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History of Physical Therapy

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List the 3 qualities of a profession
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Autonomy, ethical standards, and accountability
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first physical therapist and the first president of the physical therapy association
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Mary McMillian
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What are the 7 core values of the profession
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accountability, altruism, compassion, excellence, integrity, professional duty, social responsibility
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Accountability
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physical therapist accepts various responsibilities and obligations that have an influence on patients, the profession, and the health and wellness of society
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Altruism
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devotion to the profession and placing patient’s needs above own
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Compassion
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having a concern and empathy for others and being able to identify with experiences
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Excellence
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being knowledgeable on current theory and practice; continues to learn and advance
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Integrity
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being honest to oneself and the profession, following all ethical standards
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Professional Duty
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commitment to provide services to patients to promote a healthy society
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Social Responsibility
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a mutual trust between the public and physical therapy developed through responding to wellness needs of society
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Patient
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individual with an impairment, disability, or disorder that needs interventions to function
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Client
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an individual, business, or organization that seeks the help of a physical therapist to promote health, safety, and wellness
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The American Woman’s Therapeutic Association
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first physical therapy organization
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State Practice Act
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definition and recognition of the physical therapy profession by each state
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Reconstruction aides
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first physical therapists
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Disablement Model
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based on impairment, functional limitation, and disability
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Medical Model
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addresses medical conditions and works to get full potential realized
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Impairment
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any loss of function or abnormal function that affects the mind or body
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Disability
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inability to carry out an action or activity that is needed to function in society
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Chinese
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massage
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Roman/Greek
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hydrotherapy (baths)
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Use of electricity in the 1600s
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electrotherapy
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Polio outbreaks
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children in need of physical therapy
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World War 1 – 1917
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Development of US Division of Special Hospitals and Physical Reconstruction
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World War 1 – 1st PT
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Reconstruction aides
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World War 1 – Organization
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American Woman’s Therapeutic Association – original APTA
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World War 2
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8 emergency 6 month courses offered among the 15 approved full- length programs in physical therapy to meed needs of war and polio
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Post- World War 2 – US Army
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Women’s Medical Specialist Corp
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Post- World War 2 – Physiatrist and PT
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physiatrist is a physician who practices physical medicine and physical therapist could now practice physical therapy
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Post- World War 2 – national organization
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American Physical Therapy Association (APTA)
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Functional limitation
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decreased ability of a person to perform a task, without regard to the context or environment
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1960s-1980s
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APTA adopted policy statements to clarify the preparation and use of PTAs and aides, accreditation of education programs
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1990s
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Guide to Physical Therapist Practice, evidence-based practice
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Guide to Physical Therapist Practice
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provides a comprehensive and detailed description of physical therapy services
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evidence-based practice
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practice based on proof
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History of Education Requirements
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WW2 – 6 month training courses, Bachelor – DPT degrees
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Vision 2020
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a statement adopted by the APTA House of Delegates in 2000 that establishes expectations for the practice of physical therapy in the year 2020
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6 Components of Vision 2020
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autonomous practice, direct access, practitioner of choice, doctor of physical therapy, evidence-based practice, and professionalism
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Vision 2020 expectations
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physical therapy will be provided by physical therapist who are doctors of physical therapy; guided by integrity, life-long learning, and a commitment to comprehensive and accessible health programs for all people; continue to provide direct patient/client care
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Autonomous characterizations
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independent, self-determined professional judgment and action
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Privileges of Autonomous Practice
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Direct and unrestricted access and professional ability to refer to other health care providers, other professionals, and diagnostic tests
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Primary purpose of physical therapy
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promotion of optimal health and function
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accomplishment of purpose
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application of scientific principles to the processes of examination, evaluation, diagnosis, prognosis, and intervention
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Physical therapist scope of practice
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1. Examination 2. alleviating impairment and functional limitation by designing, implementing, and modifying therapeutic interventions 3. preventing injury, impairment, functional limitation, and disability, including the promotion and maintenance of health, wellness, fitness, and quality of life in all age populations 4. Engaging in consultation, education, and research
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Physical therapy definition
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assessment, evaluation, treatment, and prevention of physical disability, movement dysfunctions, and pain resulting from injury, disease, disability, or other health-related conditions