Random thoughts

Random thoughts 

The natural question I get when I turn back – is physiotherapy evolving in India?  When I went to college the treatment was simple, do your exercise – no fancy names (but of course the exercise where not adequate), and over emphasis on equipments.  Neuro-rehabilitation, was more advanced in the 90s at least were I went to college. Even though there was undue importance to passive movements. The treatment was always active, “Hands off” when making them walk and stand, train upper limb activity. We even have community walking as many of my classmates could agree. No nonsense key point, no synergistic movement nonsense. Back pain surprisingly my friend a EBP in LBP would have been proud, - consisted of exercise, and (over emphasis on) SWD (which come to think about has as good an evidence as any other up to date fancy named therapies like- SMT, MET and what other crap workshop you attended last week.

But sadly all went south as more and more crap crept into our thinking. Many PTs seem to think yes- we are learning manual therapy –written by every idiot and intelligent people. The Idiots I mean are the osteopaths and chiropractors and well some PTs. NDT, PNF, this exercise that exercise, eccelctive approach- that horrible quotation- “these are my tools in my tool box” , 1001 special test (hate the word makes me feel I am ordering dosai in the mess I ate when I went to college- I special dosai).

But sadly, zero importance is given to physiology, motor control ideas and theory, pain theories etc.  The other day I heard a idiot- a instructor in NDT saying normal movement of gait need core muscle strength- I was about to say to him- get the hell out our country and stop making my people more dumb (we are there to help them not learn anything keep them dumb we don’t need any help from you). Well he is an expert in CP- good save the children of India from NDT trained idiots.  

Let’s get back to basics- I mean emphasis- on educating the patient, active treatment, hand off the patient and understanding the disease and patient rather than some point or techniques.  

It's all over, people! We don't have a prayer! -Reverend Lovejoy  from The Simpons