The Pulse

Decreasing Pain and Improving Functional Shoulder Mobility Using Diathermy and Exercise

Posted by ACP on Jan 14, 2019 8:53:43 PM

Patient Information: Female, Age 86

Diagnosis: Right Shoulder Fracture / Shoulder Pain

History: This woman fell at her home in an assisted living facility, resulting in a fracture of her
right shoulder. She was evaluated and treated in the emergency room and returned home with an immobilizer to limit the movement of her shoulder. After six weeks of right shoulder immobilization, she was referred to outpatient therapy. Prior to her fall she lived in an assisted living facility and was independent with dressing, eating, and bathing.

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Topics: Patient Success Story, Fall Prevention & Balance, Pain Management

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: Clinical Tip, Pain Management, Orthopedic

Decreasing Pain and Improving Functional Mobility After a Fall Using Subthermal Diathermy and Exercise

Posted by ACP on Dec 27, 2018 1:03:01 PM

Patient Information: Male, Age 72

Diagnosis: Spinal Stenosis / Muscle Weakness / Low Back Pain

History: This gentleman went to the emergency room (ER) due to increased pain from spinal stenosis. He received pain medication and was sent home. He fell and returned to the ER and was referred to a skilled nursing facility due to his inability to bear weight on his right leg, walk, or return home. Previously he lived independently in a single story home with three steps at the entry.

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Topics: Fall Prevention & Balance, Pain Management, Patient Success Story

Physical Agent Modality 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: Clinical Tip, Orthopedic, Pain Management

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: Clinical Tip, Orthopedic, Pain Management

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:

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Topics: Clinical Tip, Pain Management

Decreasing Pain and Improving Function with Subthermal Diathermy and Exercise

Posted by ACP on Dec 7, 2018 7:59:49 PM

Patient Information: Female, Age 82

Diagnosis: Right Hip Open Reduction Internal Fixation (ORIF) / Right Hip Pain / Falls

History: This woman was referred to a skilled nursing facility for rehabilitation services after hospitalization due to a fall which resulted in a hip fracture requiring surgery. Prior to her fall she lived independently at home.

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Topics: Patient Success Story, Pain Management, Fall Prevention & Balance

Application of Biophysical Agents Over Acupoints for the Treatment of Pain

Posted by ACP on Oct 22, 2018 4:47:05 PM

Acupuncture has been used in traditional Chinese medicine for thousands of years. Over the past few decades, the practice of acupuncture has been accepted in the United States for the treatment of various conditions, including pain management. Traditional acupuncture treatment involves inserting needles at various well-defined points known as “acupoints”. In contrast to needles, research demonstrates that the stimulation of acupoints with transcutaneous electrical nerve stimulation (TENS) and therapeutic ultrasound also reduces pain1, 2.  

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Topics: Clinical Tip, Pain Management

Improving Safety and Pain-free Functional Mobility After a Fall with Electrical Stimulation and Exercise

Posted by ACP on Oct 2, 2018 1:00:33 PM

Patient Information: Female, Age 85

Diagnosis: Falls / Back Pain

History: This woman, a long-term skilled nursing facility resident, was referred to therapy by the
nursing staff due to a recent fall in her room, decreased safety awareness, unsafe transfers,
and increased pain in her back and legs. Prior to the fall this woman required supervision to safely get in and out of bed and maximal assistance to walk.

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Topics: Pain Management, Fall Prevention & Balance, Patient Success Story

Improving Functional Mobility Using Subthermal Diathermy for Osteoarthritis Pain

Posted by ACP on Sep 24, 2018 5:54:02 PM

Patient Information: Female, Age 92

Diagnosis: Osteoarthritis / Dementia / Anxiety

History: This woman, a long-term skilled nursing facility resident, was referred to therapy for right hip pain due to osteoarthritis which resulted in a functional decline with transfers in and out of bed and her ability to walk. Previously, this woman required minimal (<25%) assistance with bed mobility and transfers and she walked throughout the facility using a rolling walker and guiding contact of a caregiver for steadying assistance.

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Topics: Pain Management, Fall Prevention & Balance, Patient Success Story

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