hospitals and Physical Reconstruction was established. Boston based Orthopedic Surgeons, Elliot G. Brachett, MD and Joel E. Goldthwait MD, Frank Granger, MD, and Marguerite Sanderson developed both physical reconstruction and education programs for the United States. Brachett had experience with the Medical Department of the Army and was the chief surgeon of the Orthopedic Military Corps in the Home Services. Goldthwait was the chief surgeon in the Orthopedic Military Corps of the American Expeditionary Forces in Europe, and Granger was appointed chief of the physical therapy section. Granger practiced neurology and used physical procedures in his treatment.
Marguerite Sanderson, a graduate from Wellesley College and Boston Normal School of Gymnastics, was associated with Goldthwait in his Boston practice. Sanderson and the others organized the administrative details for the Reconstruction Aids program. Shortly after the beginning of the war she was transferred to Washington, DC to organize reconstruction units for overseas hospitals; she later went to Germany with the Army of Occupation to supervise the Reconstruction Aids.
Before her departure in 1918, Sanderson met Mary McMillian at the Walter Reed General Hospital . McMillian was trained in Europe and returned to the United States becoming the first Physical Therapist in the United States. She was assigned by the Surgeon General to the Reconstruction Aid program and appointed head Reconstruction Aid in March of 1918.
The First Physical Therapists
When Sanderson and the other reconstruction units reached the overseas hospitals they took the medical corps by surprise. Many physicians did not know that “such a group of women existed.” (Hanzeheyer, 1946). These young women came wearing blue uniforms, “they were not nurses, social services workers, nor were the daughters of the rich who came to help the Soldiers forget their troubles (Hazenhyer, 1946). These women were trained in physical education, “military” massage, muscle re-education and were ready to perform their duty. The United States had about 2000 Aids in service during the war and about three hundred of them were overseas.
The Physical Therapy Development in Asia
According to World Physiotherapy Asia Western Pacific ( AWP ) Region record, early countries who recieved western educational training, and were able to implement such specialty into their healthcare system were : Australia 1951, then India 1955, Hong Kong ,Malasia, Phillipine in 1963 and followed by Japan and Korea in 1966; Later then Taiwan and Thailand each in 1975 and 1978. Iran & Singapore followed in 1980's. Middle Eastern countries were able to join after the 90's. Although there are much diversity in ethic, language, geography; the promotion of physical therapy are common to all. Currently there are 29 countries whithin the Asia Western Pacific Region.
Granger, F.B., MD “the beginning of ‘Modern Physiotherapy’:. PT Review June 1923, 13-14
Hazenhyer, Ida May “A History of the American Physiotherapy ASsociation” PT. Review Jan/Feb 1946, 60-99
REHAB can make a MASSIVE difference in your recovery, 1. NERUOPLASTICITY 2. REPETITIVE.
Neuroplasticity is the BEST way to boost stroke recovery.Neuroplasticity is how your brain rewires itself and heals after stroke. When there is damage in the brain, neuroplasticity allows your brain to rewire new connections around the damage.
For example, if stroke damaged the motor cortex of your brain (which controls movement) then you may have impaired leg movement. In order to regain leg movement, you can engage neuroplasticity to rewire your brain.
Which begs the question, how can you engage neuroplasticity?The answer is repetitive practice.
Through Telehealth, efficient and home applicable cardio and pulmonary rehab can be done for high risk even post COVID-19 patient suffered with long fibrosis.
"Recent patient testimony: " If I have better monitoring, I could have avoid a stroke at my early forties."
Some of clinic prior patient who contracted COVID also responded: I would like to keep my Exercise , breathing rehab training on-Line so I do not need to worry of getting into clinic !
This was written, In a recent commentary in the European Journal of Preventive Cardiology, Tee Joo Yeo, MD (National University Heart Centre, Singapore), and colleague said, at-home cardiac rehab is an important means for continuing to prevent CV disease in high-risk individuals.
"It's been surprising to learn that the virus appears to cause disease through a process of blood clotting," Oxley told Medscape Medical News.
The message for neurologists SHOWING COVID affect LARGE vessels more than small vessels in terms of presentation of stroke," he said.
Inflammation in the blood vessel walls may be driving thrombosis formation, Oxley added. This report joins other research pointing to this emerging phenomenon.
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Recent research from JAMA ( American Medical Association ) shows older women's mortality rate greatly decreased when an average of daily 4400 walking steps can be reached in comparison with groups only accomplishing 2700 steps daily. The maximized benefit can be reached when 7500 daily steps can be reached.(May 29 2019)
Signs you need a hip replacement
Among Breast Cancer patient, lots of side effects of pain symptoms came from weakening of shoulder region with post mastectomy patients and causing secondary orthopedic pain in neighboring joints such as over-used elbow or wrist.
In our clinic, we also use combination of Acupuncture and Tai-Chi Exercises to enhance energy level for chronic pain patients such as people with diagnosis with severe arthritis, spondylosis or disc herniation. Without surgery, patient is capable of retaining mobility without taking medication and regains improved sleeping pattern.