The Pulse

Improving Range of Motion of the Hand for Ability to Self-Feed Using Patterned Electrical Stimulation and Exercise

Posted by ACP on Mar 5, 2019 4:30:10 PM

Patient Information: Male, Age 94

Diagnosis: Chronic Kidney Disease / Generalized Weakness

History: Following hospitalization related to chronic kidney disease, this gentleman, a long-term skilled nursing facility resident, was referred to occupational therapy to address severely decreased range of motion (ROM) in his right hand which limited his ability to feed himself. Prior to the hospitalization, he was able to feed himself independently.

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Topics: Patient Success Story, Orthopedic, Neuro Rehab

Optimizing Trunk Posture to Improve Aerobic Capacity

Posted by ACP on Feb 18, 2019 1:17:09 PM

Proper trunk positioning is an essential component of optimal aerobic capacity training. Poor positioning of the head, neck, shoulders, trunk, and pelvis during aerobic exercise may compromise an individual’s ability to reach optimal functional outcomes.

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Topics: Clinical Tip, Cardiopulmonary, Orthopedic

60 Years of Evidence Based Practice: Ultrasound Application, Parameters, and Dosimetry

Posted by ACP on Jan 8, 2019 10:05:03 AM

Gersten’s 1955 article on the effect of ultrasound on tendon extensibility began six decades of continuous published research, which has demonstrated the tried and true benefits of ultrasound. 1 These benefits include pain reduction, a high degree of patient comfort and acceptability, increased cellular microcirculation, relaxation of trigger points and improved collagen extensibility. All of these physiological benefits are dependent on proper dosage and application technique. Ultrasound can provide both mechanical and thermal effects. An effective, skilled ultrasound treatment requires the use of high-quality ultrasound equipment, evidence-based patient-specific parameters, the appropriate treatment area, proper transducer movement speed, and optimal incorporation of the treatment with other therapy procedures.

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Topics: Pain Management, Clinical Tip, Orthopedic

Biophysical Agent Options to Reduce Edema In Subacute Rehab

Posted by ACP on Dec 18, 2018 9:58:11 PM
If post-surgical or post-traumatic edema is present, a primary therapy goal is to reduce it. Edema increases pain, decreases  muscle force output in the affected limb, and retards tissue healing. Below are four ways to address edema by increasing local  circulation with physical agent modalities.
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Topics: Pain Management, Clinical Tip, Orthopedic

Shoulder Rehabilitation Using Isometrics and Biophysical Agents

Posted by ACP on Dec 16, 2018 8:32:06 PM

Shoulder range of motion, strength, and function are vital to self-care and everyday activities such as dressing, bathing, lifting and carrying items, and putting away groceries. With advanced age individuals may experience a variety of shoulder impairments including arthritis, rotator cuff tears, impingement, and fractures. These issues can result in pain, decreased motion, impaired strength, and reduced function.

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Topics: Pain Management, Clinical Tip, Orthopedic

Improved Functional Mobility After Below Knee Amputation Using Subthermal Diathermy, Electrical Stimulation, and Exercise

Posted by ACP on Oct 25, 2018 2:29:57 PM

Patient Information: Male, Age 50

Diagnosis: Below Knee Amputation

History: This gentleman was referred to a skilled nursing facility for physical and occupational therapy services after hospitalization due to a non-healing diabetic ulcer on the right foot resulting in a below the knee amputation. Prior to the amputation, he lived at home and was independent with walking and driving.

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Topics: Fall Prevention & Balance, Patient Success Story, Orthopedic

Treating Hip External Rotators and Abductors to Improve Function

Posted by ACP on Oct 16, 2018 11:04:53 AM
The primary function of the hip is to support the weight of the body in both static standing and dynamic activities such as walking, stair climbing, running and sports. Hip weakness can decrease mobility, stability, and increase risk of injury. The external or lateral rotators are a group of six small deep hip muscles which arise from the sacrum & pelvis and insert on or about the greater trochanter, where they act to externally rotate the femur in the hip joint adding stability during functional mobility.
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Topics: Clinical Tip, Orthopedic

Using Ultrasound with Electrical Stimulation Combo Treatment

Posted by ACP on Aug 27, 2018 11:26:39 AM

Indications: Combining ultrasound (US) with electrical stimulation (e-stim) is a treatment option to decrease acute and chronic musculoskeletal pain, decrease muscle tone-spasm, increase local circulation, and increase-maintain joint range of motion (ROM). This approach combines the physiological benefits of electrical stimulation with US and is often applied over motor or acupoints to optimize clinical outcomes. For post traumatic – post-surgical pain, consider using HVPC Sensory with subthermal US. For acute pain, LVPC Sensory or IFC - PREMOD Sensory with subthermal (pulsed) US are therapeutic options. To address chronic pain or limited ROM, consider using LVPC Motor with thermal US or IFC - PREMOD Motor with thermal US. 

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Topics: Pain Management, Clinical Tip, Orthopedic

Effects of Poor Posture and the Use of Patterned Electrical Neuromuscular Stimulation (PENS) to Achieve Improved Alignment and Function

Posted by ACP on Aug 27, 2018 10:07:23 AM

Posture affects an individual’s ability to balance in a seated or standing position, assess their surroundings, reach overhead, breathe, eat, and move safely. As one ages, posture generally declines, resulting in a more forward flexed position. When there is injury or neurologic impairment (such as CVA), further compromise to one’s posture and positioning can occur. Improved postural alignment of the neck, upper back and trunk with stretching, strengthening, and electrical stimulation can greatly impact an individual’s safety and quality of life.

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Topics: Fall Prevention & Balance, Clinical Tip, Orthopedic

Improving Range of Motion for Hygiene Care and Orthotic Protection Using Thermal Ultrasound and Exercise

Posted by ACP on Aug 6, 2018 11:02:29 AM

Patient Information: Female, Age 77

Diagnosis: Hand Contracture / Stroke

History: This woman, a long-term skilled nursing facility resident, was referred to therapy for severely reduced range of motion (ROM) in the left hand resulting from a prior stroke. Previously, the woman’s caregivers were able to move her hand through full range of motion to provide care.

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Topics: Patient Success Story, Orthopedic

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