A Handbook of Physiotherapy BK Choudhury, AK Bose
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1A Handbook of PHYSIOTHERAPY
2A Handbook of PHYSIOTHERAPY
B.K. Choudhury MBBS, DSM, MD (PMR) Professor and Head Department of Physical Medicine and Rehabilitation Medical College, Kolkata A.K. Bose DPT, MIAP Senior Physiotherapist Medical College and Hospital Kolkata
3Published by
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Jaypee Brothers Medical Publishers (P) Ltd
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A Handbook of Physiotherapy
© 2006, B.K. Choudhury, A.K. Bose
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the authors and the publisher.
First Edition : 2006
9788180616839
Typeset at JPBMP typesetting unit
Printed at Gopsons Papers Ltd., A-14, Sector 60,Noida4
to My departed parents and in-laws Who had shown the path to progress
5Foreword
It is my proud privilege to foreword the book entitled A Handbook of Physiotherapy written by Professor B.K. Choudhury. I know Professor Choudhury since a long time and have worked together in several institutions. I have seen him taking keen interest in the discipline of Rehabilitation Medicine.
In fact, physiotherapy, a science, is an integral part of Rehabilitation Medicine. Every medical graduate including the postgraduate students of orthopedics, internal medicine and neurology ought to know the fundamentals of physiotherapeutic measures. In the outcoming modern and fast lifestyle most of the health problems caused by excessive stress and strain can be efficiently tackled by the physiotherapeutic measures rather only by pharmacotherapy.
This book is aimed at those, who are not exposed to the light of this subject and this would also benefit the students of physiotherapy.
This book is a great boon for everyone concerned as it is probably the first book to incorporate every aspect of physiotherapy as well as physiotherapeutic measures.
I pray for his success in this endeavor.
Professor N.C. Ghosh
ms (Ortho)
Professor and Head
Department of Orthopedic Surgery
Medical College, Kolkata, WB
6Preface
Physiotherapy is an excellent health care profession, which is growing its importance and expending the scope of practice. Few people appreciate the breadth of knowledge and skills required to become a good physiotherapist. It is in fact a specialized job, treating patients of all ages and both sexes with a wide range of needs, helping and advising their careers, and educating the public to help themselves. This course addresses all aspects of working people with disabilities with special emphasis on the use of information technology to assist empowerment.
Physiotherapists identify and maximize movement potential through health promotion, preventive health care, treatment and rehabilitation. The core skills used by physiotherapists include manual therapy, therapeutic exercises and application of electrophysical modalities. A physiotherapist uses physical means to facilitate and return to functional independence and restoration of normal lifestyle for individual patient.
Keeping in view of the above I was fascinated and thought to circulate the essence of physiotherapeutic approaches to the young students of physiotherapy and to the budding medical graduates, even to the medical practitioners. Often I was asked to name a comprehensive book so that an overall idea on physiotherapeutic procedures can be obtained. It was really a difficult task. Truly speaking physiotherapy is a science which cannot be restricted in one single book. Still I tried to keep the essential parts of this science in a comprehensive manner in a single handbook. I realize by doing this I have done injustice to this science. Many of the sections are either left or are given little importance which should not have been. I may be excused for the unintentional procedure. A constructive criticism is always 7welcome to build the health of this book. This is my humble way of spreading the essence of physiotherapy.
I must show my gratitude to the person who had encouraged me even on the first day of my thought, is Mr Sanat Kumar Guha, my brother in-law. Though is engaged in a profession completely different from medical science he encouraged me off and on, and repeatedly pushed me to go ahead. I am very much obliged to my wife and daughter because without their moral support and active participation in various ways it would have not been possible to bring out this book. They have sacrificed many of their enjoyable times for this work. I am too thankful to my co-author Mr A.K. Bose for his constant help and idea in writing different sections of this book. I must offer my thanks to those who have directly or indirectly associated to bring out this book like M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi and Kolkata Branch.
In working on this book, I had come across a volume of literatures and many books, out of which I could report only some portions that I must acknowledge with no hesitancy. The main aim of this book is to make this subject meaningful and more realistic. However, this is only a handbook, so for detail discussion a textbook is to be consulted.
B.K. Choudhury