The physiotherapist’s (PT) role in in the management of patients with rheumatic disease is to work in partnership with the patient to enable them to achieve and maintain optimal function and independence. For many patients this will involve taking an active role in family, work and social life.
This is a very important question because, as I talk about this time and time again, the most important thing, in my opinion, when it comes to making a Medicare decision, is that you can see your preferred doctors and hospitals. Knowing whether or not those doctors and hospitals accept the Medicare plan you choose is a critical first step.
Physiotherapits in rheumatolgy carry out detailed assesments to:
- Identify how patient’s condition affect them physically and to what degree an individuals function is affected including mobility, posture etc.
- Examine the musculoskeletal system to get a baseline of a patient’s current abilities.
- Consider other body systems like, neurology, cardiovascular etc
- Any special equipment requirement such as walking aid, modified footwear, splint requirements.
- The patient’s current self management and coping strategies
- The need for physiotherapeutic interventions.
The PT discusses assessment findings with patient and, in conjunction with them, devises a goal oriented treatment plan. This may include pain management with the use of cryotherapy (ice) and heat, electrotherapy, manual therapy, K-taping etc. the patient can then progress on to other treatment approaches including, Range of Motion and muscle strengthening exercises, improving mobility and posture re- education.
The PT may provide education on their condition for the patient and guides them on self-management of their condition long term. This then enables the patient to modify their exercise programme according to their disease activity. Education of family and carers is also an important part of the PT’s role.
