Physical therapist assistants and aides help physical therapists to provide treatment that improves patient mobility, relieves pain, and prevents or lessens physical disabilities of patients. A physical therapist might ask an assistant to help patients exercise or learn to use crutches, for example, or an aide to gather and prepare therapy equipment. Patients include accident victims and individuals with disabling conditions such as lower-back pain, arthritis, heart disease, fractures, head injuries, and cerebral palsy.
Physical therapist assistants perform a variety of tasks. Under the direction and supervision of physical therapists, they provide part of a patient's treatment. This might involve exercises, massages, electrical stimulation, paraffin baths, hot and cold packs, traction, and ultrasound. Physical therapist assistants record the patient's responses to treatment and report the outcome of each treatment to the physical therapist.
Physical therapist aides help make therapy sessions productive, under the direct supervision of a physical therapist or physical therapist assistant. They usually are responsible for keeping the treatment area clean and organized and for preparing for each patient's therapy. When patients need assistance moving to or from a treatment area, aides push them in a wheelchair or provide them with a shoulder to lean on. Because they are not licensed, aides do not perform the clinical tasks of a physical therapist assistant in States where licensure is required.
The duties of aides include some clerical tasks, such as ordering depleted supplies, answering the phone, and filling out insurance forms and other paperwork. The extent to which an aide or an assistant performs clerical tasks depends on the size and location of the facility.
Work environment. Physical therapist assistants and aides need a moderate degree of strength because of the physical exertion required in assisting patients with their treatment. In some cases, assistants and aides need to lift patients. Frequent kneeling, stooping, and standing for long periods also are part of the job.
The hours and days that physical therapist assistants and aides work vary with the facility. About 23 percent of all physical therapist assistants and aides work part time. Many outpatient physical therapy offices and clinics have evening and weekend hours, to coincide with patients' personal schedules.
| 1. | Instruct, motivate, safeguard and assist patients as they practice exercises and functional activities. |
| 2. | Confer with physical therapy staff or others to discuss and evaluate patient information for planning, modifying, and coordinating treatment. |
| 3. | Administer active and passive manual therapeutic exercises, therapeutic massage, and heat, light, sound, water, and electrical modality treatments, such as ultrasound. |
| 4. | Observe patients during treatments to compile and evaluate data on patients' responses and progress, and report to physical therapist. |
| 5. | Measure patients' range-of-joint motion, body parts, and vital signs to determine effects of treatments or for patient evaluations. |
| 6. | Secure patients into or onto therapy equipment. |
| 7. | Fit patients for orthopedic braces, prostheses, and supportive devices, such as crutches. |
| 8. | Train patients in the use of orthopedic braces, prostheses, or supportive devices. |
| 9. | Transport patients to and from treatment areas, lifting and transferring them according to positioning requirements. |
| 10. | Monitor operation of equipment and record use of equipment and administration of treatment. |
| 11. | Clean work area and check and store equipment after treatment. |
| 12. | Assist patients to dress, undress, or put on and remove supportive devices, such as braces, splints, and slings. |
| 13. | Administer traction to relieve neck and back pain, using intermittent and static traction equipment. |
| 14. | Perform clerical duties, such as taking inventory, ordering supplies, answering telephone, taking messages, and filling out forms. |
| 15. | Prepare treatment areas and electrotherapy equipment for use by physiotherapists. |
| 16. | Perform postural drainage, percussions and vibrations, and teach deep breathing exercises to treat respiratory conditions. |
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