Effectiveness of Treatments in PT


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Effectiveness of Treatments in PT

  1. 1. Effectiveness of Treatments in Physical Therapy<br />Megan Vogelsong<br />
  2. 2. Active assist exercise<br />Active resistive exercise<br />Ultrasound<br />Transcutaneous electrical nerve stimulation (TENS)<br />Iontophoresis<br />830 Laser<br />Some types of PT Treatments<br />
  3. 3. Help maintain joint flexibility & muscle strength<br />Move limbs through normal or available range of motion<br />Stretches<br />Heal slides<br />Effective, but needs consistency and possibly a longer treatment plan<br />More effective in less severe cases<br />Active Assist Exercise<br />
  4. 4. Active Assist Exercise<br />Heal Slides: <br />-help with range of motion and strength in knee<br />-1to 3 sets, 8 to 12 repetitions, multiple times per week<br />-as strength increases, increase sets and repetitions<br />
  5. 5. Increase strength of muscles & generate greater force<br />Use of weights may be used in treatment<br />Three steps:<br />1. perform a small number of repetitions until patient feels fatigue<br />2. allow sufficient rest between exercise for recovery<br />3. increase resistance as ability to generate force increases<br />Active Resistive Exercise<br />
  6. 6. Active Resistive Exercise Cont.<br />Healthy people also use them to help increase athletic performance<br />Decrease risk factors for osteoporosis<br />Help regain strength<br />Long-term benefits usually uncertain unless keep up with rehabilitation<br />Pulmonary rehabilitation patients maintain benefits<br />
  7. 7. Active Resistive Exercises<br />Treatment gives reasonable improvement to some, especially elderly & is effective to many people, but more so in less severe cases<br />Exercises can help improve osteoarthritis of knees in elderly<br />Negatives:<br /> -Increase in muscle spasms<br /> -Increase in force required through healing tissues such as bones after fractures<br />
  8. 8. Generates high frequency sound waves through a round-headed probe<br />Sound waves travel deep into tissues and create mild heat<br />Heat draws blood into tissues which delivers oxygen and nutrients while removing wastes from cells<br />Reduces pain and inflammation<br />Decrease muscle spasms<br />Accelerate healing<br />Ultrasound<br />
  9. 9. Effectiveness on reducing pain is still questioned<br />Tests conducted and none showed evidence of pain relief<br />May still be effective if used more frequently and over a longer period of time<br />Ultrasound Effectiveness<br />
  10. 10. Ultrasound<br />-gel is used on skin to help move probe and generate heat<br />-different intensities<br />-circular motions and waves produce tingling sensation<br />-usually done for 3-5 minutes<br />
  11. 11. Helps a specific injured area<br />Used for muscle, joint, tendon, or nerve pain, inflammation, and many others<br />Decreases muscle and joint tightness <br />Decreases inflammation<br />Transcutaneous Electrical Nerve Simulation (TENS)<br />
  12. 12. Compared to mechanically administered massages:<br />38% of patients felt a decrease in pain with massage<br />85% of patients saw improvements with stimulation<br />Thus, stimulation is very effective<br />TENS<br />
  13. 13. TENS Treatment<br />Surround affected area with four small electrode pads<br />Pads hooked to device that sends a certain frequency of electrodes back and forth through the affected area<br />
  14. 14. Very similar to TENS, but only uses two patches, one of which containing ion medication<br />Administer medication deeper into tissues (1-3 cm)<br />Safe and cost effective<br />Conditions usually disappear in six or less treatments<br />Used to treat inflammation, localized pain, fungal infections, small ulcers, calcium deposits, trigger points, and plantar warts<br />Iontophoresis<br />
  15. 15. Iontophoresis<br />Cons:<br />Small risk of tissue burns and blistering from high intensities or skin that was not cleaned properly<br />Very Successful Treatment:<br />Only takes about six treatments<br />Can help severe cases<br />Ion medication major plus<br />Different ions for different situations<br />
  16. 16. Iontophoresis<br />
  17. 17. Newer advancement to PT<br />Comparable to ultrasound, but no heat<br />Reduces pain and decreases inflammation<br />Regenerates tissues<br />90% effective rate in patients<br />Thus, very effective treatment<br />Will most likely be used for many more years in the future<br />830 Laser<br />
  18. 18. 830 Laser<br />-sends lights (photons) into injured tissues and stimulates healing while reducing pain instantly<br />-photons stimulate and energize cells to repair and strengthen them at extremely fast rates<br />-treatment does not wear off, but increases the body’s healing abilities<br />
  19. 19. Most effective treatments:<br />Active resistive exercises<br />Stimulation (TENS)<br />Iontophoresis<br />830 Laser<br />Conclusion<br />
  20. 20. -Depends on injury or disability<br />-Depends on individual person<br />-Some treatments may work great for some people while they may not work at all for others<br />-Bright future for physical therapy with continued advancements in technology<br />Conclusion Continued<br />