Kasey Egbert, SPT

#PT582 Most research I found suggested using CFM in early rehab for tendinopathies. However, this research seems outdated and fails to address the inflammatory role that is present. I would be hesitant to do CFM for a tendinopathy, due to the risk of further inflammation #NM

#PT582 The clinic I used to work for was primarily geriatric, and we placed pictures of this population doing exercises with inspirational quotes, like "you're never too old to lift" or "lifting weights lifts your spirits. They were easy for the PT's to refer to when needed #KR

bit.ly/2L9i22m Pre-hab has been shown to have some effect in the first 4 weeks post surgery, but nothing significant past that. I would try to help the patient understand that it could lead to a less painful TRANSITION to their new joint #DS #PT582

bit.ly/2zBLtFS This PDF talks about TKA, and even goes to say that among the things not RECOMMENDED is plyometrics. Can it be done? Sure. Should it be done? Probably not #KB #PT582

There exists a company based out of Germany, but also in North America called @OttobockUS_CA . They've actually developed an app for your device that demonstrates exercises for amputees, including a lot of ideas for core/trunk stability! #PT582 #KC

#BY #PT582 think their should be a common ground between healthcare professionals, because both routes are important for trunk/core stability. Depending on the patient's needs, no patient should miss their appropriate care because of their provider. Meet in the middle!

@NAUPT582 I've seen several patient's using aquatic therapy to overcome CV issues. An article through @aqua4balance showed increased CO and SV values, and edema reduction for patients with CHF. Take it slow, and keep it shallow in the beginning #PT582 #KS

journals.lww.com/topicsingeriat… @PT582 External cueing and eventually decreasing feedback timing were effective for neuroplasticity of patient's with Parkinson's Disease #PT582 #JH

@houseofstark22 Not in the water itself, but plyometric push-ups on the side of the pool would be super easy and effective!

@kegbert65 Great point Kasey! Can you think of anyway to do UE exercises in the pool? #PT582

Plyometrics can and should be implied in aquatic therapy. Plyo in the pool is easier on joints and has been shown to reduce recovery time. However exercises are performed at lower intensities, and the majority of the exercises are limited to lower extremities #PT582 #BW

I definitely think that chronic pain can be addressed simultaneously by several different health professions. I'm primarily thinking of psychology, and the fact that pain exists primarily in the brain. Cognitive Based Therapy has been shown to decrease chronic pain #PT582 #RJ

@TommyLittlePT @NAUPT582 I would imagine there is an objective measure that can be used to dictate when a patient is ready to not be taped/braced; overall, we'd need to give it some time for fibers to heal, muscle to gain strength. If you find a measure, let me know!! #learning

@kegbert65 @NAUPT582 This is very interesting! According to this article it seems like we become way to reliant upon taping/bracing. How do you think as practicing PT's we could objectively dictate when the appropriate time to stop taping would be (considering everyone is different)? #PT582 #TL

ncbi.nlm.nih.gov/pmc/articles/P… I lean more towards the 2nd philosophy, This article supports the idea saying long term immobilization of Grade 1/2 sprains should be avoided, and Grade 3 sprains should be taped/braced for 10 days max @NAUPT582 #PT582 #TL

ncbi.nlm.nih.gov/pmc/articles/P… This method did show results in preventing shoulder subluxation in stroke patients. However, simply because of how the taping is applied in this method, I think the McConnell method is superior @NAUPT582 #PT582 #MT

@GauchoSilver Quite honestly, yes! We're no longer in the phase where obesity is a developing trend. It's a full blown epidemic. My role as a physical therapist is to get my patients moving, and if their weight is a hindrance, I think it should be addressed.

@kegbert65 According to this article, the American College of Rheumatology recommends that providers offer counseling for weight loss and physical activity to adults with hip or knee osteoarthritis. Do you think this is something that should be standardized despite being a sensitive topic?

Health Care Provider Counseling for Weight Loss Among Adults with Arthritis and Overweight or Obesity — United States, 2002–2014 ncbi.nlm.nih.gov/pmc/articles/P… They're 4 times more likely to adhere to their exercise plan! #PT582 #ES

From Motor Learning to Physical Therapy and Back Again: The State of the Art and Science of Motor Learning Rehabilitation Research ncbi.nlm.nih.gov/pmc/articles/P… So much here, including decreasing feedback frequency and encouraging external focus! #PT582 #LT

That is, they'll have 4 times better adherence when seeking weight loss counseling from health care providers!

@RacineSpt For sure! Our knowledge of differential diagnosis can really help us to know our yellow/red flags. I think our ability to read assess the situation will really come in handy when we treat our future patients!

#PT582 #KE I think it depends on how the physical therapist evaluates the priority of the LBP and the cardiovascular issues. At that point, it would be up to the PT to use his best clinical judgement, but ideally both could be worked on at the same time. Good scenario!

@PJThompson93 @NAUPT582 Great idea! I think quadraped position is an excellent idea for addressing LBP! And with some creativity, you could totally grade the exercise to make it more aerobic! Do you have any exercises in mind?

@NAUPT582 Address simultaneously! Many exercises for LBP, such as extension or stabilization exercises in quadruped, will have an aerobic component and can improve CV health. Key is to grade exercises and progress slowly to create long term CV changes. #PT582 #KE