Physical Medicine and Rehabilitation Team Overview

Questions and Answers

Who is primarily responsible for overseeing medical needs in rehabilitation?

Recreational Therapist

Occupational Therapist

Physical Therapist

Physiatrist (correct)

Which professional is involved in coordinating discharge planning and working with family?

Speech Language Pathologist

Licensed Clinical Social Worker (correct)

Recreational Therapist

Dietician

What is the educational requirement for a Physical Therapist?

Doctorate in Physical Therapy (correct)

Bachelor's degree in Physical Therapy

Master's degree in Rehabilitation Science

Associate's degree in Physical Therapy

What type of treatment are Physical Therapists allowed to perform that Physical Therapist Assistants are not trained for during their education?

Spinal joint mobilizations (grade 3, 4, 5) Signup and view all the answers

Which of the following roles is responsible for addressing a patient's cognitive impairments?

Occupational Therapist Signup and view all the answers

What is the primary educational requirement for a Physical Therapist Assistant?

Associate in Applied Science degree Signup and view all the answers

What was the primary purpose of the Division of Special Hospitals and Physical Reconstruction (DSH&PR) established in 1917?

To train reconstruction aides who became the first physical therapists Signup and view all the answers

Which task is specifically NOT allowed for a Physical Therapist Assistant according to VA law?

Performing the evaluation of patients Signup and view all the answers

Which historical event contributed significantly to the development of physical therapy in the U.S.?

The increase in the number of disabled individuals due to wars and epidemics Signup and view all the answers

Which of the following is an intervention typically performed by a Physical Therapist Assistant?

Gait training Signup and view all the answers

What is the role of a Physical Therapy Aide?

Perform tasks under the direction of a PT or PTA Signup and view all the answers

Who was the first Reconstruction Aide and Physical Therapist in the United States?

Mary McMillan Signup and view all the answers

What type of documentation is a Physical Therapist Assistant required to complete?

Daily SOAP notes Signup and view all the answers

What was one of the first forms of therapy used in physical therapy's history?

Hydrotherapy in Roman baths Signup and view all the answers

What is one of the primary goals of physical therapy interventions?

Improve patient function Signup and view all the answers

Which of the following was a name of the first national organization for physical therapy?

American Women's Physical Therapeutic Association Signup and view all the answers

Which of the following is NOT a method of assessment performed by a Physical Therapist Assistant?

Final patient discharge evaluations Signup and view all the answers

What was a key change made to the name of the American Women's Physical Therapeutic Association in 1922?

American Physiotherapy Association Signup and view all the answers

What was the primary focus of animal facilitated therapy?

Utilizing dolphins to treat cognitive and physical impairments Signup and view all the answers

Which statement about modifying treatment interventions by Physical Therapist Assistants is correct?

Modifications must align with the established treatment plan. Signup and view all the answers

Which of the following practices was used by the Russians as a form of treatment historically?

Using ice for fevers and gout Signup and view all the answers

What was one of the early priorities of the Association?

To make available efficiently trained women to the medical profession Signup and view all the answers

When did the first Physical Therapy program begin?

1928 Signup and view all the answers

What significant change occurred in the 1940s regarding physical therapy?

Scholarships became available to recruit people into PT Signup and view all the answers

Which year did the APTA change its name from the APA?

1947 Signup and view all the answers

What was required in all 50 states by the 1960s?

Licensure for PTs Signup and view all the answers

What educational change occurred in the 1980-90s?

Entry-level PT degree required a master’s degree Signup and view all the answers

By when is a Doctorate required for the entry-level PT degree?

2020 Signup and view all the answers

In what order do patients generally progress through physical therapy settings?

Acute care, Subacute rehab, Home health, Outpatient Signup and view all the answers

What type of conditions do patients with generalized weakness primarily receive care for in skilled nursing and extended care facilities?

Musculoskeletal pain Signup and view all the answers

Which patient group is most likely to be treated in home health settings?

Orthopedic patients post-surgery Signup and view all the answers

In outpatient clinics, which type of conditions is given primary focus?

Primarily orthopedic conditions Signup and view all the answers

Which of the following is a common characteristic of patients seen in schools and playgrounds?

Cerebral palsy Signup and view all the answers

What type of patient issue would an athlete most likely face that requires specialized treatment?

Athletic injuries Signup and view all the answers

What is a common treatment setting for patients with acute respiratory patients?

Skilled nursing facilities Signup and view all the answers

Which condition is typically associated with athletic teams in rehabilitation settings?

Sports-related injuries Signup and view all the answers

Which patient type is specifically mentioned as being treated in residential facilities for special disabilities?

Individuals with cognitive impairments Signup and view all the answers

Study Notes

PM & R Team Overview

Team members include physicians, physical therapists (PT), physical therapist assistants (PTA), occupational therapists (OT), speech language pathologists (SLP), recreational therapists (RT), nursing staff, dieticians, psychologists, and licensed clinical social workers (LCSW).
The patient's input is vital for goal setting, making them the most crucial member of the rehab team.

Differences Between PT and PTA

Physical Therapist (PT):
- Requires a Doctor of Physical Therapy (DPT), typically 3 years post-BS.
- Responsible for initial evaluations, establishing a plan of care (POC), short-term and long-term goals, and discharge summaries.
- Handles more complex treatments, including specific joint mobilizations and selective sharps debridement.
Physical Therapist Assistant (PTA):
- Obtains an Associate in Applied Science degree in 2 years.
- Assists PT in treatment and data collection but cannot perform evaluations.
- Provides therapeutic interventions assigned by PT, including therapeutic exercise and patient education.
- Can modify treatments based on patient status but must consult PT for changes in the treatment plan.

Physical Therapy Aide

A non-licensed support worker assisting PT and PTA with non-clinical tasks.
Must follow directives from PT or PTA and does not require clinical decision-making.

Primary Goals of Physical Therapy

Improve functions such as gait independence and the ability to engage in daily activities.
Decrease pain to enhance work capability.
Increase strength and range of motion (ROM) to facilitate safe mobility and independence.
Use education to empower patients in their rehabilitation processes.

Historical Context of Physical Therapy

PT practices have roots dating back to around 400 BC, with use of heat and hydrotherapy by Greeks and Romans.
The profession significantly evolved with polio epidemics, wars, and industrialization.
Mary McMillan became the first physical therapist in the US, training reconstruction aides at the Division of Special Hospitals and Physical Reconstruction.

Development of Professional Organizations

The American Women's Physical Therapeutic Association (AWPTA) formed in 1921, later renamed the American Physical Therapy Association (APTA).
The organization aimed to establish professional standards, encourage advanced study, and disseminate information in the field.

Evolution and Expansion of the PT Profession

Early recognition of the need for PTs surged during WWI and WWII, alongside polio epidemics leading to scholarships and formalized education.
The first PTA program commenced in 1967, and in the 1980s educational standards were elevated, requiring degrees at the master's level.
The 2000s saw the introduction of direct access laws, allowing patients to seek PT services without physician referrals, and the shift toward doctorate requirements for entry-level PTs by 2020.

Practice Settings and Common Diagnoses

Hospitals: Treat conditions like strokes, fractures, cardiac and respiratory issues, and post-surgical recovery.
Skilled Nursing Facilities: Focus on neurological patients, fractures, wounds, and generalized weakness.
Outpatient Clinics: Address primarily orthopedic conditions and neurological rehabilitation.
Home Health: Serves geriatric patients, addressing a wide range of medical conditions, often post-surgery or related to general weakness.
Schools and Playgrounds: Aid children with conditions such as cerebral palsy, muscular dystrophy, and orthopedic issues.
Specialized Residential Facilities: Cater to patients with cognitive impairments and mental health needs.
Athletic Teams: Support professional and semi-professional athletes in rehabilitation and injury management.

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Description

Explore the roles of the Physical Medicine and Rehabilitation (PM & R) team. This quiz will cover the responsibilities of various professionals, including physiatrists, physical therapists, occupational therapists, and speech-language pathologists. Understand their contributions to rehabilitation for neurological patients and those with chronic pain.