Aquatic therapy exercises for individuals with arthritis often focus on improving joint mobility, reducing pain, and increasing strength. Some common exercises include water walking or jogging, which can help improve cardiovascular fitness and strengthen the muscles around the joints. Water-based resistance exercises, such as arm curls or leg extensions using water dumbbells, can also help improve muscle strength and flexibility. Additionally, gentle stretching exercises performed in the water can help improve range of motion and reduce stiffness in the joints affected by arthritis.
Aquatic therapy exercises can help improve balance and coordination by providing a supportive and low-impact environment. The buoyancy of the water reduces the impact on joints and allows individuals to perform exercises with greater ease and stability. This can help individuals with balance issues to practice movements and exercises without the fear of falling. The resistance of the water also provides a gentle challenge to the muscles, helping to improve strength and coordination. By regularly practicing aquatic therapy exercises, individuals can enhance their balance and coordination skills, which can translate to improved stability and mobility on land.
In this episode, Erson is joined by Dr. Hannah Cox who recently attended one of his live TMJ Seminars. Upon leaving, she felt prepared to take on the TMJ world! Until that is two days later, she had a patient with high fear avoidance and complaints of open lock TMJ, headaches and neck issues. Luckily, Erson was able to instill her confidence over an online mentoring session and all worked out great over 3 sessions only! Untold Physio Stories is sponsored byHelix Pain Creams - I use Helix Creams in my practice and patients love them! Perfect in combination with joint mobs, IASTM and soft tissue work. Get your sample and start an additional revenue stream for your practice. Click here to get started. https://modmt.com/helixCheck out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.comCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
.jpg)
Posted by on 2023-05-08
Erson follows up with the difficult lumbar lateral shift patient from this episode a few weeks back. As in the past, he's doing much better and this time Erson takes care not to flare him up! Interestingly enough using the Activforce 2 handheld dynamometer reveals some significant hip and trunk rotation strength percentage differences that could be key to better prevention. Untold Physio Stories is sponsored byHelix Pain Creams - I use Helix Creams in my practice and patients love them! Perfect in combination with joint mobs, IASTM and soft tissue work. Get your sample and start an additional revenue stream for your practice. Click here to get started.Check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded IndividualCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practicesKeeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-05-04
Introduction SummaryLow back pain (LBP) is a prevalent and costly health problem that affects a significant portion of the global population. Pain developers (PDs) are individuals who are considered a pre-clinical LBP population at risk of developing clinical LBP, which can exact great social and economic costs. Prolonged standing has been identified as a risk factor for LBP, and it is necessary to investigate the risk factors of standing-induced LBP in PDs comprehensively. By identifying these risk factors, appropriate preventive measures can be planned, which may reduce the incidence of standing-induced LBP and its associated costs.This study1 used a systematic review and meta-analysis approach to investigate the distinctive characteristics and risk factors of standing-induced LBP in PDs. The study aimed to identify statistically significant differences between PDs and non-pain developers (NPDs) in demographics, biomechanical, and psychological outcomes and to determine the pooled effect sizes of these differences. The study’s findings have important implications for preventing and managing standing-induced LBP in PDs and for future research investigating the association of these distinctive characteristics to standing-induced LBP and interventions that may modify them.Characteristics of Pain Developers and Non-Pain DevelopersThe systematic review and meta-analysis identified 52 papers and theses involving 1070 participants (528 PDs and 542 NPDs) that were eligible for inclusion. The studies used a prolonged standing duration greater than 42 minutes to classify adult PDs and NPDs without a history of LBP.Significant differences were found between PDs and NPDs in terms of movement patterns, muscular, postural, psychological, structural, and anthropometric variables. PDs exhibited altered motor control in the anterior hip abduction (AHAbd) test and displayed higher lumbar lordosis in individuals over 25 years old. These factors were found to have a statistically significant association with standing-induced LBP.Muscular differences were also identified between PDs and NPDs. PDs had a higher level of co-activation between gluteus medius and the erector spinae muscles, which can lead to increased lumbar loading and potentially contribute to the development of LBP.In terms of postural characteristics, PDs had less trunk control and increased trunk sway during standing compared to NPDs, which may suggest a lack of postural stability.Psychological characteristics were also found to differ between PDs and NPDs. PDs had higher levels of pain catastrophizing, which is the tendency to magnify the threat value of pain and to feel helpless in the face of it, and is associated with increased pain intensity and disability.Finally, anthropometric and structural differences were found between PDs and NPDs. PDs tended to have higher body mass index (BMI) and shorter stature compared to NPDs, which may result in altered spinal loading during standing.These findings suggest that PDs have distinct biomechanical and psychological characteristics that may predispose them to standing-induced LBP. Altered motor control displayed in AHAbd test and higher lumbar lordosis in individuals over 25 years seem to be probable risk factors for standing-induced LBP. The study’s findings have important implications for preventing and managing standing-induced LBP in PDs and for future research investigating the association of these distinctive characteristics to standing-induced LBP and interventions that may modify them.Risk Factors for Standing-Induced Low Back PainThe systematic review and meta-analysis identified several factors that were found to have a statistically significant association with standing-induced LBP:Lumbar fidgets – Participants with PDs displayed more lumbar fidgets, defined as small voluntary or involuntary movements of the lumbar spine, which are indicative of discomfort or pain. This factor was found to have a significant negative effect size (Hedge’s g − 0.72).Lumbar lordosis in participants over 25 years – Participants with PDs had higher lumbar lordosis, defined as the natural curvature of the lumbar spine, in individuals over 25 years old. This factor was found to have a significant positive effect size (Hedge’s g 2.75).AHAbd test – Participants with PDs displayed altered motor control in the AHAbd test, which measures the ability to control the hip and pelvis while lifting one leg. This factor was found to have a significant positive effect size (WMD 0.7).Gluteus medius co-activation – Participants with PDs had higher levels of co-activation between the gluteus medius and erector spinae muscles. This factor was found to have a significant positive effect size (Hedge’s g 4.24).Pain catastrophizing – Participants with PDs had higher levels of pain catastrophizing, which is associated with increased pain intensity and disability. This factor was found to have a significant positive effect size (WMD 2.85).These risk factors suggest that altered motor control, higher lumbar lordosis, increased gluteus medius co-activation, and pain catastrophizing may predispose individuals to standing-induced LBP. The findings may help identify individuals at risk of developing standing-induced LBP and plan appropriate preventive measures.Future research should investigate the association of the reported distinctive characteristics to standing-induced LBP and whether they are manipulable through various interventions. Such interventions may include physical therapy, posture correction, and mindfulness-based stress reduction, among others. Identifying modifiable risk factors may lead to the development of effective interventions for preventing and managing standing-induced LBP in individuals with pre-clinical LBP.Implications for Future ResearchThe systematic review and meta-analysis identified several distinct characteristics and risk factors for standing-induced LBP in PDs compared to NPDs. However, the study authors note that the identified risk factors do not necessarily prove causality or provide a complete understanding of the mechanisms underlying standing-induced LBP. As such, future research should investigate these factors in greater detail, and identify modifiable risk factors that can be targeted for preventive interventions.The study authors recommend that future research should investigate the following areas:Association with standing-induced LBP – Further research should investigate the association of the identified distinctive characteristics and risk factors to standing-induced LBP. Studies should investigate whether these factors are predictive of standing-induced LBP and whether they are specific to standing-induced LBP or generalizable to other types of LBP.Mechanisms underlying standing-induced LBP – Future research should also investigate the underlying mechanisms of standing-induced LBP, such as the interplay between motor control, muscle activation, and posture. Understanding the mechanisms underlying standing-induced LBP can help identify modifiable risk factors and develop effective interventions.Intervention strategies – Future research should investigate the efficacy of various interventions for preventing and managing standing-induced LBP in individuals with pre-clinical LBP. Such interventions may include physical therapy, posture correction, mindfulness-based stress reduction, and other strategies aimed at reducing risk factors identified in this study.Generalizability of findings – Finally, future research should investigate the generalizability of the study findings to other populations, such as individuals with clinical LBP or those with different occupational or lifestyle factors. This will help to determine the applicability of the findings to a broader population and inform the development of preventive measures for standing-induced LBP.ConclusionIn summary, this systematic review and meta-analysis found that pain developers (PDs) – individuals with a history of low back pain (LBP) – have distinct characteristics compared to non-pain developers (NPDs) when exposed to prolonged standing. These characteristics include altered movement patterns, muscular, postural, psychological, structural, and anthropometric variables. The study also identified several risk factors associated with standing-induced LBP, including lumbar fidgets, higher lumbar lordosis in participants over 25 years, AHAbd test, GMed co-activation, and higher scores on the Pain Catastrophizing Scale.These findings have important implications for preventing and managing standing-induced LBP, particularly in individuals with a history of LBP. The study suggests that altered motor control displayed in the AHAbd test and higher lumbar lordosis in individuals over 25 years old are probable risk factors for standing-induced LBP. Therefore, future interventions may focus on improving motor control and reducing excessive lumbar lordosis. Additionally, the study highlights the importance of addressing psychological factors, such as pain catastrophizing, as a potential risk factor for standing-induced LBP.Overall, the study emphasizes the need for a comprehensive approach to preventing and managing standing-induced LBP, including a focus on biomechanical, psychological, and other factors. Future research should investigate the association of these distinctive characteristics to standing-induced LBP and whether they are manipulable through various interventions. By identifying and addressing these risk factors, it may be possible to reduce the prevalence of LBP and improve the quality of life for individuals with a history of LBP.This study emphasizes the importance of developing appropriate preventive measures for standing-induced low back pain (LBP) in pain developers (PDs). PDs are individuals with a history of LBP and are considered a pre-clinical population at risk of developing clinical LBP, which can lead to significant social and economic costs. The study found that PDs have distinct characteristics compared to non-pain developers (NPDs) when exposed to prolonged standing, which suggests that targeted interventions may be necessary to prevent standing-induced LBP in this population.The development of appropriate preventive measures requires a thorough understanding of the risk factors associated with standing-induced LBP in PDs. This study identified several risk factors, including lumbar fidgets, higher lumbar lordosis in participants over 25 years, AHAbd test, GMed co-activation, and higher scores on the Pain Catastrophizing Scale. These risk factors suggest that interventions targeting motor control, lumbar lordosis, and psychological factors may be effective in preventing standing-induced LBP in PDs.In addition to identifying risk factors, the study highlights the importance of comprehensive interventions that address biomechanical, psychological, and other factors associated with standing-induced LBP. These interventions may include postural education, physical therapy, and cognitive-behavioural therapy. By addressing these factors, it may be possible to reduce the prevalence of LBP and improve the quality of life for individuals with a history of LBP.Overall, the study underscores the importance of developing appropriate preventive measures for standing-induced LBP in PDs. Identifying risk factors and developing targeted interventions may help reduce the burden of LBP in this population and improve their overall health and well-being.Dynamic Disc DesignsDynamic Disc Designs offers dynamic anatomical models that musculoskeletal healthcare workers (chiropractors, medical doctors, physiotherapists, osteopaths) can use to help explain how the spine is impacted when one stands, for example. The models are designed to simulate the spinal movement dynamically, allowing various spinal specialists to better illustrate to patients the impact that standing can have on the spine.Using the dynamic disc model, a healthcare worker can demonstrate how the intervertebral discs are compressed when standing due to the force of gravity on the spine. They can show how the discs lose water content and height throughout the day, resulting in reduced shock absorption and increased pressure on the spinal nerves. This can lead to various symptoms, including low back pain, stiffness, and numbness or tingling in the legs. In this particular research highlighted in this post, a practitioner can explain dynamically what excessive lordosis means and how the facets are approximated in this case. Explore.Want to learn in person? Attend a #manualtherapyparty! Check out our course calendar below!Learn more online - new online discussion group included!Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school. NEW - Online Discussion GroupLive caseswebinarslectureLive Q&Aover 600 videos - hundreds of techniques and more! Check out MMT InsidersKeeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
![[RESEARCH REVIEW] The High Cost of Standing: Uncovering Risk Factors for Low Back Pain](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgXTsCQGpK-PEaVaLh2d-4MDJt3iZYFUMfzgmUKypDoGEjgXskP71pa-s8bMk_XOK-iWRrL8pLt-vIE6tD_i8NbsgluTbBpfCrbP80CWO3oFOoSZauwQ7U375LUV9hsBh7bwaSz6BJiYSFJfEniuRnDbSGa6swxPr0DzfpYmpWkljZ5TeS2P6031Ioh/s16000/Low%20back%20pain.png)
Posted by on 2023-04-27
Using resistance equipment during aquatic therapy exercises can offer several benefits. Resistance equipment, such as water dumbbells or resistance bands, can provide additional resistance to the muscles, helping to increase strength and improve muscle tone. The resistance of the water itself also acts as a form of resistance training, as the muscles have to work harder to move through the water. This can lead to improved muscle strength and endurance. Additionally, resistance equipment can be used to target specific muscle groups, allowing for a more targeted and effective workout.
Yes, there are specific aquatic therapy exercises that can help with post-surgical rehabilitation. These exercises are designed to promote healing, improve range of motion, and rebuild strength after surgery. For example, gentle stretching exercises can help improve flexibility and prevent muscle stiffness. Water-based resistance exercises can be used to gradually rebuild muscle strength without putting excessive strain on the healing tissues. Aquatic therapy exercises can also help reduce pain and swelling, promote circulation, and improve overall functional abilities. It is important to consult with a healthcare professional or physical therapist to determine the most appropriate exercises for post-surgical rehabilitation.
Aquatic therapy exercises can be highly beneficial for individuals with chronic pain conditions. The buoyancy of the water helps to reduce the impact on joints and provides a supportive environment for exercise. This can help alleviate pain and discomfort, allowing individuals to engage in physical activity that may be challenging on land. The resistance of the water also provides a gentle form of resistance training, which can help improve muscle strength and reduce pain associated with chronic conditions. Additionally, the hydrostatic pressure of the water can help reduce swelling and inflammation, providing further pain relief. Regular participation in aquatic therapy exercises can help individuals with chronic pain conditions improve their overall physical function and quality of life.
Aquatic therapy exercises can effectively target the core muscles, which include the muscles of the abdomen, back, and pelvis. Some exercises that can target the core muscles in the water include water planks, where the individual supports their body in a plank position while floating in the water. Another exercise is the water bicycle, where the individual sits on a pool noodle and pedals their legs in a cycling motion. These exercises engage the core muscles to stabilize the body and maintain balance in the water. By regularly incorporating these exercises into a aquatic therapy routine, individuals can strengthen their core muscles and improve their overall stability and posture.
When performing aquatic therapy exercises, there are some precautions and contraindications to consider. Individuals with open wounds, infections, or contagious skin conditions should avoid entering the water to prevent the spread of infection. It is also important to consider the water temperature, as excessively cold or hot water can be uncomfortable or even harmful. Individuals with certain medical conditions, such as uncontrolled high blood pressure or heart problems, should consult with their healthcare provider before participating in aquatic therapy. Additionally, individuals who are not comfortable in water or have a fear of water may not benefit from aquatic therapy exercises. It is important to work with a qualified aquatic therapist or healthcare professional to ensure that the exercises are safe and appropriate for each individual's specific needs and abilities.
Therapists employ various assessment techniques to evaluate and address pelvic floor dysfunction in postpartum women. They may conduct a thorough medical history review, including childbirth details and any existing pelvic floor issues. Physical examinations, such as internal pelvic floor muscle assessments, may be performed to assess muscle tone, strength, and coordination. Additionally, therapists may utilize biofeedback devices to provide real-time feedback on muscle activity. Treatment approaches for pelvic floor dysfunction may include pelvic floor muscle exercises, such as Kegels, to improve muscle strength and coordination. Therapists may also incorporate manual therapy techniques, such as myofascial release or trigger point therapy, to address muscle tension and pain. Education on proper posture, body mechanics, and bladder and bowel habits may also be provided. In some cases, therapists may recommend the use of vaginal weights or electrical stimulation to enhance muscle activation. Overall, therapists tailor their treatment plans to the specific needs of each postpartum woman, aiming to restore optimal pelvic floor function and improve quality of life.
There are several psychological factors that can influence adherence to home exercise programs. One important factor is motivation, which can be influenced by a person's beliefs, values, and goals related to exercise. For example, someone who values their health and has a goal of improving their fitness may be more motivated to stick to a home exercise program. Another factor is self-efficacy, which refers to a person's belief in their ability to successfully complete a task. If someone has low self-efficacy for exercise, they may be less likely to adhere to a home exercise program. Additionally, social support can play a role in adherence. Having encouragement and accountability from friends, family, or a support group can help individuals stay motivated and committed to their home exercise program. Finally, the enjoyment and satisfaction derived from the exercise itself can also impact adherence. If someone finds the exercises enjoyable and rewarding, they are more likely to continue with the program.
Individuals with anterior knee pain, also known as patellofemoral pain syndrome (PFPS), can benefit from specific exercise protocols to alleviate their symptoms. These protocols typically include a combination of strengthening exercises, stretching exercises, and functional exercises. Strengthening exercises focus on the quadriceps muscles, particularly the vastus medialis oblique (VMO), as well as the hip abductor and hip external rotator muscles. Examples of strengthening exercises may include squats, lunges, step-ups, and leg presses. Stretching exercises aim to improve flexibility in the quadriceps, hamstrings, and calf muscles. These may include quadriceps stretches, hamstring stretches, and calf stretches. Functional exercises involve activities that mimic daily movements and help improve overall knee stability and control. Examples of functional exercises may include single-leg squats, step-downs, and balance exercises. It is important for individuals with PFPS to consult with a healthcare professional or a qualified exercise specialist to develop a personalized exercise program that addresses their specific needs and limitations.
Mindfulness-based techniques have been found to be highly beneficial in the treatment of anxiety disorders. These techniques involve bringing one's attention to the present moment and accepting it without judgment. By practicing mindfulness, individuals with anxiety disorders can develop a greater awareness of their thoughts, emotions, and bodily sensations, allowing them to better understand and manage their anxiety. This increased self-awareness can help individuals recognize and challenge negative thought patterns and beliefs that contribute to their anxiety. Additionally, mindfulness-based techniques promote relaxation and stress reduction, which can help alleviate the physical symptoms of anxiety. Research has shown that mindfulness-based interventions, such as mindfulness-based stress reduction (MBSR) and mindfulness-based cognitive therapy (MBCT), can significantly reduce anxiety symptoms and improve overall well-being in individuals with anxiety disorders.
Mindfulness-based stress reduction (MBSR) has been shown to have a positive impact on sleep quality in individuals with insomnia. Research studies have demonstrated that practicing mindfulness techniques, such as meditation and body awareness, can help individuals with insomnia to relax and reduce their levels of stress and anxiety. By focusing on the present moment and cultivating a non-judgmental attitude towards their thoughts and feelings, individuals with insomnia can experience a sense of calmness and tranquility that can promote better sleep. Additionally, MBSR can also enhance self-awareness and self-regulation, allowing individuals to better understand and manage the factors that contribute to their insomnia. Overall, MBSR offers a holistic approach to improving sleep quality in individuals with insomnia by addressing both the psychological and physiological aspects of sleep disturbances.
Acupuncture has been found to be an effective treatment option for managing chronic low back pain. Numerous studies have shown that acupuncture can provide significant pain relief and improve functional outcomes in individuals with this condition. The insertion of thin needles into specific acupuncture points stimulates the release of endorphins, which are natural pain-relieving chemicals in the body. Additionally, acupuncture helps to reduce inflammation, improve blood circulation, and promote relaxation, all of which contribute to the management of chronic low back pain. Furthermore, acupuncture can be used in conjunction with other therapies, such as physical therapy and medication, to enhance the overall effectiveness of treatment. Overall, acupuncture is a valuable and evidence-based approach for managing chronic low back pain.