Bucknasty1191

@maddiepricelol Hi

say “hi” for a cute 🍑 pic in ur dm

#PT582 #RP according to arthritis national research foundation the top risk factors for OA are: obesity, joint injury or trauma, Joint overuse (although we’ve discussed how overuse might never happen), and abnormal alignment of legs such as valgus or varus bit.ly/2O0Gou1

#PT582 #NM Here is a systematic review of 9 studies that show that CFM can be beneficial when paired with other rx’s but that there is a lack of evidence of it as a rx by itself. From my experience as a tech I would use it based on feedback from pts. bit.ly/2NtpnHy

#PT582 #MR I think that PT’s should absolutely be in the decision process for return to play. With the right knowledge and tools to recognize the SINSS of each individual pt, as well as having much more one on one time with our pt’s, we are in a spot to keep these athletes safe.

#PT582 #DS I think that developing strength prior to surgery should be something that we as PT’s push for our patients as we know the benefits. I would avoid “pre-hab” only if pt’s were at extreme limits of pain, but even then encourage them to do low level strengthening rx.

#PT582 #NM here’s an article that shows a significant relationship between spinal fusion’s and development of ASD (adjacent segment disease) and required a follow up fusion. It would appear that spinal fusions increase risk of the need for adjacent fusions bit.ly/2KLoPMp

#PT582 #KS according to APTA diet and nutrition are apart of our scope of practice but each state might have their own guidelines in their practice act. I postulate that PT’s should incorporate some nutrition ed in their con ed plans This allows for PTs to treat pt’s holistically

@madeleinetalk Great thought Madi! I like the focus on external input, bypassing the BG and allowing for the cerebellar visual motor pathway to increase it’s capacity

#PT582 #JH According to research, gait can be improved in people with Parkinson's through visual and or auditory cues. Cuing may supply an external focus or rhythm and activate the cerebellar visual-motor pathway bypassing the basal ganglia. bit.ly/2Mri56A

@Victoria_Ignace Nice find Victoria! I think that patients suffering from PD can benefit from each of those intervention strategies.

@hmsteve04 Sounds like a very successful program is out there for PT’s to help their patients with PD. What do you think could be done to get patients to stick to HEP’s more successfully?

bit.ly/2MuxmDU LSVT-BIG program improves cognitive functioning and dual tasking by internalizing the commands to affect hypokinesia. They get many reps with the 4x4 tx schedule, but long-term gains may not be as effective if the pt does not keep up HEP #PT582 #JH

@houseofstark22 @NAUPT582 Great Ben, thank you!

@JakehansenS @NAUPT582 I think that some functional exercises such as shooting as basketball or working towards what they need to do. For example if they need to learn how to get out of chairs in their home to check the mail we could structure things like that #PT582

ncbi.nlm.nih.gov/pmc/articles/P… Jake I think this is a great question. It seems that goal based exercises are the best. This improves cognitive and motor moves. It also seems to make them function at a more unconscious level. @NAUPT582 #PT582 #JH

@LewisTam5 Nice lewis! Thanks for that article, I completely agree, goal based is the key to positive interventions for our patients who suffer from PD.

#PT582 #JH This study stated that the intervention should be goal-based and feedback should be provided throughout the learning process for reinforcement and motivation. As we learn that the basal ganglia is responsible in telling us what is right or wrong ncbi.nlm.nih.gov/pmc/articles/P…

@addybAZ @NAUPT582 Great article addy! Beavs would be proud

@NAUPT582 #JH #PT582 This article talks about the importance of doing both skill based exercise to target cognitive circuits and aerobic exercise to help strengthen synaptic connections in patients who have Parkinson's! ncbi.nlm.nih.gov/pmc/articles/P…

@n_skotak @NAUPT582 great insight Nate dawg! I loved the metronome idea in the video we saw with Dr. Carter’s patient!

#PT582 #RJ I think as PTs, in addition to pt education on chronic pain, the best thing would be to refer to a PCP and inform said PCP of pt’s condition PCP will give a referral for chronic pain and the pt can see both a dr for mental tx and attend PT for their physical impairment

This article looked at high school volleyball players and saw a benefit from aquatic plyo. I think no matter the population we are working with we need to be able to adjust tx's so that our patients can benefit from interventions we know to work #PT582 #BW bit.ly/2JZBFKI

If an athlete cant play w/o tape then they shouldn’t be playing. Taping an ankle merely adds support to prevent injury. Only difference between brace and tape= patient comfort (per 1 study) Similar functional outcomes I will use tape temporarily, braces more long term. #PT582 #CG

I think it all depends on the context of movement occurring at the knee If an ankle brace causes hyper mobility at the knee in the sagittal plane, then no prob. If axial rotation is occurring then ankle braces can cause injury @ the knee. bit.ly/2t4HzP6 @PT582 #PT582 #TL

@cassialva #stillbetterthanvince