Shealey McCarthy, PT DPT

@AlexJacobs_SPT #PT582 #AJ no, I think it would definitely require corporation on the patient’s part to maintain exercises in order to see the long term results

@McCarthyShealey #PT582 #AJ Would strength training still be as beneficial if the pt does not keep up with their exercises?

Woah! It’s Twitter Thursday, can’t wait to hear what you all have to say! #PT582 #AJ

@RecarteAdabelle #PT582 #ARF case studies are always a good idea, and showing them real life examples of how the new treatments can work for actual patients instead of an abstract concept!

@McCarthyShealey Continued courses have been very helpful in advancing our field, to take this further how would you go on about implementing what you learn and educating pts that might be stuck in their beliefs about passive txs? #PT582 #ARF

#PT582 #ARF I think this is a good ex. of why cont ed programs are so important in our field. What is now considered sub-par may have been mainstream years ago, and maybe this PT is stuck in their old ways. Education on why new modalities > old should be accessible everywhere!

@Riley_shae98 #PT582 #RI I think in the athletic scenario, the athlete would use R stim on muscles that they would normally weight train (or in conjunction with weight training) in order to best enhance their performance in their specific sport

@McCarthyShealey Shealey, great point! I dig it! Do you think the fact that R STIM is not specific to sports affects the results? Like activating a person's quad is not the same as actually playing basketball? #RI #PT582

#PT582 #RI I don’t think it would be considered cheating because it’s just another form of training muscles. it’s fairly easy to gain access to the e-stim machine so there’s no unfairness regarding availability. It’s a method of conditioning the body to perform at its peak

@RyanOli22855873 #PT582 #RO I don’t think they could be used at the same time without difficulty in functional PNF, but maybe a session of estim could be used after the PNF activity to still receive the benefits of both!

@McCarthyShealey Great point Shealey. Do you have any solutions in mind on how to address this issue if that were the case?

Looking forward to a great twitter discussion tonight! #PT582 #RO #TwitterThursday

#PT582 #TM core stability exercises have been shown to improve balance and strength in those with unilateral amputated LE compared to those who did not engage in core stability training ijwph.ir/article-1-805-…

#PT582 #RT A technique I will implement most for this would be education and positivity. Providing our pts with the knowledge to best help themselves is our whole job, motivation is no exception. We can provide pts with resources to show evidence of the benefits besides our word

#PT582 #MH this article discusses how dry needling can be shown to be more effective than myofascial release alone and can facilitate an immediate response of decreased pain pubmed.ncbi.nlm.nih.gov/29681188/

@AnnaReiserSPT #PT582 #AR 1 way we can engage new learning is by asking our older pts to dual task; ie teach them the new exercise & ask them to recite something they already know, like days of the week. They don’t realize what they are implicitly learning bc they’re focused on something else

How can we use implicit motor learning to help patients with dementia? Full question below. Ready for a great discussion! #PT582 #AR

@ds_DPT #PT582 #DS great point! We want to make sure we’re doing what’s best for them and their goals for return to sport

@McCarthyShealey Should we necessarily counter train or rather provide strengthening and stabilization to the activity they currently do? Counter training could weaken the individual in the sport that they came to see the PT to improve in. #PT582 #DS

Today we will be discussing adolescent specialization in sport and the subsequent role of PT in their rehab. Can’t wait to see what everyone thinks! #PT582 #DS

@LukasBarker From my experience, they only did BFR for 1-3 exercises, with relieving the pressure in between. As far as it being a staple, the athletes I worked with loved it, and often requested it if it wasn’t part of the original plan for the day. They love how it makes them feel after

@LukasBarker #PT582 #LB I personally worked with BFR in the clinic for both post-op & high performance athletes. It’s great for both! It maximizes work on target muscle without over working a post-op patient & can benefit athletes who want to target a specific muscle group in their workout

@abigail_lue I think there could be downsides to any exercise technique if it doesn’t properly fit patient needs! For dancers, if they’re doing a style like hip hop, a more dynamic approach to training like cardio might be more beneficial for their style of dance #PT582 #AL

@McCarthyShealey I agree! Proper form and exercises specific to function are really important. Do you think there could be any downsides to training plyos? #PT582 #AL

#PT682 #AL I think it is a great idea to introduce plyos to dancers b/c of how the training parallels with their mvmt in performance. In order to safely integrate this training, the therapist must be aware of what the sport demands & correct form through the duration of training

@Karmae20 Absolutely! If PNF is a good plan of care for my patient and would benefit them, I’d love to get a little groove on 💃🏼 #PT582 #KD

@McCarthyShealey That is really interesting about the music to make it more interactive! Do you think you would choose to use it on your clients? #PT582 #KD

#PT582 #KD yes, I think sometimes PNF can be more successful than dynamic stretching if a pt is incapable of the movement. PNF can occur in HEP to assess/improve pt’s movement and flexibility, and can be made interactive by including music and treating the stretches like dancing