Functional Electrical Stimulation (FES) cycling works by using electrical currents to stimulate the muscles in the legs of individuals with spinal cord injuries. Electrodes are placed on the skin over the targeted muscles, and when the electrical current is applied, it causes the muscles to contract and relax, mimicking the natural cycling motion. This stimulation helps individuals with limited or no voluntary muscle control to pedal a stationary bike and engage in a cycling exercise.
FES cycling offers several benefits for individuals with spinal cord injuries. Firstly, it helps improve cardiovascular fitness by providing a form of aerobic exercise. This can lead to increased endurance and overall physical fitness. Additionally, FES cycling can help prevent muscle atrophy and maintain muscle mass in the legs, which is crucial for individuals with limited mobility. It also promotes blood circulation and can improve bone density. Furthermore, FES cycling can have psychological benefits, such as boosting mood and improving overall well-being.
We're joined by Dr. Adrian Miranda of Gross Anatomy Web Series on youtube. He tells his origin story of expectation of high school graduate, to earning his doctorate, teaching residency, and eventually forming a PT based entertainment company! Be sure to check out Gross Anatomy on youtube! Untold Physio Stories is sponsored byThe Eclectic Approach Network - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check 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
Posted by on 2023-08-22
Erson chats with Dr. Sean Wells, author, nutrition specialist, speaker, and Modern Rehab Mastery mentor. Recently, Sean gave a talk on wholistic treatment for orthopaedic conditions in the older population. After being asked about collagen supplementation repeatedly, his biases were challenged.Dr Well's site can be found here - Nutritional Physical Therapy Untold Physio Stories is sponsored byThe Eclectic Approach Network - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check 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
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Posted by on 2023-08-08
In this episode, Erson goes over a telehealth series of visits with another PT. What started out as a traditional lumbar radicular or neuropathy complaint rapidly turned to trying a LOT of different and non traditional treatments. Are you aware that over breathing/hyperventilation can affect many different systems in the body? Listen to this podcast to find out more. Untold Physio Stories is sponsored byThe Eclectic Approach Network - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check 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
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Posted by on 2023-08-02
Back pain is a common ailment that many of us have experienced at some point in our lives. One specific type of back pain, known as discogenic low back pain (LBP), is characterized by pain originating from the intervertebral discs (IVDs) in the spine. Despite extensive research, the exact causes of discogenic LBP have remained elusive. However, a recent study conducted by Seiji Ohtori and his colleagues sheds new light on the underlying mechanisms of this condition.Animal Models and Discogenic LBP:Through the use of animal models, researchers have made significant discoveries regarding discogenic LBP. They have found that sensory nerves grow into the inner layer of the lumbar IVDs, and this nerve ingrowth is induced by certain inflammatory substances called cytokines. These cytokines, such as tumor necrosis factor-α and interleukins, stimulate the ingrowth of sensory nerves into the discs. Moreover, nerve growth factor has been identified as a key player in inducing this nerve ingrowth. Animal models have also revealed that disc degeneration triggers the production of collagenases, enzymes that break down collagen, leading to hypermobility and pain. Sinuvertebral NervesUnveiling Human Discogenic LBPFurther insights into the mechanisms of discogenic LBP have been gleaned from the examination of degenerated human IVD specimens. These specimens have revealed sensory innervation and nerve ingrowth, similar to what has been observed in animal models. The presence of cytokines in human discs suggests a shared mechanism with animal models. This indicates that the findings from animal studies can be applied to human patients as well. In addition to sensory innervation and cytokine involvement, sensitization of sensory nerve fibers innervating the IVDs is a crucial factor in discogenic LBP. When these nerve fibers become sensitized, they become more responsive to pain stimuli, leading to heightened pain perception.Psychosocial factors also play a role in the perception and experience of pain associated with discogenic LBP. Factors such as stress, anxiety, depression, and social support can influence an individual’s pain experience. Understanding the interplay between these psychosocial factors and the physiological aspects of discogenic LBP is important in developing comprehensive treatment approaches.Tackling Discogenic LBP: Treatment ApproachesUnderstanding the underlying pathomechanisms of discogenic LBP opens up avenues for potential treatment strategies. To effectively manage this condition, it is crucial to prevent sensitization of sensory nerve fibers within the IVDs. This can be achieved through targeted interventions that aim to suppress the pathogenic increases of cytokines. By reducing the levels of pro-inflammatory cytokines, such as tumor necrosis factor-α and interleukins, the ingrowth of sensory nerves into the discs can be controlled, thereby reducing pain.In addition to cytokine regulation, addressing disc hypermobility is an essential aspect of treating discogenic LBP. Hypermobile discs can magnify pain and further damage the disc structure. Treatment options such as physical therapy and specific exercises can help stabilize the spine, reduce hypermobility, and alleviate pain. Other interventions, such as spinal manipulative therapy and epidural steroid injections, may also be considered in certain cases to manage pain and promote healing.Conclusion:Discogenic low back pain is a complex condition with multiple underlying mechanisms. The research conducted by Seiji Ohtori and his colleagues has provided valuable insights into the pathomechanisms of this condition, highlighting the role of sensory nerve ingrowth, cytokines, and disc hypermobility. By understanding these mechanisms, health professionals can develop more targeted treatment approaches to help patients suffering from discogenic LBP.One innovative product that aids in the understanding and communication of discogenic LBP is the Professional LxH Dynamic Disc Model by Dynamic Disc Designs. This model accurately represents the structure and function of the intervertebral discs, allowing health professionals to visually demonstrate the impact of disc degeneration, nerve ingrowth, and hypermobility to their patients. By using this model during patient consultations, health professionals can help individuals better comprehend the nature of their condition and the rationale behind the recommended treatment approaches.Check out MMT's Exclusive Blue Nucleus model!Via Dr. Jerome Fryer - Dynamic Disc Designs 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 Group Live cases webinars lecture Live Q&A over 600 videos - hundreds of techniques and more! Check out MMT Insiders Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-07-31
Andrew is back talking about a colleague's recent case. This is a new grad, only practicing for 5 weeks or so, but kudos to his differential diagnosis skills and applying the Wells Criteria for Pulmonary Embolism. If you're not familiar with it, its something you should keep in the back of your mind, especially with post op patients, those who have been recently immobilized, or with history of Cancer or PE. Untold Physio Stories is sponsored byThe Eclectic Approach Network - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check 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
Posted by on 2023-07-26
Yes, FES cycling can help improve muscle strength and endurance. The electrical stimulation provided during FES cycling activates the muscles, causing them to contract and relax. This repetitive muscle activation helps strengthen the muscles over time. Additionally, FES cycling provides a form of resistance training, as the individual is required to pedal against the resistance of the stationary bike. This resistance can further contribute to muscle strength development. Regular FES cycling sessions can lead to increased muscle strength and endurance in individuals with spinal cord injuries.
While FES cycling is generally considered safe, there are potential risks and side effects associated with its use. Some individuals may experience skin irritation or discomfort at the electrode sites. It is important to ensure that the electrodes are properly placed and that the skin is clean and dry before applying them. Additionally, individuals with certain medical conditions, such as epilepsy or pacemakers, may need to avoid FES cycling or consult with their healthcare provider before starting the therapy. It is crucial to follow the guidelines and instructions provided by healthcare professionals to minimize any potential risks or side effects.
The duration of a typical FES cycling session can vary depending on the individual's condition and goals. Generally, a session can last anywhere from 20 to 60 minutes. The frequency of sessions may also vary, with some individuals undergoing FES cycling multiple times per week. The duration and frequency of FES cycling sessions are typically determined by healthcare professionals based on the individual's specific needs and capabilities.
FES cycling can be suitable for individuals with other neurological conditions, such as stroke or multiple sclerosis. Similar to individuals with spinal cord injuries, those with other neurological conditions may experience muscle weakness or paralysis in their lower limbs. FES cycling can help stimulate the muscles and provide a means of exercise for these individuals. However, it is important to consult with a healthcare professional to determine the suitability and safety of FES cycling for individuals with specific neurological conditions.
When using FES cycling equipment, there are specific guidelines and precautions to follow. It is important to ensure that the equipment is properly set up and calibrated to deliver the appropriate level of electrical stimulation. The electrodes should be placed correctly on the skin, following the instructions provided by healthcare professionals. It is also important to start with a low intensity level and gradually increase it to a comfortable and effective level. Regular monitoring of the skin for any signs of irritation or discomfort is essential. Additionally, individuals should be aware of any contraindications or precautions specific to their medical condition and consult with their healthcare provider if they have any concerns or questions.
Hydrotherapy, also known as aquatic therapy, offers several specific benefits for patients with spinal cord injuries. Firstly, the buoyancy provided by the water reduces the weight-bearing load on the spine, allowing individuals with limited mobility to move more freely and perform exercises that may be challenging on land. This can help improve muscle strength, flexibility, and range of motion. Additionally, the hydrostatic pressure exerted by the water can enhance circulation and reduce swelling, promoting healing and reducing pain. The warm water used in hydrotherapy also helps to relax muscles and alleviate muscle spasms, which are common in individuals with spinal cord injuries. Moreover, the water's resistance provides a gentle yet effective form of resistance training, helping to build muscle strength without putting excessive strain on the joints. Overall, hydrotherapy can play a crucial role in the rehabilitation process for patients with spinal cord injuries, facilitating physical improvements and enhancing their overall well-being.
Aquatic therapy has shown promising results in improving social interaction and communication skills in children with autism. Research studies have indicated that engaging in water-based activities can enhance social engagement, promote sensory integration, and facilitate communication in children with autism spectrum disorder (ASD). The buoyancy and resistance provided by water create a unique sensory environment that can help children with ASD feel more comfortable and confident in social interactions. Additionally, the rhythmic movements and sensory stimulation experienced during aquatic therapy can improve body awareness, coordination, and motor skills, which are essential for effective communication. The therapeutic nature of aquatic therapy, combined with the use of specialized techniques and interventions, can significantly contribute to the development of social and communication skills in children with autism.
Virtual reality has shown great potential in stroke rehabilitation, offering a range of benefits that can enhance the recovery process. Firstly, the immersive nature of virtual reality allows stroke patients to engage in realistic and interactive environments, promoting active participation and motivation during therapy sessions. This can lead to increased adherence to rehabilitation programs and ultimately better outcomes. Additionally, virtual reality can provide a safe and controlled environment for practicing various motor skills, such as reaching, grasping, and walking, allowing patients to gradually regain their functional abilities. The use of virtual reality can also provide real-time feedback and performance monitoring, enabling therapists to track progress and tailor interventions accordingly. Moreover, virtual reality can offer a personalized and customizable approach to rehabilitation, adapting to the specific needs and abilities of each individual. Overall, the integration of virtual reality in stroke rehabilitation has the potential to revolutionize traditional therapy methods and improve the overall quality of care for stroke survivors.
Neurodevelopmental treatment (NDT) is a therapeutic approach that aims to promote motor recovery in stroke patients by focusing on the retraining of movement patterns and facilitating the development of new neural pathways. This treatment method utilizes a combination of hands-on techniques, exercises, and functional activities to improve motor control, coordination, and balance. By incorporating principles of motor learning and neuroplasticity, NDT aims to optimize the brain's ability to reorganize and adapt following a stroke. Through the use of specific therapeutic techniques such as facilitation, inhibition, and guided movement, NDT helps stroke patients regain functional movement and improve their overall quality of life. Additionally, NDT emphasizes the importance of task-specific training and functional activities to promote the transfer of skills learned in therapy to real-life situations. Overall, NDT provides a comprehensive and individualized approach to motor recovery in stroke patients, addressing their unique impairments and facilitating their journey towards improved motor function.
Therapists employ a variety of techniques to effectively address muscle imbalances in dancers and mitigate the risk of injuries. They conduct thorough assessments to identify specific areas of weakness or tightness, utilizing specialized knowledge of dance anatomy and biomechanics. Therapists then design personalized treatment plans that incorporate targeted exercises and stretches to rebalance the muscles and improve overall alignment. These plans often include strengthening exercises to address weak muscles, flexibility exercises to alleviate tightness, and proprioceptive training to enhance body awareness and control. Additionally, therapists may employ manual therapy techniques such as massage or myofascial release to release tension and restore optimal muscle function. By addressing muscle imbalances through these comprehensive approaches, therapists play a crucial role in preventing injuries and promoting the long-term health and performance of dancers.