There are two recent posts in the Physical Therapy forum from readers. The forum is a place where you can connect with other people interested in the physical therapy profession. Often people post questions about musculoskeletal problems that they are facing. They may need advice or encouragement or just a place to trade yarns about their physical therapy experiences.This past week, one reader posted about scar tissue that has developed after surgery. Scar tissue is simply collagen, the substance that makes up our muscles, ligaments, skin, and tendons. Scar tissue is collagen that has not been remodeled. If you have had any experience with scar tissue remodeling and may be able to offer words of encouragement to this reader, head on over to the forum and post a response.Another reader posted about his low back pain that occurs whenever he moves from sitting to standing. So many people suffer from low back pain, and I am sure that someone may be able to share a story or two to help this reader get moving in the right direction.So head on over to the Physical Therapy forum, and engage with other like minded people. You may be able to offer advice to help someone feel a bit better! read more..
Sunday, 5 January 2014
Wednesday, 6 June 2012
Brad Thuringer is an enthusiastic PTA who started Shoes4Kids. I posted about this organization last year which you can view here. I received a request to publicize this wonderful idea again this year for when they are at the APTA Annual Meeting and Exposition - PT 2012. Please take the time to read his story and donate money or new sneakers if possible.
"This June will be the 7th anniversary of the first Shoes4Kids a.k.a Shoeless Sunday outreach effort. Much has developed since my good friend Kerry Williams and I collected 55 pairs of new athletic shoes and visited children at a local Salvation Army in Orlando, FL. Kerry is no long with us, he passed away a few years ago of cancer, but I know he would be amazed.
The one thing that has not changed over the years is the mission of Shoes4Kids. Shoes4Kids is all about serving the underprivileged and underserved child and their families by providing them with a new, brand name pair of athletic shoes. Shoes4Kids mission is to make a difference in the life and health of our children 1) by making sure they have shoes that fit and 2) promoting and encouraging the benefits of exercise.
Since 2006, Shoes4Kids has distributed over 3000 pairs of new, brand name youth athletic shoes and over 5000 pairs of youth athletic socks to the children of Orlando, FL, Washington, DC., San Antonio, TX, Baltimore, MD, Boston MA, and National Harbor, MD.
This year, Shoes4Kids (S4K) is scheduled to be in Tampa, FL., June 2-9 in conjunction with the American Physical Therapy Association (APTA) Annual Meeting and Exposition - PT 2012. It would be great to have you, your family, your church group or friends at work be involved in this year’s efforts.
S4K will be visiting The Hospitality House and the Red Shield Lodge Emergency Shelter, shelters associated with the Salvation Army, Tampa. S4K will also be visiting a local grade school and distributing new shoes.
I am pleased to announce that the Doctoral Physical Therapy (DPT) students and faculty at the University of St. Augustine, St Augustine, FL has agreed to accept and transport the shoes to the shelters in Tampa. I am extremely grateful for their support and help with this year’s efforts. By their partnership, I will now be able to fly to Tampa in June instead of driving my SUV packed full of shoes, which I have done each year to each city visited since 2007.
How can you help? Your help is needed by either purchasing a pair(s) of "NEW" youth athletic shoes (toddler sizes 3-4 to teenager adult sizes up to 13-14) or sending a monetary donation to help purchase shoes.
Every pair of shoes represents the child whose face lights up when receiving them. A child like Anna, a little girl who followed me as I left a shelter, saying, “Will you come back? Please come back.”
There is a child who needs you in Florida.
Mail financial donations to:
Brad Thuringer, PTA
Physical Therapist Assistant Program
Lake Area Technical Institute
230 11th Street NE
Watertown, South Dakota 57201
Mail Shoe donations mail to:
c/o University of St. Augustine
1 University Blvd.
St. Augustine, FL 32086
Deadline for ALL donations shoes and monetary is May 25th, 2012. No donation is too small. In today's world, every child deserves a new pair of shoes and every dollar can help make that happen.
On behalf of S4K, thank you! Thank you for believing that every child deserves a new pair of athletic shoes! For more information, please contact me at 800/657-4344, ext. 325, or firstname.lastname@example.org ." read more..
Thursday, 22 March 2012
The world of orthopedics has grown significantly over the past three decades. There has been a huge growth in technology, and this has had a huge impact on surgical and diagnostic procedures. But how much impact has this had on true patient-focused care? The majority of patients in the orthopedic realm are non-surgical and require effective, conservative care. Just take a look at those with back pain as a prime example of the challenges facing orthopedic clinical practice these days. More and more clinical guidelines are indicating support for fewer and fewer assessment methods and treatment interventions. Costs continue to rise. Patients are unable to access their provider of choice given the antiquated gatekeeper model. The health care system as we know it is failing the patient, in terms of access to care, fiscal responsibility and outcome. Such is the world of back pain – as but one orthopedic example. Mechanical Diagnosis And Therapy, or MDT, will redefine how orthopedics is practiced – by providing a framework for problem solving, diagnosis, and patient-focused care. Robin McKenzie has long envisioned a system of care based on mechanical loading strategies. In his first text, published in 1981, he noted … “With this book I present a new concept of diagnosis for the whole musculoskeletal system. The procedures I developed for the lumbar spine to arrive at appropriate conclusions regarding diagnosis and treatment, may also be applied successfully to the thoracic and cervical spine, and indeed to all peripheral joints and their surrounding soft tissues.” This was a mere 31 years ago. Sometimes change is a slow process. Here are five ways that MDT will change orthopedics: 1. MDT is a true “systems approach” to orthopedics. Mechanical Diagnosis and Therapy provides an assessment process that seeks to understand the behavior of the musculoskeletal system under various mechanical loading strategies. It employs a clinical reasoning process based on strict operational definitions that utilize the symptomatic, mechanical, and (perhaps most importantly) functional responses to repeated movements and sustained postures. This systems approach applies to the whole musculoskeletal system in a consistent manner, not just one joint or region - much as McKenzie noted in 1981. 2. MDT is not based on a patho-anatomical model. This is perhaps the most challenging step for the traditional orthopedic community. The advent of technologies such as MRI and CT scan have provided the orthopedic community with more detailed diagnostic procedures. However, when 70% of asymptomatic people have what are considered an abnormal MRI, then there is a significant diagnostic conundrum present. Does MRI serve as a good predictor of pain generator or outcome? No. Most clinical guidelines and research frown upon its use as a first line of assessment, yet physicians continue to utilize it. MDT is based on mechanical loading strategies and their effect on symptoms and function – perhaps far more “real-world” for the patient than a high technology, high cost assessment process that provides little predictive value in diagnosis or outcome. 3. MDT has a diagnostic classification leading to treatment – not a protocol. We have heard of countless “protocols” in the world of orthopedics. MDT has an assessment algorithm that has mutually exclusive sub-groups based on responses to mechanical loading – that then define treatment. Treatment is not selected in a “protocol” or “shotgun” fashion. The MDT assessment also serves as prognostic indicator. Centralization is a tremendously successful prognostic indicator – and this can be reliably assessed with mechanical loading strategies. Mechanical assessment can provide orthopedists with more effective selection criteria (inclusion and exclusion) for surgery. This would lead to higher rates of surgical success and improved outcomes. Surgery will, at times, be the necessary and best option for a patient. But as read more..
Tuesday, 6 March 2012
I saw a patient today who wears orthotics in her shoes to help correct her foot position. Improper foot position may lead to foot, ankle, knee, and hip pain.This patient's particular problem was that her feet turn inward and her arch is slightly fallen. Correction of this fallen arch position is obtained with the custom made inserts in her shoe.One problem: the material from which the orthotics are made combined with a leather shoe, a nylon stocking and sweaty feet creates a pretty yucky smell by the end of the day. Since her shoe is already occupied by an orthotic insert, placing an off the shelf odor reducing sole in her shoe is not an option. Here is how my patient effectively manages that odor: she puts fabric softener dryer sheets in her shoes right on top of the orthotics.My patient says that the dryer sheet keeps her shoes, orthotics, and feet smelling fresh, and she avoids the harsh odor that comes with the lethal combination of leather, nylon, and sweat. As the physical therapist that provides treatment to her, I am thankful.If you wear orthotics and have noticed a fetid stench wafting from your shoes, try the dryer sheet trick. Just be sure that the sheets don't fold up and compromise the effectiveness of the orthotics. Let me know if you (or your co-workers, family members, physical therapists) find this trick effective. read more..
Opening the door to the development of thought-controlled prosthetic devices to help people with spinal cord injuries, amputations and other impairments, neuroscientists at the University of California, Berkeley, and the Champalimaud Center for the Unknown in Portugal have demonstrated that the brain is more flexible and trainable than previously thought... read more..
Looking for a new cash-pay service to offer at your clinic? Then you’ll want to tune into this week’s podcast recorded live at the APTA Combined Section Meetings held in Chicago. Today’s expert is Shari Macdonald, PT and Clinic Director of the Running Injury Clinic at the University of Calgary. Recognized as experts in gait [...] read more..
Coordination Between The Eyes And Arms Has Implications For Rehabilitation, Prosthetics
We make our eye movements earlier or later in order to coordinate with movements of our arms, New York University neuroscientists have found. Their study, which appears in the journal Neuron, points to a mechanism in the brain that allows for this coordination and may have implications for rehabilitation and prosthetics... read more..
Alternative Methods of Ultrasound Application
If you have been to physical therapy with an orthopedic problem like shoulder pain, knee pain, or low back pain, perhaps you have had ultrasound applied to your injury. Ultrasound is a physical therapy treatment that provides heat to deep structures in the body....Read Full Post read more..
Sunday, 4 March 2012
Pain, fatigue, swelling and loss of function are common symptoms associated with the inflammatory disease, rheumatoid arthritis (RA). The disease impacts nearly 1.3 million Americans according to the National Institute of Arthritis and Musculoskeletal and Skin Disorders. To discuss the role of physical therapy in treating RA, recipient of the American College of Rheumatology 2011 [...] read more..