Showing posts with label physical therapy. Show all posts
Showing posts with label physical therapy. Show all posts

Tuesday, January 21, 2014

Physical Therapy Association - Prime Information Resource For Prospective Therapists


Whether you are just starting to map-out your career plan or considering an occupational change, hands-on health care is a profession worthy of exploration. In a field where demand exceeds supply, it becomes a matter of personal interest and commitment.

From a broad perspective, physical therapists (PT) top the list of critical personnel shortages in comparison with other areas of patient care. Right away, it's easy to discern job security is a given. After becoming accredited, you can just about write your own ticket. Literally! Job openings are plentiful across the globe.

However, it's prudent to understand that any life-altering decision requires more than a blind leap-of-faith. Take note that a significant amount of money, time and sweat-equity is required to complete your necessary physical therapy education. Are you willing to make a promise to yourself that you will finish what you start?

First, do you qualify for this physically demanding occupation? Can you lift 50 pounds? Do you have physical challenges that would pre-empt you from repetitive motion such as: stretching, stooping over, bending and/or kneeling? Do you have the stamina to stand on your feet for prolonged periods?

If your interest has peaked by this point, you're ready to gather information. A good starting place is exploring valuable online resources using the keywords: "Physical Therapy Association".

For example, you'll find: role of physical therapist, career advice, self-check indicators, exam information, handbooks, testing dates for your state, education criteria, assistance programs and much more.

Once you've tapped-out the association's resources - STOP - and ask yourself "Why do I want to become a physical therapist?"

Most people respond, "I like helping people."

Be mindful this is your future life. Helping people is not a valid reason to embark on this career path. You could become a fire fighter and help people. You could serve soup at a homeless shelter and help people.

Take pen in hand and make a list of every reason that comes to mind. Did your list include something to the effect of "I'll make a lot of money"? Money is good and you will make a lot of money as a PT.

But, the very best reason is that you can imagine yourself doing this job because you love it.

If this is true, it's time to visit several physical therapy schools in your area. Among required classes are: chemistry, biology, anatomy and pathology. You'll receive hands-on training in various therapeutic techniques. Some schools require clinical training.

After completion, you must obtain a license if you plan to practice in the US. Then you'll have the delightful experience of determining where you prefer to practice, such as a hospital, rehab center or an alternative healthcare setting.

Monday, January 20, 2014

Kids and Physical Therapy


There are many reasons as to why children may need physical therapy. It could be because they have cerebral palsy and they need physical therapy to help them move their bodies easier or perhaps they broke a leg, or they may have weak muscles somewhere in their body. Even those with brain injuries may need to see a physical therapist since the brain has a lot to do with the functioning of muscles and knowing how to do things such as sit, walk, and roll.

There are a number of different conditions and injuries that require physical therapy in children. There is even one such condition called Jumper's knee that becomes a problem for a lot of children and adolescents. If the child complains of tenderness and pain around the bottom of the kneecap, then this might be the problem. Kids who are involved in sports tend to have this problem during growth spurts. A physical therapist may use heat and ice as well as ultrasound to gain control over the pain and any inflammation. The physical therapist also works on strengthening the knee and creating a balance through exercises such as posture exercises.

However, children are always severely spraining ankles, breaking legs, arms, hands, and feet. They may pull something somewhere or tear a muscle during physical activity. All of these incidents call for some kind of physical therapy whether short-term or long-term. Physical therapy is important in children who have injured a part of their body because an injury can actually stunt growth, so it is important to make sure proper growth is inhibited by creating proper alignments and balances within the body.

Equipment

There are different types of equipment that may be used with children who are going through physical therapy. An example is a safety belt that prevents the child from falling down or stumbling when they are learning how to walk. Crutches may also be used and the child and parents will be instructed on how to use them when the child encounters such obstacles as stairs. Children may also be required to wear a safety belt while learning how to walk on crutches so they do not injure themselves further.

Other types of equipment include:

o Walkers made just for children that help them learn to walk.

o Toys such as balls, swings, benches, and slides. Toys are an important tool because it encourages the child to work their muscles through fun.

o Ultrasound devices that are used in controlling pain and inflammation.

o Therapy balls are kind of like exercise balls, but they are made in smaller sizes for children

o Therapy rolls are like long noodle type objects that the child can lean on, roll on, and simply have fun with.

o Steps, incline mats, and hurdles can create a great physical environment for a child because these objects encourage them to climb and jump.

Many of the different types of physical therapy equipment that is used promotes physical activity in some way. Then there are others types of equipment that is used in reducing pain and inflammation and helps restore a balance within the injured area. There seems to be a little something for every situation for every single age, whether it be devices to help a child walk or to rehabilitate a muscle that has been torn. With sports becoming so intense nowadays, sports injuries are very prevalent and a physical therapist is required for the healing process. Then again, children are born with conditions that physical therapy equipment can provide relief for. That is why it is important that the proper equipment be available to help these children.

Hype of Hydrotherapy / Aquatic Physical Therapy


Doesn't water suggest life? Since the dawn of time, water has possessed an overflow of revitalizing healing properties. Water cleanses, purifies, soothes. In more medical terms it eliminates inflammation and infection. Helping healing better, and more cheaply, than many of our chemically advanced concoctions, the simple molecule does so much more it may be futile to ask why - just how.

In hydrotherapy or aquatic physical therapy, patients are gently immersed in warm water. This form of underwater therapy aims to assist patients to overcome conditions where movement is limited because of paralysis or pain, or where the patient's muscles have been weakened due to injury or illness. Water immersion allows patients to exercise painlessly, even pleasurably, aiding a hasty recovery from a wide variety of conditions.

Aquatic physical therapy has been used for decades as an integral part of treatment for severe arthritis or post knee or hip surgery. Fibromyalgia or rheumatic syndrome, a condition characterized by body aches, pain, sleep disturbances, fatigue, and anxiety, combined with tenderness and whose cause is unknown, is also healed by aquatic physical therapy. Ankylosing Spondylitis, a form of arthritis where the spinal vertebrae become progressively inflamed and the spine eventually becomes fused, making movement very limited, also benefits from the hydro treatment. Even in some serious neurological conditions, the aquatic physical therapy can increase mobility as well as the power in the muscles by allowing movement in muscles normally unable to move. Though it cannot help the illness, aquatic physical therapy can also help to re-instruct muscles to get over damage from stroke or accidents.

Regrettably, aquatic therapy still has its share of limitations. Pure water therapy cannot help patients who are incontinent for hygiene reasons, as well as those with skin conditions or allergies to chlorine. And it is unsuitable for people who have high blood pressure as hydrotherapy raises the blood pressure.

Nonetheless, hydro/aquatic physical therapy especially helps therapists help their patients because being immersed in warm water makes the buoyant movement much easier as the water lifts the limbs, improving joint movement and getting the joints working effectively again, in contrast to painful movement against gravity.

The qualified aqua therapist has three primary objectives in performing therapy in warm water for his patients: to abolish gravity, allowing the body to float and amplifying the power in the muscles, and providing greater movement of a specific limb or joint; to conduct gentle exercises because of its effective resistance to movement; and to relax the muscles and ease the pain with the water's warmth and healing powers. And to look at it simply, hydrotherapy is just an underwater exercise...

Sunday, January 19, 2014

Physical Therapy Tips - Everything You Need To Know


Even though physical therapy information has now been available for quite some time and physical therapy is growing in popularity day by day, it still is not the first thing that comes to mind, unless the doctor recommends it. There are so many benefits of physical therapy that it can be good for a patient in a number of ways. Physical therapy information is easily accessible and should be studied before starting sessions so that you are fully knowledgeable about what to expect.

Improving and maintaining the body's mobility is physical therapy's primary objective. This objective is attained by applying various treatment methods. Only person evaluation by the physical therapist can help in deciding the most suitable treatment plan for individual requirements since like doctors, physical therapists are also specialists. Physical therapists may specialise in orthopedics, pediatrics or sports physical therapy, among others. All of them are suitably trained for their particular specialisation and are capable of recognising the symptoms and suggesting customised treatment plans. A doctor or a physical therapist can tell you whether you need the services of a specialist physical therapist.

Physical therapy information is listed in the phone book, so is easily accessible. All details such as location, specialisation and charges of physical therapist are available from the phone book. Once you have short listed a physical therapist, consult with your doctor. Even a joint consultation with your doctor and the physical therapist you have chosen may be beneficial as the physical therapist can suggest treatment and the doctor can provide the evaluation and monitoring.

There is plenty of physical therapy information available online as well. There are specialist websites that list information about physical therapists and also about what they do and how they perform their wonders, in case you want to learn more. The website of American Physical Therapy Association gives information on physical therapy and lists details about therapists by state, so that it is easily accessible. The techniques and procedures adopted by physical therapists and their benefits to the affected parts of the body are described in detail. It makes it easier to understand treatment through physical therapy.

Being inquisitive, getting the physical therapy information and understanding it well will ensure that you know what you are getting into. It will also make you comfortable with your physical therapist and significantly increase the quality and speed of healing. Getting physical therapy information not only will make you well informed about the treatment you are getting but also improve your health and secure your peace of mind.

Forest Hills Physical Therapy: Restoring Your Balance


Learning to live with Vertigo can be quite a challenge, but a physical therapist can make the process much easier for you. Before we go any further, though, we should point out that there are certain symptoms which, should they ever accompany your vertigo, would be reasons to seek out immediate medical attention. These symptoms include a change in alertness, difficulty speaking, and double vision. Vertigo itself is just the sensation of spinning, even when you're standing perfectly still. It does warrant medical attention, but alone, it does not constitute a dire emergency. It has multiple causes, and the vast majority of them involve the inner ear in one way or another.

Some people don't immediately think of physical therapy in conjunction with vertigo, but there is actually a lot that a physical therapist can do to help. For example, there are various head and neck movements which can get you moving again and help you keep your vertigo under control. Often, too, it's certain activities that trigger vertigo. If that's the case with you, then your therapist will really be of benefit. He or she can show you how to do those activities in different ways which will help you reduce your dizziness. If any of those activities also cause fatigue, then those will be given priority.

A large portion of a physical therapist's treatment of vertigo will consist of coaching you through various types of exercises. The particular exercises your therapist chooses will obviously depend on which specific symptoms you have. In general, these exercises have three overall goals. Clearly, one of those goals is to improve your balance. Another goal is to help your brain "correct" the differences between it and your inner ears. You will also be helped to improve your focus and vision. In addition to these exercises, your therapist will also suggest some that are intended simply to improve your overall health.

Some people don't realize this, but there are actually therapists with more specific specialties than simply physical therapy in general. If you suffer from vertigo, then you may want to look for a therapist who has completed a fellowship in neurological physical therapy. Such a therapist would be particularly well suited to addressing vertigo. Keep in mind, though, that all of them are qualified to treat people with dizziness. Thus, if you get a recommendation from a friend, family member, or your doctor, then it's definitely worth calling to set up an appointment.

If you or a loved one is suffering from Vertigo, Gait Impairment, or Balance issues, contact the physical therapists at Forest Hills Rehabilitation to see how we can help.

Saturday, January 18, 2014

Why You Should Train As A Physical Therapy Assistant


Healthcare is one of today's biggest growth industries, and is attracting more and more high school graduates as well as those seeking to transition from other careers. Many consider training as a physical therapy assistant, working under the direction of a physical therapist to provide treatment, help and support to the physically disabled, trauma victims, and other patients.

Why Is Healthcare Such a Popular Career?

The growth in the demand for the services of physical therapists, their assistants and aides is part of the boom in health care, and job opportunities are expected to increase by some 35% between now and 2018, according to the Bureau of Labor Statistics. Life expectancy is on the rise, and it is predicted that the growing elderly population will increasingly require a wide variety of therapeutic services. As medical procedures and technologies advance, more patients will require a range of rehabilitation treatments to improve the quality of their lives.

What Training Do Physical Therapist Assistants Need?

While physical therapists will require postgraduate degree training, physical therapist assistants usually need an Associate's degree from an accredited program, which can usually be gained over five semesters, or about two years. This is another attractive option for aspiring health care professionals who do not wish to commit themselves to another four years of training after high school. The American Physical Therapy Association lists over 250 programs accredited by the Commission on Accreditation and Physical Therapy Education (CAPTE) delivering entry-level training for PTAs.

What Are The Admissions Criteria for PTA Programs?

Admissions requirements may vary from school to school, but prospective applicants are normally expected to have completed a period of volunteer work experience or observation in one or more physical therapy settings, excluding home health situations. Some preliminary educational requirements may also need to be satisfied, including general courses such as English composition, algebra or mathematics, liberal arts courses, and introductory medical classes in human anatomy and physiology. Colleges may expect a minimum pass of grade C in these courses for an applicant to be eligible to apply for for PTA training. Students may also be required to have certification in CPR or basic cardiac life support. Admission may also be dependent on a satisfactory background criminal check and drug screening.

What Do PTA Students Learn?

The technical courses for physical therapy assisting include topics such as kinesiology, skills of patient care, pathology, neuroscience, rehabilitation, therapeutic exercise, and a number of clinical rotations or internships. There is normally a specified order in which these classes need to be taken, and students must perform satisfactorily in one course in order to proceed to the next. Some colleges may accommodate the needs of students who wish to complete part of their course online, or combine their study with a part-time job. But most are keen to impress upon applicants that they must ensure that they have adequate time to devote to the demands of the program, and that the clinical experiences are hands-on, full-time commitments that last several weeks. CAPTE does not accredit PTA programs with exclusively online content.

What Else Is Required To Practice As a PTA?

Those who successfully complete their physical therapist assistant program will normally graduate with an Associate degree. However, in almost every state in the US, PTAs must hold a licence or certification in order to practice. Candidates should make enquiries with their state board to find out specific requirements, but it is usually necessary to have graduated from an accredited training program and to have passed the National Physical Therapy Examination. Once a licence has been granted, a certain amount of continuing education may be required to keep it current.

Getting to Know the Physical Therapy Assistant


Physical Therapy or PT is an important part of the health care industry. Physical therapists work with patients who have problems with their movement and mobility. They are specially trained to diagnose and treat patients who have illnesses or injuries that limit their movements. These limitations prevent patients from performing daily, functional tasks which can then lead to emotional stress and eventually affect their mental health.

A physical therapist's skills are in treating joints, bones and ligaments, muscles and tendons. Therefore, many people associate PT with sports but in truth, it is an important branch in health care as it helps patients suffering from diseases such as Parkinson's, osteoporosis, Alzheimer's and arthritis. Patients who have had surgery on their joints or hip also need therapy to heal properly.

A Physical Therapist works with movement and mobility so the plan of care usually involves some form of exercise, stretching and a wellness oriented program including massage. The plan of care will be executed by a Physical Therapy Assistant (PTA) who works under the direction of a PT to help the patients exercise or assist them with new tasks such as using crutches and the wheelchair.

The role of the PTA is equally important as they work hands-on with the patients and monitor their progress. They are able to perform massages, electrical stimulation, mechanical traction and balance training with the patients. The PTAs will also need to get the work area and equipment ready before a session. They also do some billing and clerical work.

The physical therapy assistants are required by law to hold a degree and obtain a recognized certification in courses such as CPR. There are many recognized programs in educational institutions or one can opt to take courses online. The online courses are similar to the ones you find in colleges, as they both prepare the students with tutorials and introduce the students to anatomy, physiology and psychology. Online courses are usually more affordable and one can study at their own time and pace. Students who pass the necessary exams are then trained on the job.

Employment for a physical therapy assistant is projected to grow rapidly as health care needs are never on a decline. Employment in the health care industry is also very attractive and rewarding. Physical therapists and their assistants can work in a number of settings including the hospital, clinics, outpatient and other nursing or health care homes. They may also find employment in the military or in the corporate world.

Friday, January 17, 2014

Essential Bariatric Products For the Physical Therapy Clinic With Obese Patients


Patients who are obese have special needs when it comes to completing physical therapy. This is often the case when an obese person decides to obtain bariatric surgery or other surgical means to reduce their weight. This can cause a challenge for physical therapy clinics as they must have available special equipment in order to provide the same level of care to obese patients as their average sized patients. Knowing what types of quality equipment are available to accommodate the needs of obese patients is half the battle. Here are the recommended essential bariatric products for the physical therapy clinic treating obese patients.

Mobility Products
When it comes to providing physical therapy to patients of any size, certain essential products are required to help patients retain mobility throughout this process. These items may include, but are not limited to canes, walkers, crutches, wheel chairs or braces. Normally, it would not be a problem to fit a patient with these items if they are of an average size and weight, but if you have an obese patient it's difficult to safely fit them with any mobility devices that will not cause them pain or fail to provide adequate support. Another factor to consider is that the equipment must withstand additional weight so the products must be built to last. It's recommended that in order to accommodate patients of a larger size and weight, that physical therapy clinics choose products that are adjustable, manufactured out of sturdy materials (steel vs. wood or plastic) and be able to take the pressure off of already strained joints. Wheelchairs should have wider seats and allow a full range of motion to encourage obese patients to use them as needed.

Beds and Support Surfaces
When treating the obese patient in the clinic or providing in-home care, there is a great need for a bed, tables or support surfaces that can support their size and weight. Treatment may occur at home and the patient should have enough support so that their back and neck are not having extra strain put on them as the result of leg and arm exercises. In the clinic, it's essential to have at least one larger treatment table that can be utilized by all patients including obese people. One excellent type of table is the Powerline Treatment, made by Oakworks. This remarkable treatment table features a sturdy padded surface, solid hardwood frame and an adjustable bed that can handle patients up to 500 lbs.

Patient Lifts
When it comes to ensuring safe treatment of obese patients, nothing comes in more handy than the hospital style weight bearing patient lift. These lifts give the caregivers and physical therapists another set of hands when lifting the patient or helping them learn to sit up and stand again. A lift can make sure the patient isn't falling out of bed or causing injury to anyone, most of all themselves, during treatment.

Respiratory Aids
Obese patients often have trouble breathing properly when participating in physical therapy. Therefore it's essential to have some type of respiratory aid, such as oxygen and masks, on hand just in case. This will ensure that the patient gets the right amount of fresh air to breath and doesn't pass out due to lack of oxygen, which would be a very injurious experience for them and for staff.

Floor Scale
When an obese patient presents for treatment, it can be difficult for them to be weighed to see how they are progressive with their weight loss following bariatric surgery. Standard hospital scales only go up to 400 lbs so it's necessary to obtain a floor scale that can weight up to 1,000 lbs. A floor scale also makes it easier for the patient to get up and down off the scale, especially if mobility is an issue.

What Does Geriatric Physical Therapy Involve?


Late in the 1980's geriatric physical therapy was recognized in the medical field as a specialty and since the introduction of this specific medical specialty many people have benefited from this. This kind of study deals with helping older people or the adults who have experienced or are experiencing different physical ailments such as, but not limited to, cancer and osteoporosis.

Through geriatric physical therapy anyone has the chance to live a more comfortable and a healthier life. We all know that balance and strength are very important for adults especially those individuals who are in their 60s and older. Majority of the aging population have problems with balance, strength and this makes moving around difficult for them. But with care, support from their family and regular physical treatment it is possible for them to move around, do simple tasks and be able to live a normal life. That is why geriatric physical therapy is really important.

It is not only helping individuals do their everyday physical activity that is being addressed by geriatric therapy but it also helps raise the self-worth and confidence of the adult when they are able to perform simple tasks. One of the very reason why many old people have back sore is the inability to move around. This will happen if the person has experienced stroke, osteoporosis, arthritis or any physical ailments that disables the person to move around. With the aid of a geriatric physical therapist, a person can have the hope of being able to move around and do simple things like taking a walk on the park, picking fresh flowers from the garden or perhaps feeding a bird pet or patting a pet dog.

Physical therapy is usually only utilized by people who have met an accident thus disabling them to perform their day to day activities. But, lately, even the healthy old-aged people have recognized the importance and benefits of undergoing regular therapy. Yes, it is beneficial for people who are in their advanced age to undergo regular physical therapy to prevent serious physical ailments.

Perhaps you are wondering what geriatric physical therapy encompasses. There are many forms of geriatric physical therapy but the most common and popular form of therapy is exercise. Once the therapist had conducted a series of test to its patient, he will then assign corresponding physical activities to address the patient's ailments. The set of physical activities or simply called exercises are aimed to help the patient move freely. This will target the person's physical coordination, balance, motor skills and most of all in strengthening the muscles.

Ankle Sprains - A Physical Therapists Perspective


Introduction Sprained ankles are one of the leading causes of athletes to miss games during the season. Many times they are taped up & rushed back to the field without proper rehabilitation. More often than not, the ankle gets re-injured or worse, they end up with a knee, hip or low back injury. These injuries can be prevented by providing the proper healing time and rehabilitation. The same premise holds true for non-athletes. I have worked with a number of patients that have had multiple ankle sprains that were never given the opportunity to fully rehabilitate. The most common complaint is that their ankle turns over at any time without warning. All it takes is a slight bend in the pavement and the ankle turns. This type of injury is frustrating and can become debilitating. This article discusses the different types of ankle sprains, what to do following a sprain, and what does rehabilitation of the ankle involve?

Brief Anatomy The ankle is made up of three primary bones. The tibia & fibula, which are the longs bones of the lower leg and the talus which is a major bone of the foot. Together they make up the talocrural joint. The mobility of these bones allows the foot to flex and extend which is required for propulsion during walking. The other major joint of the ankle is formed by the lower portion of the talus and the upper portion of the calcaneus (heel bone). These two bones form what is called the subtalar joint, which allows for movement in and out (inversion/eversion). This inversion motion is the most common mechanism of injury. The ligaments are tissues that connect bone to bone. Their function is to provide stability to the joint. There are three main ligaments on the outside of the ankle called the lateral collateral ligaments. Their function is to prevent the ankle from inverting too far. The inside of the ankle is protected by the deltoid ligament, which functions to prevent excessive eversion or turning out.

Mechanism of injury - The most typical ankle sprain is an inversion sprain. This occurs when the ankle turns inward and the bodies weight compresses the ankle brining the lateral malleolus close to the floor. This excessive movement places the lateral ligaments on strain, stretches the tendons crossing the joint and can also lead to some of the tarsal bones compressing on one another. The greater the inversion force results in a more severe ankle sprain or fracture. For the purposes of this article, I will only be covering ankle sprains, not fractures.

What is the difference between a sprain and a strain? This is a common question. A sprain results from a stress placed upon a ligament. Remember a ligament connects one bone to another bone. A sprain is a partial or full tear in the ligament or at the junction of where the ligament attaches to the bone. A strain results from an excessive force or overload on a muscle leading to micro-tears in the muscle belly or tendon. A tendon is a tissue similar in strength to a ligament that connects a muscle to the bone. Both ligaments and tendons are non-contractile tissue. Only muscle has the ability to contract (shorten).

Grading an ankle sprain There are three different grades of an ankle sprain based on the severity of the injury.

Grade I (1st degree)- This is the most common type of sprain. The ligaments are overstretched but no visible tear has occurred. Microscopic tears have occurred that will heal if treated properly. Minimal swelling should occur and only minor ankle instability will be present.

Grade II (2nd degree)- This is a more severe injury and the ligament has sustained a partial tear. The ankle will typically be more swollen and ecchymosis (bruising) will usually occur. The ankle will be more unstable and painful compared to a grade I.

Grade III (3rd degree)- This is the most severe injury as the ligament has been completely torn. This is the most painful ankle sprain and will typically present as very hot and swollen with a lot of ecchymosis sometimes tracking halfway up the lower leg.

Immediate care following ankle sprain - Following a turned ankle, it is difficult to determine the severity based on a number of factors. Swelling may occur immediately making the injury seem worse than it actually is. If the ankle does not swell, this does not necessarily minimize the possibility of torn ligaments. Tenderness will usually be present on the outside of the ankle with an inversion sprain. It also may be difficult to stand on the injured foot. The safest advice would be to keep the shoe/sneaker tied tight to prevent the ankle from swelling. Keep the weight off the foot as much as possible. When the shoe is taken off, the leg should be elevated above the heart and an ice pack should be compressed against the ankle. This will help decrease both the pain and swelling. This technique is called R.I.C.E standing for Rest, Ice, Compression, Elevation. R.I.C.E is a good pneumonic for any injury to the extremities.

Should I go to the hospital? If you are having difficulty putting weight on the foot, if the swelling is severe, and the pain has not reduced after a few hours of using the R.I.C.E technique, a visit to the hospital is recommended. Prepare to wait in the emergency room for a while. Ankle sprains are not usually treated as a priority. The doctor will examine the ankle looking for joint and ligament instabilities. He/She may also order an X-ray to check for fractures. On occasion, an MRI will be ordered to assess ligament damage.

Physical Therapy/Rehabilitation It is common following an ankle sprain to be placed on crutches. More severe sprains are placed in a boot or air cast to help with ankle stability. There are four major categories of impairments that occur following an ankle sprain. These include 1. Ankle joint instability due to weakened ligamentous structures 2. Muscle weakness 3. Poor balance (proprioception) 4. Pain and swelling. Each of these impairments must be addressed for a successful rehabilitation. Physical therapists will utilize various massage techniques and modalities to reduce inflammation. Manual therapy techniques will be used to restore normal joint mechanics and to retrain the proper muscle firing patterns necessary for stability. An effort is required to normalize your walking (gait) as quickly as possible to prevent compensations. Finally, a specific strengthening program that incorporates the entire lower extremity and core muscles is provided to improve overall strength, balance and coordination. Each ankle sprain is different from the next & everybody heals at a different rate. Typically, rehabilitation following an ankle sprain can be as short as two weeks (4 visits) up to eight weeks (20 visits). This does not take into account any other co-morbidities.

Conclusion Ankle sprains if managed properly through physical therapy and a conscious effort to comply with a home exercise program are usually rehabilitated very successfully with low chance of re-injury. However, if an ankle sprain is not fully rehabilitated, the chances of re-injury with more severe damage increase greatly.

Thursday, January 16, 2014

Who Is Physical Therapist and What Is Specialization?


In past, when the diseases were limited, that time single doctor was treating many diseases, but in new era new disease discovered and explored that affected human body, and many researchers, doctors, medicine scientists worried about those diseases. To get rid of these new diseases new dedicated universities and research institutions came into beginning.

As the diseases increased these universities developed courses, new researches came into this field. Many outstanding universities offered dedicated departments, and these universities separated many departments for different diseases, so after doctorate degree they offered specialization in specific field of dedicated department.

Now we can see different departments of doctorate like, eye specialists, heart specialists, skin specialists and most important physical therapy specialists known as physical therapist. If we didn't have new developments and specific specialization we couldn't have specialists for various diseases.

Thanks to those universities and research institutions that helped and helping billions of people in world and made many specialists for different departments and also continuing their research for more diseases.

Those who are specialist of physical therapy called P. T. Doctors, also known as physical therapist. This field has become very popular now-a-days. They are highly qualified persons having doctorate degree in physical therapy as major subject. Now in almost every country there are many good universities are educating people. Many people are getting education of physical therapy because they know that their main aim is to help other people.

Every person must go to doctor for their own checkup and also their children checkup, because now the time has been changed. Consulting doctors who are not specialist in specific department means that we are inviting more diseases in our body.

Physical therapy is more dangerous for human body. If anyone find symptom of disease in his / her body than they should go for the body checkup from a specialists, the one we call physical therapists, with sound working experience. Do not avoid these guidelines, because this is about health, and we live once. So always look for the specialist - the physical therapist.

Rehabilitation After Calcaneal Fractures


Fractures of the heel bone or calcaneus can be very severe injuries as the joints involved in the hind foot are very complex and very important in weight bearing and walking. Most calcaneal fractures are caused by vertical loading such as falls from a height or vehicle accidents. The fractures which result from such injuries are potentially so variable and complex that it has taken a long time to classify them and get some idea what the best treatment is for each type. When the injury occurs the patient is immediately aware of significant pain and is unable to weight bear on the foot or feet involved. Pain is often severe and unpleasant with significant swelling of the heel and ankle area of the foot.

Initial management of calcaneal fractures is rest in bed with the foot up to reduce swelling from circulatory engorgement of the limb, with physiotherapy management involving ice treatment several times per day to reduce inflammation. The physio will maintain the mobility of the other leg and unaffected joints by regular movements and muscle activity. The patient may be managed conservatively or the surgeon may decide, after CT scanning, to pursue reconstructive internal fixation with metalwork. Once the treatment has been decided and the inflammation reduced to a suitable level the physiotherapist will start to get the patient up with crutches and an assistant.

Initial mobilisation is typically non weight bearing and the physiotherapist will teach the patient to hop safely with the crutches without putting the affected foot down. Mobility exercises of the ankle and hind foot may be practised regularly to maintain and improve joint movement. Once the surgeon indicates, the physio will progress the patient steadily on to gradual weight bearing. Patients may find weight bearing very difficult and painful as the fracture may cause significant dysfunction of the joints around the fracture, particularly the subtalar joint.

Once the fracture is well united the physio will progress the treatment to weight bearing in more stressful physical situations, gait instruction and correction, balance practice on wobble boards and more advanced work if possible. Significant fractures of the calcaneum often mean that the patient cannot regain the ability they had before the injury and may always walk with a limp or with some pain. Mobilisation techniques may be performed by the physiotherapist to allow increased accessory movements of the foot joints and encouraged increased function.

Physical Therapy for Frozen Shoulder


A frozen shoulder is a seriously limiting condition that happens when your arm gets stiff because of scar tissue. This is especially common after surgeries and injuries, but it can happen insidiously as well. Bursitis and tendinitis are common culprits. No matter what the cause, physical therapy can help. The therapist's end game here is to restore your arm to normal, painless motion. Before creating a plan for your therapy, your therapist will first perform an introductory assessment in order to determine which stage your frozen shoulder is at. The therapy will then be tailored specifically to you, as different stages require different treatment techniques.

The most effective way for your therapist to determine the stage of your injury is to simply ask you some questions. Your answers will reveal where your treatment will begin. In the first stage of a frozen shoulder, your loss of motion isn't complete. Your shoulder aches often, and when you move it, it hurts even worse. In the second stage, movement is severely limited, but not impossible. In the third stage, the pain actually begins to increase, but your range of motion is even further inhibited. Finally, in stage four, your shoulder begins to thaw. The pain decreases dramatically, and your range of motion begins to expand.

The goal of your therapy won't just be to increase your range of motion. It will also be to reduce your pain. To that end, your therapist will most likely apply heat or ice packs prior to a session of stretching and manual therapy. This will relax your muscles. Not all of your stretching will be done in your therapist's office, though. He or she will also prepare a home exercise regimen for you. In cases where your pain is severe, your therapist may very well prescribe an injection of pain medicine into the affected site. These pain medications are not effective in the long run, but they do help you manage your pain as you heal.

Some people are hesitant to visit physical therapists because they've heard that it can be a painful experience. After your first visit, you will be surprised how gentle and compassionate physical therapists can be. At first, the goal won't necessarily be to increase your range of motion as quickly as possible. Instead, your therapist will most likely want to focus on reducing your pain and the further loss mobility. As you continue to heal, your therapist will help you increase your range of motion more aggressively.

8 Great Mobile Apps for PT Clinics


With the continuous advancements in technology, the clinical atmosphere is constantly changing. Most recently, the introduction of the iPad has revolutionized PT clinics. With online practice management software accessible anywhere with an Internet connection, on-the-go practice and hands-on education for patients has been made possible.

One great feature of the iPad and other mobile devices is the ability to download apps at the point of service. Quick and easy downloadable software allows for physical therapists to find education tools, references and clinical software that can meet a patient's specific needs.

Exploring Apps

Finding an app is as easy as pushing a button. Apps are located in the App Store in iTunes on your Windows or Mac Computer and iPhone or iPad. Once in the store, it's easy to navigate through the selection. Many apps are available in the "medical" category. It is easy to search for physical therapy apps and read through reviews and descriptions. Most of the PT apps fall into three categories: clinical tools, patient education and staff and student references.

Clinical Physical Therapy Management Software for iPad

  • Stop watch and timers: These are a favorite a for patients and physical therapists. Running at $.99, these tools allow you to have multiple timers running at one time.

  • Geniometer: This tool is a fun and accurate way to determine anatomical angle. By lining up the iPad or iPhone with the joint and line it with the axis, you can get an accurate reading by using your finger to drag the arms to match the alignment.

  • ICD9 Consult 2011: At only $14.99, this is a much cheaper version of paper manuals and simplifies the process of accessing diagnosis codes.

Physical Therapy Patient Education Apps for iPad

  • Shoulder Decide: This app gives patients the ability to learn about the most common treatment approaches and relatable descriptions of injuries. Also available is Knee Decide and Spine Decide.

  • Muscle & Bone Anatomy 3D: With 3D diagrams and an easy zoom feature, this is a fun and interactive way to walk patients through injury anatomy.

  • Pocket Body: A great anatomy app for both student PTs and patients, the Pocket Buddy offers clinical relevance and information and shows depth. It peels away layers to show a more detailed diagram.

Staff-Friendly Online Practice Management Software for iPad

  • Muscle Anatomy: This app provides a basic review of muscle origin, blood and nerve supply and more. It especially comes in handy for those "oops" moments when you need to recall information quickly.

  • CORE: Clinical Orthopedic Exam: This app offers support to for staffers to easily access, navigate and review specific studies and past findings.

The iPad apps can be very helpful in clinics for physical therapy. Management software can better education patients and employees as well as help PT clinics perform their best.

Wednesday, January 15, 2014

Physical Therapy - What Is The Quickest Way To Become A Physical Therapist?


Physical therapy as a profession is lucrative. With licensed practitioners earning a median base salary of $65,000 to $75,000, many people are dreaming of become physical therapists. However, many of these people do not have the time to focus on schooling and attaining this degree since they are working or are probably tasked to do other equally important assignments. The experts in the field very well understand this predicament and therefore better options have been created. There are now some quick ways to become a physical therapist.

One of the most popular methods available that can save you time is pursuing an online degree. There are a bunch of these degrees offered through the internet. Advantages of choosing this option include not being required to be physically present in classes and it allows one to work on school requirements at his own time.

However, here are a few tips to remember in order to become a Physical Therapist very quickly and surely.

1. Get an undergraduate degree and make sure that this particular degree is rich in science courses such as physics, biology, and chemistry. It is not really necessary to take up an undergraduate course in physical therapy; however, doing so will ensure a shorter time to fulfill the required coursework.

2. Right after graduating, it would be best to immediately pursue a master's degree preferably in physical therapy since this is needed to get a license. One also has to make sure that the American Physical Therapy Association accredits the school chosen by them.

3. After finishing the online degree, waste no time. Complete residency immediately. This can be completed under doctors of various fields including physical therapy.

4. After this, get a license by completing the licensure or the certification requirements of the state. It has to be made sure that the right certification or licensure is taken so that practice of the profession will not be delayed.

5. Finally, one can choose an area of specialization. There are some who like to work with children and childhood-related injuries while others prefer working in the sports scene.

The ways mentioned are not only the quickest but are also the best ways. This is because being sure and careful ensures faster results. You need to ensure all the steps in the process are undertaken with respected and certified schools. But once in these programs you can increase your course load and power through the program. If you do not research your chosen school properly before you enroll, you will be increasing the risk of mistakes and so may end up repeating the whole process.

Tuesday, January 14, 2014

What Are The Best Kind Of Physical Therapist Shoes?


If you have been injured or just have had surgery, you may be visiting a physical therapist to help you regain mobility in your feet or legs after an injury. Well there are specialized physical therapist shoes that you can wear that will help you to regain the mobility in your legs and feet just by walking normally in them. What types of things are in a physical therapist shoe that makes it effective?

The first thing is the comfort level of the product. The product should be comfortable to put on and wear, but if it is not, steer clear of it. The product should also have some type of special shape to it such as a bowed out sole or a rubber chip in the heel. These added features help to change the way that you normally move around while strengthening muscles without you even knowing it. If you really want to make a difference with the toning of your muscles, these types of shoes are fantastic as they work without you even thinking about it.

The added things in these types of shoes also make it easier and faster to heal from an injury or surgery while providing you excellent mobility. If you want to get better faster, these things should definitely be a part of the footwear that you wear on a constant basis. These types of shoes can be bought from your therapist, or you can buy these types of shoes online or from your local health store.

Factors That Affect a Physical Therapist Assistant Salary


Despite recessions, economic downturns and layoffs; the swiftly rising health-care industry has seen continuous increases in physical therapist assistant salary. The wellbeing of others is in a PTA's hand, which alone makes it a challenging and highly demanding job; the remuneration of whose is commensurate to the responsibilities and duties this caregiver has to fulfill.

Factors that affect a physical therapist assistant salary

Various factors such as qualification, certification and a few others given below, determine the compensation you can get as a physical therapist assistant.

Experience:

If you are a newcomer, then you can make $31,000 up to $40,000 annually in the United States. This is the starting range and gradually goes up as your career progresses. A physical therapist assistant salary in the mid level is expected to be around $38,000 up to $51,000 per annum. These figures are only for guidance; actual numbers have obviously increased, considering the continuous rise in wages.

If you have been practicing physical therapy for over 5 years, which means that you have the knowledge, skills and well trained to handle all sorts of relevant cases, in this scenario you are likely to draw up to $60,000 or even more.

Geography:

Another factor that determines the salary drawn by a PTA is his job location. Some states in the United States offer higher compensation as compared to others. For instance, the average annual salary in Texas and Florida ranges between $32,000 up to $56,000. Florida, Texas, New York, California, Georgia and Pennsylvania are known to be highest paying states in this profession.

Similarly, average salaries drawn by these professionals are different in every part of the world and depend on their respective factors.

Type of employer:

Salary also depends on the fact if you are a self employed individual, working for a private firm, working in a hospital or working in a government institution.

As per the data released by the US Bureau of Labor Statistics; Management, Scientific and Technical Consulting Services were found to be the highest paying with annual mean wage of $75,680 among top paying industries, followed by Home Healthcare Services, $60,090 as the annual mean wage, in May 2011.

If you choose to be part of the healthcare industry, the physical therapist assistant salary is and is expected to be most competitive in future. As per statistics, employment of physical therapists is expected to grow by 45% until 2020, which is much faster than average for all occupations. This positive employment outlook would eventually result in more job opportunities and better remuneration in this field. So, prepare yourself and be part of this challenging yet rewarding career!

Monday, January 13, 2014

Top Physical Therapy Specializations


The top physical therapy specializations include cardiovascular/pulmonary, geriatric, pediatric, orthopedic and sports therapy. These are far from the only physical therapy specializations, but they are probably the most sought-after services in this field. These five specializations are listed in further detail below.

1. Cardiovascular/Pulmonary

Physical therapists that specialize in cardiovascular or pulmonary therapy are concerned with treating diseases and dysfunctions in the cardiovascular and respiratory systems. Patients suffering from CHF, COPD and post operative heart disease often come to physical therapists practicing this specialty to consult about the various exercises and treatments that they can use to increase their health. Physical therapists must complete post graduate work in this specialization before they can practice it.

2. Geriatric

There is a great demand for physical therapy from the elderly population, and this will only continue to increase as the "Baby Boomers" enter their golden years. Conditions such as cancer, COPD, diabetes, heart disease, obesity and other age-related afflictions make the physical therapy needs of the elderly very unique. There are many job opportunities in this field right now in physical therapy practices, nursing homes and assisted living centers.

3. Pediatric

As a physical therapist specializing in pediatric therapy, you would receive additional training on conditions that affect children during your graduate studies. Various conditions of the bones, muscles, organs, skin and brain affect children differently than they do adults, because their bodies are still developing. Treatment plans must not only take the condition into consideration, but the future development of the child as a result.

4. Orthopedic

Physical therapists that specialize in orthopedics are focused on the musculoskeletal system and conditions that affect joint function and muscle balance that can lead to everything from birth defects to overuse and injury to surgery. These specialized physical therapists train in biomechanics and kinesiology during their graduate studies so that they can develop treatment plans and restore their patients back to their natural, harmonious balance.

5. Sports

The sports therapy industry is booming, with more and more athletes pushing their bodies to the limits and newer technologies being developed all the time, to treat injuries and keep athletes on the top of their game. A sports physical therapist might sometimes compete with athletic trainers and sports massage specialists, but their specialized medical training gives them a unique leg up on the competition. Preventing and treating sports injuries in athletes is all in a day's work for a sports physical therapist.

Physical Therapy Assistant Salary Information


Physical therapy has become an important addition to medical treatment over the last few decades. This has been facilitated by development of modern techniques which make therapy more productive and effective than in the early 20th century.

This has metamorphosed into an influential industry as the ageing population of baby boomers increases resulting onto more health demands. CNN Money in 2010 rated the medical profession as the 2nd most popular professions out of 100 and as a physical therapy assistant, you will definitely be joining this prestigious class of professionals. As such, understanding the salary becomes imperative to help you take the next step.

US BLS has reported for several years that health related professions have been the fastest growing and according to IBIS World survey of 2011, the physical therapy industry is set to grow by 5.1% annually from 2007-2017 and this highlights the opportunities that exist for anyone strategizing on joining the broad and highly prospective profession.

If you are like most people intending to join a new career, you might be wondering about a physical therapy assistant salary. There are some pertinent issues that are crucial in not only determining the salary but also the general outlook of the profession.

Assistant Roles

Physical therapy assistants (PTAs) help physical therapists to provide the necessary treatment to patients through rehabilitative activities, procedures and technologies.

The main goal in this kind of treatment is to reduce pain and increase mobility to enable patients to go about their day to day life with minimal or no physical assistance. As a physical therapy assistant, you will be working under supervision of certified therapists to provide massage, paraffin baths, electric stimulation, and traction and ultrasound treatment among other procedures recognized in the industry.

Another critical role will be in observation and recording of a patient's reaction to treatment over time and reporting the same to the therapist for further action. Additionally, you will be expected to provide education to both the family and patient about use of any appliances to help increase mobility and reduce pain. In most situations, you will work patients involved in accidents, those who suffer from neurological conditions such as cerebral palsy and arthritis among others.

An Exegesis on Physical Therapist Assistant Salary

According to the US BLS the annual median pay for a licensed physical therapist assistant is $46,683 but this is a very general way of looking t the profession in terms of pay.

This is because a lot of contingent factors determine the pay and these include training, the workplace, experience and even certification. For starters, most employers require a 2 years Associate Degree focusing on areas such as anatomy, psychology, physiology, CPR and a practical part which is the most essential in giving you hands-on experience.

Job experience is considered the most instrumental factor in determining a physical therapy assistant salary.

However, you should also ensure that any program you enroll to has accreditation from the Commission on Accreditation in Physical Therapy Education (CAPTE) to ensure you get licensed to practice in your state and exams such as the National Physical Therapy Exam (NPTE) and Federation of State Boards of Physical Therapy (FSBPT) are essential in getting professional licensure and thus improving your salary.

If you want better pay, you can also specialize in therapy areas such as geriatric and pediatric care, neuromuscular therapy, and musculoskeletal therapy among other areas. Such kind fields require advancement in education levels to Masters or even Doctorate again improving your value in the market.

Other factors that determine the salary include the kid of facility you work in. There are many private nursing facilities in the country and they pay higher salaries than public facilities, however, you can also opt to work in a clinic and still get better pay depending on the geographical location especially if you are offering services in affluent urban suburbs. At an entry level you will find that outpatient services are the most popular position and the pay is not very high.

Though the industry has immense benefits especially in the attractive physical therapy assistant salary, this should not be the only reason for joining the profession. You must be dexterous, detail oriented, outgoing and approachable and also possess interpersonal skills.

You should also be passionate about health care to succeed. As the BLS has indicated the profession is to grow by 45% from 2010 to 2020, there is no doubt your physical therapy assistant salary will increase and it is no brainer that this is a motivation.

Saturday, January 11, 2014

Autism Sensory Integration - Why Does a Child With Autism Need Physical Therapy?


There are many reasons a child with Autism may need physical therapy. Physical therapy helps develop strength, develop balance, possibly provides sensory integration, and for many children is just plain fun. Physical therapists have well defined goals for the work they do with a child though.

Children with Autism are sometimes tight, sometimes floppy, and sometimes a combination of the two. Most parents see this in their child's trunk or core of their body. It later is evident in their arms and legs but we see it first in their body.

A babies body strengthens from the inside or core to the limbs. It is a similar process for a child with Autism to develop strength in the right areas. It is also a similar pattern to develop flexibility if that is part of the problem

Physical therapists work with large muscles. They can uniquely work with a child with a disability to help develop flexibility or strength. Physical therapists can manipulate your child's body. They also can help parents problem solve situations at home or in other environments parents go with their child.

Some of our children with Autism walk on their tip toes and could work with a physical therapist on this issue. Other children have problems with balance when they walk and somewhere someone will suggest physical therapy. The physical therapist can work with our children on going up and down stairs.

Usually an occupational therapist is the person to go to for help with sensory integration. Occasionally a physical therapist is interested in sensory integration issues and will provide a unique perspective. When looking for this type of therapy for a child with any disability you have to ask for sensory integration specifically. There are some teams that work on sensory integration that include physical therapists.

As parents it is just easier when our child likes to go to therapy. Some children with Autism are sensitive to touch and the therapist will have to work out those issues first. After that our children seem to like it though.

My child would also come out of the session tired. They had worked and played hard. Physical therapists may also give you 'homework' to do with your child between sessions.

Since parents want to see their child use skills over a variety of settings it is always a good idea to at least try the homework. Siblings and grandparents were always a good source of hands to try some of this homework.