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"In manipulation, it is not whether the hand is held so or so that matters; it is the proper selection of cases based on an informed clinical examination, with which she must be fully conversant." - Dr. J.H. Cyriax







Physioblasts.Org is a non-profit Physical Therapy Portal intended to be a public sphere of interaction for Physical Therapy professionals and students across the world. This project also aims at representation and promotion of Physical Therapy in specific Indian contexts.

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The NCHRH Bill, 2011 And Physiotherapy - A Memorandum To The Committee.

Saturday 14 January 2012 - 19:57:21 | National Physiotherapy News
After the promising news for Physiotherapists in India with Parliamentary standing committee report tablednchrh_bill_2011_copy.jpg in the Lok Sabha in 2008 and the initial draft of the NCHRH Bill, there is again enough feed for worry with the new version of the Bill tabled in the Rajya sabha. There are regulations as well on professionals who opt for foreign education in the present Bill.

For the physio community which had been fighting hard especially for the last few years, the worst imaginable situation has come up in the form of the NCHRH Bill, 2011. Physiotherapy, or for that matter any allied health profession, is not given any mention in the present Bill. It is still unclear whether the profession has been included under any categories in the present version, or has been excluded for the time being considering the indecision there was on the profession, its definition, rights, duties and limits within the government departments.

But there is enough room for suspicion whether the profession, along with other allied health professions, has been included the ‘Paramedical Council’ which finds a mention in the Bill. Same being one of the major issue with the ‘Paramedical and Physiotherapy Central Council Bill, 2007’, it should be expected that the Bill will face stiff challenge from not just physiotherapy professionals, but all other allied health professions as well.

Though the reasons are obscure about why allied health professions do not want to be under the Paramedical Council, it seems that these professions have a separate identity and is no more considered a paramedical profession anywhere else in the world is the major reason. The other few factors which should be assumed to affect the professions when being under the Paramedic Council will be that pay revisions and professional development will be equally affected. Pay revisions in our country always followed with the level where each profession is placed by the government legislations. Thus being along with a lot of other technologist professions in the Paramedical Council, allied health professions will have a tough time getting a better pay scale revision in the future. More will be its effect on the development of those professions in the country, which infact does have a major role in the health field in the days ahead.

It is quite surprising that they have ignored physiotherapy when the profession along with occupational therapy had State Councils and Registers already in place in Maharashtra, TamilNadu, Gujarat and Delhi. There is no mention of what will happen to those Councils and its members. Things are also same with the Rehabilitation Council of India which finds no mention.

To assume that the findings of the Parliamentary committee headed by Sri. Amar Singh in 2008 was not considered by the Ministry while drafting this Bill, is surprising a lot. The time, effort and money spend on the meetings, Bill drafting, presentation, Parliament time etc. to be wasted as such seems so confusing.

On the bright side, it should be hoped that, if in case our profession is included under the paramedics, will be as per the findings of the Parliamentary committee report tabled in 2008 in the Lok sabha. More than where our profession is represented, it should be given more thought on how it is represented even if it is as an independent Council or under the Paramedical Council.

The formation of National Board of Health Education and the National Evaluation & Assessment Committee stands well for bringing up and maintaining the educational standards, institutional standards and professional development. It is highly needed in our profession with educational and professional standards declining rapidly in the last few years.

With the Council in place, it will have the right to issue good standing certificates for the professionals rather than the right being with any associations. Many associations will have not be happy with this clause since they will stand to lose a lot of revenue.

The Bill has put in options to have renewal of membership every ten years and it will need professionals to undergo further educations to renew the membership. This seems to be a very good clause and in line with Boards in other countries which emphasise on continuing education. Each professional will have to register with the National Council and with the State Council where on intends to practice. It is not clear whether one can hold registrations in multiple state Councils.

Those who opt to have a higher education in other countries will have to get a NOC from the Council and will need to practice for 3 years in India once the education is completed. High fines to the tune of 5 lakhs initially to the tune of 25 lakhs are in place for those who do not comply. It should be an issue with many physios who get their Masters from abroad and try for a job there itself.

Another good point is that any institutions offering these courses will need to be registered and will have to have their own website furnishing all necessary information. It also needs to see how those short term certificate courses by our professionals are represented in the Bill.

A lot of positives, but few dark areas which causes lot of confusion including the lack of mention about our profession, makes it a very indigestible Bill again for us. This leads us to submit a memorandum to the Parliamentary Committee headed by Shri. Brajesh Pathak, M.P., the draft version of which one can find below. We hope to find suggestions, arguments, or other valid points from everyone which would be included in the final version after careful consideration. Unlike last time when we included a petition to be signed when we submitted a memorandum to the previous committee, we will not be holding one such this time. We also are hoping to have the memorandum submitted in person and have an oral presentation in front of the committee.


“Do Not Wait, Explore Opportunities Ourselves” – Kiran Challagundla.

Saturday 31 December 2011 - 15:41:02 | In Focus: Physio Star
‘India has vast amount of opportunities for physiotherapists; Public and private healthcare system combined might dish outkiran_with_saina_nehwal_and_chetan_anand_during_commonwealth_games_2010.jpg atleast 1-2 lakh job opportunities in the near future’- says Kiran Challagundla, the pioneer in ‘Clinical Neurodynamics’ and ‘Maitland's techniques’ in our country.  He sees a bright future for the profession in the country in coming years. He also feels that many professionals are still waiting for an opportunity to come by, instead urges each one to explore the vast possibilities that are open to physiotherapists in the private healthcare sector.
Kiran Challagundla did his Masters in orthopedic, sports and manual physiotherapy degree from the University of South Australia, Australia in 2005. He is specialized in Maitland treatment techniques and Neurodynamic treatment techniques. He is a certified instructor of both.  He has trained under experts in manual physiotherapy like G.D. Maitland, Michael Shacklock, David Butler, Mary Magarey, etc.
According to him, though manual therapy is a general term, there are specific treatment techniques for specific conditions. Thus exact assessment and specific treatment techniques have to be used for it to be effective. He adds that no manual therapy techniques contradict each other or with other physiotherapeutic techniques, instead a holistic approach is to be used for a patient condition to get the best results. He feels that things have changed a lot in the past 4-5 years regarding perception and awareness about manual therapy in India; patients have accepted it as a major part of physiotherapy treatment plan.
It was his interest in treating sports injuries after he graduated from Manipal Academy in 2001, which led him to try learning something which would help achieve better results. Thus he chose to go for higher education in Manual therapy, which he found to be very useful and effective.
Kiran suggests that the current PT curriculum of semester education be changed to yearly format as he feels semester format is more exam oriented. He also pressed the need of incorporating manual therapy as a separate and elaborate subject in the curriculum at the undergraduate level itself. He himself being taking various classes on manual therapy in different countries including India, feels that manual therapy has significant importance and needs to be learned along with the basic physiotherapy techniques. His classes are short ones, but are able to provide a comprehensive knowledge about the techniques and its application. He adds that he teaches the cream of ‘Neurodynamics  and Maitland’s’  techniques he gained from his experience, as well as is more focused on the patient’s point of view, and very much clinically oriented.
Currently serving as the physiotherapist for the Indian National badminton team, Kiran is very much in focus on getting the team fit and raring to go for the 2012 Olympics to be held in London, UK. He says he enjoy working as sports physiotherapist and had previously served the Hyderabad state cricket team, Hyderabad Heroes and Deccan chargers in cricket as well as the ‘Dolphins’ in Australian football.
Kiran adds that it was his successful treatment of few cricket players which led him to bag a job with the cricket teams like Hyderabad State team, IPL champions Deccan chargers etc. The good name he earned with the players ensured that he had more sports persons lining up for his treatment whom later suggested his name for the post of physiotherapist with few teams.
“The sports field in India expects a sports physio to have decent knowledge in fitness, diet & recovery in addition to the physiotherapy skills. However, in western countries all these aspects like diet, fitness etc. are managed by different healthcare professionals. However, in the past 2 years or so, things have improved a lot in India”, says Kiran. He also adds that “Sports physiotherapists needs to be more stricter with the players no matter how big the player is and have to give more importance to player recovery and active rehabilitation procedure rather than just passive treatment”. He also suggests that a PT interested in sports PT should find work with a non-elite team initially which would enable him to explore in the area. Once settling down with enough experience and making a name, greater opportunities will follow, says Kiran. He adds that one needs to be good in Exercise physiology and fitness training to be competent.
He also accepts that the public healthcare system needs to open up for physiotherapy and that would lead to absorption of a lot of professionals which will improve both public health as well as the profession in the country. He also feels that the current situation in the IAP is not the best thing to happen, but considers the physiotherapists out there to be very mature and experienced. He hopes that they will resolve any difference soon for the sake of the profession.
Kiran, whose contract with the National badminton team expires after the 2012 Olympics, plans to fulfill his dream of setting up something special for sports physiotherapists and students in our country.  He also wants to concentrate more into teaching after the contract expires. He feels that physiotherapists should continue learning by attending various CPE (Continuing Physiotherapy Education). He advises the students to choose the area which interests them when specializing, rather than go for an area considering only its job potential. He also wants everyone to get specialized in a certain area and concentrate on it.

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