Having an injury can be terrifying especially if the severity of the injury is unknown.
On occasion, injuries can lead to surgery but more often than not a physical therapist is referred. At a physical therapy clinic, patients are examined and rehabilitation plans are formed. Depending on the physical therapist and the severity of the injury. The rehabilitation plans may include modalities such as dry needling, rest ice compression elevation (RICE), and self-myofascial techniques. These treatment techniques have positive and negative studies that affect the care plan of every patient. Rest, ice, compression, elevation is often known as RICE has been a “go to” modality for centuries. As technology is advancing the quality of this old-school
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Studies are showing that “cold application can be used before therapeutic exercise programs without interfering with normal sensory perception and can be used before strenuous exercise without altering agility” (Bekerom, Struijs, Blankevoort, Welling, Dijk, Kerkhoffs 2012). By using ice in treatment plans it has been concluded: “that cryotherapy positively affected [patients] return to work and sports” (Bekerom, Struijs, Blankevoort, Welling, Dijk, Kerkhoffs 2012 ). Ice is one of the many treatment techniques that are currently being debated in the medical …show more content…
These risks include “injury to blood vessels, nerves, muscles, bones, and internal organs as well as infection and cross infection” (Hawkins). The trigger points that are used in dry needling have been claimed to be acupuncture points and physical therapists who use “Trigger-point dry needling is far outside the scope of their education, training, experience, expertise, and license” (Hawkins). By practicing this method physical therapists run the risk of losing their license. Even professional athletes have been injured from dry needling “a former Olympic athlete… suffered a punctured left lung resulting from incorrect direction, angle, and/or depth of insertion of an acupuncture needle by a massage therapist who lacked the education and training of licensed physicians or acupuncturists” (Hawkins). Not only can dry needling can cause a therapist to lose their license, it can cause extreme damage to anyone if performed
Graston instrument-assisted soft tissue mobilization (GITSM) is a tool used by therapist and chiropractors to help break up the scar tissue and replace it with fibroblast allowing for faster recoveries (Black 2010). A series of heat, GISTM, then strength and flexibility training are required (Black 2010). Numerous studies have been conducted, by certified therapist qualified in GISTM, to examine the styles and recovery periods after an injury. After going through the treatment, patients are measured by their range of motion (ROM) to see if the treatments were effective or not (Black 2010). ROM can vary depending on the region of the body that is being treated, but the overall goal of GISTM is to allow a person to get back to their regular routines they had before their injury. A study conducted by Logan College of Chiropractic shows that plantar fasciitis (foot) can be treated by GISTM on the first day of treatment (Daniels and Morrell 2012). Another study by Duke University shows that GISTM can be effective for patients after surgery that had an injury in the Patellar tendon (knee) (Black 2010). After several treatments, GISTM can, also, be used to treat a compression fracture in the lumbar (back) (Papa 2012). Each study shows the method of GISTM, the patient’s recovery period along with the methods of recovery.
In physical therapy, patients come to the clinic with a long list of symptoms and a specific mechanism of injury. It is the physical therapists job to take this information and form hypotheses of what pathology may be affecting the patient. With the patient that has been presented in this case, a full history shows a very good description of symptoms and what the patient remembers happening when the injury occurred. With this history, an examination plan can be created in order to make this examination process thorough, but efficient.
This paper explores some of the manual therapy methods, and the effects on which different parts of the human body. While the paper focus more on the positive effects of the different styles of manual therapy, the paper also explores any available reports on any risk of adverse events involving with manual therapies. Carnes, Mars, Mullinger, Froud, and Underwood (2010) suggest taking drug therapy causes a greater risk than with manual therapy. According to A. Bokarius and V. Bokarius (2010), “manual therapy is a widely used method for managing such conditions, but to date, its efficacy has not been established (p. 451). The purpose of this paper is to define what manual therapy is and offers some examples of manual therapy techniques
Controlled increases in physical stress through progressive resistive exercise cause muscle fibers to hypertrophy and become capable of generating greater force.3 Early emphasis is on restoring joint range of motion and muscle flexibility, however, resistive exercises are not delayed. The initial emphasis of muscle loading should be on endurance, accomplished with lower loads and higher repetitions. Progressive resistive exercises are initiated at the available range and progressed to new positions as wrist range of motion returns in all planes. Both the overload principle and the SAID Principle (Specific Adaptation to Imposed Demands) are important considerations in therapeutic exercise dosing.1,3,11 Within pain tolerance, dosing progressive resistive exercises that maintain a therapeutic stress level will encourage muscle tissue hypertrophy. Finding activities that produce the correct force and repetition, without injury, is the goal of the remobilization period. Starting with low force, moderate to high repetitions, and encouraging therapeutic rest following induced stress is important to both the overload principle and the SAID Principle. Additionally, it is important to prevent dosing resistive exercises that exceed optimal stress, which may result in injury. The patient’s response to therapeutic exercise should be assessed during, immediately following,
People have created a hectic and busy world, that includes careers and daily activities that require physical activity. While attempting to attain the required physical conditioning, people often take chances with their personal health as they try to stretch their physical limits. Sometimes, people can surpass their current limits and form new boundaries; however, other times people are not so fortunate. These unfortunate times often lead to injury, including workplace accidents, sporting incidents, disease afflictions, as well as others; any or all of which could bring about the need of rehabilitation services. Many of these require physical therapy, which includes assisting injured or otherwise impaired patients as they recover to their pre-injury status or to recover as much as is physically possible. The field of physical therapy is a choice career for those who enjoy helping people recover from injury, and the following text will provide reason for choosing this profession.
While in college I became a volunteer at a hospital. There I came across physical therapy. Therapists would go to patient rooms to help individuals work on exercises or get them up to walk. Whenever I saw a physical therapist, I paid close attention. Therapists would help patients regain their strength or motion and I found that incredible. I did my own research and read more about what physical therapy was and the schooling needed. I want a career that will challenge me every day but also allows me to interact with and help people. During my research I came across Texas Woman’s University. While at college I reached out to someone at the office of admissions and we met. She gave me more information on the doctor of physical therapy program
As an occupation in the medical field, physical therapists have a very long strenuous list of duties. That list includes working with patients with limited use of their bodies due to injury or disability and improving mobility while reducing pain. Physical therapists provide care to people of all ages who have functional problems such as sprains, strains, fractures, arthritis, amputations, stroke, cerebral palsy, other injuries relating to sports, other injuries relating to work, other neurological disorders, and various other conditions. Some ways that physical therapist go about reducing pain levels of their patients is by using exercises, stretching, hands on therapy, and special equipment that is designed to help increase their mobility, prevent further injury, and smooth out the...
My journey to pursue an education in physical therapy actually originates from my early childhood. I endured a very impoverished upbringing and my family’s socioeconomic status was below the poverty line. At a very young age, money became the central issue of my life. I found myself worrying about mortgages, health bills, and grocery money. As I grew older, I vowed to myself that I would not endure my family’s financial burdens into my adulthood. I knew the best way to accomplish this was by obtaining a college degree and having a professional career. However, I was unsure what career I wanted to pursue. I experimented with many different career ideas, but during my sophomore, I discovered my passion and skill for physical medicine. For my
Imagine the inability to physically walk or do so pain free, or to sit, or do any type of daily routine without any sort of constant complications. Whether a person has been injured, born with a disability condition, or a disability occurred due to aging, there is a way to help treat many complications. Participating in a physical therapy rehabilitation program can help to heal an injury by proper, safe exercises to strengthen and prevent further injury or by teaching one to change their mechanics, which in turn will create a better way to manage daily routines safely and pro actively. Physical therapy can also help to prevent or decrease impairments such as the developmental affect of many genetic diseases, congenial disabilities or disabilities due to aging. Physical therapy is a rehabilitation program with the goal to assist in the recovery of surgeries and injuries, and to promote proper mechanics and motor functions; relieving pain and restoring and maintaining physical mobility, strength and a quality of life.
Have you ever just felt that your job is draining the life out? Do you just dread going to work in the morning? Many people experience burnout, which is mental or physical energy depletion after a period of chronic, unrelieved job-related stress (Elsevier, 2009). Physical therapists are just one of the victims out of numerous that experience burnouts. Given that health coverage has changed physical therapists (PT) are more likely to face burnout because of job stress resulting from overwork and not caring for their own well-being.
PTs have many different treatments that they use on their patients. Massaging and whirlpool baths to loosen and relax muscles are just two of the many treatments PTs perform daily. They also use ice or cold water baths to reduce swelling and heat to relieve pain. One form of strength training that is common for PTs to use is water therapy in exercise pools if the patient cannot walk yet. After a patient’s surgery, their PT will massage the scar tissue to keep it from hardening and making the scar bigger. A PT will work with athletes after an injury so they can regain coordination, strength, endurance, range of motion, and flexibility.
Linde, K., Streng, A., Jergens, S., Hoppe, S., Brinkhaus, B., Witt, C., et al. (2005). Acupuncture for
The field of physical therapy has been largely influenced by social civil occurrences. A large impact on this field is credited to the various wars throughout the United States history, allowing for the advancement maturation of this young field. Wartime conflicts placed a demand for healing of injured soldiers, the field of physical therapy providing the supply. This field has adapted throughout the years, a resiliency that has earned respect in the health care realm (Echternach, J. L. (2003). Foundational interventions of physical therapy such as therapeutic exercise, mobility training, range of motion, and more owe their roots to physical therapy in the military. The proven success of these therapies emerged during periods of war, and carried
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.
Medical study is a combination of clinical experience and scientific research, which requires proof and evidence. These two components can help physiotherapists with diagnosis, provide treatments for patients and making clinical decision. However, what are the ways for individuals to testify the effectiveness of these methods and treatments? Is there scientific evidence proving the information is correct and up to date? How helpful and appropriate are these methods and treatments to the patients? Hence evidence-based practice is necessary. It has a strong impact in physiotherapy, to ensure researches are more focused and relevant to physiotherapists and as a guiding principle to practice and treatment of patients.