The reengineering of the physiotherapist’s initial training, organized by the decree of September 2, 2015, imposed the need to change the pedagogical approach of the fundamental subjects which had prevailed until then.

The teaching of anatomy, necessarily initially based on planks and sketches, must then tend in a second time to integrate a three-dimensional approach, whose foundations could be constituted by medical radiology. Indeed, the recent evolution of the techniques makes it possible to benefit from high definition images offering an interesting approach for students’ knowledge building, who now testify little interest for data from books.

Theoretical knowledge in anatomy, palpation, technology and medical imaging are closely tied. Thus, understanding the different anatomical structures according to several approaches allows a facilitated assimilation of the constituent elements of a loco-regional topography and forces to mobilize in a reasoned way concepts often difficult to perceive. These different fields of knowledge must eventually constitute the breeding ground for a complete, expanded and transverse conception of the human body.

Should then gradually emerge an integrative approach of different components, to establish a renewed approach of physiotherapy know-how. As such, the skills acquired in medical imaging (standard radiology, CT, MRI and ultrasound) are affirmed both as an autonomous competence with immediate professional implications and as a useful complement to the understanding of the anatomical and biomechanical links necessary for the practice of a successful manual therapy.

The physiotherapy diagnosis, integrated by the law of January 26, 2016 into the very definition of the profession of physiotherapist, is based on precise knowledge implemented according to a rigorous approach. Based exclusively on a recognized palpatory expertise, it is the keystone of both the recognition of our practice at the highest level of skills and our professional independence, which it is now necessary to enhance. Thus, only perfect anatomical knowledge will enable the sustainable inclusion of our reformed profession as one of the key players in the health system, undergoing transformation.

Eric BrinAlexandre Hominal