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Week 3

9/6/23 13:42

History of pt practice wellness


Past present future

Roots of PT and wellness


• Ancient period, people believed illness are caused by supernatural or consequence of evil spirits
Trephination
• Coin size holes in the skull to release evil spirits

6th century BCE


• Medicine was under philosophy
○ Arguments were superior to experiment and practice

Alcmaeon
• First physician to formulate the doctrine of health as a balance among the powers of the body
• 500-400 BCE

Hipocrates
• Father of medicine
• Medicine under philosophy
• Disproving that diseases was punishment for sin

Herophilos
• Dissected cadavers that contributed to advancement including value of pulse

Erasistratos of Alexandria
• Describe the brain and cerebrum from cerebellum
• Brain was the origin of all nerves

Asklepios
• god of medicine

Hygenia
• goddess of health

Biomedical model
• Genes, chemical imbalances, genetics

Biopsychosocial
• View the patient as a whole not just the biomedical

Vienna Disoscuride
• 1st century
• 600 plants to be used as a medicine

Galen
• Combined hipocrates writing about pathology and humors

4th BCE
• First structure or establishment that called hospital

Thomas aquinas
• Argued that disease and healing processes are mediated by the patterns of his casualty in the
world

Renaissance
• Advancement of medical science

Rene Descartes
• He believe that human body is used for scientific purposes after death
• After death, the soul leaves the body

1654
• First coined the word wellness

Epicurus
• First coined the term in his hedonistic philosophy

Wealness
• Appeared in the diary of Sir A. Johnson
• 1654

Native American
• There is a connection in mind-body in health and disease
• Apprenticeship
○ Used to train physician in their profession
1765
• First school in Pennsylvania

Diseases
• are classified into symptoms
• Herbal medicines

1800
• Surgery
• Doesn’t wear gowns, just casual outfit
• Wipe to “clean”
• High risk of infection

19th century
• Advances in laboratory equipments

Robert hooke
• Microscope

Anton van leeuwenhoek


• Bacteria

1870
• Germ theory

1847
• AMA was established

1870
• Harvard and other schooled eliminated apprenticeships

1885
• 2 year clinical experience

Sigmund Freud
• Austrian neurologist
• Hysteria
○ Extreme fear and emotional excess
○ Conversion syndrome

1900
• Birth of PT practice
• High-school diploma and 4 year curriculum was offered

1914
• WW1
• EARLY PT
○ Reconstruction aids
○ Just receive orders from physicians

1947
• WHO

1950
• PT services are eligible to receive insurance

1960 to 1980
• First graduate entry level PT programs in 1960
• PT continues to expand

Halbert Dunn
• Father of wellness
• Defined 5 domain of wellness

1990
• PT starts to enter physical wellness

1993
• Guide to PT practice
○ Health promotion and wellness by PT and PT assistants

2001
• Fitness and wellness consultation

2002
• Humanistic model

2003 2004
• More pt wellness were published

2005
• APTA
2006
• PT to be Exercise experts

PT TASK-FORCE
• Fitness and wellness

First goal
• Create or adopt definition and model of wellness
Second goal
• Revise and expand areas related to wellness
Third goal
• Chapter related to wellness
Fourth goal
• Wellness seminar
Fifth goal
• Fitness wellness section within APTA

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