Taryn McMorrow, SPT

#PT582 #CC (2/2) I would choose to direct away from using this modality excessively. Due to lack of research on the effectiveness, I would maybe consider using it as a placebo for a patient who has chronic problems and needs to try something new.

#PT582 #CC (1/2) I would choose other modalities over US, such as heat and ice. A patient can’t take the US home with them to help with pain but they can do ice or heat at home to help with pain, inflammation, and blood flow.

#PT582 #TT Iontophoresis could be good from med/lat epicondylitis, plantar fasciitis, tendonitis, or RA. Specifically to reduce inflammation using a corticosteroid. practicalpainmanagement.com/treatments/int…

#PT582 #EB Hippotherapy can provide improvements in balance for children with down syndrome. The improvements may be related to severity of baseline deficits rather than just diagnosis. Children with more severe deficits may improve more due to having more room for improvement.

#PT582 #AS Primary risk factors for Achilles tendinopathy are obesity, muscle power/strength, gender, advancing age, and recent injury. ncbi.nlm.nih.gov/pmc/articles/P…

#PT582 #TM Thank you everyone for a wonderful discussion on core stabilization in amputees! Wonderful resources were provided and I learned a lot. Here are some key points from the discussion.

@jacquedompier #PT582 #TM That's a great point! We have to be cognizant of how the patient is feeling and what motivates them best. We have to start small as you said to achieve activation and build confidence and then incorporating games would be a great way to achieve goals and have fun!

@SptTaryn #PT582 #TM I think it's great to include depending on the patient! If a patient struggles with focusing too much on the intrinsic, it might be great to have external focus! It can be a lot to adapt and adjust to, so we can start out with basic movements and smaller tasks, too!

#PT582 #TM 2/2 prosthetics involves incorporating many muscle groups includes the flexors and extensors but also highlighting the importance of training the rotational muscle groups and sling as well.

@EmilySelby_SPT #PT582 #TM What kind of oblique exercises do you think would be best and how would you progress them?

@SptTaryn ... mechanical load difference being all through 1 leg, I think it would be important to make sure both sides of the oblique slings are getting attention, while maintaining functionality in exercises given their needed adaptations.

#PT582 #TM Excited for a good discussion tonight, join in!

@BiesemeyerEllie #PT582 #TM PNF is a great suggestion, that would be very helpful for activating weaker muscles! What kind of HEP exercises would you recommend if the patient mostly performed PNF exercises in the clinic?

@SptTaryn This article said uneven posture and asymmetric movements of the lumbopelvic region is a large contributor. Teaching/performing lumbopelvic PNF, as well as utilizing some posture corrections we discussed in lab the other day could be v beneficial! ncbi.nlm.nih.gov/pmc/articles/P…

@BiesemeyerEllie @bonniediamond53 #PT582 #TM In your experience, how long does it take patients to progress from edge of bed exercises to something like trunk lifts?

@SptTaryn @bonniediamond53 In acute care, core strengthening starts immediately. Usually activities while sitting edge of bed are a great starting place. Resisting pushes and pulls, reaches, ect. You can even do trunk lifts in the hospital bed if they are ready to progress! #PT582 #TM

@jacquedompier #PT582 #TM Incorporating games sounds like a great motivator! An article mentioned the use of games such as badminton and Wii fit sport. Do you think using games that target multiple aspects at once is more beneficial than focusing on specific groups one at a time?

@SptTaryn #PT582 #TM I saw a lot of different stuff...we did standing or offset stance balance with UE practice! We would practice while playing jenga or playing with a ball because they had object manipulation and had to reach/function out of their base of support with force! Loved it!

@manderslat #PT582 #TM The patient's ability level is very important to consider! Do you think without a prosthetic, progression to more functional exercises, balancing, or dynamic exercises if possible?

@SaraKni80449195 #PT582 #TM Great find Sara! Do you think patients being supervised only over the internet is a safety concern? Would in-person rehabilitation be more beneficial?

#PT582 #TM This RCT explores intervention methods for unilateral amputees. The experimental group performs home based resistance training that focuses on core stability. They are instructed to keep their prosthetic on for sessions. Results not yet posted. link.springer.com/article/10.118…

@BartschiJake #PT582 #TM The use of a harness is a great idea! Do you think the use of bungees would be appropriate for amputee patients with prosthetics? Do you think they would provide enough support for the patient?

We can fit amputees with prosthetics and customize This article talks about the use of a harness to help patients feel more stable while performing more complex core exercises. chttps://wheelessonline.com/userfiles/21-1-8.pdf when necessary. #PT582 #TM

@LukasBarker #PT582 #TM Without the use of a prosthetic, do you think balance exercises can be performed? What kind of balance exercises would you prescribe?

@CanteraCaroline #PT582 #TM Fantastic description of the core and how all the different muscle groups work together! What kind of balance exercises would you prescribe?

(2/2) #PT582 #TM progress by adding reps, resistance, inc time of isometrics, or include a dynamic portion to the skill to incorporate balance and cognitive functions. Overall, there are so many ways to incorporate our anterior/posterior slings w/o 4 points of contact.

(1/2)#PT582 #TM mtigamputeecapstone.weebly.com/uploads/2/8/0/… resource for core stability exercises in LE amputee populations. Our core "sphere" incorporates LE, UE, and pelvic floor muscles that can be strengthened w/o 4 points on the ground using different positions (chair, laying down, props..etc)

@NathanTurley4 #PT582 #TM Adding weights is a great idea and will definitely add a challenge! Are there any functional exercises you can think of that would be appropriate for an amputee patient with or without a prosthetic?

#PT582 #TM In this article looking at lumbar strengthening in amputees with low back pain, they did many of the same exercises that anyone could do. Dead bugs, supermans, cobras, etc. We could progress these with ankle and wrist weights. ncbi.nlm.nih.gov/pmc/articles/P…

@TateTsingine #PT582 #TM Props are a great idea! What kind of exercises or positions would require the use of props?

#PT582 #TM Core stability is essential in every pt population. Training in all positions is recommended to meet their ADLs. Including props (ie pillows and stumps) when needed can help create another base of support during training. musculoskeletalkey.com/amputees/