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Presentation Unit 3. Part 1. Theoretical framework of Physiotherapy.

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Sergi Roura Planas

on 11 January 2015

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Transcript of Presentation Unit 3. Part 1. Theoretical framework of Physiotherapy.

Question 10
Worksheet 1
Question 5

What is Kinematics?
1. Which are the branches of knowledge that the theoretical foundations of Physioterapy come from?

2. Which is the view of the physiotherapist until the mid-twentieth century and as part of the traditional theoretical framework?
3. Within which field of science the traditional theoretical framework framed Physiotherapy?
Worksheet 1
Five categories of basic human needs that Maslow suggest in his theory
Questions 7 & 8
Question 10
In the case of Physiotherapy comes from branches such as:
Physiology = http://www.medicalnewstoday.com/articles/248791.php
Morphological Sciences = http://www.thefreedictionary.com/morphology
Sociology = https://sociology.unc.edu/undergraduate-program/sociology-major/what-is-sociology

Question 9
Question 5
4. Within the traditional theoretical framework, which is the role of the physiotheraphist and which is the role of the doctor when prescribing or informing or evaluating about the treatment outcomes?
5. Within the current theoretical framework, what it is necessary to produce a paradigm shift? Indicate a major contribution.
6. Define and exemplify one of these terms. Search for a source in Internet, if necessary:
Anomaly, Deterioration, Deficiency, Disability, Handicap
7. Tell me why and how the Physiotherapy uses the General Theory of Systems:
8. List the five categories of basic human needs that Maslow suggest in his theory:
9. Within the Theory of Human Communication, what does Montagu develop in his book Touching? What does he demonstrate through animal studies and children at an early age?
10. What is Kinematics. Choose a picture from Internet.
Theoretical framework
= those conceptual frameworks that guide the practice of a particular discipline.

Every scientific discipline uses different and proper concepts, with specific meaning. The
study of a discipline
involves learning to use
new concepts
, which are giving meaning to words.

These concepts are usually
inherent and specific
to the discipline, but also 
extracted from other branches 
of science.
The fundamental theoretical approaches that can be observed in Physiotherapy from birth until today can be divided into two:
traditional approach
the current approach.
The traditional theoretical framework comes from the
we have
of the physiotherapist
until the
mid-twentieth century
as an
. This vision of the professional, as a mere
technical applicator

on the indications and
prescriptions of other professionals
, has made advances in the Physiotherapy as an
independent profession
to be a difficult one.
Clearly the traditional theoretical framework framed Physiotherapy within the field of
producing a wrong career guidance.
Some health professions enjoy
social prestige
on releasing from
medical dominance
, either by
addressing very specific fields
of health (dental) or to explain the disease and its treatment as
alternative theories
(chiropractic, oriental medicine).
While physiotherapists base their
understanding of health/illness and healing in medical models
, cooperating and coordinating with doctors at work, physiotherapy was a
paramedic and dominated profession

One of the keys to this dominance is in the absence of a
of Physiotherapy. Physiotherapists receive
medical prescriptions
. Doctors refer patients to physiotherapists, and these should
inform about the treatment outcomes
. In this sense, the
are the ones who
order and evaluate
the work of physiotherapists and never the other way.
The five defined dimensions carry a differentiated level of performance. Physiotherapy acts
more specifically
on impairments, deficiencies and disabilities and to a lesser extent, on the handicaps.
Wood believes that, although the anomaly is data for the physiotherapist, impairments, deficiencies, disabilities and handicaps are the concepts that the physiotherapist should use to describe health problems, independent of medical diagnosis.
In these years there has been an increasing attention to the theory of Maslow, first enunciated in 1943, as a conceptual framework for the study of human needs. The concept that incorporates Maslow around ‘basic needs’ is that of "an internal stress resulting from an alteration in some state of the system of man". The author suggests five categories of basic human needs (Figure), which can be sorted by priority of satisfaction.
The lower level must be satisfied,at least almost completely, before the person can meet the needs of higher order.  
Question 9
To produce a
paradigm shift
, it has to take into account the theoretical work that underpins a discipline. A major contribution in this paradigm shift indicates that in the Health Sciences there exists
different professions
, and that each of them should
provide different views
on the same problem, and that
each of these visions must propose a solution
from its own disciplinary field. It is necessary to
delimit areas of responsibility
between the various health professions.
There are
several theoretical works
that have helped to implement this paradigm shift.
One of them is that from
Wood (
1980), who exhibited for the first time
five dimensions
that represent concepts that physiotherapists should focus their attention to, regardless of the medical diagnosis. Wood defines various terms as belonging to the Physiotherapy and its
lexical field
or linguistic jargon, and
differentiates them from medical terminology
according to
several definitions.
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