Discover and read the best of Twitter Threads about #PhysicalTherapy
Most recents (13)
🧠 The NEW Consensus statement on concussion in sport: the 6th International Conference on #Concussion in Sport from the Amsterdam, October 2022 interdisciplinary meeting is OFFICIALLY out via @BJSM_BMJ 📄
🧵 Here are the key takeaways summarized by the article:
#FOAMed
🧵 Here are the key takeaways summarized by the article:
#FOAMed
Individuals with persisting symptoms (ie, symptom duration >4 weeks) should be evaluated with a MULTIMODAL CLINICAL ASSESSMENT including the use of standardized and validated symptom rating scales. 2/
The potential long-term effects of Sports Related Concussion & repetitive head impacts (RHI) are areas of ongoing public health interest and concern among both healthcare professionals and the general public. 3/
Disheartening things I find w/ #ChronicPain & #ChronicIllness is misunderstanding &judgement from others. Weight seems to be a big thing for others. Overweight or thin seems to be an issue. Is it though or are those "others" basing it from their reality instead of the reality of
#ChronicPain & #ChronicIllness. I'll share just one of the many examples I've experienced. Recently I had to shop in the little girls' section & buy the largest size little girls to find a #sundress that would fit!!!(still a little big)So I'm a fairly small person. I, literally,
also had major #abdominalsurgery 2 weeks ago. A friend gave me a ride to get my staples out yesterday. He, on the way home, asked about my exercise, &about how often I walk. Yes, he knows about #ChronicPain & #chronicillness. Unless someone is asking you for exercise health
When I graduated #physicaltherapy school I wrote down my goals for 5 and 10 years later. I crushed them. In fact, I was thinking way too small.
Here’s the advice I have for new PTs:
Here’s the advice I have for new PTs:
1.) Focus on being a clinician first
It’s the foundation of the profession. Regardless of what you end up doing, you’ll have that experience with patients and a better understanding of the field.
It’s the foundation of the profession. Regardless of what you end up doing, you’ll have that experience with patients and a better understanding of the field.
2.) Invest in yourself
Think of your career as a multi decade project. It doesn’t just happen. Use your own time, money, leverage mentors to chase questions and passions. Learn like crazy.
Think of your career as a multi decade project. It doesn’t just happen. Use your own time, money, leverage mentors to chase questions and passions. Learn like crazy.
Six reasons to assess the cranial nerves in the MSK clinic.
A thread 🧵
Reason 1.
You assess and manage patients with neck pain/ headache/orofacial symptoms
#Physio #Physiotherapy #PhysicalTherapy
A thread 🧵
Reason 1.
You assess and manage patients with neck pain/ headache/orofacial symptoms
#Physio #Physiotherapy #PhysicalTherapy
Reason 2.
You routinely assess neurological function when you encounter
1. Distal symptoms in the upper limb
2. Distal symptoms in the lower limb
It is logical therefore to do the same when it comes to the neck/head/face
You routinely assess neurological function when you encounter
1. Distal symptoms in the upper limb
2. Distal symptoms in the lower limb
It is logical therefore to do the same when it comes to the neck/head/face
Reason 3.
You will see patients who complain of post trauma/insidious onset dizziness/nausea/visual disturbances
... which may or may not be linked to CN dysfunction.
CN testing should form part of your routine risk assessment. pubmed.ncbi.nlm.nih.gov/34182898/
You will see patients who complain of post trauma/insidious onset dizziness/nausea/visual disturbances
... which may or may not be linked to CN dysfunction.
CN testing should form part of your routine risk assessment. pubmed.ncbi.nlm.nih.gov/34182898/
6 reasons to take #BloodPressure in the MSK physiotherapy clinic.
A thread to ponder over Easter 🧵
#Haemodynamics #Physio #PhysicalTherapy #Hypertension
1/
A thread to ponder over Easter 🧵
#Haemodynamics #Physio #PhysicalTherapy #Hypertension
1/
Reason 1.
Vital signs tell you lots about the patient’s general health.
The 2 minutes it takes to check someone’s blood pressure may impact directly on your clinical reasoning and subsequent management.
2/
Vital signs tell you lots about the patient’s general health.
The 2 minutes it takes to check someone’s blood pressure may impact directly on your clinical reasoning and subsequent management.
2/
Reason 2.
High blood pressure is generally asymptomatic, so you wouldn’t know if the person sitting in front of you might be hypertensive.
... Unless you take the time to check.
3/
High blood pressure is generally asymptomatic, so you wouldn’t know if the person sitting in front of you might be hypertensive.
... Unless you take the time to check.
3/
I'm so dissapointed in the doc who has been my best PCP for years #NEISvoid #DisabilityTwitter #EhlersDanlosSyndrome I have cci and it got significantly worse the last 2 months. I've tried to deal with it myself, but its been a major issue for pain, mobility & neuro symptoms #eds
that nothing helps. we changed from a pain patch to an injection because it give me more relief, but my symptoms persist & cause serious limitations i didn't have before. my PCP told me I had to do PT to get scans. I said okay, because this has happened before. I need 6 weeks
to get scans, which is a lot. my 1st pt was terrible [and I posted about it earlier] and my next pt is somebody I've never been with, so idk if they know eds. the only PT who I know, like, and who knows eds is booked through December. I called insurance to ask about getting scans
1/ So here is the final result on the Cranial Nerves poll.
>50% responded that they were not taught CN’s at University
In addition 56% who WERE taught it suggested they were not comfortable acting on the findings.
>50% responded that they were not taught CN’s at University
In addition 56% who WERE taught it suggested they were not comfortable acting on the findings.
2/ It is worth reflecting on the fact that most trained PT’s will assess neurological function in suspected upper limb and lower limb neurological dysfunction ... BUT NOT routinely in the cervical-cranial region.
3/ For a profession that positions itself as able ‘First Contact Practitioners’ for MSK conditions, that HAS to to be an #AFI
Serious adverse events related to cervical-cranial neurovascular dysfunction = Vision loss, Stroke or Death
Serious adverse events related to cervical-cranial neurovascular dysfunction = Vision loss, Stroke or Death
I’m in a graveyard.
Why?
#Risk #CervicalSpine #VertebralArtery #Physiotherapy #PhysicalTherapy
Part III - Risk Assessment of The Cervical Spine
... coming VERY soon! 👀
Why?
#Risk #CervicalSpine #VertebralArtery #Physiotherapy #PhysicalTherapy
Part III - Risk Assessment of The Cervical Spine
... coming VERY soon! 👀
Part III - Risk Assessment of The Cervical Spine: Directions For The Future
If the vertebral artery test truly is dead (?), where do we go from here?
#CervicalSpine #RiskAssessment #FCP #Physiotherapy #PhysicalTherapy #ClinicalReasoning #Haemodynamics
If the vertebral artery test truly is dead (?), where do we go from here?
#CervicalSpine #RiskAssessment #FCP #Physiotherapy #PhysicalTherapy #ClinicalReasoning #Haemodynamics
Thanks to @RikKranenburg @NathanHutting @RogerKerry1 and the Australian Physiotherapy Association for providing me with the impetus to think about, and produce these short films. #Haemodynamics #RiskAssessment #CervicalSpine #FCP #Physiotherapy #PhysicalTherapy #Education
1/ Women in Critical Care:
👍 Just recorded #ISICEM roundtable w @frubulotta @ElisabethWaele @FlaviaSepsis & Dr. Juffermans. 🎥 🍿 on Sept 16th.
Let’s eliminate prejudice based on gender, sexual pref & color. Here is a Baker’s Dozen of Women ICU Leaders!
#heforshe #medtwitter
👍 Just recorded #ISICEM roundtable w @frubulotta @ElisabethWaele @FlaviaSepsis & Dr. Juffermans. 🎥 🍿 on Sept 16th.
Let’s eliminate prejudice based on gender, sexual pref & color. Here is a Baker’s Dozen of Women ICU Leaders!
#heforshe #medtwitter
2/ The first woman leader in Critical Care I discussed was Dr. Christina Jones from UK. She is a Biochemist, Nurse, Masters Social Work, PhD in Psychotherapy.
👊Mother of ICU Support Groups & ICU Diaries. As an expert, she shaped our field!
#sccm #esicm #pulmcc #ICUrehap
👊Mother of ICU Support Groups & ICU Diaries. As an expert, she shaped our field!
#sccm #esicm #pulmcc #ICUrehap
3/ 2nd world leader in Crit Care presented was Dr. Deborah Cook, from McMaster Univ in Canada. Seminal trials in Ulcer Proph, Bioethics, CCCTG trials, and now edifying us about how to provide healing in the dying process through her 3-Wishes Project.
#endoflife #palliativecare
#endoflife #palliativecare
Risk Assessment of the cervical spine for NON-MANUAL THERAPISTS
4 case scenarios, to problem solve #RISK in the assessment & management of neck pain presentations.
#ClinicalReasoning #Physiotherapy #PhysicalTherapy #FCP #Haemodynamics #VertebralArtery
4 case scenarios, to problem solve #RISK in the assessment & management of neck pain presentations.
#ClinicalReasoning #Physiotherapy #PhysicalTherapy #FCP #Haemodynamics #VertebralArtery
Case 1.
Mayumi a 69 year old male archer (retired factory worker).
#ClinicalReasoning #FCP #Physiotherapy #PhysicalTherapy #Haemodynamics
Mayumi a 69 year old male archer (retired factory worker).
#ClinicalReasoning #FCP #Physiotherapy #PhysicalTherapy #Haemodynamics
Case 2.
Phil a 41 year male sports shop proprietor and ex-olympic rower.
#ClinicalReasoning #FCP #Physiotherapy #PhysicalTherapy #Haemodynamics
Phil a 41 year male sports shop proprietor and ex-olympic rower.
#ClinicalReasoning #FCP #Physiotherapy #PhysicalTherapy #Haemodynamics
The Vertebral Artery Test Part II:
Risk assessment of the cervical spine
4 clinical cases to try and make sense of risk assessment.
Of interest to ALL #Physiotherapy #PhysicalTherapy #FCP clinicians #Neck #Headache #Haemodynamics #Risk #VBI #CAD
Risk assessment of the cervical spine
4 clinical cases to try and make sense of risk assessment.
Of interest to ALL #Physiotherapy #PhysicalTherapy #FCP clinicians #Neck #Headache #Haemodynamics #Risk #VBI #CAD
A consideration of major or serious adverse events.
#Risk #LossOfVision #Stroke #Death #VBI #CarotidArtery #CAD
#Risk #LossOfVision #Stroke #Death #VBI #CarotidArtery #CAD
Into the 4th decade we go!
#Physio #PhysicalTherapy #VBI #CervicalSpine #Risk
How do we move forward from here?
#Physio #PhysicalTherapy #VBI #CervicalSpine #Risk
How do we move forward from here?
Covid-19 Linked To Life-Threatening Blood Clots in ARTERIES of Lower Extremities
"Awareness of lower limb arterial thrombosis as a possible complication of COVID-19 is important for all providers who take care of these patients” #Physio #PhysicalTherapy cathlabdigest.com/content/covid-…
"Awareness of lower limb arterial thrombosis as a possible complication of COVID-19 is important for all providers who take care of these patients” #Physio #PhysicalTherapy cathlabdigest.com/content/covid-…
#Physio #FCP ‘s
Time to brush up on your haemodynamics ✅
"We found that arterial thrombosis associated with COVID-19 infection was characterized by dire outcomes, namely strikingly increased rates of amputation and death, which in our series were 25% and 38%, respectively,"
Time to brush up on your haemodynamics ✅
"We found that arterial thrombosis associated with COVID-19 infection was characterized by dire outcomes, namely strikingly increased rates of amputation and death, which in our series were 25% and 38%, respectively,"
Be aware that arterial complications will likely present as PAIN in the early stages.
There may be an exercise induced component.
That may be down to deconditioning or fatigue OR it may be due to underlying pathology.
#Haemodynamics #COVID19
There may be an exercise induced component.
That may be down to deconditioning or fatigue OR it may be due to underlying pathology.
#Haemodynamics #COVID19
#Running gait retraining is something many patients and clinicians discuss during their #telehealth #PhysicalTherapy visits. Keep in mind a few key concepts (1/n):
Here is a somewhat controversial slide. You could have an entire podcast debate on this topic. Most likely there is "better form for the individual" but one true ideal? Unlikely. So....(2/n)
If a runner is pain-free with running you should be very careful before changing their form. (3/n)
