Physical Therapy Practice | ACL Rehab Exercises

Physical Therapy Practice: ACL_injury exercisesBy Elizabeth Quinn, About.com Guide (About.com Health’s Disease and Condition content is reviewed by the Medical Review Board)

If you treat anterior cruciate ligament (ACL) injuries at y0ur Physical Therapy Practice  the following ACL Rehab Exercises exercises can get your patients back on the road to recovery.

Physical Therapy Practice | ACL Rehab Exercises you can do as tolerated:

  • Heel slide: Sit on the floor with legs outstretched. Slowly bend the knee of you injured leg while sliding your heel/foot across the floor toward you. Slide back into the starting position and repeat 10 times.
  • Isometric Contraction of the Quadriceps: Sit on the floor with your injured leg straight and your other leg bent. Contract the quadricep of the injured knee without moving the leg. (Press down against the floor). Hold for 10 seconds. Relax. Repeat 10 times.
  • Prone knee flexion: Lie on your stomach with your legs straight. Bend your knee and bring your heel toward your buttocks. Hold 5 seconds. Relax. Repeat 10 times. Add the following exercises once knee swelling decreases and you can stand evenly on both legs without favoring the injured knee.
  • Passive knee extension: Sit in a chair and place your heel on another chair of equal height. Relax your leg and allow your knee to straighten. Rest in this position 1-2 minutes several times a day to stretch out the hamstrings.
  • Heel raise: While standing, place your hand on a chair/counter for balance. Raise up onto your toes and hold it for 5 seconds. Slowly lower your heel to the floor and repeat 10 times.
  • Half squat: Stand holding a sturdy table with both hands. With feet shoulder’s width apart, slowly bend your knees and squat, lowering your hips into a half squat. Hold 10 seconds and then slowly return to a standing position. Repeat 10 times.
  • Knee extension: Loop one end of Theraband around a table leg and the other around the ankle of your injured leg and face the table. Bend your knee about 45 degrees against the resistance of the tubing and return.
  • One Legged Standing: As tolerated, try to stand unassisted on the injured leg for 10 seconds. Work up to this exercise over several weeks.

Source: http://sportsmedicine.about.com/cs/knee_injuries/a/aa082603a.htm

Hippotherapy as a Treatment Tool for Physical Therapists

rehab, PT, physical therapy, software, billing, notes, SOAP notes, EMR, rehab-software, rehab-billing, rehab-notes, rehab SOAP notes, rehab-EMR, PT-software, PT-billing, PT-notes, PT SOAP notes, PT-EMR, Physical Therapy software, Physical Therapy billing, Physical Therapy notes, Physical Therapy SOAP notes, Physical Therapy EMRHippotherapy is a physical, occupational, and speech-language therapy treatment tool that utilizes equine movement as part of an integrated intervention program to achieve functional outcomes.

Equine movement provides multidimensional movement, which is variable, rhythmic and repetitive. The horse provides a dynamic base of support, making it an excellent tool for increasing trunk strength and control, balance, building overall postural strength and endurance, addressing weight bearing, and. motor planning. Equine movement offers well-modulated sensory input to vestibular, proprioceptive, tactile and visual channels. During gait transitions, the patient must perform subtle adjustments in the trunk to maintain a stable position. When a patient is sitting forward astride the horse, the horse’s walking gait imparts movement responses remarkably similar to normal human gait. The effects of equine movement on postural control, sensory systems, and motor planning can be used to facilitate coordination and timing, grading of responses, respiratory control, sensory integration skills and attentional skills. Equine movement can be used to facilitate the neurophysiologic systems that support all of our functional daily living skills.

Physical Therapists: The physical therapist can overlay a variety of motor tasks on the horse’s movement to address the motor needs of each patient and to promote functional outcomes in skill areas related to gross motor ability such as sitting, standing, and walking.

Occupational Therapists: The occupational therapist is able to combine the effects of the equine movement with other standard intervention strategies for working on fine motor control, sensory integration, feeding skills, attentional skills, and functional daily living skills in a progressively challenging manner.

Speech-Language Pathologists: The speech-language pathologist is able to use equine movement to facilitate the physiologic systems that support speech and language. When combined with other standard speech-language intervention strategies, the speech-language pathologist is able generate effective remediation of communication disorders and promote functional communication outcomes.

Physical Therapy | Brain Injury Prevention Program

PT, physical therapy, software, billing, notesThe initiative was developed to raise awareness about preventing, recognizing, and responding to fall-related traumatic brain injury (TBI) in older adults. The Help Seniors Live Better, Longer: Prevent Brain Injury initiative reaches out to children and caregivers of adults 75 and older with messages to help them understand ways to prevent falls, the leading cause of TBI among older adults, learn the symptoms of TBI in older adults, and how to respond to a TBI should one occur.

TBI is a special health concern for older adults. People ages 75 and older have the highest rates of TBI-related hospitalizations and death. In addition, they recover more slowly and die more often from these injuries than do younger people.

Nationally

  • More than one-third of the adults 65 years and older in the United States fall each year.
  • Twenty to 30 percent of people in this age group who fall suffer moderate to severe injuries such as bruises, hip fractures, or head traumas. These injuries can make it hard to move around and limit independent living. They can also increase the risk of early death.
  • Falls are the most common cause of TBI. In 2000, TBI occurred in 46% of fatal falls among older adults.
  • Among older adults, falls are the leading cause of injury deaths. They are also the most common cause of nonfatal injuries and hospital admissions for trauma.
  • Approximately 85% of deaths caused by falls in 2004 were among people age 75 years and older.
  • People 75 years and older who fall are 4 to 5 times more likely than younger people to be hospitalized in a long-term care facility for a year or longer.

Article Source; APTA, Geriatric Section

The CDC launched its - Help Seniors Live Better, Longer: Prevent Brain Injury - communication initiative in March 2008.