The Pulse

Electrical Stimulation Intervention to Treat Stroke Related Impairments

Posted by ACP on May 15, 2019 3:15:58 PM

Cerebral vascular accident (CVA), or stroke, affects 795,000 individuals each year and is the fifth leading cause of death in the United States, killing 140,000. Approximately 87% of all strokes are the ischemic-type. Additionally, it is the leading cause of serious long-term disability. Individuals who suffer stroke often have communication challenges, dysphagia, pain, edema, depression, limitations in mobility, and impaired functional ability.1,2

Read More

Topics: Clinical Tip, Neuro Rehab

Biophysical Agent Alternatives to Opioids for Pain Management

Posted by ACP on Apr 25, 2019 11:47:40 AM

Opioids are commonly prescribed for acute and chronic pain, including after surgeries such as THR, TKR, and ORIF. Opioids have numerous side effects and a high potential for misuse. Over-reliance on opioids for acute and chronic pain management has led to alarming trends across the United States, including a record number of people developing opioid use disorders, overdosing on opioids, and dying from overdoses. From 2015 to 2017, the annual number of opioid-related deaths rose 44% from 33,000 to 47,600.¹

Read More

Topics: Pain Management, Clinical Tip

Using ACP’s Fall Prevention and Balance Program to Reduce Falls and Improve Patient Outcomes

Posted by ACP on Mar 22, 2019 4:49:03 PM

According to the CDC, falls are not only a serious health risk, they carry a high economic burden as well. For older adults in the US, fall mortality rates have increased by 30% from 2007 to 2016. In 2015, the total medical cost for falls was more than $50 billion with Medicare and Medicaid accounting for 75% of these costs. The statistics related to falls are astounding. Each year:¹

• Three million older adults are treated in emergency departments for fall injuries
• 800,000+ patients are hospitalized due to a fall-related injury, most often head injury or hip fracture
• A typical nursing home with 100 residents reports about 100-200 falls
         – 35% of injuries due to falls occur in residents who do not ambulate
• 24% (most common cause) of falls among elderly nursing home residents are due to muscle weakness and gait problems, whereas 16-27%, on average, are due to environmental hazards

Read More

Topics: Fall Prevention & Balance, Clinical Tip

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.

Read More

Topics: Clinical Tip, Cardiopulmonary, Orthopedic

Clinical Efficacy and Treatment Efficiency with Group Therapy

Posted by ACP on Jan 22, 2019 9:09:35 AM

Increasing emphasis on the value of care over the volume of care provides opportunity to incorporate different therapy delivery modes. Therapy delivered in a group format offers benefits over traditional one-on-one therapy that include increased socialization, independence with exercise, and improved transference of learning.

Read More

Topics: Clinical Tip

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.

Read More

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.
Read More

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.

Read More

Topics: Pain Management, Clinical Tip, Orthopedic

Traditional Interferential Current (IFC) orPremodulated (PREMOD) IFC for Pain Relief

Posted by ACP on Dec 8, 2018 9:14:35 AM

IFC has been shown to be effective for treating multiple types of pain in locations throughout the body.1,2 Both traditional IFC and PREMOD IFC can be done at sensory and motor levels. Sensory settings provide segmental pain relief that is fast-acting and lasts for several hours. Motor stimulation tends to be slower-acting, but may relieve pain for up to 8 hours via segmental and systemic pain modulation. Available options in the OmniStim® Pro and OmniVersa® electrical stimulation devices include:

Read More

Topics: Pain Management, Clinical Tip

OmniVR® “Virtual Reality” and Visual Field Deficits

Posted by ACP on Dec 3, 2018 6:35:37 PM

Stroke is a common diagnosis in rehabilitation and resultant visual field disorders can be a significant barrier to a successful rehabilitation program.

Read More

Topics: Clinical Tip, Neuro Rehab

Welcome to our NEW Blog - The Pulse

We are the nation's leading rehab solutions provider, delivering proven, evidence-based programs to improve clinical outcomes and yield greater patient satisfaction in an efficient and cost-effective manner across the care continuum. 

Empowering PT/OT/SLPs and Nurses.

Helping millions of patients nationwide.

At The Pulse we will share important updates from our team including:

  • Clinical Tips
  • Patient Successes
  • Employee Spotlights
  • Industry News
  • White Papers

Subscribe Here!

Recent Posts