Critical care experts at Johns Hopkins are reporting initial success in boosting recovery and combating muscle wasting among critically ill, mostly bed-bound patients using any one of a trio of mild physical therapy exercises during their stays in the intensive care unit (ICU). "ICU-related muscle weakness is the number one factor in prolonging a patient's recovery and delaying their return to a normal life, including work and recreational activities, " says critical care specialist Dale Needham, M.D., Ph.D., the senior researcher involved in producing the report, to be published in the journal Critical Care Medicine online Sept. 21. "Our ICU patients are telling us that they want to be awake and moving.
This condition is moderately common, occurs typically on both sides and is a non-traumatic condition which interferes with the function of the shoulder. The laxity of the shoulder capsule and thereby the lack of its inherent ligamentous restrictions is the underlying problem causing these difficulties. With this laxity there is an excess of mobility in the shoulder joints in every joint direction. Patients may complain of instability, with the feelings that the shoulder will partly or wholly come out of joint at times. If this instability is not obvious to the patient they may complain only of pain when they present. Conservative treatment is the first line of management for this condition, with physiotherapy treatment consisting of strengthening of the muscular parts of the scapular stability and rotator cuff systems.
Physical therapist-directed exercise counseling combined with fitness center-based exercise training can improve muscular strength and exercise capacity in people with type 2 diabetes, with outcomes similar to those of supervised exercise, according to a randomized clinical trial published in the September issue of Physical Therapy, the scientific journal of the American Physical Therapy Association (APTA). Type 2 diabetes is associated with numerous health complications, including a decline in muscular strength and exercise capacity. Studies show that a decline in muscular strength increases the risk of loss of physical function and that a decline in exercise capacity increases the risk of cardiovascular and all-cause mortality.
Construction work is one of the most demanding urban professions. Work is often arduous and uncomfortable, and often takes place near half-steady walls or hazardous chemicals. True, many construction sites incorporate safety features into their standard operations. Even so, it is better to try to take some additional measures of your own to ensure your own security. You can purchase and wear additional safety gear, or you might invest in a comprehensive insurance plan. None of these measures should be unfamiliar to you. However, one of the cheapest, most effective safety measures you can take might just surprise you: use vocal exercises to keep your lungs and diaphragm in shape.
APTA Urges For Reform To Increase Access To Physical Therapy Services Following Results Of Pilot On Musculoskeletal Conditions
In the wake of a report showing that patients with musculoskeletal conditions who receive physical therapy and other "physical medicine" services are less likely to have surgery, incur lower costs, and fare better than patients who do not receive such services, the American Physical Therapy Association (APTA) is urging Congress to include policies in health care reform that increase access to physical therapy services, especially for America's seniors who live in rural areas. The Wellmark Blue Cross and Blue Shield 2008 pilot program, a quality improvement program for Iowa and South Dakota physical medicine providers, collected data from 238 physical therapists, occupational therapists, and chiropractors who provided care to 5, 500 Wellmark members with musculoskeletal disorders.
Is there or should there be a concern for patient who have had metal implants inserted and then start using a tens or interferential unit? This is a question that has been asked many times over the past half century as both the field of implant technology improved as did the field of electrotherapy for pain, rehab., and non union fractures. The question is a fair one to ask not only from a safety perspective but also from the other angle of does an implant enhance the efficacy of an external tens stimulator or interferential machine. Basically the implant is outside the electrical field of a tens unit so there is no effect generally. Also many new composites for implants do not have metal or electrically conductive materials in them so over the next few years the question may become moot.