|
|
Looking for ideas for an orthpaedic inservice
|
Logged in as: Guest
|
|
Users viewing this topic:
none
|
|
Login  | |
|
Looking for ideas for an orthpaedic inservice - April 2, 2001 4:37:00 AM
|
|
|
jma
Posts: 2356
Joined: August 24, 2000
From: NY
Status: offline
|
Hello,
I just started my second rotation in an outpatient orthopaedic clinic. I was asked to do an inservice and looked at this website. I checked out what the responses were for Melissa and they were helpful. In my case, I want to concentrate on orthopaedics but I want ideas that are new and not just repeats of previous students. ie. joint mobs, anatomy, exercise protocols. Those ideas have been explained in the past but I want to give new ideas that they can learn from. Any help would be greatly appreciated.
|
|
|
|
|
Re: Looking for ideas for an orthpaedic inservice - April 2, 2001 5:03:00 AM
|
|
|
Andrew M. Ball, MS, PT
Posts: 500
Joined: October 8, 1999
From: Chapel Hill, NC, USA
Status: offline
|
Check out the Z-Lift system's advantages over traditional therapy.
Advantages of the Z-Lift in Body-Weight Support Therapy and Training:
Z-Lift System is useful in athletic training and aerobic exercise. For example, an athlete, with 20% of body-weight supported by the Z-Lift System, can run nearly 10% faster than at full weight (on a suitable treadmill). This overspeed training conditions the coordination of muscles and nerves at faster rates than the athlete will employ when at full weight on the field. While top speed at full body-weight is increased only slightly, the greater benefit of overspeed training is that the athlete's form will no longer break down when running "flat out". The athlete's reflexes are sharper, allowing faster reactions, which results in better performance on the field and reduced chance of injury. An additional benefit of using a Z-Lift for exercise is the reduced impact stress on the lower extremities. Many athletes use the Z-Lift for training and weight maintenance because of this ("You can run all day without pounding your knees into oblivion"). Further, during aerobic training a target heart rate may be maintained for longer periods by gradually increasing the amount of body-weight support once the desired rate is first reached at full weight. In today's competitive sports environment every "extra edge" is invaluable, and that is why many pro sports and college teams are using the Z-Lift for its benefits in training as well as rehabilitation. The Z-Lift is the only machine of its type capable of smooth, tug-free, body-weight support at the rapid cycle rates created during training exercise.
In clinical trials, our incremental weight-bearing equipment has demonstrated:
A reduction in post-ACL reconstruction recovery time by more than 40 percent. A relief of patient back pain in 7 visits or less. Successful resolution of chronic back pain resulting in discharge in 6 weeks. An identification of pain threshold in patients with lower back pain, a prognostic indicator for recovery. Successful treatment programs for degenerative joint disease (knees, hips, etc.) Rapid recovery from lateral ankle sprains. Shorter rehabilitation cycles.
enhanced athletic performance.
*Rarely is more than 50% of a person's body weight supported. The amount of support should be determined by a qualified professional, such as a physical therapist or athletic trainer. The amount of support is gradually reduced as the patient progresses until the patient can successfully perform tasks on a daily basis without support. Standard Z-Lifts provide up to 100 pounds of support. Up to 200 pounds can be supported on custom-ordered units.
[URL=http://www.zlift.com/]http://www.zlift.com/[/URL]
REFERENCES (I did not do this search, I lifted it from the Z-lift website, but I've read most of this information):
Zander, G.: L'Etablissement de Gymnastique Médicale Méchanique Paris, 1879.
Busquey, Torro S: Gimnastia, Hygienica, Medica y Ortopedica Madrid, 1865.
Colson, John H. C., FCSP FSRG DipTRG DipCOT; Collison, Frank W., MSRG: Progressive Exercise Therapy in Rehabilitation and Physical Education Fourth Edition, 1983, pp. 13-23.
Delpech, Jacques M.: L'Orthomorphie Paris, 1828.
Finch L., Barbeau H., Arsenault B.: "Influence of Body Weight Support on Normal Human Gait: Development of a Gait Retraining Strategy" Physical Therapy, Volume 71, 1991, pp. 842-856.
Flynn, Timothy W.; Canavan, Paul K.; Cavanagh, Peter R.; Chiang, Jin-Hsien: "Plantar Pressure Reduction in an Incremental Weight-Bearing System" Physical Therapy, Volume 77, No. 4, April 1997, pp. 410-416.
Hesse S., Bertlet C., Schaffrin A., Malezic M., Mauritz K.: "Restoration of Gait in Nonambulatory Hemiparetic Patients by Treadmill Training with Partial Body-weight Support" Arch. Phys. Med. Rehab., Volume 75, October 1994, pp. 1087-1093.
Hesse S., Bertlet C., Jahnke, MT, et al.: "Treadmill Training with Partial Body Weight Support Compared with Physiotherapy in Nonambulatory Hemiparetic Patients" Stroke, Volume 26, 1995, pp. 976-981.
Kelsey, D., Tyson E.: "A New Method of Training for the Lower Extremity Using Unloading" The Journal of Orthopaedic & Sports Physical Therapy, Volume 19, No. 4, April 1994, pp. 218-223.
Kelsey D.: "New Advances in Rehabilitation Following Anterior Cruciate Reconstruction" Platform presentation at the American Physical Therapy Association's Annual Combined Sections Meeting, New Orleans, Louisiana. February, 1994.
Kelsey D.: "New Advances in Closed Kinetic Chain Training" Ninety minute presentation at the Joint Congress of the American Physical Therapy Association and The Canadian Physiotherapy Association, Toronto, Canada. June 1994.
Kelsey D.: "Low Back Pain: A New Method of Assessment for Pain-free Weight-bearing Exercise" Platform presentation at the American Physical Therapy Association's Annual Combined Sections Meeting, Reno, Nevada. February 1995.
Kelsey, D.: "New Concepts for the Treatment of Tendinitis and Chondral Injuries of the Lower Extremity" The Dogwood Conference, Alpharetta, Georgia. April 1995.
Kline, Mangione K.; Axen, K.; Haas, F.: "Mechanical Unweighting Effects on Treadmill Exercise and Pain in Elderly People with Osteoarthritis of the Knee" Physical Therapy, Volume 96, 1996, 387-394.
Lagrange, F.: La Médication par l'Exercice Paris, 1894.
Levertin, A.: Dr. Gustav Zander's Medico-Mechanical Gymnastics Stockholm, 1893.
Licht, Sidney, ed. by Basmajian, John V., M.D., F.A.C.A., F.R.C.P.(C.): "History" chp. in Therapeutic Exercise, Fourth Edition, Rehabilitation Medicine Library, Canada. pp. 1-44.
Murray J., Hunter D., Pape M., Kelsey D., Murray T.: "Determination of the Physiological Effects of Unloaded Treadmill Exercise" Cardiopulmonary Physical Therapy, Volume 4, No. 3, Spring 1993, pp. 13-16.
Pillar T., Dickenstein R., Smolinski Z.: "Walking Re-education with Partial Relief of Bodyweight Support in Rehabilitation of Patients with Locomotor Disabilities" Journal of Rehabilitation, Res. Volume 28, No. 4, 1991, pp. 47-52.
Sanders, Barbara, MS, PT, SCS, Assoc. Prof. & Program Dir, Physical Therapy, Southwest Texas State Univ.: "Sports Rehab Concepts" chp. in Sports Physical Therapy, c 1990, Appleton & Lange
Scotece, Gaetano G., MPT, FAAPM: "Physical Therapy and the Management of Pain" Orthopaedic Physical Therapy Clinics of North America, Volume 4:4, December 1995, pp. 541-554. (Address reprint requests to: Gaetano G. Scotece, MPT, FAAPM, Lakewood Health Care Center, 11411 Bridgeport Way SW, Tacoma, WA 98499)
Scotece, Gaetano G., MPT, FAAPM: "Reflex Sympathetic Dystrophy: Description and Multidisciplinary Approach" Orthopaedic Physical Therapy Clinics of North America, Volume 4:4, December 1995, pp. 459-469. (Address reprint requests to: Gaetano G. Scotece, MPT, FAAPM, Lakewood Health Care Center, 11411 Bridgeport Way SW, Tacoma, WA 98499)
Visintin M., Barbeau H.: "The Effects of Parallel Bars, Body-weight Support, and Speed on the Modulation of the Locomotor Pattern of Spastic Paretic Gait" A Preliminary Communication. Paraplegia, Volume 32, 1994, pp. 540-553.
Wernig A., Muller S.: "Laufband Locomotion with Bodyweight Support Improved Walking in Persons with Severe Spinal Cord Injuries" Paraplegia, Volume 30, 1992, pp. 229-238.
Wernig A, Nanassy A, Muller S.: Laufband (treadmill) therapy in incomplete paraplegia and tetraplegia. J Neurotrauma 1999 Aug;16(8):719-26
Wernig A, Nanassy A, Muller S.: Maintenance of locomotor abilities following Laufband (treadmill) therapy in para- and tetraplegic persons: follow-up studies. Spinal Cord 1998 Nov;36(11):744-9
Andrew M. Ball, MS, MBA, PT
|
|
|
|
|
Re: Looking for ideas for an orthpaedic inservice - April 2, 2001 1:09:00 PM
|
|
|
jma
Posts: 2356
Joined: August 24, 2000
From: NY
Status: offline
|
Thank you very much for your help on this. I never knew this kind of approach existed, or even used. I will look into and see what else I can dig up on this. If anything else comes to mind, please do not hesitate to share it and I will look into it with great interest. I'm sure my CI never thought this kind of rehabilitation was being performed either. Once again thank you for your assistance.
|
|
|
|
|
Re: Looking for ideas for an orthpaedic inservice - April 2, 2001 5:32:00 PM
|
|
|
Andrew M. Ball, MS, PT
Posts: 500
Joined: October 8, 1999
From: Chapel Hill, NC, USA
Status: offline
|
Tread cautiously. Most CI's don't want to be challenged with research that may directly affront the entirety of their clinical being.
I'm able to do that because of the knowledge and respect that I've been able to demonstrate and command on RehabEdge.com, the PED-PT listserv, and the Admin listserv. My style comes across as brazen and arrogant to many, and as a student, it would come across even moreso. I'd suggest looking at the Z-Lift, and presenting it not as an alternative to traditional therapy, but as a treatment envirnoment by which traditional therapy techniques can be greatly enhanced. Paul Hansen, PhD, PT showed me that trick, and it's been very helpful in opening minds to science and fact that would otherwise slam shut at the initiation of the conversation.
Good luck, and please keep us posted on your efforts.
Drew
|
|
|
|
|
Re: Looking for ideas for an orthpaedic inservice - April 3, 2001 6:26:00 AM
|
|
|
jma
Posts: 2356
Joined: August 24, 2000
From: NY
Status: offline
|
Message received and well understood. Thanks Drew
|
|
|
|
|
Re: Looking for ideas for an orthpaedic inservice - April 5, 2001 11:33:00 AM
|
|
|
Andrew M. Ball, MS, PT
Posts: 500
Joined: October 8, 1999
From: Chapel Hill, NC, USA
Status: offline
|
Another idea, and I'll admit that I do much better with this in person than on listservs or Rehabedge.
Once you present a competing theory to a person especially regarding the application of new basic science to clinical science, try to figure out a way to prove the other person's perspective using the very same body of research. I've been seen to attack Craniosacral therapy and SI for kids with autism quite vicously, but also able to provide the therapist I'm talking to, using the same new basic science research . . . theory as to why I may still be wrong, and their perspective may be right under certain conditions.
That's VERY hard to do, and I'm still learning, but it seems to be the most effictive tactic yet to disseminating potentially uncomfortable information without offending and closing minds.
Trust me, I've had a lot of experience messing that up!
Drew
|
|
|
|
|
Re: Looking for ideas for an orthpaedic inservice - April 6, 2001 6:26:00 AM
|
|
|
jma
Posts: 2356
Joined: August 24, 2000
From: NY
Status: offline
|
Thanks for the tip. It makes sense to find a new method or technique and then find the pros and cons of its application, rather than trying sell it off as a new treatment to abolish the old ones. By the way, I saw something that looked like what you described the other night on Scientific American. It was very informative and has opened my eyes to its future applications in the future. Check it out at pbs.org. The whole program was dedicated to spinal cord injuries. Thanks for the tip, I really appreciate it
|
|
|
|
|
Re: Looking for ideas for an orthpaedic inservice - April 16, 2001 4:57:00 PM
|
|
|
dawn
Posts: 2
Joined: April 15, 2001
From: Orwell, Ohio , USA
Status: offline
|
How about an inservice on treatment of endometriosis pain? Endo falls into the category of Chronic Pain, and as a sufferer, I can tell you that it is debilitating for some women. You can't cure the disease (there is no cure), but PT's can treat the underlying symptoms. There isn't a whole lot of information out there, but I'm sure you could find something...Just a thought (-: Good luck on your inservice.
Dawn (PTA student)
|
|
|
|
 New Messages |
 No New Messages |
 Hot Topic w/ New Messages |
 Hot Topic w/o New Messages |
 Locked w/ New Messages |
 Locked w/o New Messages |
|
 Post New Thread
Reply to Message
Post New Poll
Submit Vote
Delete My Own Post
Delete My Own Thread
Rate Posts |
|
0.109
|
Printable Version
