Physiotherapy for All

If we feel tired, then the option is to wait for that aching sense of missing or do something to eliminate it. It's like when we are sick, could secretly be or try to cure him. We'll talk about things like that with Purnamadyawati. New Perspectives Manager displays Purnamadyawati excited because I wanted people to know more about what you do Purnamadyawati. He is a physical therapist, trained, professional schools, and worked in a physiotherapy center hospital where I happened to be treated. If I do not care probably can not walk now.

According Purnamadyawati, physiotherapy is basically to develop, maintain and restore the body's movements and functions throughout the life cycle by using manual handling, increased motion, or with equipment such as electrotherapy, and mechanical. In Indonesia, physiotherapy not popular in the community. Society assumes that if the physiotherapist must relate to a medical. It must work in a hospital. Though not necessarily. Physiotherapy could have been there at the gym and now it already exists. Yet to be a physical therapist must pass a physical therapy education, has the authority, and the legalization or have a license to practice.

The following interview with Purnamadyawati Wimar Witoelar who became general secretary of the Indonesian Physiotherapy Association board 2002-2004 period and to this day still serves as chairman of Physiotherapy magazine editor.

In ordinary language, whether functional training in physiotherapy is like exercise?

No. Functional training is the goal, as now, such as Mr. Wimar can hold a microphone, or when someone can hold the cup for a drink. If it was not good functional means have limitations, such as could not grasp. People like this impaired function.

Is it indeed overcome the interference field of physiotherapy or cooperation with other medical fields?

Depends. When it comes to the integrity of the system relationships are associated with body function limitations, we can interact with other health professionals are specialists, such as a surgeon or neurologist doctor. That is about the function and movement. Function and the motion must be related to physiotherapy because humans are basically requires actual motion, movement potential, and functional movement.

What is the actual motion, movement potential, and functional movement?

If there are people who are experiencing problems, he could not actually raised in a normal, when it should be. This means he has problems and limitations (limitations), when he should have the potential of normal motion. We must mempotensialkannya from the original limited. Through investigation, we are restored back to its maximum potential motion.

This health problem is a lot of funny because I watched and experienced. There are people who feel no need to be improved but there are people who probably do not even know to where. We're hard to find treatment or an appropriate solution of a problem. So I want to ask the mother in case Purnamadyawati. For example, there are people, no matter regardless of age, suddenly feeling more and more sore hips. He's hard to stand, when to sleep sometimes so ill that way affected. People who have had some rest, go to the shaman, or to a masseuse. According to you, where that person should consult?

Indonesian people see the concept of healthy and sick because the paradigm is different in healthy and sick to see it differently. Our public education may not uniform in look healthy and sick. They sometimes assume things. For example, back pain can be to the kidney assumption, can the alternative medicine and healing, or perhaps "dikerjain" people. There are three things that might be seen by the public in the treatment system, ie traditional medicine, medical medicine, and religious medicine. Medical Sometimes medicine is a last alternative for our society. Usually used to run mereke traditional medicine.

If people are a little high sometimes have different levels of ability in seeing healthy-sick. They will be able to analyze. For example, Mr. Wimar people who like to use the Internet, it could know the pain by looking at the existing complaints and look at the website. But if the people below, they do not know. Sometimes they assume, "Oh it's just a normal sprain." Eventually they sorted, even cause more severe illness. It is very common.

If people affected by arthritis, sore, continued sorted, whether it is the right thing?

Depends. If my opinion, it should not be sorted. He should have bed rest ¸ if you have the first injury.

So the order was not the only solution or not the first solution?

Actually not the first solution. Depending on how far actuality pain. If its just sore, just rest. Aches can occur because muscles are too tired, too static muscle work, or lack of mobility.

Is physiotherapy is a health field such as medicine, where people can come directly, or it is a discipline referral from another health care?

In physical therapy there are two assumptions that can be given by reference and can not. If direct promotive and preventive nature. But if the reference curative and rehabilitative in nature. If promotion is clear that the purpose of promoting and preventive measures that aim to prevent that pain is not growing. In the therapeutic nature of this preventive treatment we give to someone who has the potential of motion and impaired function due to a wrong movement patterns, due to certain health factors, or lifestyle. This type of physiotherapy could have done without the need for referral. Therefore, physiotherapy is not only oriented to the hospital. Physiotherapy service coverage of preventive and promotive in nature could be obtained at the gym or spa.

If people come straight to the gym or spa, whether it is useful or just a waste of time? This is not intended to besmirch function Recreational spa because clearly there if we go there, but whether the therapy is useful?

There. If at the spa there Physiotherapy services. In Indonesia, physiotherapy not too popular in the community. Society assumes that if the physiotherapist must relate to a medical. It must work in a hospital. Though not necessarily. Physiotherapy could have been there at the gym and now it is.

Is it supervised physiotherapy, or not?

Clear. Because after all is a physical therapist who graduated physiotherapy education, has the authority, and legalization. He must have a license to practice or license.

So you have a license?

Oh no. We have a moral responsibility and ethics based on our science as a physiotherapist. There are some cases that makes confusion to the public. Some TV never expose that "X" had physiotherapy but it was not. Until we also clarified that he must have a permit.

So it was fake?

Yes, confessed physiotherapy. So wrote the massage can claim to do physiotherapy but not necessarily. Sometimes it was a physical therapist must have a license to practice as a doctor.

The question of lay people like me and is based on his own experience. I several times physiotherapy so that she knows Purnamadyawati. First, if you recall, my neck pain can not move. They say that one to bed, was told to massage, but not lingering. Finally I went to your place and in a few weeks until it healed. I thank you all. I am surprised that people say, "Fine old age, thanks". Sorry. Second, my back pain until the hard-up. Even after being treated, not lost, but controlled and not be a major problem. Now I'm being treated for my path became a little funny because his legs weak. Three case, whether it is a typical case? How are these cases physiotherapy patients you, if like me or the case is very different there?

Many of the case. Not just like that felt by Mr. Wimar. We have patients from toddler and children. Actually the function and movement disorders were not always related to muscle joints, but also can be associated with respiratory problems. Eg asthma, are overcrowded, many Slime accumulation, disruption of nature's paralyzing, which was not anything, we hope to return normal. Then cases associated with infertility (infertility), gynecologic.

What is the relationship with physiotherapy infertility?

Because the human life cycle. Physiotherapy understanding that not only deals with the function and movement but also the life cycle. Physiotherapy services in terms of life cycle to help people who experience barriers because of not having children. Physiotherapy is not just confine themselves to restore movement, body functions, but in our lives from fetal life until his death through a system of life. In bernafaspun we need a system. If the system is disturbed then our bodies will also be affected. Therefore, if the new-born babies being patted to cry so that the response of oxygen and the lungs expand properly. If he's in trouble like many Slime, then he needs to aspirated or reheated. If associated with female infertility or cases that do not have children because of blockage is usually referred by obstetrician.

More broadly, if not teach people anything, was told to live a normal, if he would get sick or healthy?

Depending on the pattern and style of life because of pain arising from the pattern and style of everyday life.

Can be more specific, What is your lifestyle?

For example, he used to exercise or not. Sport but it should not exercise. Sport is important to me. Then the pattern of eating and working habits.

What about sleep?

Enough sleep.

Would be at a certain hour? You see, I like to sleep at night but sleep during the day. Is that okay?

Nothing. That habit. To note also is the habit of lingering in front of the computer, whereas the activity should be done after a long stretch (stretching).

Are habits linger in front of the computer's bad habits?

Not bad but if the conditions continue, the body will experience fatigue.

So occasionally need stretching. What if stretching it with grumbling?

Pak may also grumble occasionally to reduce stress. It needs rather than restraint.

In the Hospital, Are you often deal with people who have very severe disease such as after an operation that brought in wearing stretcher or wheelchair? People who have been sick so kok still pulled, how?

In this case should also consider in implementing physical therapy services. Not just a tool, to weight it, or functional or manual training, but should also communication, approaches and personal approach. Maybe we find someone who somewhat psychosomatic illness due to pain he is past experience. Sometimes we need to frequently communicate with them. Therefore we need to know the character of each patient.

When education means that you also learn about the psychology of people?

Clear. So sometimes we learn to turn positive for the pain the mind so that he dared again.

I mean like diverted?

Ha .. ha .. ha .. which we switch is initially timid. Physiotherapy was somewhat complex because the characters and face many different individuals.

Is it any harm physiotherapy because I saw a scary tools. There are iron, some hang suspended, no electricity, there are people pulling at our bones. Has there ever been an accident in a physiotherapy clinic?

Maybe there are some. But Alhamdulillah where I did not. The process consisted of physiotherapy assessment or inspection followed by physiotherapy diagnosis. However we still have to conduct examination of the patient. If we find indications of physiotherapy should not be made against a candidate patient, we are entitled to refuse because it could endanger patients. Sometimes this is a problem also among clinical. Sometimes we continue to refuse if it was dangerous to the patient because the therapist has a characteristic such as drugs, there are no contra indications. Similarly physiotherapy equipment. But the orientation of many models that physiotherapy is not only a tool, but can with practice or with the manual. It depends from which we find problematic.

Are there physical therapy that can be done alone or that can be done at home?

Yes, especially for its preventive physiotherapy. So to minimize the limitations of nature and motion functions. We expect cooperation from the patient. After all that important. For example, Mr. Wimar never again to exercise his waist, we can be controlling it. From what? We can see from the existing complaint or muscle strength.

I was probably a bad example because new to the physiotherapist at the time already had the disease. Maybe everyone just do not want the disease infestation. Well, Mother Purnama physiotherapy besides experts and social activists are also active in Red Cross Youth, the student representative institutions, and others. You must have a concern for students, such as socialization. If you have five minutes in front of my friends work together, what do you advise?

Stretching, because I see the pattern of his life AC. Sports. Fixed controls.

What practical sports?

In this room could also be a nature stretching exercise, stretching. They have a lot to do that because I see a lot of younger people and most of the work-static works I have seen. So have a little bit dynamic.