PT Pintcast - Physical Therapy

Arielle Giordano is the Associate Director of Physical Therapy and Residency Director at the University of Delaware.

We talked about a Clinical Practice Guideline (CPG) that will be published in early spring on the rehabilitation of concussion. This will will help to point us in the direction of how to treat concussion, what to look for and what tools are necessary. 

Other guidelines focus on Primary Care, Sideline evaluation or Emergency department procedures but not treatment in those with chronic symptoms using Physical Therapy. The neck and the vestibular system are large areas of focus which we be reviewed in the Academy of Orthopedics Annual conference.

Arielle will be presenting at the Annual Orthopedic Meeting from the Academy of Orthopaedic Physical Therapy April 3-4 in Minneapolis Minnesota.

We got into the large focus on concussion treatment being brought to the forefront by the media, especially in football and collision sports. Many children play sports which is causing parents to focus on whether they should allow their son or daughter to play in these sports.  Concussion is even more prevalent in all age ranges due to motor vehicle collision, assaults and falls.

Our conversation focused on:

* Resources* Perception* Outcomes

Connect with Arielle:Twitter: @AirelleGiordanoInstagram: @airellehunter

We talked to Ellen Hillegass and Kayla Black about all things CSM Cardio Pulmonary presentations.

Ellen is presenting with Kayla in a preconference event:

CP-1544 - Advanced Clinical Practice in Cardiopulmonary Physical Therapy: Are You Practicing Best Practice?

As well as twice more during the conference

CP-1576 - Cardiovascular and Pulmonary Residency Forum: Interesting Case Studies Presented By Residents

CP-1754 - Pulmonary Hypertension: What, Who, Why, How, When?

In this episode we cover:

Advanced clinical practice: that is where we want all clinicians to aspire to!

Pulmonary hypertension: much more prevalent...people need to understand it

Cardiopulmonary Residency: helps raise practice, case studies will help those studying for boards and trying to advance their clinical knowledge and the residents have an opportunity to present at a national conference!

Most of our PT patients have SOME sort of cardiopulmonary dysfunction and all practitioners need to address this area of PT clinical practice.

To support our show, support our sponsors:

* Aureus Medical Staffing #TravelPT: www.AureusMedical.com * Academy of Orthopedic Physical Therapists Annual Meeting: https://www.orthopt.org/content/education/annual-orthopaedic-meeting Academy of Orthopedic Physical Therapists: www.OrthoPT.org * Owens Recovery Science: www.OwensRecoveryScience.com * Brooks IHL: www.BrooksIHL.org * RockTape: www.RockTape.com/medical * BuiltPT: www.BuildPT.com * NuStep: www.NuStep.com

PEDro stands for Physiotherapy Evidence Database, 

It’s a free database of over 45,000 randomised trials, systematic reviews and clinical practice guidelines in physiotherapy. 

For each trial, review or guideline, PEDro provides the citation details, the abstract and a link to the full text, where possible. 

All trials on PEDro are independently assessed for quality. 

These quality ratings are used to quickly guide users to trials that are more likely to be valid and to contain sufficient information to guide clinical practice. 

PEDro is produced by the Institute for Musculoskeletal Health, School of Public Health at the University of Sydney and is hosted by Neuroscience Research Australia.

And did we mention… this is free?!  Find PEDro at https://www.pedro.org.au/

Now To celebrate PEDro’s 20th birthday they’ve have identified the five most important randomised controlled trials in physiotherapy published in the last 5 years. These trials were nominated by PEDro users, and an independent panel of international trialists judged the nominations received.

Now YOU get to take advantage of hearing a little more about these standout pieces of work… by the people who created them.

In this episode we talk to Professor for Health Innovation at the University of Exeter Sallie Lamb about SARAH, or Strengthening and Stretching for Rheumatoid Arthritis of the Hand Trial (SARAH) Trial Team

It appeared in Lancet 2015 Jan 31;385(9966):421-429.

https://www.youtube.com/watch?v=O69MRinEw_Q&feature=emb_logo

More about Sallie Lamb. Sallie has a long-standing interest in clinical trials, medical statistics and, rehabilitation of musculoskeletal and chronic conditions in older people. She works with clinicians to develop pragmatic clinical trial designs to capture the effectiveness and cost-effectiveness of a variety of health interventions. She is the Chief Investigator for a number of trials of rehabilitation interventions. 

Disease-modifying biological agents and other drug regimens have substantially improved control of disease activity and joint damage in people with rheumatoid arthritis of the hand. However, commensurate changes in function and quality of life are not always noted. Tailored hand exercises might provide additional improvements, but evidence is lacking. We estimated the effectiveness and cost-effectiveness of tailored hand exercises in addition to usual care during 12 months. 

We have shown that a tailored hand exercise program is a worthwhile, low-cost intervention to provide as an adjunct to various drug regimens. Maximisation of the benefits of biological and DMARD regimens in terms of function, disability, and health-related quality of life should be an important treatment aim.

Improvements in overall hand function were 36 points (95% CI 15 to 57) in the usual care group and 79 points (60 to 99) in the exercise group (mean difference between groups 43, 95% CI 15 to 71; p = 0.0028).

Pain, drug regimens, and health-care resource use were stable for 12 months, with no difference between the groups.

Steve Gleason was given the Congressional Gold Medal, and that is a big deal.

We get to hear Steve accept his award in his own words, in his own voice. And that is a major reason that he's being given this award.

Steve created and pushed through the Steve Gleason Enduring Voices act which made sure that persons with degenerative diseases would have access to Speech Generating Devices. Quite literally making sure that people living with ALS and other diseases never lose their voice.

Only 163 people in American history have been given this award and Steve is the first former NFL player to receive it. You might know him as a former football player that blocked a punt against the Falcons, but the reason you get a medal like this is because you put your head down and focus on a singular vision. And Steve and his team have done just that making sure persons with living with ALS and their families lead productive and purposeful lives.

Drew Brees spoke about is friend and former teammate at the ceremony in Washington D.C. Drew's message was about watching Steve turn tragedy into triumph on the field, but most importantly off of the field.

If you hear this and are moved by his words and his Team we ask you to do all or some fo these three things:

1 - Donate to his organization @ TeamGleason.org

2 - Watch his Documentary, "Gleason." It's on Amazon and if you have prime it’s FREE!

3 - Follow them on social media to see and maybe join their TEAM helping those with ALS and their families live better lives.

On Instagram: @TeamGleason

On Twitter: @TeamGleason

"Finding ways to make life meaningful and purposeful and rewarding, doing the activities that you love and spending time with the people that you love - I think that's the meaning of this human experience." -SG

Krystyna Holland - Owner and Physical Therapist at Inclusive Care, LLC, Staff Physical Therapist at Denver Health - part of an Integrated Pelvic Health Team and a Post-Op Vaginoplasty TeamInclusive Care, LLC, Denver Health Hospital Authority

Twitter Handle@tynasaurusrex

Dr. Krystyna Holland is a pelvic floor physical therapist whose journey to being a provider started as a patient. Frustrations with her own medical treatment drove her to open Inclusive Care, a physical therapy practice in Denver, Colorado. There she provides affirming care to individuals experiencing painful sex, and other pelvic floor dysfunction.

Pelvic Floor PT should be about more than decreasing pain - it should be about increasing pleasure; How to talk to patients about sex in a professional way   

What being a patient taught me about the medical system and the way that providers mess it up   

Providing affirming care - tips and trips for treating transgender, intersex and gender nonbinary clients  

Pelvic Floor PT should be about more than decreasing pain - it should be about increasing pleasure; How to talk to patients about sex in a professional way.  Pelvic floor physical therapy often has the singular goal of decreasing pain with penetration, usually done with a specific approach of manual therapy, what people perceive to be trigger point release, and graded exposure to stimulus. For people who are having painful intercourse, their experience is made up of much more than their muscular tone - how can we bridge the gap from painfree to pleasurable professionally?  

What being a patient taught me about the medical system and the way that providers mess it up We talk about patient behaviors such as anxious tendencies and pain catastrophization like they are inherent characteristics of the individual, not as coping mechanisms shaped by life experience. How can we increase patient engagement and improve outcomes for them by understanding (and explaining to them!) their behaviors and experiences as evolutionarily beneficial protective mechanisms in overdrive? Who is to blame and what is there to do when your patient isn't responding as you expect?   

Providing affirming care - tips and trips for treating transgender, intersex and gender nonbinary clients

There are huge healthcare discrepancies in care for members of the LGBTQIA+ community, especially the latter half - transgender, intersex, and gender non-conforming individuals. What assumptions are you (unintentionally!) bringing to the encounter, and how can you sidestep them to provide affirming care without doing harm? 

* Pelvic Floor PT should be about more than decreasing pain - it should be about increasing pleasure; How to talk to patients about sex in a professional way - Sex is an ADL and we have nationally crappy education regarding what is "normal" and how to talk about it professionally.   * What being a patient taught me about the medical system and the way that providers mess it up - Providers typically got into the field to care for patients and help people. They often end up frustrated when they feel unable to assist and can't put their finger on why. The expression of this frustration and, often, subsequent ambivalence, has long reaching impacts on the patient.   * Providing affirming care - tips and trips for treating transgender, intersex and gender nonbinary clients - Transgender healthcare has been shown in the research to be incredibly lacking; in providers that feel confident in providing care,

We talk to Alicia Hosmer, APTA's Senior Director of Brand Strategy who is leading the rebrand for the association.

Why APTA is rebranding?

And why members and potential members should care?

Rebranding is about much more than a new look. Our brand will encourage us to act for impact, better highlighting APTA’s leadership role on behalf of members and future members.

APTA's rebrand is about making our association more accessible for our members - so they can more easily identify the resources and communities that will help them thrive.

Rebranding is much more than a new logo. It's about maturing as an organization and maximizing our potential as the trusted leader of the profession.

The rebranding process will happen over several years. We are launching phase 1 of the APTA national brand in June 2020. Components are aligning at their own pace and not required to align.

Rebranding is much more than a new logo. It's about maturing as an organization and maximizing our potential as the trusted leader of the profession.

Alicia is passionate about the power of storytelling, teamwork, and mission-driven organizations. She loves sharing a great meal with friends, especially when she doesn't have to cook it. Biking to work and skiing with her family are just a few of the ways she stays physical active. If driving her kids to baseball and hockey were a sport, she'd have reached professional status several years ago.

Jason Craig is a Physical Therapy professor at Marymount University. He's been leading service learning trips for the PT program there for years to Costa Rica and Nicaragua to help provide Physical Therapy for the underserved along side PT students.

Their next trip will be something different. Their goal, on top of delivering PT, is to build a house for a Maria Jose and her family.

Story:  https://www.marymount.edu/Academics/Malek-School-of-Health-Professions/Graduate-Programs/Physical-Therapy-(D-P-T-)/News-Activities

Fundraising Page: https://securelb.imodules.com/s/1743/alumni/index.aspx?sid=1743&gid=2&pgid=582&cid=1328&bledit=1&dids=105

PEDro stands for Physiotherapy Evidence Database, 

It’s a free database of over 45,000 randomised trials, systematic reviews and clinical practice guidelines in physiotherapy. 

For each trial, review or guideline, PEDro provides the citation details, the abstract and a link to the full text, where possible. 

All trials on PEDro are independently assessed for quality. 

These quality ratings are used to quickly guide users to trials that are more likely to be valid and to contain sufficient information to guide clinical practice. 

PEDro is produced by the Institute for Musculoskeletal Health, School of Public Health at the University of Sydney and is hosted by Neuroscience Research Australia.

And did we mention… this is free?!  Find PEDro at https://www.pedro.org.au/

Here we looked at HIHO Randomized Clinical Trial with Mark Buhagiar.

Now To celebrate PEDro’s 20th birthday they’ve have identified the five most important randomised controlled trials in physiotherapy published in the last 5 years. These trials were nominated by PEDro users, and an independent panel of international trialists judged the nominations received.

Now YOU get to take advantage of hearing a little more about these standout pieces of work… by the people who created them.

In this episode we talk to Mark about the trial in Jama, from them, "Which was randomized and included 165 adults after total knee arthroplasty and 10 days of hospital inpatient rehabilitation followed by an 8-week, clinician-monitored, home-based program or home-based program only and were compared with an observation group of 87 patients who also participated in the home-based program.

In the end, they found no significant difference in the 6-minute walk test between any of the groups at the primary end point of 26 weeks."

Meaning  For adults undergoing uncomplicated total knee arthroplasty, inpatient rehabilitation did not improve mobility compared with a monitored home program. -

Find the paper in full here: https://jamanetwork.com/journals/jama/fullarticle/2610335

HIHO video here: https://www.youtube.com/watch?v=yRS04W4fax0

Johnny Owens comes back on the show to talk BFR, where Owens Recovery Science has gone since the first time on the show (spoiler alert it's exploded!)

What is now, new and the future of Blood Flow Restriction Rehabilitation Training.

To support our show, support our sponsors:

Aureus Medical Staffing #TravelPT: www.AureusMedical.com Owens Recovery Science: www.OwensRecoveryScience.com Brooks IHL: www.BrooksIHL.org RockTape: www.RockTape.com/medical BuiltPT: www.BuildPT.com NuStep: www.NuStep.com

TOP 12 Pack of 2019 - LIVE from CSM #Unfiltered