Editorial Article

Prof. Pearlson K

MPT (Aus), Padmashree Diagnostics, Physiotherapy Department, Vijaynagar,

Bangalore -560040. E-mail:

Year: 2022, Volume: 2, Issue: 2, Page no. vi-viii,
Views: 74, Downloads: 4


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Extended Scope Physiotherapists, also commonly known as ESP with many years of clinical efforts, become a superior physiotherapist who works beyond the recognized scope of physiotherapy practice. Most of the ESPs are seen doing postgraduation in the given fields and have diplomas in injection therapy. Many even work with orthopedic surgeons and rheumatologists in their practice.


Several extended-range physiotherapists have completed their full courses to allow live injections, in some cases, to select people with pain from many different types of joints and other problems used to get relief. They are better than ordinary physiotherapists. As you must have seen, some doses of medicine are used in special circumstances to help you recover better. In the same way, ESPs are also used in times of need.

Although injections are believed to provide relief from pain, they are usually temporary and are only used after evaluation by a therapist. If you are doing these treatments through a physiotherapist, then you can use them in combination. The most common injections usually given by ESPs are corticosteroid injections. In very special cases patients are also referred hyaluronic acid injections.


Extended scope practitioners in physiotherapy help in the management of musculoskeletal conditions. Present-day articles are reviews of current literature, in which decision-making is based on conversations and clinical results.


A thorough and systematic review of musculoskeletal extended scope exercises was conducted. Outcomes of problem interventions tend to focus on the interactions and decisionmaking processes between ESPs and their patients. Many databases have been searched by Grace Shahid and experts in the field, employing an elaborate search strategy. Qualitative and quantitative studies were included. A mixed synthesis approach was used to analyze the findings of the included study results.


About 476 articles were identified based on inclusion and exclusion criteria, of which only 25 met the criteria for the full quality assessment and analysis. However, it was not possible to complete the meta-analysis due to data asymmetry. Along with the roles of ESPs for better outcomes, it is also necessary to mobilize support for patients who fully enlist the SP staff for high patient satisfaction and orthopedic surgery. This would indeed result in a better and more positive intuitive relationship of decision-making between ESP and orthopedic surgeons and a positive impact on patient outcomes. It has been seen that even in some qualitative subjects, the extended scope therapist has shown their interpersonal skills and their role in patient education.

Where does an Extended Scope Physiotherapist work?

Physiotherapy is practiced in a wide range of settings in the public, private and voluntary sectors, but ESPs are generally quite different from general physiotherapy.

Hospitals - ESPs work mostly in outpatient departments, medical and surgical wards, and also in multiple units such as intensive care, coronary care, and rehabilitation centers.

Community and Primary Care Health Centers:

ESPs often visit dedicated health centers or even in patients’ homes to assess and treat problems such as muscles, joints, and ligaments as well as women’s health and neurological issues.

In School - Sometimes ESPs also help children to achieve their full potential and address issues

In the workplace - Pre-employment screening, ergonomic assessment, risk management, and providing education on the techniques of proper lifting and handling of workers are also the functions of an ESP.

Personal exercise - ESP is of great help in solving various types of muscle stiffness, joint pain as well as ligament problems, in addition to assessing and treating women’s health, neurological, and many other types of problems.

Scope Of Practitioner In Different Countries:

There is also a huge demand for these practitioners abroad, especially in developed countries such as Australia, the USA, and Canada.


The extended scope of physiotherapists in developed countries such as Australia can include both existing and emerging practices. ESPs can practice any number of activities that fall within the very broad spectrum of physiotherapy, provided they are fully educated, certified, and trained.

Those working in new and innovative roles must be fully capable of demonstrating at all times how their activities are preserved with the professional practice of physiotherapy. The physiotherapist’s regulation should be based solely on demonstrated preliminary and continuous practice.


Extended IT practitioners have a larger and wider range of capabilities than registered nurse practitioners, with the ability to fully diagnose patients and prescribe medications as well as order tests in any laboratory. Their ability to interpret etc. is also included. Countries like Canada include part of their GDP in their health sectors, so it is in high demand in these countries.

Beyond most responsibilities, ESPs can also take advantage of higher pay grades, and the ability to engage with patients on a personal level more and better in management functions. Expansion in Canada, is seen as a cost-effective option in the medical field, which further fuels their demands in the job mass skill. As reported by Barbara Bickle, the signing is between Lawrence S., an Extended Scope Practitioner, and the University of Toronto Assistant Lecturer at the Bloomberg Faculty of Nursing. The hospital is now recognizing the values of the Extended Scope Practitioner. This independent practitioner caring for doctors is considered a valuable asset in the healthcare system, and she is working on the values of how to care for an aging population.

The expanded scope in the USA is the top benefit of working as a physiotherapist:

The average salary of an ESP in the USA is $200,000, which is the average salary in the top position. According to the same report, 19000 jobs also exist for ESPs. That’s why the number of people who want to work as physiotherapists has expanded in the USA. The unemployment rate in the USA for medical jobs is also 0.7%. According to the Sharm Bureau report, employment is projected to increase by 5% for ESPs from 2020 to 2030. U.S Physician jobs are ranked fourth among the top 100 healthcare jobs by U.S. News and World Report, while the 100 best jobs are ranked 11th.

Eligible: The process of physiotherapy should allow and require the sharing of the overlapping scope of different occupations.

Practice: Education providers also need to encourage them to develop courses for ESPs, which will fully equip them with the appropriate skills and competencies to develop their scope of practice.

Health care: The government also needs to implement a more flexible funding model for the service delivery of healthcare. The impact of innovation and close collaboration among professionals such as ESP in health care is recognized as the key to producing evidence-based care. In developed countries like Australia, the expanded scope of practice based on healthcare, private practice, and neurological offers many opportunities for a practitioner. But in addition to all this, many obstacles also exist, such as legislation and regulation as well as innovative practices including policies and culture. These barriers are believed to further deter health professionals and the maximum number of people who contribute to well-being. It is also said that the government should establish a process at all levels that identify the barriers within the health system and find a way to remove them. Extended practitioners should also be provided with existing knowledge, training, and services based on experience and skills.

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