Jacquelyn Dompier

@AlexJacobs_SPT #AJ #PT582 I think they could try other stimulation techniques to address the gate control theory or other pain modulating theories in addition to techniques that help get the blood flowing. I think that we underuse the power of movement and exercise, and under-dosing is an issue

@jacquedompier #PT582 #AJ What other interventions do you think would be helpful? And in what situations would you choose them over NMES?

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

@AlexJacobs_SPT #AJ #PT582 1/2 I thought this was interesting because it addressed both neurological and musculoskeletal issues! This addresses subluxation of the shoulder post stroke! It was interesting because it addressed issues of the subluxation but not for pubmed.ncbi.nlm.nih.gov/28343442/

@CanteraCaroline #CC #PT582 3/3 clinical interventions can do. We have such a large toolbox, and I think we should use it! Some patients might have really profound results, but if we can really apply movement and other clinical skills, I think that is extremely valuable--and a huge role for us!

@CanteraCaroline #CC #PT582 1/3 It's interesting to see that something that you can find in almost every PT clinic is something that we aren't even sure about the effectiveness of. pubmed.ncbi.nlm.nih.gov/11444997/ This review found that there wasn't really a difference in outcomes in using US compared to

tonight in #PT582 we will be discussing the benefits of ultrasound..etc. Excited to see you all there!! Remember to hashtag #PT582 and #CC in your reply :))

@CanteraCaroline #CC #PT582 2/3 placebo. However, we all know there is contradicting research out there, too. In my own opinion, I think it may have a role in some treatment plans or conditions; however, I feel like it can easily be overused and can downplay what movement and our other

#PT582 #JM 4/4 this type of intervention, based on the outcomes, and hoped it would soon be available in the US!

#PT582 #JM 3/4 behind in for treatments/procedures. For example, when I was volunteering, I met a patient who went to Europe (I believe) to get a special surgery for his prosthetic called osseointegration that he couldn't get in the US. The PT I followed was a big advocator for

#PT582 #JM 2/4are involved with helping patients with robotic prosthetics learn and use these, so I definitely think that falls under our scope! Also, from no research or evidence other than my brain and past experience, I have heard that there are a lot of things that the US is

@JordynMaxwell2 #PT582 #JM 1/4 I am not sure if it would fall within our scope to apply any of these electrodes, even on the outside of the skull, but I do think that we will be a valuable resource when it comes to helping the patient learn to use/live with stimulation if it is DBS! We already

@jacquedompier 2/2 treatment for PD and other conditions. Unfortunately, this treatment is not currently FDA approved for use in the U.S. Do you think this will change? If so, do you think it would ever be approved for PT use/within our scope? #PT582 #JM

#PT582 #JM 3/3 quality of life. For patients like this, being able to slow the loss of or maintain some autonomy and independence is extremely beneficial--especially for some of the emotional struggles of some of these conditions.

#PT582 #RO 3/3 get the placements of the electrodes need to be? For D1/D2 patterns, for example, could we really isolate the muscles utilized in proper sequence for these complex movements? I think this could have great potential, but there are some things to consider!

#PT582 #RO 2/3 of many patients, and is not just limited to neurological patients; however, I think it is reasonable to note that it will depend on the patient. In addition, I wonder if there would be issues with full muscle activation for certain muscles...how accurate can we

#PT582 #RO 1/3 This is such a great idea! I have an RCT linked here that actually saw significant improvements in ankle function for patients post-ankle sprain when utilizing both PNF and TENS. I think this highlights that PNF can be used for the treatment ncbi.nlm.nih.gov/pmc/articles/P…

#PT582 #JM 2/3 is that even though we may not know how to cure someone of a disease (yet), improving quality of life can be just as important. I did my capstone in undergrad on the idea of using deep brain stimulation (often used for patients with PD) for ALS patients to improve

#PT582 #JM 1/3 I love this topic! I linked a research article that talks about many techniques that can be used for neurodegenerative diseases as well as other neurological and even traumatic conditions! What is great about this topic... juniperpublishers.com/oajnn/OAJNN.MS…

@DanielleAngulo4 #PT582 #DA It really depends! I think there needs to be some compromise to get patients motivated and education is key! I think explaining that even if they like AT, having balance could really be beneficial. In addition, I would hope we could find SOMETHING they love on land!

@jacquedompier AT is a fantastic starting point, but I had patients that were in AT for YEARS (bc they liked it so much) & not making much progress. would you encourage these pts to do land therapy to keep progressing or will they become discouraged & drop fully bc they dont like it? #PT582 #DA

#PT582 #DA 1/3 This is a really good discussion idea! We discussed patients with venous issues could possibly benefit from some extra help from the hydrostatic pressure utilizing aquatic therapy. This study actually discusses how profoundly journals.physiology.org/doi/full/10.11…

@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!

@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?

#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.

@DanielleAngulo4 #PT582 #DA Honestly, I think a huge piece is that it's different and fun BUT it also allows the patient to have more autonomy than they do on land. They can do more for longer, and I think feeling the success and having carryover to land is really powerful for patients (and PTs)!

@jacquedompier #PT582 #DA You are totally right, the best PTs are the ones who can be flexible and are willing to try new things! Your article stated that there is high exercise adherence with AT, why do you think pts have an easier time sticking with this?

@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!

@jacquedompier #PT582 #TM What a great experience to have had! What kind of exercises did you observe the most often in clinic?