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Gabriella Esposto 1

Inter-professional Assignment

Area of Focus Massage Therapist Chiropractor Physiotherapist Pharmacist


The Professions Massage Therapy Act, Chiropractic Act, 1991 Physiotherapist Act, Pharmacy Act, 1991
Specific Legal Act 1991 1991
Legal Title Registered Massage Doctor of Chiropractic, Physiotherapist, PT Registered Pharmacist, RPh
Therapist, RMT D.C.
The Scope of Practice The assessment, treatment, Assessment, diagnosis, Assessment of muscular, Dispense, review, and adapt
(brief description not preventative care, and and treatment of cardiac, skeletal, and medications, provide smoking
each part) manipulation of connective conditions pertaining to neurological systems; cessation therapy, administer
tissues, muscles and joints.1 the spine, nerves, and diagnosis of diseases vaccinations, and educate/
joints.2 pertaining to physical demonstrate some at home
dysfunction and injury of equipment, including diabetic
the body; and treatment care, orthopaedic, and at home
for preventative care, said assistance equipment, etc.4
dysfunctions, and
ongoing rehabilitative
care to increase mobility.3

Authorized Controlled Partial in Controlled Act: 2) Complete in Controlled Complete in Controlled Partial in Controlled Acts: 2)
Acts & Performing a prescribed Acts: 4) Spinal Acts: 4) Spinal Performing a prescribed
Conditions/Restrictions procedure on tissue below Manipulation. Partial in Manipulation. Partial in procedure on tissue below the
the dermis or mucous Controlled Acts: 1) Controlled Acts: 1) dermis or mucous membrane.
membrane.5 Communicating a Communicating a 5) Administering a substance
diagnosis. 6) Putting an diagnosis. 2) Performing by injection or inhalation. 8)
instrument, hand or a prescribed procedure on Prescribing dispensing, selling
finger, into natural or tissue below the dermis or compounding a drug.5
artificial body openings.5 or mucous membrane. 5)
Administering a
substance by injection or
inhalation. 6) Putting an
instrument, hand or
finger, into natural or
artificial body openings.
7) Applying or ordering
the application of a form
of energy. 5

Regulatory College College of Massage College of Chiropractors College of Ontario College of


(include website) Therapists of Ontario of Ontario (CCO) Physiotherapists of Pharmacists (OCP)
(CMTO) www.cmto.ca www.cco.on.ca Ontario www.ocpinfo.com
www.collegept.org
Mandate/Mission of The College of Massage The College of To protect and serve the The Colleges mandate is to
Regulatory College Therapists of Ontario Chiropractors of Ontario public interest by serve and protect the public
(referred to as the College or promoting collaboration and hold Ontarios
is the self-governing
CMTO) is dedicated to and accountability for pharmacists and pharmacy
excellence in protecting the body of the chiropractic self-regulation and technicians accountable to the
publics interest, guiding its profession committed to enabling a culture of established legislation,
registrants and promoting the improving the health and continuous improvement standards, code of
highest possible quality of well-being of Ontarians to ensure that ethics and policies and
the practice of Massage physiotherapists provide guidelines relevant to
by informing the public
Therapy. competent and ethical pharmacy practice. The
and assuring them of services. College also ensures that
competent and ethical pharmacies within the
chiropractic care. province meet certain
The College examines, standards for operation and are
registers and regulates accredited by the College.
the chiropractic
profession, and partners
with other health
professions, licensing
bodies, organizations
and government.

Commitment to the CMTO is dedicated to CCO is committed to The role of the College The College serves and
Public excellence in protecting the improving the health and is to protect and serve the protects the publics interest
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Inter-professional Assignment

publics interest, guiding its well-being of Ontarians public interest by by holding pharmacists and
registrants and promoting the by informing the public ensuring that pharmacy technicians
highest possible quality of and assuring them of physiotherapists provide accountable for the safe,
the practice of Massage competent and ethical high quality, competent effective and ethical
Therapy. (www.cmto.com) chiropractic care. and ethical services. The delivery of pharmacy
(www.cco.on.ca) role of registrants is to services.(www.ocpinfo.com)
not only provide safe,
quality care but to also
accept accountability for
doing so.
(www.collegept.org)

Part B:

Registered Massage Therapist & Chiropractor:


Client Benefit: Often times Chiropractic care is used to treat long term or stiffening bone injuries,
however because our muscles have the capability to adapt and lengthen/shorten into new positions in
the body, they will often pull or drag their bony attachments back into an improper position, resulting
in reoccurring pain1. Working with both a Chiropractor and an RMT can address both the bone/nervous
and muscle/soft tissue issues simultaneously to help relieve pain at the root of the problem and
promote wellness and pain relief in the long term.

Professional Benefit: Joining both the expertise of Massage Therapists in soft tissue treatment, and
Chiropractors in skeletal and nerve treatment offers a complete and well-rounded plan of care that
addresses multiple body functions; this will result in greater results for patients and in turn better client
satisfaction for both practices.



Registered Massage Therapist & Physiotherapist:
Client Benefit: Although many treatments provided by RMTs and PTs are similar,
Physiotherapists are able to provide specializations in remedial exercise, diagnose certain bodily
dysfunctions, provide spinal manipulation and consult on medical equipment (braces, orthotics, handles,
specialized bathing units, etc.). Having these supports/equipment available for at home and everyday
uses can dramatically speed up the recovery time of both a Physiotherapy and Massage Therapy client.3
Alternatively, Massage Therapists specialize in soft tissue treatment and often provide a more relaxing
and less intimidating regimen for clients who may have experienced trauma or severe injury. Both
Health Professions are able to offer treatment plans that are suitable for a variety of clients, a
combination of both RMT and PT can result in a well-rounded circle of care and the possibility of a
quicker recovery.

Professional Benefit:
In addition to having access to different skill sets/knowledge, working closely with a Physiotherapist can
provide a professional relationship that can gain more clients and more results. For example,
Physiotherapy generally focuses on rehabilitation and strengthening, while Massage Therapy generally
focus on relieving pain. It may benefit an RMT and Physiotherapist to work in conjunction with one
another to either reduce pain/discomfort before referring to Physiotherapy, or vice versa.


Registered Massage Therapists & Registered Pharmacist:
Client Benefit: Massage therapy offers a pharmaceutical alternative for various conditions, which are
commonly treated with medication. For example, substituting an abdominal Massage for a laxative, a
Wellness Massage for an anxiety medication, or an Impairment Massage to treat pain/injury at the
source rather than treating the pain/symptoms afterwards. This can reduce client dependency on
medications and provide options for clients who cannot use traditional pharmaceutical methods due to
pregnancy, unwanted or serious side effects, or allergic reactions, etc.4.

Professional Benefit:
Working closely with a Registered Pharmacist can encourage a greater understanding of the delivery,
reason for use, and symptoms, and side effects of many medications that may be affecting Massage
Therapy clients. This may result in different techniques or modifications during the treatment. For
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Inter-professional Assignment

example, understanding the effects of certain blood thinners on certain clients and the implications this
may have including, bruising, light headedness, or even a stroke. Additionally, having a registered
Pharmacists work closely with an RMT can encourage referrals/pharmaceutical alternatives for clients to
enhance their current medications/treatment.
References

1
WWW.CMTO.COM

2
WWW.CCO.ON.CA

3
WWW.COLLEGEPT.ORG

4
WWW.OCPINFO.COM

5
FHRCO. Regulatedhealthprofession.on.ca. Web. 20 Feb. 2017.
<HTTP://IPC.FHRCO.ORG/FILES/CONTROLLED_ACTS_CHART_2012_11_04.PDF>