Physical therapy is often perceived merely as a means of recovery after surgery or injury, but its broader role in promoting health and preventing issues is frequently overlooked. According to Sharon Dunn, a former president of the American Physical Therapy Association, physical therapy should be approached as a routine practice that emphasizes prevention and maintaining wellness.
In conversations with industry leaders, it becomes clear that there’s a significant need to reshape the public’s understanding of physical therapy. Roger Herr, the current president of the APTA, along with Gammon Earhart, an associate dean at the Washington University in St. Louis, expressed the importance of shifting the narrative surrounding physical therapy. Dunn emphasizes that the profession’s image is often limited to post-injury treatment, neglecting the possibilities of preventive care and regular assessments.
The common perception is that physical therapy is solely for those undergoing rehabilitation due to injuries or surgery. After initial evaluations, patients receive treatment plans that usually consist of exercises and movement guidance. However, Earhart highlights a misunderstanding where many believe physical therapists only provide massage therapy for pain relief, which is far from the reality of the profession’s comprehensive role.
A suggested approach is to consider physical therapists akin to dental professionals, who conduct routine check-ups regardless of existing problems. Earhart notes that consistent evaluations can help identify potential issues before they escalate. These assessments encompass various health aspects, including activity levels, sleep quality, nutrition, and movement patterns, aiming to establish foundational strength and flexibility.
Herr advocates for annual wellness visits with a physical therapist at any age, emphasizing their versatility in serving young athletes, older adults, and everyone in between. Such preventative care could be immensely beneficial, and excitingly, patients across all states can now consult a physical therapist without a physician’s referral, a point Dunn feels is not widely known.
However, the financial aspect can be a barrier, as these preventive appointments are typically not covered by insurance. In the Midwest, Earhart estimates the out-of-pocket cost for such visits to be around $150, while it may rise to between $200 and $300 in more expensive areas. Despite this cost, investing in preventative care can potentially save on future medical expenses and promote longer, healthier lives.
Moreover, understanding one’s body structure can inform better decisions regarding athletic participation. For instance, proper evaluation can indicate whether a child is suited for a specific sport, thus preventing injuries down the line. Earhart suggests that screening could guide young athletes towards appropriate activities.
As we age, the fear of falling becomes a significant concern, often limiting mobility. Herr explains that simple physical therapy interventions can help individuals regain confidence in their ability to prevent and recover from falls. Encouraging safe movements from the floor to a standing position can foster a sense of security and reduce the overall fear of falling.
Weight-related issues also play a prominent role in why individuals seek physical therapy, with Earhart noting that around half of her patients struggle with weight. Even those who are not severely overweight can experience mobility limitations due to excess weight, impacting joint health significantly. Some patients even seek prehabilitation prior to weight-loss surgeries, which may also involve subsequent rehabilitation efforts.
Moreover, Herr has observed transformations in lifestyle choices, particularly among patients motivated by milestones such as becoming a parent or grandparent. Such personal motivations can inspire successful weight management and improved physical health, underscoring the powerful role of physical therapists in facilitating these changes.
