We have all heard the term physiotherapy at some point in our lives, whether through personal experience or through knowing a friend, partner or family member who has had therapy. Physiotherapy (the term “physical therapy” is also used in Canada and is considered the legal equivalent of “physiotherapy”) is often prescribed to help restore and maintain mobility, function, strength and overall well-being.

Physiotherapy assistants (PTAs) provide support to physiotherapists (PTs) and work under their direct supervision. In this article we will look at the differences between the two professions, what physiotherapy assistants do and the skills required for this profession.

The difference between physiotherapists and physiotherapy assistants
The biggest difference between the two is that physiotherapists do the initial assessment of patients, draw up a rehabilitation plan and outline clear goals. They also teach patients stretching and exercise techniques to improve their condition and perform high-risk treatments, such as acupuncture or joint manipulation. The PTA cannot make a care plan or perform an initial assessment of the patient; the patient receives a treatment plan from the therapist. Once a care plan is decided upon, PTAs work closely with the patient, taking responsibility for most low-risk routine procedures, such as teaching clients to use crutches or applying hot compresses.

The great thing about becoming a physiotherapy assistant is that you can get out into the field in a short period of time. It is true that PTs are paid higher, but their student loans are also higher.

Job duties of a physiotherapist assistant
As a PTA, you will not make treatment plans and make decisions about therapy, but you will assist clients by putting the therapy recommended to them into practice. You may also make recommendations and adjust plans in consultation with the supervising PT.

PTAs work with clients of all ages in hospitals, medical clinics, nursing homes, rehabilitation centers, physiotherapist offices, and sports clinics. They perform a wide range of tasks and duties including:

  • Performing physiotherapy treatments as prescribed by a physiotherapist
  • Communicating instructions to patients, such as how to perform certain exercises and gait training
  • Assisting clients in the correct and safe use of equipment
  • Documenting treatment and progress after each therapy session
  • Preparation of treatment areas
  • Maintaining inventory records of equipment stock
  • Maintenance and cleaning of medical equipment
  • Teaching patients to walk with aids

Physiotherapy assistants must communicate regularly with physiotherapists and their clients; for this reason, strong listening and communication skills are essential for this role. Along with effective communication, it is important to have compassion.