There are several different types of post-stroke rehabilitation programs available to individuals who have experienced a stroke. These programs can be tailored to meet the specific needs and abilities of each patient. Some common types of post-stroke rehabilitation programs include physical therapy, which focuses on improving mobility and strength; occupational therapy, which helps individuals regain their ability to perform daily activities such as dressing and cooking; speech therapy, which aims to improve communication skills and swallowing abilities; and cognitive therapy, which focuses on improving memory, attention, and problem-solving skills. These programs may be offered in a variety of settings, including hospitals, rehabilitation centers, and outpatient clinics.
The duration of post-stroke rehabilitation can vary depending on the individual's needs and progress. In general, post-stroke rehabilitation typically lasts for several weeks to several months. The length of the program may be influenced by factors such as the severity of the stroke, the individual's overall health, and their motivation and commitment to the rehabilitation process. It is important for individuals to work closely with their healthcare team to determine the appropriate duration of their rehabilitation program and to set realistic goals for their recovery.
Andrew discusses a recent case with a curious finding. Bilateral Infraspinatus atrophy one side greater than the other. No myotomal or dermatomal overlap, no pain, no trauma or recent infection. What do you make of it? Any similar cases in your experience? 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 2023-08-29
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
The common goals of post-stroke rehabilitation are to help individuals regain their independence and improve their quality of life. These goals may include improving mobility and strength, regaining the ability to perform daily activities, such as dressing and bathing, improving communication skills, and enhancing cognitive function. The specific goals of post-stroke rehabilitation will vary depending on the individual's needs and abilities. The rehabilitation team will work closely with the patient to develop a personalized treatment plan that addresses their specific goals and helps them achieve the best possible outcomes.
Post-stroke rehabilitation utilizes a variety of techniques to help individuals recover and regain their abilities. These techniques may include physical exercises and activities to improve strength, balance, and coordination; therapeutic exercises to improve speech and language skills; cognitive training exercises to improve memory and problem-solving abilities; and assistive devices and technologies to aid in mobility and daily activities. The rehabilitation team may also incorporate techniques such as electrical stimulation, constraint-induced movement therapy, and virtual reality therapy to enhance the rehabilitation process. The specific techniques used will depend on the individual's needs and goals.
Yes, post-stroke rehabilitation can help improve speech and language skills. Speech therapy is a common component of post-stroke rehabilitation programs and focuses on improving communication abilities. Speech therapists work with individuals to address difficulties with speech production, language comprehension, and swallowing. They may use techniques such as articulation exercises, language therapy, and swallowing exercises to help individuals regain their ability to communicate effectively and safely. The duration and intensity of speech therapy will depend on the individual's specific needs and progress.
There are specific exercises and activities that can help improve mobility and balance after a stroke. These may include exercises to improve strength and flexibility, such as walking, stretching, and resistance training. Balance exercises, such as standing on one leg or using a balance board, can also be beneficial. Additionally, activities that incorporate functional movements, such as reaching, grasping, and stepping, can help improve mobility and balance. It is important for individuals to work closely with their rehabilitation team to develop a personalized exercise program that addresses their specific needs and abilities.
Occupational therapy plays a crucial role in post-stroke rehabilitation. Occupational therapists work with individuals to help them regain their ability to perform daily activities and participate in meaningful occupations. They may focus on activities such as dressing, bathing, cooking, and driving, as well as cognitive tasks such as problem-solving and memory skills. Occupational therapists may use techniques such as adaptive equipment, environmental modifications, and task-specific training to help individuals regain their independence and improve their quality of life. They work closely with the individual and their support system to develop strategies and adaptations that promote successful participation in daily activities.
Hydrotherapy, also known as aquatic therapy, has been shown to have potential benefits in improving motor function and balance in individuals with Parkinson's disease. This form of therapy involves exercises and movements performed in water, taking advantage of the buoyancy and resistance properties of water to facilitate movement and enhance muscle strength. The hydrostatic pressure exerted by water can help improve blood circulation and reduce swelling, which may contribute to improved motor function. Additionally, the gentle resistance provided by water can help individuals with Parkinson's disease improve their balance and coordination. The repetitive and rhythmic nature of hydrotherapy exercises can also help individuals with Parkinson's disease improve their motor skills and movement control. Overall, hydrotherapy can be a valuable adjunct therapy for individuals with Parkinson's disease, potentially leading to improvements in motor function and balance.
Vibration therapy has been found to offer several benefits in the rehabilitation process following ACL reconstruction. Firstly, it can help improve muscle strength and power by stimulating muscle contractions through the use of mechanical vibrations. This can aid in the restoration of muscle function and prevent muscle atrophy, which is common after surgery. Additionally, vibration therapy has been shown to enhance proprioception, which is the body's ability to sense its position in space. By improving proprioception, individuals can regain better control and stability of their knee joint, reducing the risk of re-injury. Furthermore, vibration therapy can also promote blood circulation and lymphatic drainage, which can aid in reducing swelling and inflammation in the affected area. Overall, incorporating vibration therapy into the rehabilitation program after ACL reconstruction can contribute to faster recovery, improved functional outcomes, and reduced risk of complications.
Proprioceptive neuromuscular facilitation (PNF) is a therapeutic approach that can significantly improve motor function in stroke patients. PNF involves a series of exercises and techniques that aim to enhance proprioception, muscle strength, and coordination. By incorporating specific patterns of movement and stretching, PNF helps retrain the brain and nervous system to regain control over affected muscles and joints. This approach utilizes the principles of motor learning and neuroplasticity, which allow the brain to create new neural pathways and adapt to the changes caused by stroke. PNF also focuses on promoting functional movements and activities, which are essential for stroke patients to regain independence in their daily lives. Additionally, PNF incorporates various sensory inputs, such as touch and resistance, to stimulate the proprioceptors and enhance motor control. Overall, PNF is a highly effective intervention that can improve motor function in stroke patients by targeting specific impairments and facilitating the recovery process.
The Graston Technique offers several advantages for soft tissue mobilization. Firstly, it is a non-invasive and non-surgical approach, making it a safe option for patients. Additionally, it is highly effective in treating various soft tissue conditions such as scar tissue, muscle strains, and tendonitis. The technique utilizes specially designed stainless steel instruments to detect and treat areas of soft tissue dysfunction, allowing for precise targeting and treatment. This targeted approach helps to break down scar tissue, improve blood flow, and promote tissue healing. Moreover, the Graston Technique can be used in conjunction with other therapies, such as exercise and stretching, to enhance overall treatment outcomes. Overall, the Graston Technique provides a unique and effective method for soft tissue mobilization, offering patients a non-invasive and targeted approach to address their specific soft tissue issues.
The principles of tissue healing are essential in guiding treatment interventions. These principles include inflammation, proliferation, and remodeling. In the inflammation phase, the body responds to tissue injury by releasing inflammatory mediators, which attract immune cells to the site of injury. This phase is crucial for removing debris and initiating the healing process. The proliferation phase involves the formation of new blood vessels and the production of collagen, which helps in the formation of new tissue. Finally, the remodeling phase focuses on the reorganization and strengthening of the newly formed tissue. Treatment interventions are guided by these principles, aiming to promote and support each phase of tissue healing. For example, interventions may include the use of anti-inflammatory medications to control excessive inflammation, physical therapy to promote blood flow and tissue regeneration, and exercises to improve tissue strength and flexibility. By understanding and applying these principles, healthcare professionals can optimize treatment interventions and facilitate the healing process.