David Brockman

I have never heard of that happening before and I have definitely put estim over tattoos before. I would think that it is just something that should be in the back of our mind when it does come up and considering not turning it up quite as high #PT582 #SK

and pays the bills. I am assuming the PTs know this is not the most effective treatment the pts need to be educated about how exercise and active therapy can provide lasting changes and be more beneficial in the long run. #PT582 #ARF

Unfortunately, making changes in a problem like this is going to take some time. Its tough because pts like passive treatments because they feel good and it would seem like PTs provide the treatments because it continues to bring the pts in... #ARF #PT582

I do not think that using e-stim should be considered cheating. It is something that can be used in conjunction with training and is available to everyone so it does not create an unfair advantage. @PT582 #RI

as other factors that could cause achilles tendinopathies, although the article also stated that the causes and mechanisms of the injury are not fully known. ingentaconnect.com/content/wk/sma… #PT582 #AS

I think one of the main causes of tendinopathies is patients lack of education and them pushing through pain which can cause the lasting injuries. This article also lists age, sex, body weight and height, pes cavus, and lateral ankle instability... #PT582 #AS

Education is the biggest factor in health promotion. Many people hear that exercise is good but don't necessarily know why. Also pts should know that we are physically active and practicing what we are preaching. #PT582 #RT

I do not believe we should be recommending creatine to our patients because there could be other complications that we do not know about. I do think that we can educate about them the supplement and guide them towards resources. #PT582 #KD

Botox, while temporary, could be beneficial because the reduction of symptoms could allow us to make progress with the patient quicker than if they did not have the botox. This could allow for more progress in a shorter amount of time than usual. #PT582 #MD

This article shows that there is not any significant difference between DN and MT. With either method being effective we should provide the pt. with what works best for them while considering insurance coverage. #PT582 #MH jmptonline.org/article/S0161-…

Thank you everyone for a great discussion about the effects of virtual reality on motor learning. #PT582 #DB

@layneunderthes1 If there is not a best time during the session is there a more idea time to use VR in the POC? #PT582 #DB

I also think that patients who are more visual learners would benefit most from this. In this way, we may also be able to tackle underlying anxieties about progress, because they can still be in a "safe" location while being able to progress without being too stressful #DB #PT582

#DB #PT582 I'm not sure if there is a best time to use VR in therapy sessions. I think overall it would depend on if a patient is hitting a plateau in progress, because the extra push may be just what's needed, particularly if they're limited in endurance.

@JacquelineTorpy Have you seen any research that shows significant improvements in gait from VR? #PT582 #DB

@Dmbrockman (1/2) Virtual reality could be used for senior patients who maybe can't travel anymore or would benefit from the novelty and mental engagement! I'd start with basic gait training and then progress to virtual reality because it's a more controlled way to add in... #PT582 #DB

Excited to talk about virtual reality and its uses for motor learning tonight. #PT582 #DB

@BartschiJake Do you think this VR applies to more than just neurodegenerative diseases?

#PT582 #DB VR shows potential in improving walking and mobility in patients with neurodegenerative diseases. I think that VR may be an effective intervention when other conventional therapies have failed. link.springer.com/book/10.1007%2…

@Kiernan20732093 I think the only patients who wouldn't benefit from VR are those who do not buy-in and do not think it is going to work. Do you think theres a difference in effectiveness between children and geriatrics?

@_Erin_Peterson @EmilySelby_SPT Do you know what if any specific training is needed to use VR in a clinic? Like a certification or certain number of hours under supervision? #PT582 #DB

@kdavidnau Do you think there is a limit to what we can teach using VR or can we just continue to progress the difficulty? #PT582 #DB

@manderslat Do you we should use VR throughout the whole plan of care or just in the initial stages? #PT582 #DB

@TsaiJames_ I agree! Keeping therapy fun helps with patient buy-in which helps them get better sooner. Do you think VR should be exclusively used, like in the study, or in conjunction with traditional therapy? #PT582 #DB

@Dmbrockman VR intervention group improved more than the traditional therapy group in BBS, TUGT, UPDRS3, and FGA in patients with Parkinson’s Disease. Another + is the fun involved in VR therapy that can help spruce up a patient’s busy appointment schedule. bit.ly/3s6qiSz #PT582 #DB

@Kiernan20732093 How do you think we could best use VR with older patients? (2/2) #PT582 #DB

@Kiernan20732093 In anything whether its building strength, gaining ROM, or using something new it has to be worked up to. By slowly introducing VR to the patient and then progressing them I think that it could effectively be used in older populations. (1/2)