effectiveness of treatments in pt
TRANSCRIPT
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Effectiveness of Treatments in Physical
TherapyMegan Vogelsong
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Active assist exercise Active resistive exercise Ultrasound Transcutaneous electrical nerve stimulation
(TENS) Iontophoresis 830 Laser
Some types of PT Treatments
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Help maintain joint flexibility & muscle strength
Move limbs through normal or available range of motion
Stretches Heal slides Effective, but needs consistency and
possibly a longer treatment plan More effective in less severe cases
Active Assist Exercise
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Active Assist Exercise
Heal Slides: -help with range of motion and strength in knee-1to 3 sets, 8 to 12 repetitions, multiple times per week-as strength increases, increase sets and repetitions
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Increase strength of muscles & generate greater force
Use of weights may be used in treatment Three steps:
◦ 1. perform a small number of repetitions until patient feels fatigue
◦ 2. allow sufficient rest between exercise for recovery
◦ 3. increase resistance as ability to generate force increases
Active Resistive Exercise
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Active Resistive Exercise Cont. Healthy people
also use them to help increase athletic performance
Decrease risk factors for osteoporosis
Help regain strength
Long-term benefits usually uncertain unless keep up with rehabilitation
Pulmonary rehabilitation patients maintain benefits
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Active Resistive Exercises
Treatment gives reasonable improvement to some, especially elderly & is effective to many people, but more so in less severe cases
Exercises can help improve osteoarthritis of knees in elderly
Negatives:-Increase in muscle spasms-Increase in force required through healing tissues such as bones after fractures
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Generates high frequency sound waves through a round-headed probe
Sound waves travel deep into tissues and create mild heat
Heat draws blood into tissues which delivers oxygen and nutrients while removing wastes from cells
Reduces pain and inflammation Decrease muscle spasms Accelerate healing
Ultrasound
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Effectiveness on reducing pain is still questioned
Tests conducted and none showed evidence of pain relief
May still be effective if used more frequently and over a longer period of time
Ultrasound Effectiveness
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Ultrasound
-gel is used on skin to help move probe and generate heat-different intensities-circular motions and waves produce tingling sensation-usually done for 3-5 minutes
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Helps a specific injured area Used for muscle, joint, tendon, or nerve pain, inflammation, and many others
Decreases muscle and joint tightness Decreases inflammation
Transcutaneous Electrical Nerve Simulation (TENS)
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Compared to mechanically administered massages:◦38% of patients felt a decrease in pain with massage
◦85% of patients saw improvements with stimulation
Thus, stimulation is very effective
TENS
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TENS Treatment Surround affected
area with four small electrode pads
Pads hooked to device that sends a certain frequency of electrodes back and forth through the affected area
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Very similar to TENS, but only uses two patches, one of which containing ion medication
Administer medication deeper into tissues (1-3 cm)
Safe and cost effective Conditions usually disappear in six or less
treatments Used to treat inflammation, localized pain,
fungal infections, small ulcers, calcium deposits, trigger points, and plantar warts
Iontophoresis
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Iontophoresis Cons:
◦Small risk of tissue burns and blistering from high intensities or skin that was not cleaned properly
Very Successful Treatment:◦ Only takes about six
treatments◦ Can help severe cases◦ Ion medication major
plus◦ Different ions for
different situations
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Iontophoresis
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Newer advancement to PT Comparable to ultrasound, but no heat Reduces pain and decreases inflammation Regenerates tissues 90% effective rate in patients Thus, very effective treatment Will most likely be used for many more
years in the future
830 Laser
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830 Laser
-sends lights (photons) into injured tissues and stimulates healing while reducing pain instantly-photons stimulate and energize cells to repair and strengthen them at extremely fast rates-treatment does not wear off, but increases the body’s healing abilities
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Most effective treatments:◦Active resistive exercises◦Stimulation (TENS)◦Iontophoresis◦830 Laser
Conclusion
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-Depends on injury or disability-Depends on individual person-Some treatments may work great for some people while they may not work at all for others
-Bright future for physical therapy with continued advancements in technology
Conclusion Continued