El Presidente Barrack Obama sigue haciendo historia ahora tiene el ringtone con mas descargas en el internet. Es un pedazo de la cancion “Lets Stay Together” de Al Green que el presidente canto la semana pasada durante un evento de su campana en el Apollo Theater.
Editor’s note: Traditional neurologic physical therapy?
Journal of Neurologic Physical Therapy June 1, 2003 | Deutsch, Judith E At CSM 2002 in Boston the term ‘traditional neurologic physical therapy’ was offered by many research presenters to compare with their novel intervention. Of course their novel intervention produced better results than the traditional physical therapy. “So what is that you mean by traditional physical therapy?” a perplexed member of the audience asked at several of the talks. Invariably the answer to this question was always different.
There are many labels for physical therapy. The term ‘traditional physical therapy’ has company with typical, normal, and standard care; all of which are attempts to capture what we do in every day neurologic physical therapy. So it is not enough to use the term-one must qualify it, one must operationally define it.
The problem, of course, is that it is quite difficult to define what we do. There are many sources of variability that complicate the definition. For example, there are regional differences. When I graduated from physical therapy school in Southern California, I applied for jobs in rehabilitation centers in the Newark metropolitan area. At one facility, I was told that they did a lot of tapping and brushing. I had no idea what the woman was talking about. My training at a West coast institution had emphasized Bobath and Kabbat’s approaches and only touched on Brunnstrom’s ideas, which I was soon to leam, were very popular on the East coast. Or at least in that particular institution on the East coast. physicaltherapysalarynow.net physical therapy salary
There are also differences within a region. While both of my senior affiliations were in Northern California, I lived in two different physical therapy worlds. At the time I affiliated at Santa Valley Medical Center, NDT ruled.There were several NDT instructors on staff and this seemed to be the typical neurologic physical therapy. At Kaiser, Vallejo, by contrast, PNF was the basis for neurologic physical therapy.
One might argue that I went to school so long ago, that this type of cultural difference does not exist in practice today. Over the past 10 years entry-level curricula have changed to reflect our knowledge of neural plasticity and motor control and learning concepts as well as the disablement models to inform our practice and describe standard care. I would disagree, for now we have a generational clash. Recent graduates struggle to speak with experienced practitioners (and they both have much to leam from each other), when it comes to defining typical physical therapy.
What is the solution to all this miscommunication? It is simple, really, one needs to operationally define terms. At the World Congress of Physical Therapy I was struck by one of our consulting Editor’s presentation. Dr. Carol Richards was describing some of the work from her group. She explained how in the second generation of studies they had to operationally define standard care as task-based training, which was in contrast with the earlier definition based on NDT. This was a perfect example of operationally defining neurologic physical therapy and illustrating how the definitions do change. go to web site physical therapy salary
Personally, I find the term traditional to be limiting. Traditional is synonymous with habitual, fixed, long established, time honored, terms that for me connote a lack of thought and dynamism. I prefer instead the term standard care and its association with the term criterion, connoting that the care is a model or a benchmark. In our field however, I think that at times therapists are still practicing traditional neuro-physical therapy, something that is long established and habitual in contrast to the more desirable standard care. Let us move the profession away from the traditional towards the standard of care and on the way let us be clear about what we mean by these terms.
[Author Affiliation] Judith E. Deutsch, PhD, PT, Editor Deutsch, Judith E
