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6 Common Running Injuries and how to prevent them. #SeeAPT1st: Click Here for the Article Learn the common injuries from running and simple steps to avoid them. #SeeAPT1st http://dlvr.it/QV0RWl
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Rates for physical therapy whereas opioids have risen: Physical therapy is consistently supported as an effective treatment for low back pain Low back pain (LBP) is estimated to affect up to 80% of all Americans at some point in their lives, and it is one of the leading causes of disability and reasons for visiting a doctor throughout the world. On top of this, studies suggest that this problem will only continue to grow in the future as more people become affected by the condition. National and international guidelines recommend a number of treatments for LBP, which include education, exercise, massage and manual therapy, particularly because they have been deemed effective and safe. Physical therapy for LBP typically includes these and many other commonly recommended interventions, which are brought together in a personalized way for each patient. Studies have consistently shown that physical therapy is an effective treatment for LBP, and the earlier a patient is referred to a physical therapist, the sooner they return to work and the better their outcomes are. This is why many national guidelines specifically recommend physical therapy for LBP. Yet despite this evidence and support, it doesn't appear that the referral rates for physical therapy have actually increased over the years. To get a clearer idea of how the referral rates of physical therapy to treat LBP have changed in recent times, a study was conducted. National surveys used to establish patterns in referral rates To perform the study, researchers collected data from two national surveys on medical care services and another survey from emergency departments from 1997 to 2010. They focused only on visits for patients between 16-90 years of age, and classified patients into four groups based on their age: 16-39, 30-44, 45-59 and 60-90. In addition to data on physical therapy referral rates, researchers also analyzed data on the rates for opioid prescriptions over the same period of time. Measures are needed to educate doctors and patients about the benefits of physical therapy Based on the surveys analyzed, approximately 170 million patients visited a doctor for complaints related to LBP. From these visits, 17.1 million patients were referred to physical therapy, which equated to a referral rate of 10.1%. From 1997 to 2010, this referral rate for physical therapy remained stable at this low percentage, while the rate for opioid prescriptions increased in these patients over the same time period. Further analysis showed that patients who were not referred to physical therapy were more likely to receive an opioid prescription. This highlights a major problem occurring in the country today, as rising rates of opioid prescriptions are largely to blame for addiction and abuse of these drugs. Physical therapy, on the other hand, is a safe and effective method for treating LBP that is not associated with any of these types of problems. This is why patients with LBP must be educated on the importance of seeking out the services of a physical therapist for their condition, and doctors must also recognize its value and make the appropriate decision of referring patients to physical therapy to improve the chances of a positive outcome. -As reported in the May '17 issue of Spine http://dlvr.it/QTsthH
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Motivational Monday: -Oprah Winfrey http://dlvr.it/QTW8SY
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Patients with a particular type of knee pain are more overweight: Association between the two has not been clearly evaluated Knee osteoarthritis (OA) is a condition in which cartilage that normally protects the knee gradually wears down over the course of time. It is one of the leading causes of pain and disability throughout the world, affecting about 10% of men and 13% of women over the age of 60 in the U.S. The patellofemoral joint connects the kneecap (patella) with the upper leg bone (femur), and symptoms of knee OA frequently occur in this area. This joint also plays a critical role in the function of the knee, as it allows individuals to complete many daily activities like squatting and climbing or descending stairs. Due to its role, though, the patellofemoral joint may be negatively affected by forces that are too strong, such as excessive weight. Overweight or obese individuals with a high body mass index (BMI) put lots of stress on their knees, which may increase the risk for pain in the patellofemoral joint and knee OA, but this association has not yet been clearly evaluated. For this reason, a powerful pairing of studies called a systematic review and meta-analysis were conducted to determine if high BMI is a risk factor for patellofemoral pain and knee OA. 52 studies are accepted into the review Researchers performed a search of six major medical databases for studies that included information on the associated between BMI and patellofemoral pain or knee OA. This search led to a total of 7,894 studies being evaluated, and from these, 52 met the necessary criteria and were accepted into the review. The findings of each of these studies were then evaluated and compared to one another, and the quality was ranked to determine how reliable their data was. Studies were given a rating from 1 (strong evidence) to 5 (conflicting evidence). Adults—but not adolescents—with patellofemoral pain and knee OA have a higher BMI The results of this systematic review and meta-analysis showed that the BMI of adults with patellofemoral pain and knee OA was generally higher than the BMI of healthy individuals without knee pain that they were compared to. When it came to adolescents with patellofemoral pain, however, the same type of association was not found. As for why this association was found it, adults, it likely has to do with the fact that individuals with a higher BMI generally reduce their activity levels due to the persistent pain that is brought on by their condition. In turn, reduced activity levels can actually lead to more weight gain and more stress on the knees, which can create a vicious cycle that makes their condition even worse. This study, therefore, shows how important it is for those with a high BMI to reduce their weight, as doing so may also lower their chances of developing knee pain due to the involvement of the kneecap. Physical therapists can help in their pursuit by prescribing specific exercises and offering advice on how to increase physical activity levels, and those with patellofemoral pain are encouraged to seek out their services for additional guidance. -As reported in the May '17 issue of the British Journal of Sports Medicine http://dlvr.it/QTCNwS
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Recipe Wednesday - Japanese-Style Beef and Noodle Soup: Flavorful, healthy, and simple -- Sign us up! Click here for the recipe! http://dlvr.it/QSzCwQ
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Happy Mother's Day! http://dlvr.it/QSfHB6
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Help prevent Lacrosse injuries with these 7 tips. #SeeAPT1st: Click Here for the Article Help prevent Lacrosse injuries with these 7 tips. #SeeAPT1st http://dlvr.it/QSRHzt
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Hands- on therapy is beneficial for carpal tunnel and reduces pain: Individuals with this condition may have to miss work due to symptoms Carpal tunnel syndrome (CTS) is a condition that results from pressure being placed on a nerve in the wrist. This compression of the median nerve can come from swelling or anything else that makes the carpal tunnel smaller, and it leads to numbness, weakness, tingling and other problems in the hand. CTS affects up to 3.8% of the population, and its symptoms often make it difficult for working individuals to complete their jobs. This may lead to absence from work and a decline in work performance. Effective treatment is therefore needed to address CTS, and there are many options available. One option that may be used is physical therapy, especially if it includes manual therapy, an intervention in which the therapist performs various manipulations with their hands. Unfortunately, evidence to support physical and manual therapy is lacking, and these treatments are often ignored in reviews. For this reason, a powerful study called a randomized-controlled trial (RCT) was conducted that compared manual therapy to another type of treatment called electrophysical therapy for CTS. Patients randomly assigned to one of two groups Patients diagnosed with CTS were invited to participate in the study and screened to determine if they were eligible. This process led to a total of 140 patients being accepted to the RCT, who were then randomly assigned to either the manual therapy group or the electrophysical group. Patients in both groups underwent a 10-week physical therapy treatment program, but the specific parts of the program were different in each group. In the manual therapy group, the physical therapist performed a massage and various mobilizations of the median nerve, which was carried out during two weekly sessions for 20 sessions total. The electrophysical therapy group also consisted of 20 sessions total, but patients were treated with a red laser that was pointed at their wrist for two minutes and 40 seconds. The goal of this intervention is to stimulate the immune system to release chemicals that will heal the area and restore balance to the wrist, and was followed by another similar treatment called ultrasound. All patients were evaluated using a number of outcome measures at the beginning of the study and after the treatment was completed. Both groups improve, but manual therapy brings about greater changes Results showed that both treatments led to improvements, as patients experienced less pain, greater function, and fewer symptoms after completing the interventions. Patients in the manual therapy group, however, reported even greater improvements than those in the electrophysical therapy group in all three of these measurements. Another finding showed that the average reduction in pain was 290% in the manual therapy group and only 47% in the electrophysical therapy group. Based on these results, it appears that manual therapy is more beneficial for patients with CTS than electrophysical therapy. Patients dealing with CTS should, therefore, seek out the services of a physical therapist that offers this type of intervention in order to experience similar outcomes as the participants of this current study. -As reported in the April '17 issue of the Journal of Manipulative and Physiological Therapeutics http://dlvr.it/QSK7p7
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Motivational Monday: -Winston Churchill http://dlvr.it/QRzB47
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PT after shoulder surgery responsible for a faster recovery: Surgery only recommended if other treatments don't lead to improvements Subacromial impingement syndrome (SIS), sometimes referred to as shoulder tendinitis, is a painful condition in which certain structures in the shoulder become compressed by bones in that region. Patients with SIS are usually managed with of a number of nonsurgical treatments, including rest, injections and physical therapy. In most cases, surgery is only considered for patients that do not improve after attempting several nonsurgical treatments. After surgery, physical therapy is typically recommended to help patients regain shoulder function. Although this approach is commonly utilized, there is no consensus about the most appropriate strategy, and little is known about the effectiveness of different types of exercise programs. It's also possible that patients who have trouble returning to normal activities may require additional efforts to help in their recovery. For this reason, a high-quality study called a randomized-controlled trial (RCT) was conducted. In this RCT, patients with SIS who had surgery were randomly assigned to one of two treatments to determine which was more effective for helping them recover. Patients treated with either physical therapy or usual care Patients with SIS who had a surgical procedure called arthroscopic subacromial decompression were recruited for the study between 8-12 weeks after surgery. A total of 126 patients fit the necessary criteria and were randomly placed into either the physical therapy group or the usual care group. Patients in the physical therapy group followed a program that consisted of a combination of both supervised training sessions and home-exercise training. They received between 8-15 training sessions during the first eight weeks. Over the next four weeks, the frequency of these sessions varied depending on how patients responded, and they were told to perform their home exercises more regularly. Sessions lasted up to one hour each which consisted of aerobic exercise on a stationary bicycle, manual therapy performed by the physical therapist, and seven exercises that specifically targeted the shoulder. Patients were also instructed to become physically active at a moderate or high intensity for at least 30 minutes three times a week. Patients in the usual care group did not receive any specific treatments, but were told to continue the postoperative treatments recommended by the hospital. All patients were assessed before being assigned to their groups, and then again three and 12 months later for a variety of outcomes, including strength, range of motion and quality of life. Following a course of physical therapy should be the norm after surgery Results showed that after 12 months, patients in the physical therapy group improved significantly more than those who received usual care. This was based on better questionnaire scores showing that patients who had physical therapy had improved shoulder function and less fear about their condition than the other group. They were also found to be more physically active and had a better overall impression of the changes they experienced from treatment. This RCT, which is the largest study that's ever been performed on the topic, clearly shows that physical therapy leads to numerous improvements for patients with SIS after having surgery. Based on these findings, physical therapy should be considered a necessary component of recovery following surgery, and it's recommended that a treatment program similar to the one used here is followed to increase the chances of a positive outcome. - As reported in the June '16 issue of Physical Therapy http://dlvr.it/QRgQxD
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