This document summarizes the history and evolution of the physical therapy profession. It began with ancient practices of massage and manual therapy techniques. The profession was formalized in the late 19th century with the establishment of training schools and professional organizations. Major developments included the treatment of soldiers in WWI, the first physical therapy school in the US in 1918, and the founding of the APTA in 1921. The field has continued to advance through specialization, adoption of the DPT degree, and establishment of professional programs in Pakistan beginning in the 1950s.

1. HISTORY OF
PROFESSION

2. CHODRIES;
Furqan Ali
Tashbeeh hassan
Muhammad waseem
Muhammad hassan

3. 1) Introduction
Profession;
 Is an occupation founded upon
specialized educational training,
 To supply disinterested objective counsel and service
to others, for a direct and definite compensation,
 wholly apart from expectation of other business gain.

4. when Does a profession rises ;
 Major mildstones;
1)an occupation becomes a full-time
occupation
2) the establishment of a training school
3) the establishment of a university school
4 )the establishment of a local association
5)the establishment of a national association
of professional ethics
6)the establishment of state licensing laws.

5. Physical therapy as profession;
Physical therapy is used to improve a patient's physical
functions through ;
 examination,
 diagnosis,
 prognosis,
 patient education,
 physical intervention,
 rehabilitation,
 disease prevention and health promotion.
It is practiced by physical therapists (known
as physiotherapists in many countries)..

6. In addition to clinical practice, other activities
encompassed in the physical therapy profession
include;
 research,
 education,
 consultation and administration.
 Physical therapy is provided as a primary
care treatment or alongside, or in conjunction with
other medical services .

7. 2. Evolution of physical therapy
ORIGIN:
 Physicians like Hippocrates and later Galen are
believed to have been the first practitioners of physical
therapy advocating;
 massage,
 manual therapy techniques, hydrotherapy
to treat people in 460 BC.

8. Development of Physical therapy ;
 The earliest documented origins of actual physical
therapy as a professional group date back to Per
Henrik Ling, "Father of Swedish Gymnastics,“
 who founded the Royal Central Institute of
Gymnastics (RCIG) in 1813 for manipulation,
and exercise.

9.  In 1887, Physical Therapists were given official
registration by Sweden's National Board of Health and
Welfare, Other Countries soon followed in.
 In 1894, four nurses in Great Britain formed
the Chartered Society of Physiotherapy.
 The School of Physiotherapy at the University of
Otago in New Zealand in 1913 and the United States
1914.

10.  Since the profession's inception, spinal manipulative
therapy has been a component of the physical
therapist practice.

11. 3)Modern physical therapy
 Modern physical therapy was established towards the
end of the 19th century due to events that had an
effect on a global scale. which called for rapid advances
in physical therapy .
 Soon following American orthopedic surgeons began
treating children with disabilities and began
employing women trained in physical education, and
remedial exercise.
 These treatments were applied and promoted further
during the Polio outbreak of 1916.


12.  During the First World War, women were recruited to
work with and restore physical function to injured
soldiers, and the field of physical therapy was
institutionalized.
 In 1918 the term "Reconstruction Aide" was used to
refer to individuals practicing physical therapy.
 Schooling; The first school of physical therapy was
established at Walter Reed Army Hospital in
Washington, D.C., following the outbreak of World
War I.

13.  Research ;
Research catalyzed the physical therapy movement .
The first physical therapy research was published in
the United States in March 1921 in "The PT Review.“
 APTA establishment:
In 1921 ,Mary McMillan organized the American
Women's Physical Therapeutic Association Which is
now called the American Physical Therapy
Association (APTA).

14.  Treatment through the 1940s primarily consisted of
exercise, massage and traction, amnipulative
procedures to the spine aand extrenity joints began to
be practiced ,especially in the British commonwealth
countries ,in the early 1950s,
 Around the time that polio vaccines were developed ,
physical therapists became a normal occurances in
hospitals throughout north america and europe .

15.  In the late 1950s , physical therapists started to move
beyond hospital based practice to outpatient
orthopedic clinics, public schools.
Colleges/universities health centers, geriatric settings ,
rehabilitation centers and medical centers.
 Specialization for physical therapy in the U.S occurred
in 1974, with the orthopedic section of the APTA being
formed for those physical therapists specializing in
orthopedics.
 In the same year, the international federation of
orthopedic manipulative physical therapists was
formed, which has ever since played an important role
in advancing manual therapy worldwide.

16. 4) Physical therapy in pakistan
 Education in pakistan;
 The school of physical therapy ,established in Jinnah
post-graduate Medical centre(JPMC) in 1956, is
considered to be pioneer in the history of physical
therapy in Pakistan.
 The school offered 2-years physical therapy diploma
with minimum starting education of secondary school
certificate
 In 1961, 2 years diploma got upgraded to 3 years
diploma .

17.  Later in 1963, School of physical therapy was affiliated
to University of Karachi, modifying 3 year diploma to 3
years B.Sc physical therapy.
 In 1999, B.Sc was modified to B.S physical therapy
degree of 4 year education.
 Professional autonomy and direct access were core
issues in Pakistan since 2005 .

18. Arrival of DPT program ;
 In 2008, Riphah College of Rehabilitation Sciences
(RCRS) offered the first Doctor of Physical Therapy
(DPT) degree and Post-professional Doctor of
Physical Therapy (PP-DPT) degree program giving
way to horizon of professional development in
Pakistan.
 DPT was a positive step towards professional
autonomy and direct access of the patients/clients to
the physical therapists without any referral.

20.  Physical Therapy Representative Organizations;
 Even after 60 years of inception of physical therapy,
there is no regulatory council in Pakistan.
 However, some of the private bodies have been
working for professional growth.
 Of these,
 Pakistan Physiotherapy Society (PPS),
 Chartered Society of Physiotherapy (CSP) of Pakistan
 and Pakistan Physical Therapy Association (PPTA) are
worth mentioning.

21.  Physical Therapy Research in Pakistan;
 The Journal of Physical Therapy and Sports Medicine
(JOPSM) was the first peer-reviewed journal in
Pakistan followed by the International Journal of
Rehabilitation Sciences (IJRS).
 Moreover, recently online journal of Riphah College of
Rehabilitation Science has also been initiated.

22.  Disability Burden in Pakistan
 Pakistan is world's 6th most populous country with an
estimated over 182 million people in 2011.
 According to 2012 statistics, national disability rate
was 2.65% which accounts for 5.035 million people
with disabilities (PWDs) in Pakistan.
 Rural areas have more PWDs (66%) than urban areas
(34%). Males constitute 58% PWDs whereas females
make around 42% population of PWDs(people with
disability).

23.  Major share to PWDs is from Punjab (56%) and Sindh
(28%).
 The type of disabilities in Pakistan include
 blind (0.412 million)
 deaf/mute (0.379 million)
 crippled (0.964 million)
 insane (0.324 million)
 mentally retarded (0.383 million)
 multiple disabilities (0.417 million).

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