The Pulse

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

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

Traditional Interferential Current (IFC) or Premodulated (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: Pain Management, Clinical Tip

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

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: Pain Management, Clinical Tip

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

Improving Pain and Mobility with Exercise and Subthermal Diathermy After a Fall Resulting in a Fractured Femur

Posted by ACP on Sep 13, 2018 9:52:21 AM

Patient Information: Female, Age 95

Diagnosis: Left Femur Fracture

History: This woman was admitted to a skilled nursing facility for rehabilitation services after hospitalization due to a fall at home, resulting in a femur (leg) fracture. Prior to her fall she
lived at home with family support and walked with a rolling walker and assistance.

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

Decreasing Pain and Improving Mobility Using Subthermal Diathermy and Exercise

Posted by ACP on Sep 7, 2018 1:08:37 PM

Patient Information: Female, Age 76

Diagnosis: Acute Hypoxic Respiratory Failure / Acute Bronchitis

History: This woman was referred to a skilled nursing facility for rehabilitation services after hospitalization for acute hypoxic respiratory failure and acute bronchitis. After an eight day stay at the facility, she was re-hospitalized with pneumonia for two weeks and then readmitted to the skilled nursing facility for therapy due to a decline in strength, endurance, balance and overall functional mobility. She also had extensive bruising, swelling, and pain in the right forearm and hand. Prior to hospitalization she lived at home and used a wheelchair throughout her home for mobility.

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

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