Archive for September, 2008

An Introduction to Available Physical Therapy Education

Wednesday, September 24th, 2008

Physical therapy programs are available on the Internet. If you're interested in finding information about physical therapy programs you'll have to do a lot of research because this field is very vast and since it is increasingly developing, there are a lot schools, universities, training courses and programs both in traditional forms and online. To be able to make the right choice for your entire training, this article will try to give you some useful guidelines and tips.

First of all, when you decide to attend any of the existing physical therapy programs you have to think of the geographical area because the area where you'll function probably has a bigger incidence of certain types of diseases needing physical therapy than others. So you have to study the impact of the geographical conditions on the health of the population you'll deal with. Besides this aspect, if you have a pretty clear idea of where you intend to work, you'll narrow down your search making it easier for you to look for the most appropriate of physical therapy programs that will suit you best.

Then, another aspect you should keep in mind when searching for adequate physical therapy programs should be what particular type of training they offer and what kind of degrees and certification you'll receive at the end of the training program. Still another criterion in choosing the best program for you is the length of the course and the educational curriculum offered. Don't forget that physical therapy programs can be found in the syllabuses of both state and private educational institutions, which can be important to you from the financial perspective.

There are a number of types of degrees offered in this field. If in the past this training was finalized with a bachelor's degree, in the 1990's this degree in physical therapy was replaced by masters and doctorate degrees. The different existing degrees that can be received in physical therapy programs nowadays, allow you to do different things whether in the profession itself or in continuing your education in the field. There are: Direct Entry Master's in Physical Therapy Degree, Transitional Master's in Physical Therapy Degree, Direct Entry Doctorate in Physical Therapy Degree, Transitional Doctorate in Physical Therapy Degree, etc.

Finally, here are some of the main directions and curricular components in physical therapy programs: human anatomy, practical experience, case studies, theoretical background applied, knowledge of causes of injuries and conditions, their symptoms, treatments, use of specific equipment, professional PT practice, therapeutic exercise, musculoskeletal disorders, pathophysiology and others.

The Musculoskeletal System and Orthopedic Physical Therapy

Tuesday, September 23rd, 2008

Orthopedic physical therapy is a branch of physical therapy that focuses on the problems of the musculoskeletal system (muscles, bones, ligaments or tendons). Physical therapy in this area deals with diagnosing, managing and treating injuries and conditions of the muscular and skeletal systems and rehabilitating after orthopedic operations, too. Orthopedic therapy workers function particularly in treating post operative joints, acute injuries due to sporting activities, arthritis and amputations. Some of the techniques and approaches involved in orthopedic physical therapy to make recovery faster, are strength training, hot/cold packs, joint mobilizations and electrical stimulation. An additional procedure recently used is sonography, especially in treatments like muscle retraining.

Orthopedic physical therapy is really important to restore the patients' activity, strength and motion after injuries or surgery. Its importance is twofold. One the one hand, orthopedic patients typically have deficiencies and weaknesses which can be eliminated or at least alleviated through certain targeted exercises and only a specialized physical therapist can show the patient and teach him/her the appropriate exercises designed to restore and improve functions or, at least minimize the conditions. Furthermore, orthopedic physical therapy workers, too, know about surgery, surgical procedures, the aims of treatments, the anatomy of the muscular and skeletal systems. As a result they are able to adapt and adjust their knowledge in the efforts to treat the patient.

There are a number of important things therapists can do in orthopedic physical therapy and there are many rehabilitation tools that they have on hand. Among these we should mention: stretching, strengthening (closed chain, proprioceptive, etc), ice and heat therapy, ultrasound, etc. Stretching is critical if a patient has stiff joint which can affect normal activities severely. Proper stretching exercise can help preserve such functions. To aid a patient in improving the function of his/her muscles, increasing endurance and maintaining or improving the range of motions strengthening exercises are used. Closed chain exercises are meant to help balance the strength of muscles whereas proprioceptive exercises help patients who lost the sense of knowing where a body part is in space due to a sprain for example, learn again how to control the position of the respective injured joint.

The ice and heat therapy warm up and cool off muscles and contribute to the stimulation of blood circulation and help decrease swellings, too. By using an ultrasound probe, deep tissues are stimulated and warmed while the blood flow will increase. Although there are numerous orthopedic conditions which can be solved without physical therapy, yet quite often very simple exercises may help expedite the healing process, not to mention the complicated situations in which a physical therapist especially trained for, is a must. So, if you're in such situation, don't hesitate to turn to orthopedic physical therapy.

Aquatic Physical Therapy Explained

Monday, September 22nd, 2008

Aquatic physical therapy is a type of therapy that focuses on exercising in water. This kind of physical therapy is especially advisable for people who have difficulty with weight lifting exercises because of recent fractures, sprains, the weight or arthritis. Aqua therapy has some a number of benefits which don't exist in exercises on land. The benefits of exercising in water are numerous though in some cases it is not advisable to be used. Exercising in water is especially good for those whose tolerance of exercising on land is reduced because of painful joints of the spine, knee or hips. Water offers assistance and resistance during the exercises which helps the patient progress through the different stages of the activity and allows them to strengthen increasingly.

Through using aquatic physical therapy, you can build your strength in the weak or injured muscles. The movements and exercises in this kind of therapy are done gradually. They start as an initial phase meant to assist only. Then when some strength is acquired, the exercises are modified to occur in a pattern of non-resistance. Finally the exercises will be as to resist the force of the water. This progress would be hard to get while exercising on land.

Besides making recovery after injury easier, aquatic therapy also helps the healing process if it is the case. How does "water exercise" contribute the healing process? Simply through the fact that while exercising in warm water, blood vessels undergo a process of vasodilation which will increase the flow of the blood to the injury, and, implicitly, the quantity of oxygen that reaches the injured tissue. As a result the healing of this tissue is faster.

Aquatic physical therapy is useful for many categories of conditions. Patients who suffer from arthritis, stiff joints, obesity, muscle spasms, back pain or fibromyalgia benefit from this since water unloads the extremities of the patients who use it. However, it is important for you to know that this kind of therapy does not fit quite everyone. For instance people who have a cardiac condition, people who have infections, bowel/bladder incontinence or fever should not participate in aquatic physical therapy since this could be harmful to them. It is advisable that you speak to your physician before entering an aquatic therapy program.

The Concept Behind Sports Physical Therapy

Saturday, September 20th, 2008

What is the concept behind sports physical therapy? It's actually all about sports medicine and physical therapy combined to ensure the good functioning of sportspeople, diagnosis, prevention, treatment, and cure of the possible injuries and conditions in sportspeople. To understand sports physical therapy you first must know and understand what sports medicine and sports medicine specialists focus on.

Sports medicine deals with preventing, diagnosing and treating the injuries caused by participation in sports activities. The accidents occurring in such activities harm joints, muscles and bones. This is why sports medicine is so much interrelated with physical therapy. Actually the sports medicine team is formed of physicians and surgeons, athletic trainers, coaches, and very important physical therapists, beside the sportsmen themselves. Sports physical therapy contributes greatly to the innovations in the field and this is because of the rapidity in the nature of sports.

There is a pressure, due to the competition, which influences the style of work in sports physical therapy. The fast recovery of patients is essential in sports physical therapy. Sports medicine is quite difficult to define and categorize because it comprises more than one specialty. So far there has been a misunderstanding in perceiving sports medicine. People considered it only dealt with the physical injuries; as a matter of fact, it is a wider area that also involves fields and factors of psychological, environmental and physiological nature along with those related to the musculoskeletal system and orthopedic treatment.

Sports physical therapy involves a lot of other medical specialties and specialized workers such as: cardiology, pulmonology, dermatology, traumatology, ophthalmology, orthopedic surgery, podiatry, dentistry, biomechanics, rehabilitation medicine, etc. Sports physical therapy in the USA employs sports medicine specialists, either orthopedists or primary-care medicine specialists, who are usually the leaders of the medical team. The other components of the sports physical therapy team are physicians, surgeon specialists, physiologists, trainers, physical therapists, coaches and other personnel.

If you're a doctor interested to specialize in the field of sports physical therapy you'll have to start with a basic residency program in family practice, emergency medicine, pediatrics, internal medicine, or physical medicine and rehabilitation. The next step will be to obtain another 1 or 2 years of additional training in accredited fellowship sub-specialty programs in sports medicine. There are additional forums you can attend to get expertise as a sports medicine specialist. Sports medicine, and implicitly, sports physical therapy, has been accepted as a subspecialty of the American Board of Medical Specialties only recently (the late 80s).

Physical Therapy for Sciatica

Friday, September 19th, 2008

Physical therapy for sciatica is what you're interested in? Then you must first find out what sciatica is. After that we can discuss the methods to deal with it, among which one is physical therapy for sciatica. Sciatica is a very frequent form of pain in the lower back and leg. It occurs when there is pressure on the sciatic nerve caused by a herniated disc. Usually people between 30 and 50 years of age suffer from this disease. It is usually felt on one side of the lower extremities and you can perceive the pain from the lower back all the way down to the back of your thigh and leg. Sometimes the pain can be felt on the foot and toes as well, depending on where the sciatic nerve is affected. The most common treatments are twofold: there is medical management and a physical therapy for sciatica program of stretching and mobilizations exercises.

In most cases sciatica heals on its own and the process only lasts up to a few weeks. Anyway there are situations which require a more structured pain management techniques and exercises program. This program consists of physical therapy for sciatica and, sometimes, surgery. Besides physical therapy for sciatica, there are a number of other methods to deal with the sciatica pains such as: the heat and/or ice therapy, sciatica pain medications, epidural steroid injections, and acupuncture.
Regarding physical therapy for sciatica, there are certain types of massage therapies, spinal adjustments and manual manipulation, and physical therapy and exercise. Massage therapies are beneficial for back pain as they increase blood circulation, relaxation of the muscles and through it endorphins (natural pain relievers) are released. The spinal adjustments and manual manipulations are other approaches in the physical therapy for sciatica through which the spinal column is better aligned; they create a better treatment environment and they are typically non-painful.

Just as in shoulder conditions, physical therapy for sciatica insists on not resting too much when in pain because this will only worsen the pain. On the contrary, regular motion and exercising are necessary to maintain the structures that make up the low back in as good as possible a condition and to foster the strength necessary in supporting the low back. Many exercises in the physical therapy for sciatica are meant to strengthen the muscles in the back and the abdomen to provide more and better support for the back. There are stretching exercises for sciatica which deal with the muscles that cause the pain when tight and rigid.

Some aerobic exercises are also beneficial as they ease the recovery process as well as releasing the endorphins - which, too help in reducing the pain.