Sarah posts:
DEAR ERI COMMUNITY:
I am looking for PT eligibility/discharge criteria for school based PT. My district is working on beefing up their policies and procedures and I would like to know what is typical in other districts.
CEUs for NDTA re-certification
Do you need NDTA Re-certification?
We do offer many NDT courses taught by active NDTA instructors, helping you to meet your required 20 hours of CEUs within 3 years:
Intensive Handling and Problem Solving for Function: An NDT Approach
This intensive course is designed for experienced pediatric physical, occupational, and speech therapists who are interested in improving their problemsolving skills in order to achieve more efficient functional outcomes for children with Neuro-Motor disorders such as Cerebral Palsy and Down Syndrome. Emphasizing a NDT (Neuro-Developmental Treatment) framework, the course will utilize client videos as a basis for problem solving sessions and handling labs. Therapists will have the opportunity to develop realistic short and long-term functional outcomes, analyze multi-system and single-system impairments and develop treatment plans. Labs will focus on handling strategies that address the priority impairments and facilitate optimal control of posture and movement. Collaborative/Carryover strategies for home, school and community will also be discussed. – See more at: http://www.educationresourcesinc.com/course-details?courseid=61#sthash.TeTkYFqi.dpuf
Linda Kleibhan
Linda A. Kliebhan is a delightful speaker who is able to share her wealth of knowledge in a clear and engaging manner. As a physical therapist in private practice in Mequon, WI she has accumulated over 30 years experience in pediatrics treating children with cerebral palsy and other neuro-motor disorders. Linda A. Kliebhan, PT, is a NDT coordinator-Instructor teaching the NDT/Bobath Course in the Treatment of Children with Cerebral Palsy, advanced NDT courses and other workshops related to NDT and pediatric therapy. She is also co-founder of Partners for Progress Inc. a nonprofit organization providing and researching intensive therapy. Ms. Kliebhan is also a consultant with the Medical College of Wisconsin Department of Orthopedics.
Pharmacology Fundamentals for Therapists
Pharmacology Fundamentals for Therapists
Patients undergoing therapy routinely take both prescription drugs and OTC medicines that ultimately influence treatment outcomes. Therapists with knowledge of these medicines practice safer, more effective therapy. The course will examine Rx and non-Rx medicine used in the therapy setting and will cover side effects that influence treatment and outcomes. Information will focus on drug actions and patient errors when treating pain, as well as common disorders of the musculoskeletal, neurologic, cardiorespiratory, and endocrine systems. Common OTC drugs and herbals are examined for occult hazards and drug interactions.
[caption id="" align="alignleft" width="103" caption="Mark Nash"]
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Mark S. Nash, Ph.D., FACSM is a dynamic instructor who is highly regarded for his ability to take complex information and make it meaningful and clinically relevant. His pharmacology courses have earned widespread kudos for ease of understanding and relevance to therapy practice.
We are thrilled to be able to offer this course:
November 16th, 2013 – Pensacola, FL
January 31, 2014 – Portsmouth, NH
March 15, 2014 – Hollywood, FL
May 9, 2014 – White Plains, NY
November 8, 2014 – Tulsa, OK
Therapist is seeking your suggestions and strategies for treating an autistic patient with JRA, and Total Hip Replacement
Samantha Posts:
DEAR ERI COMMUNITY: I am a relatively new physical therapist and have an interesting patient that I would appreciate tips/suggestion for treatment techniques. I work in an acute care setting. I typically work with orthopedic patients (adults), those both who have recent TKA/THA and orthopedic trauma patients. I have a new pediatric patient, age 8 accelerated and progressive JRA and a history of hip dysplasia. This patient had received prior physical therapy prior to surgery, although I do not have assess to the notes as it was at another facility, so I am not sure of what interventions the previous therapist performed. The patient had dislocated her hip x2 prior to admission. The patient underwent a total hip replacement. Secondary to the age of the patient and the surgical intervention, the patient is currently TDWB, strict posterior hip precautions, and a Hip Spica Brace that is to be worn at all times. The patient is to be seen BID for a stay of 1 week to 1.5 weeks. Along with the significant orthopedic history, the patient has a past medical history of autism. With regards to the autism spectrum, this patient is nearly non-verbal, somewhat resistant to touch, and displays a lack of interest in general. I have had one treatment session with this patient which was very difficult for the patient to focus and she was very agitated throughout the treatment session with an obvious lack of interest in the treatment session. She had a extreme difficulty with maintaining WB status and ambulation with use of assistive device. As far a “play” therapy or activities to engage the patient, do any experienced therapist have suggestions/strategies for interventions allowing for minimal agitation and overall compliance with WB and hip precautions in order for a successful session? Thank you for your help.
]]>Why Runners Don’t Get Knee Arthritis
A recent study published in Med Sci Sports Exercise (September 12, 2013 (Epub ahead of print) compared the forces that were generated (knee joint loads) while running to walking over the same distance in a small group of healthy adults. Although the peak load was three times higher in running, the relatively short duration of ground contact and relatively long length of strides in running were no higher than in walking in total per distance traveled.
The authors point out that runners do not have an especially high risk of knee OA compared to non-runners. Is this the reason why?
Walking is considered a low-impact activity and many physicians recommend walking for their older patients for both cardiovascular health and as a safer alternative to running. Previous studies had pointed out that running does not substantially increase the risk of developing hip arthritis and does not predict the future need for a total hip replacement. When compared to people who were less active, they had less overall risk of developing arthritis that people who were less active. However, until now, no one has compared the forces generated in an attempt to explain this paradox.
The primary author of the knee study says that their results are not an endorsement of running for knee health. Runners frequently succumb to knee injuries unrelated to arthritis, he said, and his study does not address or explain that situation. One such ailment is patellofemoral pain syndrome (runners’ knee).
These two studies leave many unanswered questions:
- Did the weight (BMI) of the runners make a difference in their ultimate outcome in the real world (OA vs. no OA)?
- Do runners with poor form/poor alignment stop running so there is a self selection process going on?
- Is using the forces generated per distance measurement a legitimate way to look at forces generated over a lifetime of running and walking?
- Does this study substantiate what you, the clinician, see in your practice? Or do you tend to see the “running failures” who due to faulty biomechanics or faulty genetics end up giving up on the attempt to be life-long runners?