Michele Christian

#PT582 #ARF (2/2) even though changes in pain and disability is what we need to document, it is still important that our pts have a positive experience, so educating pts that although manual t. does have its benefits, the ex. t. will be beneficial for their long-term outcomes

#PT582 #ARF bit.ly/39zNIc9 (1/2) this article shows that although combined manual t. & ex. t. --> improved pt-perceived success and acceptance of pain, pain and disability did not improve compared to ex. t. alone.

#PT582 #EB I found that Medicaid will cover up to 100% of hippotherapy; however, most insurance companies won't without a physician Rx plus additional premiums as it still considered an "investigational treatment".

#PT582 #AS Some risk factors for tendinopathy include recent change in load, improper biomechanics, and participating in repetitive EX (running). To rule-out causes, evaluate biomech, ask pt about recent changes in activity level, and ask what their preferred method of EX is.

@RobertGorman18 @aimee_szn one flaw I've witnessed in many PTs is the assumption that older pts dont like fun activities. But of course they do! Instead of adding a manual perturbation when working on balance, do a ball toss instead, coordinate activities w/ music, or invite their spouse to join in!

@aimee_szn @MichChristian5 #PT582 I agree!! I think that incorporating activities that the pt can enjoy is key in adherence, especially within a home health setting! How can you make such activities enjoyable for our elderly population?

#PT582 #RG The most important component of a treatment program for those w/ neuro conditions is to make every aspect functional. Sure, we can help build strength with bicep curls and TKEs, but the patient will thrive most with functional movements like

@RobertGorman18 #PT582 #RG With athletes, fx'l exercises shouldn't stop at around-the-house ADLs, but extend into what they need to be able to do in their sport - throwing, swinging, running, dribbling.. Not only will this help w/ return to sport, but also keep PT fun, exciting, and relevant!

@MichChristian5 #PT582 Those are some great examples! I agree that this is key in making lasting neuroplastic changes and providing functional relevance to therapy. How could you use this same concept of functionality with different populations? Let's say athletes for example.

(2/2) has not been studied, so it may not be our place to recommend creatine supplements until further research is done.

#PT582 #KD Creatine levels tend to be lower in those w/ Parkinson's, MS, COPD, muscular dystrophy, and heart failure, leading to quicker rates of muscle atrophy and weakness. Creatine supplements can be warranted people in these populations; however, high-dose long-term use(1/2)

@Kiernan20732093 Absolutely!! It is so important for people new to exercise to have a community to keep morale high, and it makes it fun!

#PT582 #KJ In PT, we can help those w/ depression due to impaired neuroplasticity processes by incorporating aerobic ex. in sessions to encourage BDNF release, perhaps even form exercise groups specific for those with neuro changes to encourage aerobic ex. outside of PT.

#PT582 #MH bit.ly/3sQbSGB this study tested dry needling, manual tx, and soft tissue mob. on decreasing neck pain; all decreased pain, however, only manual tx decreased pain catastrophizing-perhaps don't use dry needling for those who feel helpless/attached to their pain

#PT582 #KJ (1/2) In this study, mice with PTSD (& depress&anxiety) who exercised 6 days/wk had neuroplastic changes in the hippocampus (increased mitochondrial fx) which --> decreased depressed and anxious behaviors. bit.ly/3rhMLMI

@ds_DPT Working on muscle balance should be a big priority in PT since it would help the overused muscle be supported by its synergists and antagonists. #PT582 #DS

@MichChristian5 Is it then possible to walk the tightrope between developing an overuse injury incorporating proper muscle balance? Or should muscle balance be the prime target of the PT while they work with the individual? #PT582 #DS

#PT582 #DS This systematic review shows that general strengthening decreases the risk of both acute and overuse injuries in adolescents. Adolescents may think that specificity is crucial for performance, but muscle balance is crucial for injury prevention. bit.ly/3k223Cd

#PT582 #KD I found an RCT of stroke pts: using mental imagery b4 practicing fx'l tasks had better re-learning of skills than a group that only did OT/PT fx'l training. The mental imagery group also generalized their skills to other untrained tasks. bit.ly/2OSYjrl

@Karmae20 Perhaps using PNF for my patients who are just getting started with stretching to help them get to a functional ROM sooner, but if someone already has a "normal" ROM static would be suitable and easy to fit into an HEP.

@MichChristian5 After looking at the research, would you prefer to use PNF or static with your patients? #PT582 #KD

#PT582 #KD Many studies have found that PNF stretching yields greater improves in ROM than static stretching. For pts who need PNF as part of their HEP, using a strap or towel on LE or a wall for UE can help the pt incorporate hold-relax PNF at home.

#PT582 #AL (2/2) Perhaps making the plyos ballet-specific such as single-leg jumps for "jetes" (below) and tuck jumps for "sissonnes" (jumping from two feet)