The lecture provided an overview of the staff, subjects, and assessments for the term. It introduced several topics including ANMC codes and standards, nursing assessment, and Gordon's Functional Health Patterns. It outlined the required skills and competencies for basic life support, vital signs measurement, and medication calculation that must be demonstrated in OSCE evaluations. A timeline was given for tutorials, non-mastery tests, assignments, and examinations on these competencies and subjects throughout the term.
This document discusses treatment options for ACL injuries. It presents different graft options like patellar tendon grafts and rehabilitation exercises like strengthening and range of motion exercises. It also notes that physical therapy is often recommended, and that treatments can help reduce the risk of permanent knee instability from 10% to a lower rate. The document reflects on the student's observation of treatment facilitator Dr. Burt Stevens and their career interests in physical therapy.
The document summarizes a randomized controlled trial that assessed the effectiveness of arm ergometer training for improving spasticity, range of motion, and motor control in patients with sub-acute and chronic stroke. 40 patients were divided into two groups - one that received conventional therapy alone and one that received conventional therapy plus arm ergometer training. The results showed that the group receiving arm ergometer training in addition to conventional therapy had significantly greater reductions in spasticity, as well as greater improvements in range of motion and gross motor function compared to the conventional therapy alone group. The study concluded that conventional therapy combined with arm ergometer treatment was effective for reducing spasticity and improving motor outcomes in sub-acute and chronic stroke
A Thai young man presented with right ankle pain for 2 days following a fall. On examination, he had pain, swelling, and erythema of the right ankle with stepping. X-rays showed a right distal fibular fracture and increased medial clear space, indicating a deltoid ligament injury. The diagnosis was a right distal fibular fracture with deltoid ligament injury. The recommended treatment was open reduction and internal fixation (ORIF) surgery.
Angela C. Stout is a Doctor of Physical Therapy who graduated from Georgia Regents University in 2016 with a GPA of 3.82. She has clinical experience in outpatient orthopedics, acute care, and senior care. Her experience includes treating patients for knee, hip, shoulder, and ankle injuries as well as those recovering from joint replacement surgery. She is skilled in manual therapy, sports rehabilitation, balance disorders, and critical reasoning to determine appropriate treatment plans.
The effectiveness of manipulations to the thoracic spine on functional outcom...jmrobiso
This case report summarizes the treatment of a 58-year-old male patient with left rotator cuff syndrome and shoulder pain. Over the course of 9 physical therapy sessions in 5 weeks, the patient received interventions including exercise and manipulations to the thoracic spine. Outcome measures showed improvements in pain, range of motion, functional status as measured by the QuickDASH scale, and strength. The case report discusses the evidence supporting the use of thoracic manipulations for shoulder impairments and regional interdependence between adjacent joints.
This document discusses evidence for the occupational nature of humans and the relationship between occupation and health. It summarizes several studies that demonstrate benefits of occupation-based interventions compared to other activities. One study found that occupation-based activities led to quicker reaction times and smoother movements compared to rote exercise. Another study linked social and productive activities to increased survival in elderly adults. Additional research identified benefits of knitting for well-being, such as stress relief and socialization. The document advocates that occupational therapy practice should be both evidence-based and philosophically aligned with the occupational nature of humans.
Images are from paid or free image libraries or personal photographs except the following…
Slides 2, 4-13 – World Federation of Occupational Therapists
Slide 14 – Slideolgy, Duarte Design
The lecture provided an overview of the staff, subjects, and assessments for the term. It introduced several topics including ANMC codes and standards, nursing assessment, and Gordon's Functional Health Patterns. It outlined the required skills and competencies for basic life support, vital signs measurement, and medication calculation that must be demonstrated in OSCE evaluations. A timeline was given for tutorials, non-mastery tests, assignments, and examinations on these competencies and subjects throughout the term.
This document discusses treatment options for ACL injuries. It presents different graft options like patellar tendon grafts and rehabilitation exercises like strengthening and range of motion exercises. It also notes that physical therapy is often recommended, and that treatments can help reduce the risk of permanent knee instability from 10% to a lower rate. The document reflects on the student's observation of treatment facilitator Dr. Burt Stevens and their career interests in physical therapy.
The document summarizes a randomized controlled trial that assessed the effectiveness of arm ergometer training for improving spasticity, range of motion, and motor control in patients with sub-acute and chronic stroke. 40 patients were divided into two groups - one that received conventional therapy alone and one that received conventional therapy plus arm ergometer training. The results showed that the group receiving arm ergometer training in addition to conventional therapy had significantly greater reductions in spasticity, as well as greater improvements in range of motion and gross motor function compared to the conventional therapy alone group. The study concluded that conventional therapy combined with arm ergometer treatment was effective for reducing spasticity and improving motor outcomes in sub-acute and chronic stroke
A Thai young man presented with right ankle pain for 2 days following a fall. On examination, he had pain, swelling, and erythema of the right ankle with stepping. X-rays showed a right distal fibular fracture and increased medial clear space, indicating a deltoid ligament injury. The diagnosis was a right distal fibular fracture with deltoid ligament injury. The recommended treatment was open reduction and internal fixation (ORIF) surgery.
Angela C. Stout is a Doctor of Physical Therapy who graduated from Georgia Regents University in 2016 with a GPA of 3.82. She has clinical experience in outpatient orthopedics, acute care, and senior care. Her experience includes treating patients for knee, hip, shoulder, and ankle injuries as well as those recovering from joint replacement surgery. She is skilled in manual therapy, sports rehabilitation, balance disorders, and critical reasoning to determine appropriate treatment plans.
The effectiveness of manipulations to the thoracic spine on functional outcom...jmrobiso
This case report summarizes the treatment of a 58-year-old male patient with left rotator cuff syndrome and shoulder pain. Over the course of 9 physical therapy sessions in 5 weeks, the patient received interventions including exercise and manipulations to the thoracic spine. Outcome measures showed improvements in pain, range of motion, functional status as measured by the QuickDASH scale, and strength. The case report discusses the evidence supporting the use of thoracic manipulations for shoulder impairments and regional interdependence between adjacent joints.
This document discusses evidence for the occupational nature of humans and the relationship between occupation and health. It summarizes several studies that demonstrate benefits of occupation-based interventions compared to other activities. One study found that occupation-based activities led to quicker reaction times and smoother movements compared to rote exercise. Another study linked social and productive activities to increased survival in elderly adults. Additional research identified benefits of knitting for well-being, such as stress relief and socialization. The document advocates that occupational therapy practice should be both evidence-based and philosophically aligned with the occupational nature of humans.
Images are from paid or free image libraries or personal photographs except the following…
Slides 2, 4-13 – World Federation of Occupational Therapists
Slide 14 – Slideolgy, Duarte Design
Group therapies were provided to patients in an acute inpatient rehabilitation unit. These included cooking groups to improve meal preparation skills, chair yoga to increase relaxation and posture, and fine motor coordination groups making crafts. Patients reported benefits from socialization, observing others' recovery, and feeling productive. They enjoyed participating in meaningful activities outside their rooms. Therapies addressed individual abilities and goals. Feedback indicated groups improved mood and quality of life while providing skilled occupational therapy.
A presentation designed to train individuals in the rationale and defense of Medically Necessary Documentation as it pertains to CMS guidelines in an Inpatient Rehabilitation Facility. Designing short and long term goals to improve documentation for defending Medical Necessity under RAC / MAC audits.
Inpatient Rehabilitation Healthcare Design: 2014 Internship Presentation Kate Okrasinski
This document summarizes Kate Okrasinski's internship research on understanding the healthcare design needs of the inpatient rehabilitation environment. Through literature reviews and qualitative interviews, she identified key patient and staff values around privacy, dignity, autonomy, and social interaction. Her research found a need for spatial variety, including private rooms and social spaces, to balance patient needs throughout recovery. She concluded rehabilitation design must consider the diversity of patient experiences and utilize environmental psychology frameworks to prioritize patients and improve their emotional and physical well-being during recovery.
Physical medicine and rehabilitation is a branch of medicine that deals with treating medical conditions affecting the brain, spinal cord, nerves, bones, joints, ligaments, muscles and tendons through rehabilitation programs. Rehabilitation procedures help patients recover from illnesses, diseases, or injuries using treatments like occupational therapy, physical therapy, psychological treatment, vocational rehabilitation, injections, and medications. Physical medicine and rehabilitation treats various conditions and injuries including amputations, spinal cord injuries, arthritis, stroke, brain injuries, back and neck pain, and pinched nerves.
Skilled Nursing Facilities have seen a significant increase in Medicare Part A and Part B Therapy denials. The goal of medical review is to determine whether the services are reasonable and necessary, delivered in the appropriate setting, and coded correctly, based on appropriate documentation. The speaker will begin this seminar by discussing recent national trends in Medical Review, Reasons for increased review and the various Medical Review programs. The speaker will present specific denial trends with examples of denial statements. The presentation will culminate in a review of the keys to responding to a medical record request and appeal tips and strategies.
Occupational therapy focuses on helping patients regain activities of daily living like bathing, dressing, and eating through hands-on assistance and exercises until they can perform tasks independently, as opposed to just treating the injury. It works with patients who have conditions affecting movement and cognition like strokes, fractures, depression, and dementia. While physical and occupational therapy may use similar activities, their focuses are different, with occupational therapy aiming to improve independent living skills rather than just physical abilities.
Differences between inpatient rehabilitation & skilled nursing carejulenemcalister
The document discusses the definitions, criteria, services, and payment systems for inpatient rehabilitation facilities (IRFs) and skilled nursing facilities (SNFs) under Medicare. Both programs require skilled rehabilitation services and focus on restoring function, but IRFs provide a more intensive rehabilitation program requiring 3+ hours of therapy daily. Patient placement is determined by each program's technical requirements, covered diagnoses and RUGs payment groups.
Occupational Therapy (Geriatric) Kawa Model CaseJou Yin Teoh
This occupational therapy case presentation discusses an evaluation of an elderly client who suffered a stroke. The therapist used the Kawa model to understand the client's situation and priorities. Through interviews and assessments, the therapist identified goals for maintaining the client's independence in daily activities. A treatment plan was developed that focused on caregiver education and collaborative goal setting to support the client's well-being and quality of life despite physical limitations. The prognosis was poor due to multiple health complications and environmental constraints outside of the therapist's control.
Under the scrutiny of review, rehabilitation and nursing documentation must support skilled coverage criteria. This presentation covers skilled coverage criteria and documentation by rehabilitation professionals and nursing to support clinically appropriate levels of care.
1. Learn to define skilled coverage criteria.
2. Learn to define key elements of documentation.
3. Learn examples of rehabilitation and nursing documentation to support Medicare coverage criteria.
This document provides an overview of stroke rehabilitation. It discusses the objectives and goals of rehabilitation, which include achieving functional independence, facilitating recovery, and reintegrating the patient back into their home and community. It then covers various aspects of rehabilitation including management in the acute phase, prevention of secondary strokes, and rehabilitation approaches for specific impairments like the upper limb, walking, swallowing, and more. A variety of therapeutic techniques and treatments are described for each impairment.
This document discusses physical rehabilitation for cancer survivors. Physical rehabilitation can help survivors regain independence and adjust to physical changes from cancer or its treatment. It may include exercises to improve strength, mobility and energy levels. Therapists like physical therapists, occupational therapists and speech therapists can help with issues like weakness, balance problems, difficulty with daily tasks or communication. Physical rehabilitation benefits survivors experiencing either temporary or long-term effects and may last throughout someone's cancer survivorship.
A comparison of two occupational therapy modelsJou Yin Teoh
How do occupational therapy clients' lives look like through a clinician's lenses? This presentation aims to compare how clients' lives look like via two different occupational therapy tools - the Kawa Model and the Canadian Model of Occupational Therapy. We discuss the pros and cons and also the possibility of using both models in combination, not very well known but encouraged by renowned occupational therapy theorists and industry leaders.
The document provides information on community-based physiotherapy (CBR), including its origins, evolution, principles, framework, and components. Specifically:
1. CBR originated from the 1978 Alma-Ata declaration advocating primary health care and community initiatives to improve quality of life for people with disabilities. It has since expanded to a multisectoral strategy addressing rehabilitation, opportunities, poverty, and social inclusion.
2. The common CBR framework consists of 5 components - health, education, livelihood, social, and empowerment - with each having 5 elements to address related issues like health promotion, prevention, medical care, rehabilitation, and assistive devices.
3. Key CBR principles include
Rehabilitation is defined as restoring an individual to their fullest physical, mental, social, and economic capacity. It focuses on improving quality of life rather than just maintaining life. Rehabilitation is an interdisciplinary process that begins at the onset of injury or illness and addresses all aspects of a person's needs. The goal is to help individuals adapt to an altered lifestyle and regain independence through a team approach.
Stroke is a medical condition where blood supply to part of the brain is decreased, causing loss of brain function. It is a leading cause of death and disability. There are two main types - ischemic (caused by clots) and hemorrhagic (caused by bleeding). Risk factors include hypertension, heart disease, smoking, diabetes and obesity. Prevention involves controlling risk factors through lifestyle changes and medications. Anyone experiencing symptoms like weakness or numbness on one side of the body should seek immediate medical attention.
Rehabilitation is a procedure designed to help patients recover from illnesses, injuries, accidents or physical damage. There are different types of rehabilitation for various disorders, including cardiac, stroke, mental health, physical, kidney, tobacco, stress, alcohol, drug, spinal cord, neurological, vocational, and traumatic brain injury rehabilitations. The rehabilitation process typically involves initial hospitalization, medical treatment, surgery if needed, bed rest, referral to a rehabilitation center, inpatient rehabilitation treatment, and completion of rehabilitation either through outpatient or residential services. The overall goal is to help patients experience positive changes in their abilities.
There are many types of rehabilitation designed to help patients recover from various disabilities and injuries. Rehabilitation involves ongoing processes and treatment programs to ensure full recovery and prevent issues from reoccurring. The main types discussed are physical, medical, cardiac, drug and alcohol, and vocational rehabilitation. The goal is to help patients become self-sufficient and live improved, independent lives physically, emotionally, and socially.
Occupational therapy aims to restore and enhance an individual's performance through specially selected activities. The goals of OT include promoting recovery, mobilizing assets, preventing hospitalization, and enhancing self-confidence. OT services include independent living skills, crafts, leisure activities, employment preparation, and patient education. OT activities in inpatient units include assertiveness training, crafts like woodworking and weaving, social skills training, and industrial works. OT helps build a healthy ego, express needs and feelings, and strengthen defenses and self-esteem.
The document defines various types of strokes and transient ischemic attacks. It discusses the epidemiology, risk factors, clinical features, investigations, and management of strokes. The main types are ischemic and hemorrhagic strokes. Investigations include brain imaging like CT scan and MRI to identify the type of stroke and underlying causes. Treatment focuses on minimizing brain damage, preventing complications, rehabilitation, and reducing the risk of recurrence.
Focus on Frailty breakout session: Functional Assessment for People Living wi...Health Innovation Wessex
This document discusses functional assessment for people living with frailty. It defines functional assessment as evaluating activities of daily living based on a social history. Hospital admission can negatively impact frailty patients' function, so assessment highlights areas for intervention. Therapists should be involved for complex cases or specific therapy. Assessment benefits include reducing frailty, improving outcomes, and allowing patients to live independently. It reviews tools for assessing gait, balance, and activities of daily living and discusses challenges of assessment in community settings.
The document provides information on performing a differential diagnosis examination for the hip. It discusses evaluating the hip for common conditions like osteoarthritis, fractures, bursitis, labral tears, and referred pain from the low back. Physical examination tests are outlined to help determine the likely cause of hip pain, including assessing range of motion, special tests, and risk factors. The goal is to systematically examine the hip to form an evidence-based diagnosis and guide appropriate treatment.
Laparoscopic vs Open Inguinal Hernia repairAndrew Wright
This document discusses different types of hernia repair techniques including open and laparoscopic approaches. It provides details on various open tissue repair techniques as well as open mesh repairs like Lichtenstein repair. Laparoscopic repairs like TEP and TAPP are discussed along with their advantages of less pain and faster recovery compared to open repairs. However, laparoscopic repairs are noted to be more technically challenging. Several studies comparing open and laparoscopic outcomes are summarized, finding laparoscopic repairs result in less short-term pain and faster recovery but higher recurrence rates, especially among low-volume surgeons. The document emphasizes the importance of not reserving laparoscopic repairs only for more complex cases in order to overcome the learning curve.
Group therapies were provided to patients in an acute inpatient rehabilitation unit. These included cooking groups to improve meal preparation skills, chair yoga to increase relaxation and posture, and fine motor coordination groups making crafts. Patients reported benefits from socialization, observing others' recovery, and feeling productive. They enjoyed participating in meaningful activities outside their rooms. Therapies addressed individual abilities and goals. Feedback indicated groups improved mood and quality of life while providing skilled occupational therapy.
A presentation designed to train individuals in the rationale and defense of Medically Necessary Documentation as it pertains to CMS guidelines in an Inpatient Rehabilitation Facility. Designing short and long term goals to improve documentation for defending Medical Necessity under RAC / MAC audits.
Inpatient Rehabilitation Healthcare Design: 2014 Internship Presentation Kate Okrasinski
This document summarizes Kate Okrasinski's internship research on understanding the healthcare design needs of the inpatient rehabilitation environment. Through literature reviews and qualitative interviews, she identified key patient and staff values around privacy, dignity, autonomy, and social interaction. Her research found a need for spatial variety, including private rooms and social spaces, to balance patient needs throughout recovery. She concluded rehabilitation design must consider the diversity of patient experiences and utilize environmental psychology frameworks to prioritize patients and improve their emotional and physical well-being during recovery.
Physical medicine and rehabilitation is a branch of medicine that deals with treating medical conditions affecting the brain, spinal cord, nerves, bones, joints, ligaments, muscles and tendons through rehabilitation programs. Rehabilitation procedures help patients recover from illnesses, diseases, or injuries using treatments like occupational therapy, physical therapy, psychological treatment, vocational rehabilitation, injections, and medications. Physical medicine and rehabilitation treats various conditions and injuries including amputations, spinal cord injuries, arthritis, stroke, brain injuries, back and neck pain, and pinched nerves.
Skilled Nursing Facilities have seen a significant increase in Medicare Part A and Part B Therapy denials. The goal of medical review is to determine whether the services are reasonable and necessary, delivered in the appropriate setting, and coded correctly, based on appropriate documentation. The speaker will begin this seminar by discussing recent national trends in Medical Review, Reasons for increased review and the various Medical Review programs. The speaker will present specific denial trends with examples of denial statements. The presentation will culminate in a review of the keys to responding to a medical record request and appeal tips and strategies.
Occupational therapy focuses on helping patients regain activities of daily living like bathing, dressing, and eating through hands-on assistance and exercises until they can perform tasks independently, as opposed to just treating the injury. It works with patients who have conditions affecting movement and cognition like strokes, fractures, depression, and dementia. While physical and occupational therapy may use similar activities, their focuses are different, with occupational therapy aiming to improve independent living skills rather than just physical abilities.
Differences between inpatient rehabilitation & skilled nursing carejulenemcalister
The document discusses the definitions, criteria, services, and payment systems for inpatient rehabilitation facilities (IRFs) and skilled nursing facilities (SNFs) under Medicare. Both programs require skilled rehabilitation services and focus on restoring function, but IRFs provide a more intensive rehabilitation program requiring 3+ hours of therapy daily. Patient placement is determined by each program's technical requirements, covered diagnoses and RUGs payment groups.
Occupational Therapy (Geriatric) Kawa Model CaseJou Yin Teoh
This occupational therapy case presentation discusses an evaluation of an elderly client who suffered a stroke. The therapist used the Kawa model to understand the client's situation and priorities. Through interviews and assessments, the therapist identified goals for maintaining the client's independence in daily activities. A treatment plan was developed that focused on caregiver education and collaborative goal setting to support the client's well-being and quality of life despite physical limitations. The prognosis was poor due to multiple health complications and environmental constraints outside of the therapist's control.
Under the scrutiny of review, rehabilitation and nursing documentation must support skilled coverage criteria. This presentation covers skilled coverage criteria and documentation by rehabilitation professionals and nursing to support clinically appropriate levels of care.
1. Learn to define skilled coverage criteria.
2. Learn to define key elements of documentation.
3. Learn examples of rehabilitation and nursing documentation to support Medicare coverage criteria.
This document provides an overview of stroke rehabilitation. It discusses the objectives and goals of rehabilitation, which include achieving functional independence, facilitating recovery, and reintegrating the patient back into their home and community. It then covers various aspects of rehabilitation including management in the acute phase, prevention of secondary strokes, and rehabilitation approaches for specific impairments like the upper limb, walking, swallowing, and more. A variety of therapeutic techniques and treatments are described for each impairment.
This document discusses physical rehabilitation for cancer survivors. Physical rehabilitation can help survivors regain independence and adjust to physical changes from cancer or its treatment. It may include exercises to improve strength, mobility and energy levels. Therapists like physical therapists, occupational therapists and speech therapists can help with issues like weakness, balance problems, difficulty with daily tasks or communication. Physical rehabilitation benefits survivors experiencing either temporary or long-term effects and may last throughout someone's cancer survivorship.
A comparison of two occupational therapy modelsJou Yin Teoh
How do occupational therapy clients' lives look like through a clinician's lenses? This presentation aims to compare how clients' lives look like via two different occupational therapy tools - the Kawa Model and the Canadian Model of Occupational Therapy. We discuss the pros and cons and also the possibility of using both models in combination, not very well known but encouraged by renowned occupational therapy theorists and industry leaders.
The document provides information on community-based physiotherapy (CBR), including its origins, evolution, principles, framework, and components. Specifically:
1. CBR originated from the 1978 Alma-Ata declaration advocating primary health care and community initiatives to improve quality of life for people with disabilities. It has since expanded to a multisectoral strategy addressing rehabilitation, opportunities, poverty, and social inclusion.
2. The common CBR framework consists of 5 components - health, education, livelihood, social, and empowerment - with each having 5 elements to address related issues like health promotion, prevention, medical care, rehabilitation, and assistive devices.
3. Key CBR principles include
Rehabilitation is defined as restoring an individual to their fullest physical, mental, social, and economic capacity. It focuses on improving quality of life rather than just maintaining life. Rehabilitation is an interdisciplinary process that begins at the onset of injury or illness and addresses all aspects of a person's needs. The goal is to help individuals adapt to an altered lifestyle and regain independence through a team approach.
Stroke is a medical condition where blood supply to part of the brain is decreased, causing loss of brain function. It is a leading cause of death and disability. There are two main types - ischemic (caused by clots) and hemorrhagic (caused by bleeding). Risk factors include hypertension, heart disease, smoking, diabetes and obesity. Prevention involves controlling risk factors through lifestyle changes and medications. Anyone experiencing symptoms like weakness or numbness on one side of the body should seek immediate medical attention.
Rehabilitation is a procedure designed to help patients recover from illnesses, injuries, accidents or physical damage. There are different types of rehabilitation for various disorders, including cardiac, stroke, mental health, physical, kidney, tobacco, stress, alcohol, drug, spinal cord, neurological, vocational, and traumatic brain injury rehabilitations. The rehabilitation process typically involves initial hospitalization, medical treatment, surgery if needed, bed rest, referral to a rehabilitation center, inpatient rehabilitation treatment, and completion of rehabilitation either through outpatient or residential services. The overall goal is to help patients experience positive changes in their abilities.
There are many types of rehabilitation designed to help patients recover from various disabilities and injuries. Rehabilitation involves ongoing processes and treatment programs to ensure full recovery and prevent issues from reoccurring. The main types discussed are physical, medical, cardiac, drug and alcohol, and vocational rehabilitation. The goal is to help patients become self-sufficient and live improved, independent lives physically, emotionally, and socially.
Occupational therapy aims to restore and enhance an individual's performance through specially selected activities. The goals of OT include promoting recovery, mobilizing assets, preventing hospitalization, and enhancing self-confidence. OT services include independent living skills, crafts, leisure activities, employment preparation, and patient education. OT activities in inpatient units include assertiveness training, crafts like woodworking and weaving, social skills training, and industrial works. OT helps build a healthy ego, express needs and feelings, and strengthen defenses and self-esteem.
The document defines various types of strokes and transient ischemic attacks. It discusses the epidemiology, risk factors, clinical features, investigations, and management of strokes. The main types are ischemic and hemorrhagic strokes. Investigations include brain imaging like CT scan and MRI to identify the type of stroke and underlying causes. Treatment focuses on minimizing brain damage, preventing complications, rehabilitation, and reducing the risk of recurrence.
Focus on Frailty breakout session: Functional Assessment for People Living wi...Health Innovation Wessex
This document discusses functional assessment for people living with frailty. It defines functional assessment as evaluating activities of daily living based on a social history. Hospital admission can negatively impact frailty patients' function, so assessment highlights areas for intervention. Therapists should be involved for complex cases or specific therapy. Assessment benefits include reducing frailty, improving outcomes, and allowing patients to live independently. It reviews tools for assessing gait, balance, and activities of daily living and discusses challenges of assessment in community settings.
The document provides information on performing a differential diagnosis examination for the hip. It discusses evaluating the hip for common conditions like osteoarthritis, fractures, bursitis, labral tears, and referred pain from the low back. Physical examination tests are outlined to help determine the likely cause of hip pain, including assessing range of motion, special tests, and risk factors. The goal is to systematically examine the hip to form an evidence-based diagnosis and guide appropriate treatment.
Laparoscopic vs Open Inguinal Hernia repairAndrew Wright
This document discusses different types of hernia repair techniques including open and laparoscopic approaches. It provides details on various open tissue repair techniques as well as open mesh repairs like Lichtenstein repair. Laparoscopic repairs like TEP and TAPP are discussed along with their advantages of less pain and faster recovery compared to open repairs. However, laparoscopic repairs are noted to be more technically challenging. Several studies comparing open and laparoscopic outcomes are summarized, finding laparoscopic repairs result in less short-term pain and faster recovery but higher recurrence rates, especially among low-volume surgeons. The document emphasizes the importance of not reserving laparoscopic repairs only for more complex cases in order to overcome the learning curve.
Principles of rehabilitation of orthopedic patientsMD Specialclass
The document discusses rehabilitation medicine and the rehabilitation process. It defines key terms like impairment, disability, and handicap. It also outlines the components of rehabilitation including medical, social, and vocational aspects. The rehabilitation team is described which is led by a physiatrist and includes other professionals like physical therapists and occupational therapists. The principles and stages of rehabilitation for orthopedic patients are explained.
1) The patient is a 60-year-old Thai male who presented to the hospital with left hip pain after being hit by a motorcycle 14 hours prior.
2) Physical examination revealed localized tenderness and limited range of motion of the left hip. X-rays showed a closed fracture of the left intertrochanteric region.
3) Intertrochanteric fractures occur between the greater and lesser trochanters. Surgical treatment with an intramedullary hip screw is usually recommended for unstable patterns to stabilize the fracture.
Here are some key references that could be used to support the evaluation, examination, interventions, and outcomes discussed in this case:
- Goniometry measurement techniques
- Manual muscle testing procedures
- Fundamentals of orthopedic management for musculoskeletal conditions
- Principles of therapeutic exercise and rehabilitation
- Modalities like interferential current, aquatic therapy, etc.
- Studies on the effectiveness of different treatment approaches
- Resources on specific techniques like myofascial release, dry needling, lumbar stabilization exercises
- Articles on back safety, ergonomics, body mechanics
Let me know if you need any of the full references included. I selected sources that would be relevant to further examining and treating this particular low back
This document summarizes evidence on the use of manual therapy and manipulation in the treatment of shoulder impingement syndrome (SIS). Several randomized controlled trials have found that combining manual therapy/manipulation with exercise therapy leads to better outcomes in pain, strength, and function compared to exercise therapy alone. While more research is still needed, the existing evidence supports the use of manipulation as a component of comprehensive treatment for SIS. Manipulation appears to be a safe intervention when applied properly to appropriate patients by a skilled provider.
“Trauma” = Injury of one or more systems,that results in excessive bleeding and mayaffect the normal body functioning.
Defined as cellular disruption caused by anexchange with environmental energy that isbeyond the body's resilience.
Lindsay Burton completed a 180-hour internship at Excel Rehab and Sports Physical Therapy. Excel has three locations serving different populations. As an intern, Lindsay observed treatments, interacted with patients, assisted therapists, and learned evaluation and treatment techniques. She observed conditions like compartment syndrome and dry needling. The internship confirmed Lindsay's interest in physical therapy and provided valuable experience in patient care and clinic operations.
This document discusses the benefits of exercise for individuals with multiple sclerosis (MS). It outlines how exercise can improve strength, balance, gait, independence with activities of daily living, and reduce fall risk. It provides guidelines for safe exercise for those with MS, including precautions for those sensitive to heat. Specific exercises are recommended targeting areas like squats, calf raises, and step-ups to address mobility and fall prevention. Nutrition, flexibility, and different exercise methodologies like yoga, Pilates, and aquatic therapy are also discussed.
The document discusses mechanisms of therapeutic exercise progression based on scientific evidence from cellular physiology research. It identifies three components of recovery-centered training: mechanical, neuro-musculoskeletal, and cardiovascular systems. Optimal therapeutic exercise requires applying principles of mechanical loading strategies and tissue-specific progressions based on symptomatic, mechanical, and functional responses to achieve desired cellular and tissue adaptations.
This document provides an overview of spinal cord injuries through presenting a case study of a 50-year old male patient admitted with a C5-C6 spinal cord compression from a motor vehicle accident. It discusses the objectives, significance, patient history, assessment findings, diagnostic tests, surgical and pharmacological management, nursing care plan, teaching, and research related to spinal cord injuries. Key points include defining a spinal cord injury as any non-disease related trauma to the spinal cord, describing varying symptoms depending on the level of injury, discussing surgical procedures like laminectomy to treat compressions, and outlining nursing priorities like positioning, respiratory assessments, and family education.
Presented an in-service on the evidence behind and the application of thoracic spine manipulation to the Martinsburg VA Medical Center's rehabilitation staff including: 7 PTs, 8 PTAs, 3 OTs, and 4 students.
In 3 sentences:
Physical therapists Gretchen Leff and Lauren Jarmusz presented on the physical therapy approach to spine care. They discussed using a movement systems framework to assess for impairments in mobility, motor control, and functional movement patterns. Treatment focuses on addressing impairments through local mobility interventions to improve neural, joint and soft tissue mobility, followed by global stability training to develop proper muscle activation, coordination and application to functional skills.
The document discusses the importance of work for health and well-being. It notes that prolonged absence from work can be detrimental, so physicians should encourage returning to work as soon as it is safely possible. The document also acknowledges that determining specific work capacities can be difficult and inexact, as capacities depend on risk, tolerance and other individual factors.
Acute care involves providing emergency and short-term medical services for acute issues rather than long-term or chronic conditions. About 8.6% of physical therapist assistants work in acute care hospital settings, where the median annual salary is $49,000. Common diagnoses seen in acute care include joint replacements of the knee and hip as well as cardiac disorders and stroke. Stroke rehabilitation in acute care begins after stabilization and focuses initially on promoting independent movement before progressing to activities like standing, walking, and transfers.
This presentation provides an overview of the 2016 NICE guidance for low back pain and sciatica. It pays particular attention to pragmatic issues surrounding the current call for evidence based medicine and the disconnect between patients wishes and the clinicians expertise and experience. This was presented at an evening seminar for London Sports Orthopaedic Consultant group for Musculoskeletal Physiotherapists.
Stroke is the third leading cause of death in the US and the leading cause of severe disability. Rehabilitation after a stroke aims to prevent complications, maximize functional independence, and facilitate a return to normal life roles and community integration. Post-stroke rehabilitation includes physiotherapy, medication management, and psychological support. The goals are to address impairments, prevent issues like contractures, and train new skills to manage daily living. A variety of rehabilitation techniques and technologies are used depending on individual needs and impairments. Outcomes vary based on neurological deficits and rehabilitation received, though many patients achieve significant functional gains.
The document discusses statistics related to strokes in Tennessee and the benefits of outpatient rehabilitation and exercise programs. It notes that Tennessee has high rates of obesity, diabetes, and hypertension, which increases healthcare costs and risk of strokes. Outpatient rehabilitation can improve functional ability, independence, and quality of life through physical, occupational and speech therapy. Regular exercise provides additional benefits like improved strength, balance, and reduced risk of falls and disease. Proper assessment and individualized programs are important for safety and achieving results.
This document provides an overview of spinal cord injuries, including causes, prognosis, types of paralysis, assessment scales, and the roles of healthcare professionals. It discusses topics like complete vs. incomplete injuries, spinal shock, specific syndromes (central cord, Brown-Sequard), levels of injuries from C1-S5, pre-hospital care, and the kinesiologist's role in areas like evaluation, treatment planning, equipment, and consulting other specialists.
Similar to Ot the forgotten therapy discipline (20)
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
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These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
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Histololgy of Female Reproductive System.pptxAyeshaZaid1
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