This case involved a 53 year old man who sustained a significant tear of his rotator cuff while playing baseball. He underwent surgical repair and was given a referral for physical therapy. The referral was to begin passive ROM 3 times per week for 2 weeks then initiate a supervised home program of active exercise for 2 weeks, and elastic resistance exercises for internal and external rotation every other day for a month. 2 weeks after surgery, he had his first PT visit in a sports medicine clinic that was managed by an athletic trainer (ATC).”
According to American Physical Therapy Association (APTA), “Physical therapists are only professionals who provide physical therapy interventions. Physical therapist assistants are only individuals who
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The patient also told the PT that he had been participating in sports activities even though his physician had advised him to discontinue those activities following surgery.
According to APTA,” Measuring outcomes are an important components of physical therapist practice. They are important in direct management of individual patient care and for the opportunity they provide the profession in collectively comparing care and determining
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Here, PT should evaluate athletic trainer’s functional and manipulation capabilities.
According to APTA,” PT should examine and evaluate the patient or client before delegating acts, tasks or functions be performed by an unlicensed individuals. In addition, PT should provide predetermined procedures and protocols for acts, tasks or function that have been delegated.”(7)
Patient returned the next day still complaining of pain. The PT applied heat, then initiated the exercise program, but the patient could not perform theem to same extent as previously, secondary to pain. Therefore, the PT told the patient to schedule an appointment with his physician. The patient was seen by the MD the next day and an arthrogram performed that revealed a reinjure to the repaired site. And a second surgery repaired the rotator cuff.
According to Michigan Physical Therapy Act(MPTA), “ consult with the health care professional who issued the prescription for treatment if the patient does not show reasonable response to treatment in a time period consistent with the standards of practice as determined by the
On History- The patient was a 49-year-old Caucasian male with a chief complaint of pain and weakness in R shoulder abduction and external rotation (dominant shoulder). He was a retired baseball player. He has been a baseball pitcher for 12 years before he retired 5 years
When comparing rotator cuff tears from the common people and athletes, they are much more common when a person is physically active in sports. An injury in the rotator ...
The title of physical therapy assistant can be used by a licensed heath care provider who performs patient-related activities under the direction and supervision of the physical therapist according with the Florida Practice Act. The PTA is a technically educated person who assist the physical therapist in the provision of physical therapy.
Snap, crackle, pop. That is the horrific sound a baseball pitcher hears after throwing a pitch. The UCL tear used to haunt pitchers forever until 1974, when a man named Tommy John had a surgery to repair his UCL tendon and it was successful causing this surgery to transform baseball. Before his arrival, Tommy John Surgery was known as a “dead arm” injury (Tommy John Surgery). When doctors diagnose players with this injury, it’s no longer a total shock as today you are easily able to come back from this surgery as when 30 years ago, you couldn’t. In my paper I will talk about the basics of the injury, history of the UCL, ways to diagnose a UCL tear, and how to recover from Tommy John surgery along with some unbelievable facts about this distressing injury. This injury and surgery has revolutionized baseball and prolonged the careers of many great players in the MLB.
The profession of physical therapist assistant is a demanding and rewarding career. Physical therapist assistants work under the supervision of a licensed physical therapist. Physical therapist assistants have the pleasure of helping patients regain movement and manage pain caused by injuries, illnesses or surgeries. There are a vast array of subjects to study on the road to becoming a physical therapist assistant. Palliative care, pediatric care and geriatric care, are endearing specialty areas for the physical therapist assistant.
Physical Therapist plan out on how they going to help their patients and let them develop slowly, So the Injuries can heal properly. Physical Therapists have a assistant, So Physical Therapists Assistant work under of the Direction of a licensed Physical Therapist. The work of Physical Therapists assistants revolves around helping patients move , which means a lot of movement on the assistant part...
The rotator cuff is a group of tendons and muscles that form a cuff over the humerus to the scapula. This group of muscle includes teres minor, infraspinatus, supraspinatus, and subscapularis. These muscles provide stability to the shoulder and allow the shoulder to rotate and function properly during shoulder movement. The tendons and muscle can be damage by overuse, injury, or gradual aging. This damage may cause significant pain, fluid accumulation within the joint due to inflammation, arthritis, calcium deposits, and decrease range of motion. Rotator cuff tear, rotator cuff tendinitis, rotator cuff impingement, frozen shoulder, subacromial bursitis are conditions or injuries for rotator cuff. (Ma, 2015)
An occupational therapist and myself worked together with a patient. This particular patient was an older Spanish-speaking woman with baseline dementia and current R MCA stroke. She was aphasic, inconsistently followed commands in English and Spanish, lethargic, intermittently agitated and had left neglect. The patient responded and participated more during our PT sessions, however the OT reported that the patient did not respond similarly during their sessions together. I was able to stand, ambulate with and transfer patient into the standing frame whereas the OT said she was unable to complete ADLs with patient secondary to unwillingness. In the effort to deliver the highest quality of care the OT and I decided to co-treat the patient for
A Physical Therapist Assistant is a job occupation that involves assisting a Physical Therapist who helps with the rehabilitation of individuals who have past injuries or are working towards strengthening what they are weak with. They help people get back to their normal self and ready to operate in society normally. The Physical Therapist Assistant mostly helps with the workouts and stretches that patients have to do. They help with impairments, disabilities, and their mobility(U.S. Bureau of Labor Statistics). A Physical Therapist Assistant can work in hospitals, schools, and any average therapy location. There is a lot of information about being a Physical Therapist Assistant including their day to day routine,salary, schooling, and employment rates (APTA).
All athletes get injured right? So who exactly allows them to run the fields again? There is a specific person meant for just that, a Physical Therapist. A career that would be fit for someone who enjoys being active and being involved in sports. As a way to help people, Physical Therapy is a very important career to any individual who is looking to get better, Physically. They attend any person,it doesn’t matter what age or gender. Over all this career is most important to athletes, who may get injured and need someone to help them get back in shape. As you continue to read, you will learn about the conditions and requirements needed to be a Physical Therapist. You will read about how not everyone is fit
care practitioners that I may be working with is MDs, physician assistants, RN’s, LPN’s, occupational therapist, social workers, and speech-language pathologists. An additional task that I may be involved with is reviewing the patient’s medical record prior to beginning the physical therapy interventions and maintaining responsibility of patient management. Home health
Rotator cuff tear – The muscles adjoining the shoulder joint are required for rotating the shoulder, amid other movements. The tendons of these muscles furthermore influence the structural strength of the shoulder joint. Harsh, rapid actions, for example in tennis and baseball, can result in tearing of one of these tendons. This then causes pain as well as a decline in range of motion. Surgery possibly will be necessary to repair a torn
The first step after surgery is pain management to help recover from surgery faster. Medications are prescribed after surgery for short-term pain relief such as opioids, anti-inflammatory drugs, and local anesthetics. As soon as pain starts to improve it is imperative to stop taking opioid medication. The next step after surgery is immobilization and then rehabilitation. In the beginning the repair needs to be protected while the tendon are healing, thus a person would be in a sling for the first 4 to 6 weeks depending how severe the surgery was. Rehabilitation plays a vita role in getting someone back to his or her daily activities. Doctors will send the patient to physical therapy to begin shoulder strength training and function. Physical therapy progresses in stages in order to get full function back to the shoulder. Therapist will start with passive exercises before going into active exercises. Passive exercises are done first because the muscles around the arm still remain weak, even when the tear has been repaired. They are exercises that work to improve range in motion in the shoulder by supporting your shoulder and moving it in different positions. After 8 to 12 weeks from the surgery, the therapist will start a strength-training program. This will be when the patient starts to move their shoulder by themselves and their strength and control will gradually start to increase. Complete
Physical therapy is a fun and exciting healthcare profession that helps people. It is all about helping other people who have problems with their body, muscles, joints and other parts of their body. Patients includes accident victims and individuals with disabling conditions such as low back pain, arthritis, heart disease, fractures, head injuries, and cerebral palsy. Physical therapy will perform an evaluation of your problem or difficulty. They evaluate your problem by performing tests and measures to assess the problem. These tests includes muscle strength, joint motion, sensory and neurological, coordination, balance, observation, palpation, flexibility, postural screening, movement analysis, and special tests are designed for a particular problem. Next, they develop a treatment plan and goals and then manage the appropriate treatment to aid in recovery of a problem or dysfunction. Physical therapists are able to treat their patients by using many different treatments depending on the type of injury. Some of the treatments are electrical stimulation, hot and cold packs, infrared and ultrasound to reduce swelling or relieve pain. These treatments are used to help decrease pain and increase movement and function. Therapeutic exercises instructions will help restore strength, movement, balance, or skill as a guide towards full functional recovery. Physical therapy provides "hands on techniques" like massage or joint mobilizations skills to restore joint motion or increase soft tissue flexibility. They will focus on basic skills such as getting out of bed, walking safely with crutches or a walker, moving specific joints and muscles of the body. Physical therapists treatment includes patient education to teach them how to deal with a current problem and how to prevent the problem in the future. Such documentation is used to track the patient's progress, and identify areas requiring more or less attention. They encourage patients to use their own muscles. Their main goal is to improve how an individual functions at work and home.
Physical therapists are health care professionals that provide therapeutic services to their patients who have temporary or chronic physical conditions that were caused from injury or disease. Physical therapist also provided therapeutic services to patients after they have gone through surgery to help them gain back mobility and manage their pain. They can also work in preventive care by promoting healthy life styles and instructing individual patients or groups on preventing injury by using exercises that stretch and strengthen muscles. To help their patients try to recover they use massage techniques, wellness plans, and different types of equipment. When a physical therapist sees a patient for the very first time they must do an examination, evaluation, diagnosis, and then put together a physical intervention to start the rehabilitation process. They also work as a team with other health care professionals to help with their patients needs. Physical therapist can really make a difference in their patient’s lives by not only providing therapeutic services but also encouraging and motivating them so they can get better. The main goals of physical therapist are to help their patients retain or gain back lost physical mobility, eliminate or reduce pain, increase productivity and help promote a healthy life style so patients can have a better quality of life and become more independent.