Profile cover photo
Profile photo
Corpus Christi Physical Therapy & Sports Medicine
16 followers
16 followers
About
Posts

Post has attachment
Recipe Wednesday - Chicken Ratatouille: Did someone say, "Yum"?! Click here for this delicious recipe! http://bit.ly/2SDHPzQ
Photo
Add a comment...

Post has attachment
More than 1/3 of older adults with frailty are also depressed: Difficult to evaluate this connection with the evidence available Statistics suggest that about 10-20% of adults over the age of 65 are depressed. The number of older adults that are frail—which essentially means being weak and having a higher chance of getting injured—is also estimated to be similar. Both depression and frailty are associated with a number of negative effects in older age, such as a lower quality of life, increased use of health insurance and a higher chance of experiencing other health issues or dying. When both of these conditions are present at the same time, the effects can be even worse, with many of these individuals experiencing accelerated mental decline and disability. This shows why it’s important to understand the connection between depression and frailty, as it can help identify patients who are affected by either or both conditions, as well as to develop strategies to address them. Although there is some data available on this association, there are no large-scale studies that have focused on the two conditions exclusively. For this reason, a high-quality pair of studies called a systematic review and meta-analysis was conducted to determine how many older adults with frailty also have depression and vice versa. Three major databases searched for relevant studies To conduct the review, researchers performed a search of three major medical databases for studies that investigated depression and frailty in adults with an average age of 60 years and older. To be included, studies also had to utilize respectable criteria for defining both depression and frailty, and had to include a control group of patients who did not have these conditions for comparison purposes. This search led to 63 studies being screened and 24 of these meeting the necessary criteria for inclusion into the review. Once collected, the findings from these 24 studies were evaluated and compared to one another to determine how common frailty and depression were in older adults. Exercise can be helpful for treating both frailty and depression Results showed that there were 8,023 older adults that had frailty, and of these, 38.6% were also depressed. Similarly, 2,167 older adults were found to have depression, and 40.4% of them were also frail. Further analysis from five studies showed that when patients with depression were compared to individuals without depression, there was a significantly higher risk of also having frailty. Finally, the overall quality of the included studies was found to be good, which shows that these findings can be considered reliable. Taken together, this systematic review and meta-analysis show that a significant portion of older adults who are frail are also depressed, and vice versa. While this finding is alarming, the good news is this: treatment that targets either of these conditions can actually lead to improvements in both of them at the same time. Exercise, in particular, is an effective tool to manage both depression and frailty, as it leads to positive changes in both mental and physical health. This is one of the primary reasons physical therapy is highly recommended for older adults with any type of impairment, since it is based on helping individuals move better and more frequently. With this in mind, elderly individuals who are frail or depressed—or both—are strongly encouraged to seek out the services of a physical therapist. Doing so can result in lasting changes in both their physical and mental health, and in turn, improve their overall quality of life. -As reported in the July ’17 issue of Ageing Research Reviews http://bit.ly/2QJ6Lc6
Photo
Add a comment...

Post has attachment
Enjoy your ski vacation by follow these safety tips. #SeeAPT1st: Enjoy your ski vacation by follow these tips to stay away from unnecessary injuries. #SeeAPT1st Click Here for the Article http://bit.ly/2QGQCDV
Photo
Add a comment...

Post has attachment
Exercise found to decrease anxiety and other stress-related disorders: Updated analysis needed in light of new studies and flaws in prior research Anxiety disorders are a group of mental health conditions that include generalized anxiety disorder, panic disorder, and phobias. Together with stress-related issues like post-traumatic stress disorder (PTSD), these conditions have all been found to have negative impact on patients’ lives, such as a reduced quality of life and increased risk for heart disease and early death. Targeted medications and a psychiatric intervention called cognitive behavioral therapy (CBT) are typically recommended as the primary treatments for patients with anxiety and stress disorders, but the outcomes are not always positive. About one-third of patients do not respond to medications or CBT, and these interventions are not available in certain parts of the world. Exercise is considered an alternative for the patients that are either unable or unwilling to try medications or CBT, but there has only been one high-quality study (meta-analysis) on the topic. At the time, this study concluded that there was not enough information to recommend exercise for anxiety disorders. Since then, however, additional research has been published, and researchers have pointed out certain flaws in the original meta-analysis. For this reason, an updated meta-analysis was conducted to evaluate the effects of exercise on symptoms in patients with anxiety or stress disorders. Seven databases searched for relevant studies The investigators performed a search of seven major medical databases for randomized-controlled trials (RCTs) that investigated the effectiveness of exercise in adults with an anxiety or stress-related disorder. RCTs evaluate specific interventions by randomly assigning patients to different groups, and they are considered the gold standard for determining if a treatment is beneficial. This search led to 62 studies being screened, and six RCTs fit the necessary criteria to be included in the meta-analysis. Once collected, the findings of these six RCTs were evaluated and compared to one another to assess the impact of exercise on patients. Based on positive results, exercise should be considered a treatment option for anxiety The six included RCTs contained data on 262 participants, with 132 undergoing an exercise treatment program and the other 130 serving as the control group, who did not undergo exercise and were used for comparison. Results showed that exercise significantly reduced symptoms of anxiety in these patients, who had a variety of disorders that included PTSD, generalized anxiety disorder, panic disorder, or social phobia. When compared to the control group, the effect size of exercise was found to be in the medium range. Physical therapists can help promote exercise in patients with anxiety These findings support the use of exercise for patients with anxiety or stress disorder, and the researchers suggested that it should therefore be considered a viable option for these patients. Physical therapists are movement specialists that promote and prescribe exercise for a wide variety of conditions. While they are often viewed as professionals that only treat physical problems, this study shows why they can also be utilized to help overcome mental health issues like anxiety. Patients with anxiety or stress-related disorders are therefore encouraged to seek out the services of a physical therapist for an exercise therapy program that can help them better manage their symptoms while also improving their health and fitness in the process. -As reported in the March ’17 issue of Psychiatry Research https://l.ptclinic.com/2QBpcPI
Photo
Add a comment...

Post has attachment
Motivational Monday: -Evan Esar https://l.ptclinic.com/2QEDwap
Photo
Add a comment...

Post has attachment
Recipe Wednesday - Beef Steak With Carrots and Mint: Want to put an interesting spin on your usual steak? Click here for this totally interesting recipe! http://bit.ly/2QpbtLM
Photo
Add a comment...

Post has attachment
Older adults with knee arthritis benefit from a home-exercise program: Better treatments are needed to target this at-risk population Knee osteoarthritis (OA) is a condition in which cartilage that normally protects the ends of bones in the knee joint gradually wears away over time, which leads to pain and disability. It is particularly common in older individuals and makes it challenging for them to perform many basic everyday tasks. This is why effective treatments and prevention methods are needed to target these patients and help them manage their condition, but there are currently no established interventions in place to accomplish this. Exercise therapy that focuses on improving the strength and flexibility of various muscles is one treatment that has been proven to be effective for knee OA patients, and it can be administered either at a physical therapy clinic or as part of a home-exercise program. Home-exercise programs are inexpensive and do not require special equipment, but some patients may have difficulty following exercises when not guided by a physical therapist. With this in mind, researchers decided to conduct a powerful study called a randomized-controlled trial (RCT) to determine how effective a home-exercise program was for older adults with knee OA and how closely they adhered to this program. Patients are randomly assigned to one of two groups Older adults with a history of knee pain in one or both knees were recruited for the study and screened to determine if they were eligible. This led to 52 individuals with knee OA being accepted and then randomly assigned to either the multiple exercise group or control group. All participants were taught a home-exercise program by a physical therapist and provided with an instructional booklet to help them better understand its components. Participants in the exercise group were instructed to perform three out of 10 possible exercises, all of which were strengthening or stretching exercises for muscles surrounding the thighs or hips. The specific exercises that were found to be appropriate for each patient in this group were based on an interview conducted by the physical therapist at the start of the trial. Participants in the control group were instructed to only follow one exercise, which was a chair-sitting strengthening exercise for the quadriceps muscles in the front of the thigh. All participants were instructed to perform three sets of 10 repetitions of each assigned exercise, five times per week for four weeks, and they were assessed before and after this intervention for various outcomes related to knee pain and function. Home-exercise program leads to superior results, with most patients adhering to it Results showed that participants in the home-exercise group experienced significant improvements in knee pain, stiffness and strength compared to the control group. Exercise group participants also reported superior scores in their ability to complete daily physical activities, social activities and general health conditions. In addition, it was found that 96.6% of participants in the home-exercise group and 100% of control group participants adhered to their assigned programs. Taken together, these findings suggest that a home-exercise program consisting of strengthening and stretching exercises for various hip and thigh muscles can lead to a number of benefits for older adults with knee OA. The individualized nature of these programs—since they selected exercises based on each patient’s abilities—may have also had a positive impact on these results and improved patients’ adherence. Based on these results, patients with knee OA are urged to see a physical therapist, who can provide either a home-based or supervised exercise program depending on which is more suitable for them. Visiting a physical therapy clinic this time of year is a particularly good idea for those who have already met their insurance deductible or out-of-pocket maximum for 2018, as their visits may be covered for the rest of the year. -As reported in the August ’18 issue of Clinical Rheumatology http://bit.ly/2Qq1WUI
Photo
Add a comment...

Post has attachment
Hockey is hazardous, but risks can be avoided. SeeAPT1st: Hockey is hazardous, but risks can be reduced by following these simple steps. #SeeAPT1st Click Here for the Article http://bit.ly/2DGmzFj
Photo
Add a comment...

Post has attachment
Low back pain patients who see PT first spend less: Patients with low back pain who see a physical therapist first spend less on care and have a lower risk of being prescribed opioids Low back pain (LBP) is the most common painful condition in the U.S. Recent statistics have shown that about 25% of the population has reported being affected by LBP for at least one full day within the past three months, and LBP is therefore also listed as the number one contributor to years lived with a disability in the country. The guidelines for treating LBP not related to a more serious cause of pain is to at first take non-steroidal anti-inflammatory drugs (NSAIDs) while avoiding imaging tests like X-rays and MRIs. If patients do not improve, the next step is to undergo treatments like physical therapy and exercise therapy rather than being treated with prescription medications. But despite these guidelines, far too many patients are still being prescribed drugs like opioids and being sent to have advanced imaging tests for their LBP, while not nearly enough are taking advantage of services like physical therapy. Research has suggested that seeing a physical therapist early may reduce patients’ usage of healthcare services and costs by helping them to recover without dangerous or unnecessary interventions; however, there are no large-scale studies that have compared healthcare costs between patients seeing a physical therapist first compared to other health providers. Therefore, a review was conducted to investigate these values and determine what the advantages are of seeing a physical therapist first for LBP. Data is collected on nearly 150,000 patients To conduct the review, investigators searched a private health insurance database with claims-related information on 50 million individuals for patients who had a new diagnosis of LBP over a three-year span. Patients who had a prior history of LBP, back surgery or any other serious conditions were excluded. This search led to 148,866 patients fitting the necessary criteria and serving as the study sample. These patients were then categorized into three groups depending on their physical therapy (PT) access: 1) “PT First,” which means they saw a physical therapist before seeing any other medical professional, 2) “PT Later,” meaning they eventually visited a physical therapist at some point, but not initially, and 3) “No PT,” meaning they never visited a physical therapist. In some cases, groups 1 and 2 were placed together for statistical purposes. Researchers then analyzed data between these groups to gauge the effect of having physical therapy at any point for LBP. PT First is associated with benefits across the board Based on the data collected, it was found that the incidence rate of LBP was 82.7 for every 1,000 patients. Of the patients who had LBP, about 80% had no physical therapy, while 8.7% saw a physical therapist first and 11.5% saw a physical therapist later. For those in the PT Later group, the average amount of time they waited to do so was 38.3 days. When compared to one another, it was found that patients in the PT First group had significantly lower opioid prescription rates, advanced imaging tests and visits to the emergency department (ED) compared to those in the PT Later and No PT groups. When the PT First and PT Later groups were compared directly, these values were slightly lower but still significant in favor of PT First. In addition, overall healthcare costs were significantly lower for patients in the PT First group over the PT Later and No PT groups, which was based on outpatient, pharmacy and out-of-pocket costs. The PT Later group was generally found to have the highest rates and average costs across all categories. Patients with LBP are strongly encouraged to see a physical therapist for treatment These findings clearly show that seeing a physical therapist as the first line of treatment for LBP comes with several advantages over seeing one later or not at all. Patients who do so experience lower overall healthcare costs while also reducing their risk for being prescribed drugs like opioids, having unnecessary imaging tests or going to the ED. Therefore, individuals who are currently dealing with an episode of LBP are strongly encouraged to see a physical therapist if they have not already done so. Now is also a particularly good time to schedule an appointment, especially for those who have already met their deductible or out of pocket maximum for 2018. If this is the case, insurance might cover the physical therapy visits for the rest of the year before healthcare deductibles renew in January. -As reported in the May ’18 issue of Health Services Research http://bit.ly/2Q8vMNj
Photo
Add a comment...

Post has attachment
Motivational Monday: -Jesse Jackson http://bit.ly/2DvUMrc
Photo
Add a comment...
Wait while more posts are being loaded