Physical Therapist Assistants and Aides

• Employment is projected to increase much faster than average; physical therapist aides may face keen competition from the large pool of qualified applicants.
• Physical therapist assistants generally have an associate degree, but physical therapist aides usually learn skills on the job.
• About 60 percent of jobs are in hospitals or offices of physical therapists.

Physical therapist assistants and aides perform components of physical therapy procedures and related tasks selected by a supervising physical therapist. These workers assist physical therapists in providing services that help improve mobility, relieve pain, and prevent or limit permanent physical disabilities of patients suffering from injuries or disease. Patients include accident victims and individuals with disabling conditions such as low-back pain, arthritis, heart disease, fractures, head injuries, and cerebral palsy.

Physical therapist assistants perform a variety of tasks. Components of treatment procedures performed by these workers, under the direction and supervision of physical therapists, involve exercises, massages, electrical stimulation, paraffin baths, hot and cold packs, traction, and ultrasound. Physical therapist assistants record the patient’s responses to treatment and report the outcome of each treatment to the physical therapist.

Physical therapist aides help make therapy sessions productive, under the direct supervision of a physical therapist or physical therapist assistant. They usually are responsible for keeping the treatment area clean and organized and for preparing for each patient’s therapy. When patients need assistance moving to or from a treatment area, aides push them in a wheelchair or provide them with a shoulder to lean on. Because they are not licensed, aides do not perform the clinical tasks of a physical therapist assistant.

The duties of aides include some clerical tasks, such as ordering depleted supplies, answering the phone, and filling out insurance forms and other paperwork. The extent to which an aide or an assistant performs clerical tasks depends on the size and location of the facility.

The hours and days that physical therapist assistants and aides work vary with the facility and with whether they are full- or part-time employees. Many outpatient physical therapy offices and clinics have evening and weekend hours, to help coincide with patients’ personal schedules. About 30 percent of all physical therapist assistants and aides work part time.

Physical therapist assistants and aides need a moderate degree of strength because of the physical exertion required in assisting patients with their treatment. In some cases, assistants and aides need to lift patients. Constant kneeling, stooping, and standing for long periods also are part of the job.

Physical therapist aides are trained on the job, but physical therapist assistants typically earn an associate degree from an accredited physical therapist assistant program. Not all States require licensure or registration in order for the physical therapist assistant to practice. The States that require licensure stipulate specific educational and examination criteria. Complete information on practice acts and regulations can be obtained from the State licensing boards. Additional requirements may include certification in cardiopulmonary resuscitation (CPR) and other first aid and a minimum number of hours of clinical experience.

According to the American Physical Therapy Association, there were 238 accredited physical therapist assistant programs in the United States as of 2004. Accredited physical therapist assistant programs are designed to last 2 years, or 4 semesters, and culminate in an associate degree. Programs are divided into academic study and hands-on clinical experience. Academic course work includes algebra, anatomy and physiology, biology, chemistry, and psychology. Many programs require that students complete a semester of anatomy and physiology and have certifications in CPR and other first aid even before they begin their clinical field experience. Both educators and prospective employers view clinical experience as integral to ensuring that students understand the responsibilities of a physical therapist assistant.

Employers typically require physical therapist aides to have a high school diploma, strong interpersonal skills, and a desire to assist people in need. Most employers provide clinical on-the-job training.

Physical therapist assistants and aides held about 101,000 jobs in 2004. Physical therapist assistants held about 59,000 jobs, physical therapist aides approximately 43,000. Both work with physical therapists in a variety of settings. About 60 percent of jobs were in hospitals or in offices of physical therapists. Others worked primarily in nursing care facilities, offices of physicians, home health care services, and outpatient care centers.

Employment of physical therapist assistants and aides is expected to grow much faster than the average for all occupations through the year 2014. The impact of proposed Federal legislation imposing limits on reimbursement for therapy services may adversely affect the short-term job outlook for physical therapist assistants and aides. However, over the long run, demand for physical therapist assistants and aides will continue to rise, in accordance with the increasing number of individuals with disabilities or limited function. The growing elderly population is particularly vulnerable to chronic and debilitating conditions that require therapeutic services. These patients often need additional assistance in their treatment, making the roles of assistants and aides vital. The large baby-boom generation is entering the prime age for heart attacks and strokes, further increasing the demand for cardiac and physical rehabilitation. In addition, future medical developments should permit an increased percentage of trauma victims to survive, creating added demand for therapy services.

Physical therapists are expected to increasingly utilize assistants to reduce the cost of physical therapy services. Once a patient is evaluated and a treatment plan is designed by the physical therapist, the physical therapist assistant can provide many aspects of treatment, as prescribed by the therapist.

Physical therapist assistants and aides with prior experience working in a physical therapy office or other health care setting will have the best job opportunities. Physical therapist aides may face keen competition from the large pool of qualified individuals with a high school diploma.

Median annual earnings of physical therapist assistants were $37,890 in May 2004. The middle 50 percent earned between $31,060 and $44,050. The lowest 10 percent earned less than $24,110, and the highest 10 percent earned more than $52,110. Median annual earnings in the industries employing the largest numbers of physical therapists aides in May 2004 were:

Median annual earnings of physical therapist aides were $21,380 in May 2004. The middle 50 percent earned between $17,990 and $26,310. The lowest 10 percent earned less than $15,380, and the highest 10 percent earned more than $33,550. Median annual earnings of physical therapist aides in May 2004 were $21,120 in general medical and surgical hospitals and $20,360 in offices of physical therapists.

Physical therapist assistants and aides work under the supervision of physical therapists. Other workers in the health care field who work under similar supervision include dental assistants, medical assistants, occupational therapist assistants and aides, pharmacy aides, pharmacy technicians, and social and human service assistants.

Career information on physical therapist assistants and a list of schools offering accredited programs can be obtained from:

• The American Physical Therapy Association, 1111 North Fairfax St., Alexandria, VA 22314-1488. Internet: http://www.apta.org/

• Source: Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2006-07 Edition