Ponomarenko G N
G.A. Albrecht Federal Scientific Center for Rehabilitation of the Disabled.
S.M. Kirov Military Medical Academy.
Vopr Kurortol Fizioter Lech Fiz Kult. 2017 Dec 28;94(6):59-64. doi: 10.17116/kurort201794659-64.
The author presents a review of the experimental and clinical studies that have formed the basis of modern physiotherapy as a science, academic discipline, and clinical specialty. The analysis of the attributes of modern physical therapy has been undertaken with special reference to the definitions of the concepts, categories, classifications, therapeutic physical factors, and physical treatment methods that provide the basis of modern physical therapy. The directions of scientific and practical development of physiotherapy in the currently adopted system of organization of the medical care services in Russia are determined. The discussion presents arguments for the introduction of new concepts, terms, classifications, and treatment methods. The prerequisites for the formation of such notions and ideas, their composition and structure as well as the role of the therapeutic physical factors in the system of treatment and preventive measures are considered. The basic methodological approaches (both evidence-based and systematic) which are in line with modern physiotherapeutic research programs are substantiated. Special attention is given in the article to the currently adopted system of the training of physiotherapists accepting present-day ideas and practicing modern approaches in their practical work. The principal way to carry out this task under the present-day conditions is through education in a three-stage manner in accordance with the main categories of physical therapy. The current status and assessment of the use of the concepts of evidence-based and translational medicine in physiotherapy are discussed together with the prospects for its further systematic development and practical application.
作者对构成现代物理治疗学作为一门科学、学术学科和临床专业基础的实验研究和临床研究进行了综述。对现代物理治疗学的属性进行了分析，特别参考了为现代物理治疗学提供基础的概念、类别、分类、治疗物理因子和物理治疗方法的定义。确定了俄罗斯目前采用的医疗服务组织体系中物理治疗学的科学和实践发展方向。讨论中提出了引入新概念、术语、分类和治疗方法的论据。考虑了这些概念和思想形成的前提条件、它们的组成和结构以及治疗物理因子在治疗和预防措施体系中的作用。论证了与现代物理治疗研究项目相一致的基本方法（循证和系统方法）。本文特别关注目前采用的物理治疗师培训体系，这些物理治疗师在实际工作中接受现代理念并采用现代方法。在当前条件下完成这项任务的主要途径是根据物理治疗的主要类别分三个阶段进行教育。讨论了循证医学和转化医学概念在物理治疗中的应用现状和评估，以及其进一步系统发展和实际应用的前景。
