Profile cover photo
Profile photo
California Therapy Solutions
19 followers
19 followers
About
Posts

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://dlvr.it/Qrg2Z5
Photo
Add a comment...

Post has attachment
Motivational Monday: -Jesse Jackson http://dlvr.it/QrZNzm
Photo
Add a comment...

Post has attachment
Recipe Wednesday - Cornbread-Crusted Turkey: This would taste yummy with sweet potatoes! Click here for the recipe! http://dlvr.it/QrCM56
Photo
Add a comment...

Post has attachment
Review shows exercise therapy one of the best shoulder treatments: Comprehensive study needed to pull together all research on the topic Complaints related to shoulder pain are the third-most common after those of the back and neck. About 29 out of every 1,000 individuals will have an issue with shoulder pain each year, and it has the highest incidence in women and people between the ages of 45-64. About 36% of these individuals have a condition called shoulder impingement syndrome (SIS), which is a generic term for several shoulder disorders that all lead to pain, disability and a reduced quality of life. There are many conservative (non-surgical) treatments available for SIS and an abundance of research on their effectiveness, but there is yet to be a comprehensive overview that has pulled all of these studies together and compared them to one another. For this reason, a powerful pair of studies called a systematic review and meta-analysis was conducted to provide this needed overview on various conservative treatments for SIS. Six databases searched for relevant studies Investigators performed a search of six major medical databases for high-quality studies called randomized-controlled trials (RCTs) that evaluated the effectiveness of a conservative treatment for SIS. RCTs randomly assign participants to a treatment group and then compare them to one—or more—other groups to gauge how well an intervention works, and they are considered the gold standard of individual research studies. This search led to 324 RCTs being screened and 200 of these being accepted into the final analysis. Conservative treatments evaluated in these studies included exercise therapy, a form of hands-on therapy called manual therapy, steroid injections, taping and non-steroidal anti-inflammatory drugs (NSAIDs), among others. Once collected, the findings from these RCTs were compared to one another and the quality of each study was assessed to determine how reliable these findings actually were. Despite low quality of evidence, exercise is still recommended for patients with SIS On the whole, results were supportive of both exercise therapy and manual therapy for SIS patients. For pain alone, studies showed that manual therapy was superior to no treatment or a sham treatment, and that when combined with exercise, it was more effective than exercise alone. Manual therapy was also found to have immediate effects. Regarding pain and function, exercise therapy was found to be superior to no treatment, and specific exercises were found to be more effective than non-specific exercises. Finally, studies also showed that exercise therapy was superior to non-exercise modalities—like ultrasound and electrical stimulation—for improving flexibility. Unfortunately, the quality of the research was deemed very low, which was due to lack of consistency across studies and a high risk of bias. But in spite of this shortcoming, the researchers still concluded that exercise therapy should be recommended as the first line of treatment for SIS patients, and that adding manual therapy may lead to even better results. Individuals dealing with SIS symptoms are therefore encouraged to see a physical therapist for a comprehensive treatment program that is sure to include various exercises and manual therapy. Patients should also be aware that visiting a physical therapy clinic now can be especially advantageous if they already met their insurance deductible or out-of-pocket maximum for 2018, since these visits may be covered for the rest of the year. -As reported in the September ’17 issue of the British Journal of Sports Medicine http://dlvr.it/Qr6hsM
Photo
Add a comment...

Post has attachment
Honoring all who have served our country. http://dlvr.it/QqynRH
Photo
Add a comment...

Post has attachment
Learn about overuse injuries that occur in rowing. #SeeAPT1st: Learn about overuse injuries that occur in rowing. #SeeAPT1st Click Here for the Article http://dlvr.it/Qqqf2z
Photo
Add a comment...

Post has attachment
Exercise found to reduce risk of experiencing episodes of neck pain: All reviews on the topic up to this point suffered from certain flaws Neck pain is one of the most common and significant health problems throughout the world. It ranks as the fourth leading cause of disability, and it’s estimated that about 48.5% of the population will deal with neck pain at some point in their lives. Individuals with neck pain generally improve over time, but in many cases the pain comes back and can end up becoming a long-term problem. This shows why it’s important to establish measures that will prevent neck pain from developing in the first place, but the available guidelines for neck pain treatment don’t include any specific recommendations for prevention. In addition, although there are large-scale reviews—systematic reviews—on the topic, they all suffer from some flaws and limitations, which means that better quality evidence is needed. For these reasons, researchers decided to conduct a powerful pair of studies called a systematic review and meta-analysis to determine what strategies were most effective for preventing an initial episode of neck pain in individuals without symptoms. Five databases searched for relevant studies Investigators used five medical databases to search for randomized-controlled trials (RCTs) that evaluated the effectiveness of prevention strategies for neck pain, and only accepted those that fit specific criteria. RCTs randomly assign participants to a treatment group and then compare them to one—or more—other groups to gauge how well an intervention works, and they are considered the gold standard of individual research studies. This search led to 5 RCTs being accepted into the systematic review and meta-analysis, which contained data on 3,852 participants. Once collected, the findings of these five RCTs were compared to one another, and their quality was assessed to better indicate if these findings were reliable. Exercise identified as an effective strategy for preventing neck pain Two of the five RCTs investigated the use of exercise programs, and researchers deemed that there was moderate-quality evidence that exercise does substantially reduce the risk of a new episode of neck pain. These exercise programs lasted for 9-12 months and consisted of various exercises that were intended to improve the strength and flexibility of the neck muscles and improve body awareness, stability and aerobic abilities. The individuals who participated in these programs reduced their risk for developing neck pain by about half. The three other RCTs investigated the use of ergonomic programs, which instruct patients make modifications to their workstations and homes that are intended to improve posture. Researchers concluded that there was low-quality evidence that these ergonomic programs do not reduce the risk of a new episode of neck pain. Based on these findings, it appears that exercise is a particularly effective strategy for reducing the risk of developing neck pain. Individuals who work a desk job and are concerned that neck pain may be a problem in the future are therefore encouraged to see a physical therapist for a preventative exercise program, which can put them ahead of the game. Now is also a great time of year to visit a physical therapist for those who have already met their insurance deductible or out-of-pocket maximum for 2018, as treatment may be covered for the rest of the year under some healthcare plans. -As reported in the July ’18 issue of the Journal of Physiotherapy http://dlvr.it/QqYbqs
Photo
Add a comment...

Post has attachment
Motivational Monday: -Zig Ziglar http://dlvr.it/QqT5f9
Photo
Add a comment...

Post has attachment
Spine strengthening exercises lead to improvements: Condition generally tends to progress with age Kyphosis is a disorder in which an excessive outward curvature of the spine results in an abnormal rounding of the upper back. Kyphosis generally tends to get worse with age, and once the angle progresses past 40°, it's referred to as hyperkyphosis. Up to 40% of adults over the age of 65 have hyperkyphosis, and those with severe cases are at an increased risk for falls and fractures. Many older adults with hyperkyphosis suffer from poor and worsening quality of life and physical function due to their condition, and it's therefore important to develop strategies to address their disorder. Previous research has shown that strengthening exercises for the back muscles can lead to improvements in patients with hyperkyphosis, but most of the included studies on the topic suffered from limitations of some sort. For this reason, a powerful study called a randomized-controlled trial (RCT) was conducted to evaluate if strengthening exercises were, in fact, effective for patients with hyperkyphosis. In the research world, RCTs are considered the gold standard for determining the benefits of a particular treatment. 99 older adults are randomly assigned to one of two groups Individuals over the age of 60 diagnosed with hyperkyphosis were invited to participate in the study and screened by the team of researchers. In order to be accepted to the RCT, they had to be able to walk one block without an assistive device, climb one flight of stairs and rise from a chair without the use of their arms. From a pool of 598 individuals, 99 were deemed eligible and then randomly assigned to one of two groups. Half the participants were placed in the treatment group, which consisted of three hour-long weekly exercise sessions every week for six months. These sessions were led by a physical therapist and included various exercises that targeted muscle impairments that were known to be associated with hyperkyphosis. In particular, the exercises focused on strengthening and improving the flexibility of certain back muscles, and participants were also given the training to help improve their posture. The other half of participants were placed in the control group, which attended an education session every month for four months. All patients were assessed at the start of the study and then six months later for the curvature of the spine and several other outcomes. Treatment leads to significant improvements Results showed that patients who followed the physical therapist-led exercise program experienced several significant improvements when compared to the control group. Most importantly, the angle of the curvature of the spine reduced by an average of 3.3° in the treatment group, compared to only 0.3° in the control group. In addition, the treatment group reported better self-image and satisfaction with their appearance after completing their treatment. The findings of this RCT suggest that a treatment program that consists of strengthening exercises for the spine and posture training can lead to physical improvements in patients with hyperkyphosis, which appears to boost their confidence in turn. Individuals with hyperkyphosis interested in improving should, therefore, think about seeking out the services of a physical therapist to address their condition. -As reported in the July '17 issue of the Osteoporosis International http://dlvr.it/QqB67x
Photo
Add a comment...

Post has attachment
Happy Halloween! http://dlvr.it/Qq42yx
Photo
Add a comment...
Wait while more posts are being loaded