Physical Therapists

Significant Points

• Physical Therapists are health care practitioners who manage a wide range of medical conditions primarily focusing on impairments, functional limitations, and disability.
• Employment is expected to increase much faster than average.
• Job opportunities should be good, particularly in acute hospital, rehabilitation, and orthopedic settings.
• Typically, a doctoral degree from an accredited physical therapy program is the minimum level of education for individuals pursuing a career as a physical therapist.
• About 6 out of 10 physical therapists work in hospitals or in offices of physical therapists.

Nature of the Work

Physical therapists (PTs) are health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs may perfrom electrodiagnostic testing and sonography to assist with diagnosis and management.

PTs examine each individual and develop a management plan using counseling and treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles.^[1]

Treatment often includes exercise, especially for patients who have been immobilized or who lack flexibility, strength, or endurance. PTs encourage patients to use their muscles to increase their flexibility and range of motion. More advanced exercises focus on improving strength, balance, coordination, and endurance. The goal is to improve how an individual functions at work and at home.

PTs also use electrical stimulation, hot packs or cold compresses, and iontophoresis to relieve pain and reduce swelling. They may use traction or deep-tissue massage to relieve pain and improve circulation and flexibility. PTs utilize spinal and joint manipulation/mobilization to reduce pain and restore mobility. PTs also teach patients to use assistive and adaptive devices, such as crutches, prostheses, and wheelchairs. They also may show patients how to do exercises at home to expedite their recovery.

PTs often consult and practice with a variety of other professionals, such as physicians, dentists, nurses, educators, social workers, occupational therapists, speech-language pathologists, and audiologists.

Some PTs treat a wide range of ailments; others specialize in areas such as pediatrics, geriatrics, orthopedics, sports medicine, neurology, and cardiopulmonary physical therapy.

Work environment. PTs practice in hospitals, clinics, and private offices that have specially equipped facilities. They also treat patients in hospital rooms, homes, or schools. These jobs can be physically demanding because therapists often have to stoop, kneel, crouch, lift, and stand for long periods. In addition, PTs move heavy equipment and lift patients or help them turn, stand, or walk.

In 2006, most full-time PTs worked a 40-hour week; some worked evenings and weekends to fit their patients’ schedules. About 1 in 5 PTs worked part time.

Training, Other Qualifications, and Advancement

Individuals pursuing a career as a physical therapist usually need a doctoral degree from an accredited physical therapy program and a State license, requiring passing scores on the national and state examinations.

Education and training. In the United States, training in physical therapy culminates in a doctor of physical therapy (DPT) degree. A few programs still offer a Masters degree. (MSPT, MPT) Physical therapist education includes clinical internships. According to the American Physical Therapy Association, there were 215 accredited physical therapist programs in 2009–of those 15 offered the Master of Physical Therapy, and 200 offered the Doctor of Physical Therapy (DPT) degree. Most programs are in transition to a DPT program.

Physical therapist education programs start with basic science courses such as biology, chemistry, and physics and then introduce clinically based courses, including biomechanics, anatomy, human growth and development, pathology, history and examination techniques, diagnostics and therapeutic procedures. In addition to didatic and laboratory instruction, students must complete clinical internships.

Among the undergraduate courses that are useful when one applies to a physical therapist education program are anatomy, biology, chemistry, social science, mathematics, and physics. Before granting admission, many programs require volunteer experience in the physical therapy department of a hospital or clinic.

Licensure. All States regulate the practice of physical therapy. Typical licensure requirements are graduation from an accredited physical therapist education program and passing scores on national and State licensure exams. Specific eligibility requirements for licensure vary by State.

Other qualifications. Physical therapists should have strong interpersonal skills so that they can educate patients about their physical therapy treatments and communicate with patients’ families. Physical therapists also should be compassionate and possess a desire to help patients.

Advancement. Physical therapists are expected to continue their professional development by participating in continuing education courses and workshops. In fact, a number of States require continuing education as a condition of maintaining licensure.

Employment

Physical therapists held about 173,000 jobs in 2006. The number of jobs is greater than the number of practicing physical therapists because some physical therapists hold two or more jobs. For example, some may work in a private practice, but also work part time in another health care facility.

About 6 out of 10 physical therapists worked in hospitals or in offices of physical therapists. Other jobs were in the home health care services industry, nursing care facilities, outpatient care centers, and offices of physicians. Some physical therapists were self-employed in private practices, seeing individual patients and contracting to provide services in hospitals, rehabilitation centers, nursing care facilities, home health care agencies, adult day care programs, and schools. Physical therapists also teach in academic institutions and conduct research.

Job Outlook

Employment of physical therapists is expected to grow much faster than average. Job opportunities will be good, especially in acute hospital, rehabilitation, and orthopedic settings.

Employment change. Employment of physical therapists is expected to grow 27 percent from 2006 to 2016, much faster than the average for all occupations. The impact of proposed Federal legislation imposing limits on reimbursement for therapy services may adversely affect the short-term job outlook for physical therapists. However, the long-run demand for physical therapists should continue to rise as new treatments and techniques expand the scope of physical therapy practices. Moreover, demand will be spurred by the increasing numbers of individuals with disabilities or limited function.

The increasing elderly population will drive growth in the demand for physical therapy services. The elderly population is particularly vulnerable to chronic and debilitating conditions that require therapeutic services. Also, the baby-boom generation is entering the prime age for heart attacks and strokes, increasing the demand for cardiac and physical rehabilitation. And increasing numbers of children will need physical therapy as technological advances save the lives of a larger proportion of newborns with severe birth defects.

Future medical developments also should permit a higher percentage of trauma victims to survive, creating additional demand for rehabilitative care. In addition, growth may result from advances in medical technology that could permit the treatment of an increasing number of disabling conditions that were untreatable in the past.

Widespread interest in health promotion also should increase demand for physical therapy services. A growing number of employers are using physical therapists to evaluate worksites, develop exercise programs, and teach safe work habits to employees.

Job prospects. Job opportunities will be good for licensed physical therapists in all settings. Job opportunities should be particularly good in acute hospital, rehabilitation, and orthopedic settings, where the elderly are most often treated. Physical therapists with specialized knowledge of particular types of treatment also will have excellent job prospects.

Projections Data

Earnings

The median salary for a physical therapist is $75,000 depending on position, years of experience, degree of education, geographic location, and practice setting.

Related Occupations

Physical therapists rehabilitate people with physical disabilities. Others who work in the rehabilitation field include audiologists, chiropractors, occupational therapists, recreational therapists, rehabilitation counselors, respiratory therapists, and speech-language pathologists.

Sources of Additional Information

Additional career information and a list of accredited educational programs in physical therapy are available from:

• American Physical Therapy Association, 1111 North Fairfax St, Alexandria, VA 22314-1488. Internet: http://www.apta.org

Licensure requirements, including education requirements, vary by State. Information on these requirements may be obtained from:

• Federation of State Boards of Physical Therapy, 124 West St South, Alexandria, VA 22314. Internet: http://www.fsbpt.org