A couple of weeks ago, I posted the first of a series of short critical summaries of the biomedical model. The biomedical model is perhaps one of the most important theories underpinning physiotherapy, and yet it is rarely taught overtly in the physiotherapy curriculum. Clinicians don’t see it hiding behind their assessments and diagnoses. They don’t see it underpinning most of the treatments. And they don’t recognise it as a key driver of the kind of knowledge we accept to be true and false. So having a better understanding of how the biomedical model works would seem like a good idea. In the first post of the series, I briefly wrote about specific aetiology and the idea that one of … [Read more...] about What is the biomedical model #2
What does work mean to physiotherapists? A recent article in the journal Qualitative Health Research highlighted some of the different meanings of work for 12 women with cancer (link). One of the most interesting findings from the study was that there were many different kinds of work experienced by the women, including “illness work, body work, identity work, everyday work, paid employment and/or the work of maintaining income, and coordination work”. When you include things like the work of breathing and professional work, you have a concept that is both at the heart of physiotherapy practice, and yet almost entirely un-theorised. Work has a particularly interesting history, … [Read more...] about Different kinds of work
A lot is said about physiotherapy being biomedical and following 'the biomedical model', but what exactly is this, how and why does it underpin physiotherapy? Over the next few blog posts, I'll try to explain the idea of the biomedical model in a bit more detail and show why and how it has influenced physiotherapy. I'm going to tackle 7 key aspects of the model. There are more, of course, but these are considered by most people to be the main ones. Specific aetiology Germ theory Cartesian dualism Objectivity and experimentation Reductionism Normalisation Body-as-machine Understanding something about these will give you a stronger sense of why they're so … [Read more...] about What is the biomedical model #1?
The idea that most grabbed people's attention during last week's 1st critical physiotherapy course was slow physiotherapy (you can listen back to the full talk here). Slow physiotherapy - like the slow food and slow TV movements - would be a reaction to the hyperkinetic life that we're now all leading. But more than that, it would force us to focus more on exactly how pervasive questions of time and speed are in physiotherapy today. Paul Virilio - the philosopher we looked at last week - coined the term dromology to refer to the study of speed and time and, especially, how speeded up our lives increasingly feel. Virilio was concerned with the way technology had collapsed the time … [Read more...] about Slow physiotherapy
There has been a lot of talk in recent years about the capabilities that health professionals will need in the future. This is partly because the sheer economics of future healthcare will mean that other ways of delivering routine tasks - those that once required extensive training and expensively employed specialists to deliver them - will be given managed by smart machines, wearables, robotics and AI. A friend of mine was saying the other day that she recently sat with her elderly mother in hospital for two weeks during a bout of illness, and during that time only two of the nurses actually took time to build a relationship with them. The others just came in to do things to her: … [Read more...] about Can you teach physiotherapists to be empathic?
This interview with Gloria Zapata was compiled and translated by CPN Exec member Viviana Silva You were the director of the research area called “kinesiology of human development” at the National University of Colombia. Could you please tell us how this interest was born and how your experience or education influenced your research? My interest in the research area of “kinesiology of human development” arose in relation to my experience as a teacher in the National University of Colombia between the years of 1986-2006. This time was marked by the need to reform the curricular program of the profession to favour training of physiotherapists to become more committed to improving … [Read more...] about Interview with Gloria Teresa Zapata
1. Fue directora de la línea de investigación kinesiología del desarrollo en la Universidad Nacional. ¿Podrías decirnos como nació el interés en este tema y como tu (experiencia o tu educación o ...) influencio tu investigación? y como influencio tu interés en el manejo de pacientes con demencia? Mi interés por la línea de investigación y profundización en kinesiología del desarrollo, surgió en relación con la oportunidad que tuve de estar vinculada como docente en la UN, durante un período (1986-2006) marcado por la necesidad de reformar el programa curricular de la carrera de manera tal que se favoreciera la formación de fisioterapeutas más comprometidos con la mejora de la … [Read more...] about Gloria Teresa Zapata – Fisioterapeuta