Тематический сборник текстов для чтения (английский язык). Соснина Е.П - 49 стр.

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Text 2. Physical therapy
Physiotherapy (also known as phys ical therapy) is an health profession concerned
with and the ass ess ment, diagnos is and treatment of dis ease and dis ability through phys ical
means. It is based upon principles of medical science, and is generally held to be within the
sphere of conventional (rather than alternative) medicine.
Physiotherapy is practiced by phys i othe r a pi s ts (als o known as phys ical therapis ts , e g
in the United States), though aspects may also be practiced under supervised delegation by
physiotherapy assistants or other health professionals.
Scope of Practice
Physiotherapists' scope of practice varies considerably across the world, both in terms
of the degree of professional autonomy enjoyed and the range of conditions managed.
Physiotherapis ts in s ome juris tications , s uch as the Aus tralian s tates , enjoy profess ional
autonomy, with the ability to act as primary care providers and to determine - and be
responsible for - a patient's management plan. Conversely, physiotherapists in some other
juristictions work upon referral from, and largely under the direction of, other professionals
(typically medical practioners).
The major conditions managed by physiotherapists can be broadly grouped into three
categories: musculoskeletal, cardiopulmonary and neurological. Many areas of
phys iotherapy, eg rehabilitation or paediatrics , cross all three areas . Depending on the local
healthcare system, physiotherapists may be involved in all areas, or may only manage
certain aspects (eg in s ome United States juris tictions , res piratory therapis ts manage many
aspects of cardiopulmonary therapy).
Depending on the structure of the local healthcare system, physiotherapists may
function either privately (eg in a private clinic) or publicly (eg in a hospital or community
setting). Furthermore, physiotherapists may work as generalists managing a wide range of
conditions, or may specialise in certain fields. The process of determining career structure
and specialisation varies geographically.
Assessment
A phys iotherapis t will initially conduct a subjective examination (interview) of a
patient's medical history, and then go on to the objective assessment (physical examination).
The subjective examination is guided by the presenting system and complaint, and the
objective ass ess ment is in turn guided by the history.

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