Pressure is defined as the force applied perpendicularly to the surface of an object per unit area over which that force is distributed. Pressure is a pushing force. Tension is a pulling force. What I have observed clinically is that increased fascial tension applies pressure on whatever lies beneath it as it pulls across the underlying structure. Because the fascial web is continuous from the feet to the head, and even inside the head, I have seen how increasing tension by dorsiflexing the foot, or pulling the toes towards the nose, can increase the pressure in a person’s head! Or, lifting their arm can increase the pressure in their head. What I see most commonly can best be illustrated by thinking about the body as if it is a rectangular …show more content…
Opening my eyes to this concept has completely turned my treatment techniques upside down! I mean this quite literally. I find I usually get my best results by treating the opposite end of the body from the symptoms. To say this approach is “unorthodox” in the world of physical therapy is an understatement. I am hopeful the observations, ideas, and concepts I present in this text will help us approach rehab more holistically through the conventional vehicle of exercise, but with a new intention. Understanding these concepts has shown me how to be more thorough in my caregiving. I now have reasons to look elsewhere for contributing factors to a problem or even for the cause. I have options to consider which almost always provide solutions for even the toughest conditions. Most of the stubborn symptoms lingering in the shoulders, upper back, head or neck can be resolved by thoroughly addressing the lower body. Greater success is achieved in the lower back and legs as the eyes, head, and neck are treated. Neither my patients nor I have to settle for unsatisfactory …show more content…
It is a home exercise program that allows the patient to take an active part in their healing. Gently moving the soft tissue prepares it for the treatment it receives from the therapist. Time previously spent during the therapy session to initiate change in the tissues is used instead to advance further release and flexibility. The therapist is able to focus treatment time on stubborn areas of connective tissue restriction that have not changed in response to exercise. The positioning the patient uses to complete the exercises helps the therapist identify the source of the problem which is not usually in the same place as the patient’s primary complaint. This partnership between the therapist and the patient translates into quicker recovery and improved pain relief for the
6. Mike, Jonathan N., M.S., and Len Kravitz, Ph.D. (2009). "Recovery in Training: The Essential
Kinesiology is a complimentary therapy used to identify and correct internal issues to relieve stress, allergies, and pain. Being described as a complimentary therapy, kinesiology is not meant to be a cure-all for the patient, but a secondary method of increasing positive results of the original therapy; this method however can be used as a primary or secondary form of therapy depending on the results for the patient and satisfaction with said results. During treatment the doctor tests 14 different areas of muscles balance, these major muscles and how they react are believed to uncover problems that need correction which cannot be found with any other testing (Rude Health).
Tomlinson, C. A., & Archer, K. R. (2015). Manual Therapy and Exercise to Improve Outcomes in Patients with Muscle Tension Dysphonia: A Case Series. Physical Therapy, 95(1), 117-128.
Treatment can be very boring for some people especially when it comes to physical therapy. Physical therapy is defined as “Process of doing a group of repetitive exercises in order to regain the range of motion
Throwing back a few years ago when I first decided to be an observer in a rehabilitation setting, I thought that physical therapy was nothing but magical which could change a disabled person who was unable to walk normally to a healthy walking person after a period of therapy. I used to believe that physical therapy can cure mostly all type of injuries and ailments. However, later on, I realized that it does not work that way. Remembering in a particular case, there is a patient who suffered the hemorrhagic stroke; she had to use the wheelchair all the time, her right hand is completely numb and she is not able to talk normally. After several months of arduous exercises with assisting of 2 physical therapists, she showed just a little of improvement in mobility and functioning. That patient could move in longer range compared to the first month, yet she was not able to bear weight without assistance. That case was significantly influenced my vision in this field. As a physical therapy student, the realistic expectation is critical. That student must be knowledgeable about what they can and can’t do and the limitation of this practice. Furthermore, another aspect of reality is understanding the own strength and weakness in a context of being a PT student. Being so overestimated about own abilities is a major
Wiese-Bjornstal, D. M., Smith, A. M., Shaffer, S. M., & Morrey, M. A. (1998). An intergrated model of resonse to athletic injury and rehabilitation. Journal of Applied Sports Psychology, 10, 46-69.
“Where am I? How did I get here?” is what many stroke patients say after recovering from an acute or severe stroke. A stroke is also known as a cerebrovascular accident, a life-threatening event where the brain is deprived of adequate oxygen. A physical therapist’s duty is to provide assistance and education that will help patients rehabilitate and return to a normal routine. As of today, there is a new treatment called treadmill training with partial body weight support that facilitates recovery of a patient’s ability to walk sooner after a surgery. Is the expense for treadmill training with partial body weight support which includes expensive equipment and constant physical therapy supervision worth it if it decrease the amount of time it takes a person to get better? Is it ultimately more efficient than traditional physical therapy? My argument will state that treadmill training with partial body weight support is worth the expense and provides better techniques than traditional physical therapy.
You are going to want to give up, you are gonna get impatient but it is vital that you listen to what you are told. The old saying, “Minor setback major comeback” is very relevant to the patients going through any kind of injury. You may be broken now, but if you heal correctly you could come back better than you were before. The most important outcome for me is that my patients have gotten the best care they could have received and they have recovered to the fullest extent and for my patients I would like them to know that their injury does not define them, it is what happens after that matters the most. The methods that I would want to use would be pushing my clients to always work hard for what they want to achieve; Granted, there are different injuries so each one will be handled in a different way. For example, if a client comes in with a torn ligament in their arm it is not going to be an easy process for them. My job just does not involve making sure my clients heal, but also motivating them not give up and to always see the brighter side of their injury. I will know that I have accomplished all of my patients’ goals when they are healthy and ready to be active again. Giving someone a second chance and watching them make the most out of it is rewarding enough. As long as I did my duties as an Athletic Trainer, I would feel accomplished
Although therapy deemed very challenging, I’m thoroughly engrossed in watching the inner workings of the trainer building me to be strong again. During the rebuilding process I’m able to absorb several factors of how the human body works as well as notice the psychology required to strengthen a patient. Hard to admit, but during the recovery time the onset of struggling to maintain a positive attitude can become prevalent. Being sidelined from sports weighed on my psyche and negatively affected my grades as well as daily demeanor. This is where the mind strengthening from the trainer and having a strong faith truly came into
Creative new training methods, developed by coaches, athletes and sport scientists, are aimed to help improve the quality and quantity of athletic training ( Kellmann, 2010, p.1). However, these methods have encountered a consistent set of barriers including overtraining ( Kellmann, 2010, p.1). Due to these barriers, the need for physical and mental recovery in athletics brought an increasing attention in practice and in research ( Kellmann, 2010, p.1).
"Physical Therapy." Mayo School of Health Sciences. Mayo Clinic, 25 June 2013. Web. 7 Nov. 2013.
Recovering from an injury can indeed be a difficult process and athletes must wait for however long in able to play the sport again. During that duration of time, the idea of waiting and not performing can sometimes cause an athlete to feel angry, to be in denial, and
Fourteen patients experiencing bilateral shoulder pain were used for the study. After dry needling was performed on the individuals’ myofascial trigger points, range of motion as well as pain threshold on their affected shoulders was increased dramatically. Another study performed by Nashlund and colleagues (Kalichman and Vulfsons, 2010) compared the results of superficial dry needling to the results of deep dry needling on patients with knee pain. Superficial dry needling involves the insertion of the needle into the tissue directly above the trigger point at a depth of around 2 millimeters, while deep dry needling requires that the needle be inserted intramuscularly at a depth of around 1.5 centimeters. In regards to short-term relief, no significant differences were seen between the two methods of treatment. Both groups showed dramatic decreases in pain. However, at around the 3-month mark post-treatment, the deep dry needling group showed greater analgesic effects than the superficial dry needling group (Kalichman and Vulfsons,
Physical therapy is a fun and exciting healthcare profession that helps people. It is all about helping other people who have problems with their body, muscles, joints and other parts of their body. Patients includes accident victims and individuals with disabling conditions such as low back pain, arthritis, heart disease, fractures, head injuries, and cerebral palsy. Physical therapy will perform an evaluation of your problem or difficulty. They evaluate your problem by performing tests and measures to assess the problem. These tests includes muscle strength, joint motion, sensory and neurological, coordination, balance, observation, palpation, flexibility, postural screening, movement analysis, and special tests are designed for a particular problem. Next, they develop a treatment plan and goals and then manage the appropriate treatment to aid in recovery of a problem or dysfunction. Physical therapists are able to treat their patients by using many different treatments depending on the type of injury. Some of the treatments are electrical stimulation, hot and cold packs, infrared and ultrasound to reduce swelling or relieve pain. These treatments are used to help decrease pain and increase movement and function. Therapeutic exercises instructions will help restore strength, movement, balance, or skill as a guide towards full functional recovery. Physical therapy provides "hands on techniques" like massage or joint mobilizations skills to restore joint motion or increase soft tissue flexibility. They will focus on basic skills such as getting out of bed, walking safely with crutches or a walker, moving specific joints and muscles of the body. Physical therapists treatment includes patient education to teach them how to deal with a current problem and how to prevent the problem in the future. Such documentation is used to track the patient's progress, and identify areas requiring more or less attention. They encourage patients to use their own muscles. Their main goal is to improve how an individual functions at work and home.
Medical study is a combination of clinical experience and scientific research, which requires proof and evidence. These two components can help physiotherapists with diagnosis, provide treatments for patients and making clinical decision. However, what are the ways for individuals to testify the effectiveness of these methods and treatments? Is there scientific evidence proving the information is correct and up to date? How helpful and appropriate are these methods and treatments to the patients? Hence evidence-based practice is necessary. It has a strong impact in physiotherapy, to ensure researches are more focused and relevant to physiotherapists and as a guiding principle to practice and treatment of patients.