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Bacci & Glinn Physical Therapy
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Recipe Wednesday - Chicken Quesadillas With Red and Green Salsa: Whether you are eating this as an appetizer or a main dish, you are surely in for a treat! Click here for the recipe! http://bit.ly/2zDdpbc
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Strengthening exercises are beneficial for arthritis: Release of new research calls for an updated review Osteoarthritis is a painful condition in which cartilage that normally serves as protection for joints gradually wears away over time. Eventually, this causes bones to rub against one another and results in pain and disability that make it difficult to function normally. Osteoarthritis can occur in any joint, but it's most common in the knees and the hips. There are a number of strategies that can be used to treat knee osteoarthritis, including exercises guided by a physical therapist, known as exercise therapy. One component of exercise therapy is called resistance exercise, which uses some form of resistance—such as body weight, elastic bands or machines—to force muscles to contract. It has been found to reduce pain and is commonly used in many physical therapy programs. Some studies have evaluated the use of resistance exercise for treating knee osteoarthritis, but there have been flaws in the research that makes it inconclusive. In addition, new research has emerged on the topic recently that calls for an updated review to analyze. With this in mind, researchers conducted a powerful pair of studies called a systematic review and meta-analysis. The systematic review gathered all of the highest-quality evidence on the topic available, and the meta-analysis compared the findings of these studies to one another with the goal of reaching a conclusion. Researchers search five databases for relevant studies To perform the review, investigators searched through five major medical databases to find studies on the use of resistance exercises to treat knee osteoarthritis. They only accepted randomized-controlled trials (RCTs)—which are considered to be the highest quality of individual study available—that compared resistance exercise to a control treatment. This could include no treatment or something basic like an educational course that did not include resistance exercises. The search led to a total of 17 RCTs, which included information on 1,705 patients with an average age of 63.5 years. Investigators than analyzed each of these studies and then compared their findings with one another to identify similarities and trends. Resistance exercise found to reduce pain, relieve stiffness and improve function Results showed that resistance exercise led to significant benefits when compared to control treatments. In particular, these types of exercises were found to reduce pain, relieve stiffness and improve overall function for patients with knee osteoarthritis. Further analysis showed that exercises with a higher intensity led to greater improvements in pain and function than those that were performed at a lower intensity. Based on these findings, it appears that utilizing resistance exercises can be beneficial in a number of ways for patients with knee osteoarthritis. Common exercises that may be helpful in this capacity include seated leg presses, leg extensions, leg curls and hip adduction and abduction exercises. Many physical therapists typically use these types of exercises when treating this group of patients, and those with the condition should, therefore, seek out their services in order to achieve an outcome that will help them move and function more easily. -As reported in the October '16 issue of Clinical Rehabilitation http://bit.ly/2hWv2IY
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Single Best Thing For Your Health: Single Best Thing For Your Health Here is our latest monthly video. http://bit.ly/2zoKreQ
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Motivational Monday: -Arthur Rubenstein http://bit.ly/2zh7acW
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Program reduces rate of diabetes: Obesity-related problems represent a national health crisis that must be addressed Obesity, along with many other diseases related to it, is a major health crisis in the U.S. that requires a lo of effective efforts to address. Almost 2/3 of Americans are currently overweight or obese, which is a figure that has increased by more than 10% within the past decade and is only expected to keep growing. As a result, more than 300,000 people die every year due to obesity and obesity-related diseases like diabetes, even though obesity is the second leading cause of an illness that can be prevented. For this reason, several medical organizations have developed specific programs designed to decrease the rate of obesity and diabetes in the country, but not all programs have been successful in achieving or sustaining their goals. To better guide medical professionals who deal with these types of patients, a paper was released that highlighted the most effective characteristics of one of these prevention programs and offered advice on how to follow it. Program created by team of experts Metabolic syndrome, also known as insulin resistance syndrome, is a cluster of health issues that collectively increase the odds for developing heart disease and diabetes. It's either caused or worsened by consuming more calories than the amount burned and not getting enough exercise. Approximately 34% of the adult population currently has metabolic syndrome, which means lots of individuals could benefit from programs that prevent diabetes. With this in mind, a team of experts that included doctors, nurses and nutritionists developed the Diabetes Prevention Program (DPP) intensive lifestyle intervention program called "Lifestyle Balance." A total of 3,234 individuals participated in the DPP study, all of which were overweight and had impaired glucose tolerance. Mediterranean diet, 10,000 steps and increased physical activity The first part of the program consisted of 16 sessions led by a lifestyle coach, with the first eight dedicated to education, diet and exercise, and the other eight focused on how to overcome the challenges that might get in the way of making changes. The nutritional component of the program consisted of a 24-week Mediterranean-style diet. This encouraged participants to eat lots of fruits, vegetables, whole grains, poultry, and fish, with a breakdown of about 45-50% carbohydrates, 15% protein and 35-40% fat. Monounsaturated fats like olive oil were encouraged, while saturated fats were discouraged. For physical activity, participants were encouraged to get at least 150 minutes each week of moderate-intensity physical activities like brisk walking. In addition, all participants were told to wear a pedometer (step-counter) and increase the number of steps they walked each week until averaging 10,000 steps per day. The two major goals of the program were to have all participants reduce their weight by at least 7% and maintain a reasonable level of physical activity every week. Program is effective for reducing the rate of diabetes On the whole, DPP was found to be effective, as there was a 58% reduction in the rate of diabetes that developed in study participants compared to groups that received placebo or medications only. In addition, many of the patients from the initial study participated in a separate follow-up study, and their diabetes rates were once again found to be lower than groups in which only diabetes medications or no treatments were given to patients. When this approach was analyzed, it was also found to be more effective for its cost than other possible treatments and no treatments. Finally, researchers point out that following this type of prevention program will not only reduce the rate for diabetes but also improve the quality of life of patients. This paper shows just how effective a diabetes prevention program can be that includes dietary changes and increases in physical activity. Therefore, individuals who are classified as being prediabetic should strongly consider participating in a program similar to the one described here. Physical therapists can play a major part in this prevention process by offering specific recommendations to increase physical activity levels that are appropriate for each patient and addressing any limitations that may be preventing them from becoming more active. Doing so can significantly reduce the rate of diabetes in the country and ease the burden that the disease causes for so many. -As reported in the September '16 issue of Archives of Physical Medicine and Rehabilitation http://l.ptclinic.com/2zdmJCu
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Recipe Wednesday - Mediterranean Kabobs: Doesn't that make your mouth water? Click here for this great recipe! http://l.ptclinic.com/2z3KyfV
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Hands-on therapy for shoulder pain helps recovery time: Many individuals who develop shoulder pain have long-term issues Shoulder pain is a fairly common condition. In fact, there's a one in three chance that you will experience some form of shoulder pain at least once in your lifetime. Although many cases of shoulder pain improve with treatment over time, up to 50% of individuals who develop it go on to still have issues with shoulder function 1-2 years later. This highlights why it is so important to find effective treatments that help patients improve in the long term. Some physical therapists use a technique called cervical manipulation, which consists of the therapist moving the bones in of the neck in various ways with their hands. It's known to reduce pain and disability in the shoulder, but also comes with a set of risks. Another technique is thoracic manual therapy, which applies similar techniques to the middle portion of the spine. It's believed that this treatment may lead to comparable improvements without the same risks as cervical manipulation, but there is not enough evidence to clearly support its use. Therefore, a systematic review was conducted on thoracic manual therapy for shoulder pain, which is a powerful study that collects all the available research on the topic with the goal of establishing a conclusion. Five electronic databases searched for relevant studies Researchers searched through five electronic databases for studies that investigated the use of thoracic manual therapy to treat patients with shoulder pain. This process led to three randomized-controlled trials (RCTs), which are considered the most powerful type of individual study that can be performed, and four other studies that were of lower quality. These seven studies contained information on 496 patients with shoulder pain, who were treated with a variety of techniques that took place for as long as 12 weeks. Patients were evaluated for several outcomes like pain and disability for up to one year, and the findings of all these studies were compared to one another to determine the true value of this treatment. Patients experience less pain and disability for up to one year after treatment Results from the systematic review showed that patients treated with thoracic manual therapy improved significantly more than those who received other treatments. In particular, the three RCTs found that they experienced a quicker recovery with reduced pain and disability for at least 12 weeks, and up to one year after treatment. In addition, a ranking tool found that the evidence provided in the RCTs was of high quality, which makes the information it provides even more reliable. Based on these findings, it appears that thoracic manual therapy is an effective technique for patients with shoulder pain. It can accelerate their recovery and lead to less pain and disability in the long term. Patients dealing with this type of pain should, therefore, seek out a physical therapist that provides these types of services in order to experience significant and lasting improvements. -As reported in the September '15 issue of theJournal of Manual and Manipulative Therapy http://bit.ly/2ySUngu
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Motivational Monday: -Aristotle http://bit.ly/2yDT5Ww
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Non-surgical treatment lead to similar outcomes for back pain: Interpretation of study's findings is misleading Low back pain is one of the most common painful conditions in the world. Although many individuals who experience low back pain will improve either with or without treatment, some go on to deal with long-term issues. Chronic low back pain (CLBP) is defined as any situation in which pain lasts for more than three months, and it is a major problem for physical therapists and other doctors. In general, it's recommended that non-surgical treatment that includes various types of exercises should be used first and that surgery should only be considered if these treatments are not available or don't lead to improvements. Lots of research has supported this type of approach, such as three recent high-quality studies that found no evidence that surgery was any better than non-surgical treatment after 11 years. Unfortunately, one recent study performed in Sweden tried to make the claim that surgery led to superior outcomes compared to non-surgical treatment; however, there were some issues with this analysis. Surgeons performed the study, who may have interpreted information in favor of surgery, even if it actually suggested otherwise. For this reason, a team put forth a commentary that explained the true nature of these findings to better guide patients and medical professionals. Large sample of patients randomly assigned to different treatments In the original study, patients with CLBP for at least two years were recruited to participate. This led to a sample of 294 individuals who were randomly assigned to either physical therapy or a surgical procedure called lumbar fusion. All patients were evaluated before these treatments and then monitored for between 9-22 years afterward for pain, disability, and other measures. According to the researchers who conducted the study, patients who had surgery reported better scores in most of the measurements taken, and they recommend that this surgical procedure is a valid treatment option for patients with CLBP. When looking into these results a bit more deeply, though, a different story emerges. Long-term results really show that there is no difference between treatments Researchers first pointed out that although patients were randomly assigned to have either surgery or physical therapy, they had a 3-to-1 chance of having surgery. This means that many more patients went on to have surgery versus physical therapy, and makes the results skewed in that direction. In addition to this, the patients that did receive physical therapy were not provided with quality treatments that were based on evidence, which is the norm for reputable physical therapists. Another major difficulty is the fact that although it's easy to track patients who move from non-surgical treatment to surgical treatment, this is very difficult for patients who do the opposite. Once again, this favors those who have surgery rather than physical therapy. Finally, the long-term results showed that while the surgical group of patients remained stable, the non-surgical group actually continued to improve after two years. Based on these important shortcomings, the original study was biased in its conclusion that surgery was superior to physical therapy. In actuality, it only performed better in certain measures, and non-surgical treatment actually had some advantages of its own. Therefore, the results from that study should be taken with caution, and patients should understand that what it truly shows is that surgery and non-surgical treatment like physical therapy lead to very similar results. The choice is theirs and should be made by evaluating the costs and long-term outcomes of both treatments. -As reported in the May '16 issue of The Spine Journal http://bit.ly/2gU7ion
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Recipe Wednesday - Good-For-You Cornbread: The day has finally come: Good-for-you cornbread! Click here for this awesome recipe! http://bit.ly/2gOyiFG
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