Susan

#KR #PT582 There are a couple ways to make geriatric pts feel secure. Aquatic therapy is really great for this but, if overground, they can do exercises laying supine to start off until they feel stronger, place them in parallel bars, or up against a wall-things to catch them.

#RP #PT582 A major risk factor that I found for OA is obesity. Excess weight on the joints increases the stress placed on them, especially the larger, weight bearing bones such as the hip and knee. bit.ly/2uRgwaW

#AK #PT582 ncbi.nlm.nih.gov/pubmed/23419791 There is evidence to show that mirror therapy can be effective post-stroke if the pt is in the acute or subacute phase, or (if in chronic phase) if it is a mild-moderate level stroke.

#KB #PT582 bit.ly/2zzYPCy I think plyo exercises are still beneficial for these pts, but there are considerations to take into account. Maybe start w/plyo exercises in the pool to take some load off the joints during the rx. Here is an aquatic plyo exs program for TKAs.

#KC #PT582 W/amputees, many of the same core stabilization exercises can be used w/modifications to assist pts w/balance. Reminding pts to keep their abs contracted is the main concern, but therabands can be helpful to provide the resistance during the exs bit.ly/2u3SitJ

#KS #PT582 According to the APTA, nutrition falls under the scope of practice for physical therapy. PTs are meant to treat the whole pt; I think PTs should be able to make recommendations, but for further guidelines the pts should see a licensed dietitian bit.ly/2NkuieU

#TO #PT582 This article talks specifically about children with disabilities and the fun, safe alternative that it provides to land-based exercises. These children improved in several functional categories and were able to really enjoy their time in therapy bit.ly/2yRDCDA

#AP #PT582 This article shows that there are several benefits that can be seen in patients with ACLR recovery. The greatest difference was seen in the speed of recovery. The guidelines provided show beginning aquatic after 6-9 weeks bit.ly/2tPqaKV bit.ly/2Mt9alh

#RJ #PT582 This systematic review shows that intensive multidisciplinary rehab of pts w/ chronic LBP pain improves function&decreases pain compared to non-multidisciplinary rehab. The studies included physical and either psycho/social/occupational rehab. bit.ly/2K8SzlS

#SW #PT582 Elderly pts can do plyometric exs w/o having to jump. They can perform quick movements with purpose and remain safe with age-adjusted exercises. They tend to have slow rxn times; plyos can speed up their muscles' ability to fire to prevent falls bit.ly/2MfkZvp

@llg336 I would probably explain to them how the physical contact on the muscle reminds it to turn on and work. I'd show them with my contact first, and then teach them how to do it for themselves :) #PT582

@susansSPT Very true and great point, Susan! It is exciting to hear that you already have an idea of how this could apply to your future patients. How would you go about the patient education required in teaching this form of independent PNF to your patient? #PT582

#LG #PT582 For HEPs, we can have the pts use their opposite hand in order to provide that manual contact if the purpose is to stimulate the targeted muscle. To provide resistance, I would give my patients a resistance band. Maybe not as effective, but still provides contact!

#CG #PT582 Bracing provides greater stability for athletes returning to the game. This is especially important because if the athlete has been sweating a lot during the game, the tape may not stick as well/provide as much support and effects as needed. bit.ly/2JQj9jS

#ES #PT582 Finding something that the pt enjoys increases their likelihood of continuing with it outside of the clinic. This is especially important with kids; with adults it may be effective to explain some aspects as to how physical activity can prevent/manage those conditions.

#VI #PT582 I have never seen or heard of a tattoo specifically being a contraindication, but the presence of metal ions are contraindicated! Additional contraindications include hemophiliacs, TB, and over reproductive organs. bit.ly/2sDGrmi

#ES #PT582 Sorry, forgot to include the article! file:///C:/Users/Susan/AppData/Local/Packages/Microsoft.MicrosoftEdge_8wekyb3d8bbwe/TempState/Downloads/1298.full%20(1).pdf

#ES #PT582 I would explain to pts that there is research proving that exercise actually decreases BP in the long run. Moderate exercise training improves baroreflex control which significantly decreases BP. Educating the pt and encouraging them through their concerns is key.

#AS #PT582 Weight bearing exercises are beneficial for stimulating bone growth in osteoporosis. PTs should be wary of high impact loading dynamic abdominal exercises. anzbms.org.au/resources/poli…

@SavannahG_SPT Absolutely! Laura actually just made a comment like that, adding the article that Petra sent to us promoting PT use first and then other options following. Great point to remember!

@susansSPT I completely agree Susan! I was also thinking PTs could mention other PT interventions that could be used in conjunction with the medications so they don’t solely rely on the medications! But more research on what those interventions would be needed! Thanks Susan!!

#PT582 #SS When trying to explain to pts about how those different medications might be beneficial to use w/ their conditions I would supply research with good evidence such as with bit.ly/2J12GMx and help them understand why these are good for them to use/how they work.

@llg336 Great point, Laura! While opiods have been shown to be beneficial for pain relief, PT should be our first recommendation with other options following. We need to remember and promote what we know best!

#PT582 #SS Couldn't help but think of the article Petra shared with us after reading your question, Susan. What stood out most to me was that patients who went to PT before trying other treatments had an 89% lower probabiltiy of later needing an opiod prescription! #ChoosePT!