Respiratory muscle training is a form of exercise that specifically targets the muscles involved in breathing, such as the diaphragm and intercostal muscles. It works by providing resistance to these muscles, forcing them to work harder and become stronger over time. This can be done through various techniques, such as using specialized devices that provide resistance during inhalation or exhalation, or performing specific breathing exercises that focus on strengthening the respiratory muscles.
Respiratory muscle training can offer several benefits for individuals with respiratory conditions. Firstly, it can help improve the strength and endurance of the respiratory muscles, making breathing easier and more efficient. This can lead to increased lung capacity and improved oxygen uptake, which can be particularly beneficial for individuals with conditions such as chronic obstructive pulmonary disease (COPD) or asthma. Additionally, respiratory muscle training can help reduce breathlessness and fatigue during physical activity, allowing individuals to engage in exercise and daily activities with greater ease.
By Dr. Sean Wells, DPT, PT, OCS, ATC/L, CSCS, NSCA-CPT, CNPT, Cert-DNAs physical therapists (PTs) we do our best to optimize our older clients' strength, balance, and functioning. Obviously, our mainstay interventions focus on exercises, balance training, and adaptive equipment. In our courses, we highlight the importance of Vitamin D status and protein consumption for older adults, to improve balance, strength, and prevent sarcopenia. A recent study in Nature Aging highlights yet another potential dietary component that impacts muscle function: ceramides.Ceramides, a sphingolipid, which is a type of fat, has been shown to reduce muscle mass and functional capacity in rodents. Moreover, it has been shown that offering ceramide-inhibiting medication effectively reverses sarcopenia, which is very promising for human studies. In the current study the authors examined older adults with a genetic variant to inhibit ceramides. The results showed these adults with the variant had significantly better grip strength, walking distance, and sit to stand function: all metrics that Doctors of Physical Therapy (DPT) routinely measure. The next big step for these researchers is understanding how to yield these results via medication and/or dietary changes.Fortunately, other authors have highlighted how PTs and other clinicians can advise their patients on how to naturally reduce ceramides in their diet. In the FRUVEDomic pilot study, authors demonstrated that a diet low in fruits and vegetables, and high in saturated fat, facilitated an increase in hepatic ceramide production. The researchers concluded that even transitioning patients from a standard Western diet to even the US Dietary Guidelines would yield positive responses for aging. Imagine the impact on aging and physical functioning if we took the diet to a bit more extreme, such as the true Mediterranean or predominant plant-based diet? More research is needed, but PTs need to be aware that fruit and vegetable consumption is important for many health outcomes, and screening tools are available and easy to use. We discuss this and more in our courses!If you like what you see here then know there is more in our 3 board-approved continuing education courses on Nutrition specific for Physical Therapists. Enroll today in our new bundled course offering and save 20%, a value of $60!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 2023-06-19
Andrew finds out the hard way what the term Functional Overlay means in regard to a slow or non responding patient. Have you ever heard of this term or has anything similar ever happened to you? Comment on our socials or on the podcast on Spotify! 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
Posted by on 2023-06-16
In a recent article in The Lancet Rheumatology, researchers show how lower back pain is a rapidly escalating global issue, affecting an estimated 619 million people in 2020 – nearly 10% of the world’s population. Experts predict that this number will reach 843 million by 2050.Compounding problems in the lower back epidemicAsia and Africa are expected to experience the most significant rise in lower back pain cases. These regions often already face challenges due to limited and overburdened social support systems and healthcare resources.The COVID-19 pandemic has further exacerbated the problem. Increased inactivity due to lockdowns and poor ergonomics from remote work setups have contributed to the intensity and prevalence of lower back pain. Additionally, limited access to healthcare services during the pandemic has added to the suffering of individuals already affected by this condition.It’s important to consider that the provided figures may underestimate the true burden, as they do not fully account for the impact of the pandemic.The Societal Burden of Lower Back PainLower back pain imposes a substantial burden on society and the economy. In the United Kingdom, the National Health Service spends nearly £5 billion annually on general practitioner appointments alone for this condition.Similarly, the cost of lower back and neck pain in the United States reached a staggering $134 billion in 2016. Of course, the consequences extend beyond the financial costs.Lower back pain leads to increased absenteeism, reduced productivity, and early retirement, particularly among the working-age population. There is also a strong association between lower back pain and higher rates of depression, leading to prolonged disability and hindering recovery.The researchers warn it is crucial to address the societal impact of lower back pain and develop comprehensive strategies to mitigate its effects.Addressing the Issue of Back Pain GloballyAddressing the global issue of lower back pain will require immediate attention and collaborative efforts. Solutions should prioritize strategies aimed at alleviating lower back pain in the workplace, where many people spend a significant part of their time.Implementing ergonomic practices and promoting physical activity can help prevent and reduce the problem of lower back pain. Moreover, improving access to rehabilitation services is essential for effective management and recovery.Specialized training for healthcare practitioners in the treatment of lower back pain can lead to better outcomes and patient care. Additionally, reducing reliance on ineffective and potentially harmful treatments, such as opioids, is crucial.Finally, the researchers stress that governments, healthcare systems, and policymakers must work together to prioritize lower back pain and allocate resources effectively. By taking proactive measures, we can alleviate the burden of lower back pain and improve the quality of life for millions of individuals worldwide.Are you a professional helping in the fight against lower back pain? Take your practice to the next level with our lumbar area anatomy models.Via Dr. Jerome Fryer - Dynamic Disc DesignsCheck out our EXCLUSIVE Anti-Nocebo BLUE Nucleus Disc Model! This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-06-12
Andrew Rothschild is back with an interesting case of severe pain and hyperalgesia around the scapula area in a CrossFit Athlete. This is the second time in 1 year after good resolution the year prior. Both times there was no clear cut mechanism of injury. Then randomly on social media, Andrew saw two posts regarding a differential diagnosis of severe pain in this area in overhead athletes. Treatment ended up being the same, but it makes for interesting discussion on how and why these things may happen. Ever seen a case of nerve entrapment like this? 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
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Posted by on 2023-06-08
Yes, respiratory muscle training has the potential to improve athletic performance. By strengthening the respiratory muscles, athletes can enhance their lung capacity and oxygen uptake, which can improve endurance and overall performance. This can be particularly beneficial for athletes participating in endurance sports, such as long-distance running or cycling. Additionally, respiratory muscle training can help athletes recover more quickly from intense exercise by improving their breathing efficiency and reducing fatigue.
While respiratory muscle training is generally considered safe, there are some potential risks and side effects to be aware of. Overtraining or using excessive resistance during training can lead to muscle fatigue, soreness, or injury. It is important to start with a suitable level of resistance and gradually increase it over time. Additionally, individuals with certain medical conditions, such as severe asthma or certain heart conditions, should consult with a healthcare professional before starting respiratory muscle training to ensure it is safe for them.
The time it takes to see results from respiratory muscle training can vary depending on various factors, such as the individual's starting fitness level, the intensity and frequency of training, and the specific goals of the training. Generally, some improvements in respiratory muscle strength and endurance can be noticed within a few weeks of consistent training. However, significant improvements may take several months of regular training to become apparent. It is important to be patient and consistent with training to achieve the desired results.
Respiratory muscle training can be suitable for individuals with certain medical conditions, but it is important to consult with a healthcare professional before starting. While it can be beneficial for individuals with respiratory conditions such as COPD or asthma, it may not be suitable for everyone. Individuals with certain heart conditions, uncontrolled high blood pressure, or other medical issues may need to avoid or modify respiratory muscle training. A healthcare professional can assess an individual's specific medical condition and provide guidance on whether respiratory muscle training is appropriate for them.
There are several common exercises and techniques used in respiratory muscle training. One technique is inspiratory muscle training, which involves using a device that provides resistance during inhalation, forcing the respiratory muscles to work harder. Another technique is expiratory muscle training, which focuses on strengthening the muscles involved in exhalation. This can be done by using a device that provides resistance during exhalation or by performing specific breathing exercises that target the expiratory muscles. Additionally, diaphragmatic breathing exercises, which involve deep breathing and focusing on the movement of the diaphragm, can also be beneficial for respiratory muscle training.
There are several contraindications for using electrical muscle stimulation (EMS) in rehabilitation. Firstly, individuals with pacemakers or other implanted electronic devices should not undergo EMS as it may interfere with the functioning of these devices. Additionally, EMS should not be used on areas with open wounds or skin infections, as it may exacerbate the condition or delay the healing process. People with epilepsy or a history of seizures should also avoid EMS, as it may trigger seizures or increase the risk of having one. Furthermore, individuals with certain medical conditions such as cancer, deep vein thrombosis, or peripheral vascular disease should not undergo EMS without consulting their healthcare provider, as it may worsen their condition or have adverse effects. It is important for healthcare professionals to carefully assess each patient's medical history and condition before considering the use of EMS in rehabilitation.
Electrical muscle stimulation (EMS) differs from traditional strength training in several ways. Firstly, EMS involves the use of electrical impulses to stimulate muscle contractions, whereas traditional strength training relies on voluntary muscle contractions through the use of weights or resistance. Secondly, EMS can target specific muscle groups more precisely, allowing for a more focused and efficient workout. In contrast, traditional strength training often engages multiple muscle groups simultaneously. Additionally, EMS can be used to supplement traditional strength training or as a standalone workout, providing an alternative option for individuals with physical limitations or injuries. Overall, EMS offers a unique approach to muscle activation and development, providing a potential alternative or complementary method to traditional strength training.
Taping techniques can be beneficial in the management of shoulder impingement syndrome, particularly in cases where conservative treatment approaches are being utilized. Indications for using taping techniques may include individuals experiencing pain and limited range of motion in the shoulder joint, as well as those with a history of repetitive overhead activities or trauma to the shoulder. Taping can help provide support and stability to the shoulder, reducing excessive movement and stress on the affected structures. Additionally, taping techniques can help improve posture and alignment, which can further alleviate symptoms associated with shoulder impingement syndrome. By promoting proper shoulder mechanics and reducing strain on the affected area, taping techniques can be a valuable adjunct to the overall management of this condition.
Hydrotherapy, also known as aquatic therapy, has been shown to have positive effects on cardiovascular fitness and endurance in individuals with heart disease. This form of therapy involves exercises and movements performed in water, which provides a low-impact environment that reduces stress on the joints and muscles. The buoyancy of water also helps to support the body, making it easier for individuals with heart disease to engage in physical activity without putting excessive strain on their cardiovascular system. Additionally, hydrotherapy can improve circulation, increase lung capacity, and enhance overall cardiovascular function. The resistance provided by the water also helps to strengthen the muscles, including the heart, leading to improved endurance and fitness levels. Overall, hydrotherapy can be a beneficial and safe exercise option for individuals with heart disease to improve their cardiovascular fitness and endurance.
The McKenzie Method, a widely used approach for the assessment and treatment of musculoskeletal conditions, classifies and treats cervical radiculopathy through a systematic evaluation and targeted interventions. The method employs a comprehensive assessment process that involves identifying the specific movement and postural patterns that aggravate or alleviate the patient's symptoms. By utilizing a range of specialized tests and techniques, the McKenzie Method aims to determine the underlying mechanical dysfunction causing the cervical radiculopathy. Once the classification is established, treatment is tailored to address the specific mechanical problem identified. This may involve a combination of exercises, manual therapy, and patient education to promote self-management and prevent recurrence of symptoms. The McKenzie Method emphasizes active patient involvement and empowers individuals to take control of their own recovery process.
The McKenzie Method, a widely used approach for assessing and treating back pain, distinguishes between mechanical and non-mechanical back pain through a comprehensive evaluation process. This method focuses on identifying specific movement patterns and responses to various exercises and positions. By analyzing the patient's symptoms, range of motion, and response to repeated movements, the McKenzie Method aims to determine whether the pain is primarily caused by mechanical factors, such as joint dysfunction or muscle imbalances, or non-mechanical factors, such as inflammation or nerve irritation. This differentiation is crucial as it guides the selection of appropriate exercises and interventions tailored to address the underlying cause of the back pain.
Ultrasound therapy plays a significant role in the management of plantar fasciitis. This non-invasive treatment modality utilizes high-frequency sound waves to target and alleviate the symptoms associated with this condition. By delivering ultrasound waves to the affected area, it promotes tissue healing, reduces inflammation, and increases blood flow. The therapy also helps to break down scar tissue and adhesions, which can contribute to the development and persistence of plantar fasciitis. Additionally, ultrasound therapy can enhance the effectiveness of other treatment interventions such as stretching exercises, orthotics, and physical therapy. Overall, ultrasound therapy serves as a valuable adjunct in the comprehensive management of plantar fasciitis, providing patients with a safe and effective means of reducing pain and improving function.
Acupuncture has been suggested as a potential treatment for chemotherapy-induced neuropathy due to its various benefits. Firstly, acupuncture has been found to alleviate pain and improve sensory function in patients with neuropathy. The insertion of needles at specific acupuncture points stimulates the release of endorphins, which are natural pain-relieving substances. Additionally, acupuncture has been shown to enhance blood circulation and promote nerve regeneration, which can help repair damaged nerves caused by chemotherapy. Moreover, acupuncture has a calming effect on the nervous system, reducing stress and anxiety commonly associated with neuropathy. This holistic approach to treatment can improve the overall well-being of patients and enhance their quality of life. Overall, the utilization of acupuncture in the treatment of chemotherapy-induced neuropathy holds promise in providing relief from pain, improving nerve function, and promoting overall well-being.