Archive for the ‘Physical Therapy’ Category
Tuesday, April 29th, 2008 |
When you have physiotherapy done, you are putting your body in the hands of someone you believe to be a trained professional. Pain and disfigurement could result if the procedures are done wrong. That is why it is a good idea to check a therapist’s physiotherapy credentials.
Physical therapy aides may play a role in physiotherapy. One is not out of line to ask about what kind of physiotherapy credentials such a person has. The standard may simply be a two-year course of study at a Jr. College or a specialty school. Yet, it is important that the clinic is not just hiring anyone who walks in off the street.
While physical therapy aides can help with certain treatment tasks, it is the physiotherapist that assesses the condition of the patient. This person also plans the course of treatment and specific treatments like special exercises.
This physiotherapist is the person to whom the patient will return for progress reports and who will oversee the work of the physical therapy aide. It is very important to ask for the physiotherapy credentials of this professional.
College coursework beyond the bachelor’s degree is required for good physiotherapy credentials. If a physiotherapy candidate meets all the requirements, a master’s degree with advanced training will prepare her for work in the field.
Physiotherapy credentials to look for are: Foreign Credentialing Commission on Physical Therapy (FCCPT), International Education Consultants (IEC), International Consultants of Delaware, Inc. (ICD), International Education Research Foundation (IERF), and International Credentialing Associates, Inc. (ICA). Regardless of whether any of these credentials are required, the CAPTE (Commission on Accreditation for Physical Therapy Education) is the first credential needed.
There are different requirements for physiotherapy credentials in all 50 states. Different physiotherapy credentialing agencies are relied upon in different states. Some require a score of 600 or more on the licensing exam. Some require on-the-job training or professional references from physiotherapists who observe them in training.
Most states also require some ongoing education to keep physiotherapy credentials current. Find out how often the license needs to be renewed in your state. Then, you will know an outdated license when you see one. If you go into a physiotherapist’s office and see an old license, ask if that is the newest one. If your physiotherapist is not able to produce a current license, look elsewhere for your physiotherapy.
To check on these physiotherapy credentials, it is possible to contact the state licensing board of physical therapists. One can find the contact information of any state’s physiotherapy licensing board online. If all else fails, ask the physiotherapist to provide proof of her own training and licensing. It is to her advantage to encourage trust by being open about her physiotherapy credentials.
There is no need to be suspicious or unfriendly about asking for physiotherapy credentials. Chances are your physiotherapist is perfectly qualified to meet all your needs for physical rehabilitation or help with physical problems. It is important to find out about the physiotherapy credentials, but it is just as important not to make an enemy of your physiotherapist.
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Friday, April 25th, 2008 |
Physiotherapy Asthma management is a concern for about 15 million people in America. There are many different medications and other treatments used successfully for asthma management. However, some methods used are not quite proven to work.
Some physiotherapy clinics claim that massage can be used for asthma management. They state that it works to relieve the symptoms of wheezing and breathlessness. They use massage on patients young and old. However, there is no substantial proof that massage does any more good for asthma management than to relieve stress.
One alternative physiotherapy method that has been used for asthma management is acupuncture. There is some indication that this technique can actually have some benefit in relieving symptoms of asthma.
Acupuncture does seem to help the immune system fight off illnesses. This is important in helping asthma management. Illnesses such as colds or flu will exacerbate the asthma condition. If acupuncture can reduce this, it is a great help. Yet, acupuncture is still only recommended to be used along with other treatments. It is not to be used alone.
Some acupuncturists use other methods for asthma management. They might burn herbs over acupuncture points. They might give patients a certain kind of massage, or teach them breathing exercises. There is no known validity in these treatments.
Chiropractors rely on spinal manipulation for asthma management. The reviews of this theory are mixed. One study compared a sham, or fake, type of spinal manipulation that was done on one group of asthma patients. The other group got the real manipulations. There was little, if any, difference between the two groups. This would suggest that chiropractic adjustments are not effective for asthma management.
However, another study was done. Eighty-one children were followed through asthma management at a chiropractic clinic over a period of time. Overall, there were 45% fewer asthma attacks among these children after treatment. 30% were able to significantly reduce their asthma medications. Thus, the jury is still out on the effect of chiropractic medicine on asthma management.
There is a physiotherapy specialty certification for those who wish to work with asthma management. Physiotherapists may take a test to become certified as Certified Asthma Educators, and they help people to deal with their condition. What is more, Medicare and Medicaid pay for their services.
There is also some evidence that asthma management for those who have to be admitted to the hospital should involve physiotherapy. There was a study of respiratory patients who were given range of motion exercises while in the hospital. The average stay was three days less than those without the exercises.
One challenge of traditional physiotherapy for asthma management is that dehydration happens easily. Asthmatics get dehydrated more easily, and it affects them in a worse way. It can even bring on an asthma attack. Any exercise plan must take this into account.
There are ways for physiotherapy to be used for asthma management. Certainly, there are other methods, and research may prove these methods have value. In the meantime, some methods are better saved for alternative methods to be used in addition to medications and proven physiotherapy treatments.
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Friday, April 18th, 2008 |
If you have a musculo-skeletal problem or injury, you might be given a referral to a physiotherapy clinic. If you have gone to one before, you know what to expect. If you are new to this service, you might ask, what is physiotherapy?
Physiotherapy is also known as physical therapy. That answers the question of what is physiotherapy for many people. However, if you have not had any dealings with this form of treatment, you need to know more.
A type of health care, physiotherapy concerns itself with providing physical healing methods for many different kinds of injuries and illnesses. Some of these techniques are done in a hands-on manner, by using massage or manipulation of the musculo-skeletal system. Knowing what is physiotherapy is crucial to getting this kind of help.
Education is a part of what is physiotherapy. A physiotherapist will teach a patient how to care for their injuries. He will teach exercises to do at home so that therapy can continue beyond the walls of the clinic or hospital. He will teach ways to overcome difficulties that cannot be cured.
Another part of what is physiotherapy is rehabilitation. Patients have injuries from sports, car accidents, or assault. These injuries can be treated through physiotherapy. Given the right treatments and an injury that will respond to treatment, much progress can be made. Full functioning may be regained. It may even be possible for them to go back to work rather than being laid up at home.
An answer to what is physiotherapy is what kinds of treatments physiotherapists use. Heat, ice, and ultrasound are used to relieve pain and stiffness. Massage, chiropractic, and other hands-on methods are important. All these methods tend to promote better health, both physical and psychological.
Equipment for helping patients regain their strength and mobility are a part of what is physiotherapy. This equipment may allow a person who is partially paralyzed to get the most exercise possible. This is crucial in maintaining the integrity of their spines and muscles.
What is physiotherapy? It is a carefully planned and executed treatment strategy. It is based upon assessments of the conditions that patients suffer. If all goes well, the patient will return to their original condition. If this is not possible, the goal is for the patient to reach a goal that is the best movement and lack of pain that is possible.
People who are referred to a clinic may ask, what is physiotherapy? However, they will be given quick answers to this question. After an initial evaluation, they will be scheduled for treatments like ultrasound or acupuncture. They will be assigned exercises to do at home. A good physiotherapist will begin treatment right away.
People, who ask what is physiotherapy, often do not consider the preventative side of the field. It is a part of the work of practitioners of physiotherapy to encourage exercises and postures that will help patients avoid physical injuries and conditions requiring their services. An excellent physiotherapist will have fewer return patients, but the flow of people needing physiotherapy continues.
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Sunday, April 13th, 2008 |
Stroke rehabilitation is sometimes an uphill climb. After a stroke, patients can be left with paralysis, especially one-sided paralysis. Pain, as well as sensory deficits, has to be managed. Physiotherapy is a key part of the treatment plan.
Physiotherapists begin stroke rehabilitation very soon after the stroke has occurred, while the patient is still in acute care. The physiotherapist will first do an evaluation to determine what disabilities must be dealt with during stroke rehabilitation.
Some of the possible problems are: lack of strength and endurance, limited range of motion, problems with sensation in the limbs, and troubles walking. Stroke rehabilitation will focus on the problems that the patient displays. A plan for treatment will be devised.
Patients will learn to use limbs that the stroke has made temporarily useless. During stroke rehabilitation, it will be determined whether these limbs will reach their previous potential. If not, the physiotherapist will teach the patients ways to manage without their full use of the limbs.
One problem of stroke rehabilitation is called learned nonuse. This is when stroke patients do everything in their power to avoid using limbs that have been affected by the stroke. If left to their own devices, they will cripple the limb further by letting it atrophy through nonuse.
Physiotherapists use stroke rehabilitation to make sure that patients do indeed work to use their impaired limbs. They can do this in a number of ways. Sometimes it helps for the physiotherapist to tap or stroke the limb they want the patient to use.
If the patient will not easily participate in active range of motion exercises, passive ones can be used where the physiotherapist moves the limb herself. Other times, the patient will try to use the affected limb but will naturally fall back on the limb that is functioning well. In this case, stroke rehabilitation may involve gently restraining the healthy limbs.
It can be a difficult task of stroke rehabilitation to help victims relearn switching from one task to another. This is partly because of problems in the brain. The cues to move the muscles and joints in order to change movements are slow in coming. This is why practice is so important. The more times physiotherapists help a patient with this, the easier it becomes.
Recent studies have revealed that stroke rehabilitation can continue long after the hospital stay. In the past, stroke victims were given a short round of physiotherapy during the time they were in the hospital and for a few weeks shortly afterwards.
New research shows that physiotherapy can promote more advanced stroke rehabilitation if it is continued progressively at home. Patients will learn to walk better. They will gain strength to do daily chores. They will also achieve better posture and more balance, which can prevent falls.
Stroke rehabilitation involves a number of therapies, all designed to restore function to the patient’s affected limbs. Electrical stimulation, hydrotherapy, and games have all been used. Stroke rehabilitation is not complete without the help of physiotherapy services.
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Monday, April 7th, 2008 |
The subject of women’s health encompasses a range of issues that can be treated by physiotherapy. From pregnancy back pain to incontinence problems faced by older women, physiotherapy is there to help.
Bladder incontinence is a problem for 13 million Americans on any given day. Although some men have this problem, it is present in much greater numbers in the area of women’s health.
There are several different kinds of incontinence. Stress incontinence happens when the person coughs or sneezes and urge incontinence means the person has sudden urges to use the restroom, for example. Organ prolapse, such as a tilted uterus, can lead to incontinence, as well as sexual dysfunction. This is another area of women’s health physiotherapy can help.
Physiotherapists who work in the field of women’s health can correct nearly 70% of incontinence problems. The major exercise used is the Kegel. It is a very specialized exercise, and at least half the people who try to do it on their own fail miserably. It takes biofeedback for many to get it right.
Many of the problems of women’s health can be traced to the pelvic floor. The Kegel is the exercise that addresses this part of the anatomy. However, other therapies are used as well. Electrical stimulation is only one of the methods used. Soft tissue manipulation is another treatment that has been tried.
Pelvic pain affects many women’s health. It may come from a variety of sources. It can be due to vulvodynia or abdominal surgeries, for example. One can have pelvic pain after falling, especially if one lands on the tailbone. These conditions often curtail sexual activities and lead to an overall deterioration in women’s psychological health. Physiotherapy offers many treatments to help these problems.
No discussion of how physiotherapy helps with women’s health would be complete without a word about pregnancy. Women who are pregnant know that their bodies go through various changes that can be painful. Low back pain is only one of them.
Physiotherapists can help with this. Gentle exercises can be taught to relieve tension in the back. One is to lie on the floor with the knees up and press the small of the back to the floor. This gives a great feeling of relief. Other exercises strengthen the woman’s back, but few people besides physiotherapists know how far to go with exercising when pregnant. Women’s health is important at this time, and so is the baby’s.
Physiotherapists can also give instructions on what amount of exercise is best for pregnant women. After delivery, physiotherapy is a boon to women’s health. It can help get women back into shape and instruct them in taking care of their new child while preventing back problems. Another area of postpartum women’s health is the treatment of women who have had cesarean sections.
Physiotherapy can help women’s health because there are so many conditions that women suffer. Many of these conditions will respond to physiotherapy. It is only natural that women would turn to a tried and true method for relief.
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Saturday, April 5th, 2008 |
Rheumatoid arthritis is not only a painful and debilitating disease. It is also a risk factor for other diseases such as heart disease and osteoporosis. Research shows that these diseases can be held off by exercise and other lifestyle changes.
For the sufferer of rheumatoid arthritis, life is a constant learning experience. Each time a new movement is done, one finds out if it makes the condition feel worse or better. Rheumatoid arthritis patients may feel fatigue. They will likely have a great amount of pain and stiffness in their joints.
Physiotherapy is one way to combat the effects of rheumatoid arthritis. This will be an ongoing therapy that will require dedication over the rest of the patient’s life. However, it is common that the exercises and other therapies help the rheumatoid arthritis so much that the patient will have incentive to keep doing them.
A physiotherapist understands how all the parts of one’s body work together to create movement. Bones, muscles, joints, ligaments, and tendons: the physiotherapist knows how they all fit to make one walk or stand. With this knowledge, the physiotherapist can devise methods to help one keep moving. This is the most important part of rheumatoid arthritis treatment.
Early in one’s treatment, the plan will take shape. It will include ways to prevent rheumatoid arthritis from disabling one. As time goes by, the focus will shift to a more here and now sort of treatment. Exercises will be geared more towards current problems.
Water exercises can be used for people with rheumatoid arthritis. These exercises allow the person to get much needed strengthening and stretching exercises done. At the same time, there is little or no pressure on the joints or spine. Physiotherapists use water exercises as an important part of the treatment plan.
Strengthening exercises help the muscles provide more support to the joints of people with rheumatoid arthritis. If there is not enough muscle tone, the patient will have more trouble walking or doing other normal movements. The rheumatoid arthritis will dominate the movements instead of the muscles dominating them.
Heat therapy can be used in conjunction with ice therapy for rheumatoid arthritis. A physiotherapist can tell the patient when and how long to leave on heat packs or ice packs. Other heat therapy is done by ultrasound.
People with rheumatoid arthritis can benefit from manual procedures, such as massage. A person with the stiffness that accompanies rheumatoid arthritis can be very limited in how far he can move his joints. Massage improves movement and increases this range dramatically.
One of the most important functions a physiotherapist serves for patients with rheumatoid arthritis is as a motivational coach. The physiotherapist should be trained in the psychology of chronic disorders and pain management. She will be there to encourage you to keep trying, keeping moving, and never giving up.
Physiotherapy is only a part of the treatment for rheumatoid arthritis. Diet and medications are also used, for example. Yet, without physiotherapy, many people who suffer from this disease would be in much worse pain.
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Wednesday, April 2nd, 2008 |
Losing a limb is a devastating blow for anyone. It requires a team of professionals to make the adjustment to life without the limb. A physician, a prosthetist, nurses, and a psychologist are all needed. Add to that list a physiotherapy service, which will help with amputee rehabilitation.
The benefits of physiotherapy for amputee rehabilitation are numerous. For one, amputees will need help in overcoming phantom pains. These are pains where the limb used to be. The sensation really is in the nerve that would lead to that limb if it were still there. Physiotherapy can use its own techniques to treat this pain.
Most amputees will be getting a prosthetic limb. Some feel that it should be enough to learn how to put it on. It is not an automatic thing to get used to a prosthetic limb. Many patients have them for years without ever having normal functioning with them. This is one reason amputee rehabilitation is so important.
Physiotherapy can benefit amputee rehabilitation by gradually getting the patient accustomed to using a prosthetic limb. The physiotherapy plan for this will be based upon the needs and abilities of the patient.
The patient will probably need help during amputee rehabilitation to learn balance all over again. This is especially true is the affected limb is a foot or leg. However, having an arm that is of a different weight than the other may be unbalancing as well. Physiotherapy can help with these problems too.
One thing people going through amputee rehabilitation need to realize is that gait is a good deal of the battle. If one walks correctly, people will not even be able to detect one’s limp, even with a prosthetic leg. This skill can be learned from physiotherapists.
If a patient has waited a long while before seeking physiotherapy after surgery, a problem may arise. Certain muscles may become overdeveloped and others weakened. This happens because, without proper amputee rehabilitation, the patient relies on one set of muscles to the exclusion of others. A proper plan of physiotherapy can address this issue.
People who have lost a limb will need an individualized exercise program. Physiotherapy can provide such a program during amputee rehabilitation. This will take into account the different movements needed by amputees to perform normal exercises.
Manual therapies, such as massage, are a part of amputee rehabilitation with physiotherapy. This can relieve much pain and tension in the muscles that are overworked in getting used to their new situation. Other treatments can be used. Some of them are heat, acupuncture, ultrasound, and electrical stimulation.
There is a need for physiotherapy in amputee rehabilitation that no other discipline can fill. It is a basic kind of help that anyone who has lost a limb can use. Some amputees decline treatment because they do not think it is necessary. Others feel overwhelmed by their loss. If there is a way to convince amputees to get physiotherapy to help them with their rehabilitation, they will find recovery a much smoother path.
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Friday, March 28th, 2008 |
Clinics that specialize in geriatric physiotherapy never run low on work. The elderly have diseases and disorders in greater numbers than any other age group. Their care is difficult, but rewarding.
Geriatric physiotherapy became a specialty of physical therapy study in 1989. Since then, physiotherapists have worked to understand the problems of the aging. There is a long list of problems dealt with in geriatric physiotherapy.
Alzheimer’s, arthritis, balance disorders, cancer, cardiovascular disease, incontinence, joint replacement, pulmonary disease, stroke, and osteoporosis are only a few of the problems covered by geriatric physiotherapy. Physiotherapists have a whole range of therapies for these ailments.
The types of problems faced in geriatric physiotherapy are grouped into three different categories. One category is the problems that happen because the patient simply does not use their limbs or does not exercise. These problems can be addressed by reconditioning through range-of-motion exercises and other exercises.
Another category geriatric physiotherapy deals with is cardiovascular disease, like heart disease and stroke. The physiotherapy professional has an array of tools at her disposal to work with these conditions. Exercise, aqua therapy, electrical stimulation, and more can be used.
The third category is skeletal problems. Geriatric physiotherapy helps people who have these disorders, such as osteoporosis and osteoarthritis. These problems require special attention as osteoporosis makes patients frailer, and osteoarthritis is very painful.
Because falls are such a problem, the osteoporosis therapy is crucial. Along with that, geriatric physiotherapy is responsible for preventing many falls because of work with balance and gait. Some clinics focus entirely on balance issues for the elderly.
Much of the work of geriatric physiotherapy is not aimed at returning patients to their earlier states of health. The most important goals are to be able to function at their best abilities. Doing everyday tasks and living an unconfined life are valuable assets.
At the same time, geriatric physiotherapy can have a profound affect on a person’s ability to enjoy physical activities. Golf is an activity that many seniors enjoy. It can be a very hazardous sport for the elderly if they are not in condition to play. It does have many health benefits, too.
Geriatric physiotherapy can focus on physical training to get an older adult in shape to play sports like golf. This strengthens them in many ways. The fact that it allows them to play golf will make them even healthier, both physically and psychologically. Since depression is a growing problem among the elderly, any help they can get in this area is needed.
Another role of geriatric physiotherapy is to help with rehabilitation after knee or hip replacement surgeries. People who have these operations are likely to walk differently. It affects their abilities to do daily chores, and their quality of life. Physiotherapists can help.
Some people turn to physiotherapy as a means of better functioning. Others are referred to physiotherapy clinics by their doctors for specific problems. Still others end up in geriatric physiotherapy care in hospitals or nursing homes after accidents or illnesses. All of these people can be helped.
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Monday, March 24th, 2008 |
Chronic airways disease is actually a group of diseases. These diseases are also called chronic obstructive pulmonary disease (COPD). Chronic airways disease can cause a major change in the quality of a patient’s life. However, physiotherapy can help.
Diseases included in chronic airways disease are chronic bronchitis and emphysema, for example. Many other diseases that restrict or limit breathing are included. It is most often caused by cigarette smoking, but also can be caused by inhaling other irritants such as those in the workplace. Chronic airways disease is more common among the elderly.
Along with having shortness of breath, the patient is likely to wheeze and cough frequently. He will produce sputum in copious amounts, and sometimes that will be streaked with blood. The lips and fingers can take on a bluish tint because he is not getting enough oxygen, and heart trouble may follow for the same reason.
Physiotherapy can help with chronic airways disease in many ways. One is in breathing retraining. This is just what it sounds like. A physiotherapist works with the patient to teach him ways to breathe that will draw the most air while eliminating the most wheezing. This can be a great help for those with chronic airways disease.
Another method used by physiotherapists for those with chronic airways disease is called clapping and postural drainage. The postural drainage part is done by positioning the body so that the affected lung is above the trachea.
Many people do this at home by lying on a bed and bending the top half of the body over it. The physiotherapist teaches one how to do this so that the lung will drain. Before long, the patient with chronic airways disease will be doing this procedure on his own.
The other part of the help for chronic airways disease patients is called clapping. This is done by cupping the hand and clapping the back to loosen secretions in the chest. It is also called chest percussion. The physiotherapist will do this procedure, and will teach it to a family member or caregiver.
People with chronic airways disease often have a problem with weakening legs. This is because, as they have trouble breathing, they avoid walking or doing physical exercise of any sort. The goal of physiotherapy in this case is to strengthen the legs through treadmill-walking or stationary-cycling. This can only be done, however, if the patient is well enough to start out.
Conditioning the arms of chronic airways disease patients is just as important. Most daily jobs rely heavily on the arms to do the work. Exercises which focus on the arms not only strengthen the muscles of the arms. They also help the patient start breathing better.
Chronic airways disease is a condition that can benefit from physiotherapy. The physiotherapist treating the patient must have specialized knowledge for this type of treatment. Simple methods can be overlooked as modern treatments come to the forefront. Yet, physiotherapy personnel who know this technique can make a big difference in patients’ lives.
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Wednesday, March 19th, 2008 |
It is a sad day when one has to deal with pediatric disorders in the family. Most people believe that children should never suffer from physical problems. Yet, the reality must be faced that pediatric disorders can happen. The good news is that physiotherapy offers some help for them.
Unfortunately, there are numerous pediatric disorders. To name a few, there are: scoliosis, torticollis, Osgood-Schlatter, sports and traumatic injuries, reluctant walkers, developmental disorders, cerebral palsy, and genetic disorders.
Physiotherapy for scoliosis - a curvature of the spine - consists of exercises to strengthen the back. Electrical stimulation is used for this type of pediatric disorders. The stimulation goes directly to the skeletal muscles. Chiropractic is also used in an effort to straighten the spine.
Torticollis is a type of pediatric disorders of the neck. There is a problem with one of the muscles of the neck so that the child is not able to hold his head up straight. The head will be tilted to one side. This chin will jut out on the opposite side of the neck. Physiotherapy can stretch this muscle so that the child can hold his head more normally.
Spinal cord injuries as pediatric disorders are difficult to treat. Children often do not want to do the work that is required to stay ahead of the deterioration that can be caused by this condition. Physiotherapy personnel are challenged to keep the child’s spirits up as they teach them how to exercise with and without special equipment.
Brain injuries, including cerebral palsy and strokes are pediatric disorders that must be managed delicately. The neurological system is often not as sturdy as the skeletal or muscular systems. However, brain injuries also involve these other systems as well.
A new treatment for these pediatric disorders like brain injuries is using hyperbaric oxygen therapy. This type of physiotherapy is based on the idea that, in these conditions, there are often parts of the brain that are not working but can be revived. The HBOT can sometimes revive them.
Pediatric disorders such as sports injuries and traumatic injuries require different types of physiotherapy based upon the location and severity of the injury. If a child has repeatedly sprained the same ankle, therapy will necessarily focus on that ankle, as well as any body part that supports or counterbalances that ankle. Overall strength is important.
Traumatic injuries require a certain amount of psychological training, as the subject of the accident or other ordeal may bring on such distress that the child does not want to work. A good physiotherapist will be able to work with such a child. Traumatic injuries can also be severe enough that the physiotherapist plans a lengthy course of therapy to overcome them. Pediatric disorders like this require patience from everyone involved.
The list of pediatric disorders is long and varied. Not all of them can be helped by physiotherapy at this time. Right now, physiotherapy can be used in many cases to relieve symptoms or even to reverse damage. Physiotherapy performs a valuable function in helping children live more normal lives.
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Thursday, March 13th, 2008 |
Neurological conditions may be very severe. They can be life-threatening at times, and they can certainly affect the quality of the patient’s life. There are many neurological conditions and physiotherapy can help many of them.
Alzheimer’s disease takes away the declining years of many older people. It is surprising to note that it can occur in people 40 years old or younger. ALS or Lou Gehrig’s disease is a disease that robs the brain and spinal cord of the ability to move. Both of these are neurological diseases that can be helped by physiotherapy.
MS, another of the neurological conditions that affects the brain and spinal cord, can lead to a long, slow decline. Parkinson’s disease is another of the neurological conditions of the brain. This one can cause shaking and loss of coordination, and problems moving and walking. Physiotherapy offers some relief to these patients.
Guillain Barre Syndrome is one of the types of neurological conditions that affect the brain and spinal cord too. It is a case of the person’s own immune system attacking outside these areas. It can be severe enough to require emergency hospitalization. Physiotherapy offers help with regaining strength and adapting to life with the disease.
Neurological conditions that are autoimmune diseases are difficult to treat. Myasthenia Gravis is one such illness. It causes muscular weakness because of a lack of communication between nerves and muscles. Like other neurological conditions, it can be very debilitating.
A great amount of physiotherapy is needed to help Myasthenia Gravis patients to live with their neurological conditions. This includes strength training, training in the use of supportive devices, and help with common tasks. One problem physiotherapists face when working with MG patients is that too much exercise will make their condition worse and not better.
Many of the patients with neurological conditions cannot carry on daily functions such as caring for themselves and their homes. It is not uncommon for these people to be unable to work. They may even have trouble walking or getting up and down stairs at all.
Difficulty swallowing or breathing; dizziness, poor balance and falls, and a total lack of endurance plague many of these patients who have neurological conditions. Medications or surgeries can help with some of their problems, but many problems are ones they will have to abide. Physiotherapy can offer solutions that other branches of medicine cannot.
Exercises, as in most physiotherapy, include strengthening and stretching exercises. In whatever way is possible, patients with neurological conditions need to get aerobic exercise. Physiotherapists may be able to make a plan so that this is possible.
Part of this plan for patients with neurological conditions would include balance training and coordination training. With these two skills in place, the patient will have a more advanced ability to do aerobic and other exercises. Aquatic exercise is also used.
Patients with neurological conditions must live with many problems of lack of movement and function. Physiotherapy can help them to overcome some of these problems. It can make their lives easier and more pleasant, besides.
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Saturday, March 8th, 2008 |
Sports injuries and car accidents, among other injuries, can cause spinal cord injury. The range of spinal cord injury is wide. Some of these injuries are fairly minor and will heal well with a limited amount of physical therapy, while others need physical therapy for the rest of their lives.
As always with physical therapy, the first step is evaluation. A plan is formulated that will include therapies specific to the kind of spinal cord injury the patient has. Neck injuries can cause quadriplegia, which requires special treatments.
An important issue in spinal cord injury is the level of the damage. If a physical therapy program is not followed faithfully, the spine will begin to atrophy below the level of the spinal cord injury. The spine will shrink and the whole body below that point will become weaker as time goes by.
It is important that spinal cord injury patients get exercise of some form. They are prone to osteoporosis and heart problems, among other conditions. If there is a total lack of exercise, these risk factors become even more pronounced.
Physical therapy for spinal cord injury involves exercising and stimulating the nerves and muscles below the level of the damage. This will allow patients with spinal cord injury to stay in good physical condition where they can. That way, if a cure becomes available, they will not be too weakened to benefit from it.
Every exercise the physical therapy personnel go through with the spinal cord injury patient should be video-taped. This allows work to go on at home with an example of each exercise. Range-of-motion exercises are done by a caregiver, who moves the limbs so that they will not become set in one position.
For spinal cord injury patients who are not quadriplegics, there is physical therapy using mats. These mats are raised off the floor, and can be operated by a hand crank or a power system. The physiotherapist will give exercises where the patient lies on the side, back, or stomach and works out or sits up and works out.
There are many restorative therapies in physical therapy for spinal cord injury patients. These include electrical stimulation, biofeedback, vibrational therapy, laser therapy and other stimulation activities. Aqua therapy is also a physical therapy method that is conducive to progress in spinal cord injury patients.
With all these therapies, spinal cord injury patients can sometimes restore themselves to earlier functioning. Other times, they can simply keep their bodies from deteriorating as they wait for a cure.
Spinal cord injury research is being conducted constantly. Physical therapy is one of the fields that are being explored. One study is putting spinal cord injury patients in harnesses over treadmills stimulating walking. They are trying to find a way to help people walk again who had given up hope of doing so.
Physical therapy gives hope for spinal cord injury patients. It allows them to have the most normal functioning that they are currently able to have. Perhaps when a cure comes outcomes will be even better. However, physical therapy will probably always be needed for spinal cord injury patients.
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Wednesday, March 5th, 2008 |
The first step in recovering from several painful and incapacitating conditions is a physical therapy assessment. One can sit back and let the physiotherapist do all the work. However, more accurate and positive results will come of the physical therapy assessment if the patient becomes involved.
When you go in to the physical therapy appointment, your doctor should have given the physiotherapist some idea of your condition. The physical therapy assessment will begin when the therapist takes a medical history. This is standard procedure for any type of health related problem. It is wise to be thorough in explaining past problems and conditions that seem to run in the family.
This can have a bearing on your treatment. It might even point to some disease or disorder that no one suspected that you had. A thorough physical therapy assessment could possibly lead to treatment by a physician for an unexpected illness. You might find out that, while physical therapy is bad for very few people, it is not what you need the most.
Then, the therapist will ask questions about your present condition. She will want to know when the pain, stiffness, or other problems started. She will ask you just how much it hurts, having you grade your pain on a scale of one to ten. One means no pain and ten means the worst pain you can imagine. The physical therapy assessment will go on with your hypotheses of what caused it all.
The accuracy of your physical therapy assessment rests on the precision with which you answer these questions. Telling the therapist that the pain is at a level of four when you know it is more like a level of eight will lead her to treat your pain less aggressively. It will be as if you had no physical therapy assessment at all.
However, if you are able to correctly measure your degree of pain, you will help the therapist understand your problem. When the therapist knows when the problem began and has an idea of what caused it, the physical therapy assessment will reflect that information.
Then, the therapist will watch you move. For a person who does not wish to be seen as weak, it may be a challenge to walk and do other movements as the person does them when no one is watching. In other words, a person with a sore and stiff neck may try to move it normally in order not to seem like an invalid.
You will be put through a series of movements that may seem cruel to you. It is a part of a good physical therapy assessment to show all the movements done as best you can do them. If you can barely do them, that tells your physiotherapist a great deal of information.
It is best that the physical therapy assessment covers all these pains and conditions. The way to make the most of a physical therapy assessment is to be as honest and accurate as possible. It is only then that you will get the best care.
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