Tag Archives: strengthening

PT & Me Clinic Stands Above the Rest

January 19, 2017 Teresa Stockton - Blog, Events

At PT & Me we love it when our partnering physical therapy clinics shine. We are so excited that we couldn’t help ourselves, we just had to highlight one of our award winning clinics!

FRISCO PHYSICAL THERAPY – Physical Therapy Clinic – Frisco, TX
Frisco Physical Therapy was voted the BEST PHYSICAL THERAPY CLINIC in Frisco, Texas by over 32,000 readers of the Frisco Enterprise Newspaper. Clinic Director Colby Pigg, MPT graduated with honors in 1999 and has more than 18 years of experience in physical therapy. Perhaps one of the reasons Frisco Physical Therapy stands out among the crowd is the variety of services it offers to its patients. In addition to general orthopedics the licensed physical therapists in Frisco offer:

• Balance and Fall Prevention Programs
• Cancer Related Fatigue Program
• TPI Certified Golf Fitness Intructor
• Primal 7 and TRX Suspension Training
• Game-Ready Vasopneumatic Cold Compression

We are super excited for Colby and the rehab team at Frisco Physical Therapy for the honor they received by their community. We are certainly looking forward to all of the great things to come. More information about Frisco PT can be found at: www.friscopt.com

Work Related Stress & Increased Risk Zones: Part 2 of 2

January 17, 2017 Teresa Stockton - Blog, Industrial Rehab

THE SOLUTIONS

• Alternate Heavy Tasks with Light Tasks

• Develop Lifting, Carrying and Push / Pull Guidelines within limits and set up Lift Teams if necessary

• Provide variety in jobs to eliminate or reduce repetition (i.e., overuse of the same muscle groups)

• Adjust work schedules, work pace, or work practices

• Provide recovery time (e.g., short rest breaks)

• Modify work practices so that workers perform work within their power zone (i.e., above the knees, below the shoulders, and close to the body)

• Modify work environment to minimize work related stress (e.g., seating, lighting, workstation, process flow, angle of access to loads)

• Rotate workers through jobs that use different muscles, body parts, or postures (Administrative improvements, such as job rotation, can help reduce workers’ exposures to risk factors by limiting the amount of time workers spend on “problem jobs.”)

• Provide hands-on practice when new tools, equipment, or procedures are introduced to the workforce (review counter balancing of tools and take advantage of gravity flow in product movement)

• Use several types of visual aids (e.g., pictures, charts, videos of actual tasks in your workplace and the “right way to perform tasks”)

• Hold small-group discussions and problem-solving sessions

• Give workers ample opportunity for questions
• Industrial Athlete directed Exercises and Stretches (make them specific to those areas under most stress perform at beginning of day, when leaving for lunch and end of day)

• Ensure proper protective equipment (PPE) is available and used properly

• Research ergonomic assistive aids to accommodate heavier load lifting and movement

• Review packaging of items and research if handles or alternative coupling can be incorporated

• Review exposure to heat and cold extremes and take necessary precautions

• Minimize exposure to vibration (this can be done through tool selection, gloves, or limiting your time of exposure)

• Posture (change or modify your body position periodically throughout the day to relieve stress)

Part one of our Work Related Stress & Increased Risk Zones can be found here

Sources:
1) American Industrial Hygiene Association (AIHA)
2) Human Factors and Ergonomics Society (HFES)
3) National Institute for Occupational Safety & Health (NIOSH)

Exercising Do’s and Don’ts

January 12, 2017 Teresa Stockton - Blog, Sports and Fitness

In the last post of our 5 part series on exercising do’s and don’ts, we examine the proper ways to exercise at the gym from start to finish. If you have any sudden significant increase in pain, swelling, or discoloration while performing or following exercise, discontinue immediately and contact your primary care provider.

UPRIGHT ROWS

START POSITION
• Standing with feet shoulder width apart
• Palms facing back when holding onto barbell.
• Hands spread apart a bit wider than shoulder width.
• Maintain proper posture throughout exercise.

ENDING POSITION
• Barbell lifted up to chest height with elbows flexed pointing outward.
• Forearm should be aligned with upper arm horizontally.

DON’T
• Swing body back and forth.
• Lift feet off ground.
• Allow elbows to point upward.
• Raise past shoulder height.

OVERHEAD TRICEP EXTENSION

START POSITION
• Seated with feet flat on the ground.
• Hold dumbbell vertically behind head with shoulders slightly out and 90 degree elbow flexion.
• Maintain head upright throughout exercise.

ENDING POSITION
• Dumbbell held above and slightly behind head.
• Elbows fully extended.

DON’T
• Lift feet off ground.
• Lift up from bench.
• Swing body back and forth.
• Let your head lean forward.
• Bring your elbows inwards towards the ears.

This information was written by STAR Therapy Services, an outpatient physical therapy group with six locations in Houston, Texas. At Star Houston Therapy Services, their number one priority is the patient. They strive to provide individualized treatment with hands-on, compassionate care. They perform comprehensive evaluations and encourage patient input for treatment planning and goal setting. For more information click here.

View the complete Exercising Do’s and Don’ts series below:

A Healthy Start in 2017

January 5, 2017 Teresa Stockton - Blog, General Information

It’s time to get a healthy start in 2017! We provided some general health and wellness tips to get you on your way to an amazing year! We call it the Pearls of Longevity!

PROTEIN
Eat 25 grams of protein each meal especially breakfast to prevent being hungry from carb cravings and crashes, help maintain and build muscle, and improve your immune system.

DID YOU KNOW?
For every 100 calories of protein you eat, it takes 25 calories to digest meaning you really only ate 75 calories! This is a 25% discount! For carbs and fat, you get less than a 10% discount.

EXERCISE
Exercise at least 30 minutes a day to burn calories and decrease stress. Lift weights or use body weight strengthening exercises to increase lean muscle and boost your metabolism.

DID YOU KNOW?
Exercise relieves symptoms of depression as well or even better than medication. Losing 10 lbs. decreases your risk of knee arthritis by 50%, while losing 10% of your body weight decreases joint pain by 50%!

ANTI INFLAMMATORY & ANTIOXIDANT-RICH FOODS
Fill half your plate at every meal to ensure you eat enough of these power foods.

DID YOU KNOW?
Eating lots of fruits, vegetables, nuts, olive oil, beans, salmon, spices, and even dark chocolate helps reduce inflammation and stress, decreases joint and muscle pain, and reduces your risk heart disease, hypertension, diabetes, cancer and stroke.

RELAXATION & STRESS REDUCTION
Practice inhaling slowly through your nose until you feel your belly button move out and then slowly exhale through your mouth feeling your belly button move in. Practice at least 5 minutes a day while driving, at your computer, while watching TV or when in bed. Smile, laugh and hug someone once a day.

DID YOU KNOW?
Deep breathing reduces stress, muscle pain, and blood pressure, while improving memory, concentration and performance. Happiness and affection are considered by many experts to be the fountain of youth as it lowers stress and releases hormones that help fight aging.

LIQUIDS
Drink 2 cups of water or tea when you wake up and drink 1-2 cups in between meals. Coffee does not count as it can lead to dehydration.

DID YOU KNOW?
Water reduces hunger, improves metabolism, brings nutrients, and hydrates your muscles and connective tissue. This can reduce inflammation and scar tissue which can lead to decreased muscle and joint pain.

SLEEP
Sleep at least 7-8 hours per night consistently going to bed and waking up the same time even on weekends.

DID YOU KNOW?
Sleep releases growth hormone which helps keep you young, increase lean muscle and decrease body fat!

A healthy start can lead to great endings. Best of luck to you and yours and Happy New Year!

Elf Injuries and How PT Can Help: Part 3 of 3

December 21, 2016 Teresa Stockton - Blog, General Information

It’s that time of year, when we check in on Santa’s helpers to see if they can use some physical therapy. With their heavy lifting and high demand job they’re always experiencing injuries. Our new elf friend Ziggy, is the perfect patient for PT.

Previously…

Ziggy was at one of PTandMe’s partnering physical therapy clinics awaiting the arrival of one of our trusted physical therapists.
Our therapist first performed some stretching techniques on Ziggy to help relieve his aches and pains (Don’t worry Santa said it was okay to touch our “elf on the shelf” friend).

Then so more stretching techniques to help out our little friend…

Now the therapist has Ziggy doing some pulls ups on our wonderful clinic’s pull-up bar to help Ziggy get back to working shape.

Time for deep tissue massage on Ziggy’s aching back…

Thanks to the great physical therapy Ziggy got at our wonderful PT & Me clinics he is now ready to lift all the toys into Santa’s sleigh just in time for the holiday!

THE END.

See Ziggy’s complete physical therapy experience here!

Special thanks to Action Physical Therapy, in Houston, TX, for accommodating the demanding work schedule of Santa’s elves. Click Here for more information about Action Physical Therapy.

Elf Injuries and How PT Can Help: Part 2 of 3

December 16, 2016 Teresa Stockton - Blog, General Information

When we last left off…

Ziggy was at one of PTandMe’s partnering physical therapy clinics.
He first had to check in with our friendly and helpful receptionist.

Then Ziggy warmed up on one of our many clinic’s treadmills to help strengthen his aching back.

Now Ziggy is awaiting the arrival of one of our trusted physical therapists, who will provide him with stretching techniques and exercises to help relieve his back pain.

To be continued…

See Ziggy’s complete physical therapy experience here!

Special thanks to Action Physical Therapy, in Houston, TX, for accommodating the demanding work schedule of Santa’s elves. Click Here for more information about Action Physical Therapy.

Exercising Do’s and Don’ts

December 13, 2016 Teresa Stockton - Blog, Sports and Fitness

In the fourth installment of our “At The Gym” series we examine how to exercise at the gym from start to finish. If you have any sudden significant increase in pain, swelling, or discoloration while performing or following exercise, discontinue immediately and contact your physician or therapist at your next therapy session.

MILITARY SHOULDER PRESS
* How to exercise at the gym top tip: It is generally not recommended to do this exercise due to undo stress and strain at the shoulder joint.
If you do choose to do a military press, avoid bringing the bar behind the head and make sure that the elbows don’t pass 90⁰ at the bottom of the repetition.

START POSITION
• Seated with back against the seat (if available), with feet flat on the ground.
• Barbell held above head with elbows fully extended and wide grip to facilitate 90⁰ bend at the elbows at the bottom of the rep.

ENDING POSITION
• Bring barbell down until your elbows are bent at 90⁰ with the barbell in front of your face.

DON’T
• Lift feet off the ground.
• Lift off the seat.
• Arch your back.
• Bring barbell down to chest.

MACHINE CHEST PRESS

START POSITION
• Seated with back against the seat and feet flat on the ground.
• Arms out to your side and elbows flexed at 90⁰ but not coming back past your body (This picture shows the arms back a little too far with the angle at the elbows being a little too deep. Most chest press machines are built so that you have to start in this position which can compromise the shoulder if lifting heavy. If adjustable start in a position a little more forward than this).

ENDING POSITION
• Back against the seat.
• Elbows fully extended.

DON’T
• Lift feet off the ground.
• Lift off the seat.
• Bring bent elbows past your body.

CHEST PRESS

START POSITION
• Lay flat on bench with feet flat on the ground.
• Arms out to your side at 90⁰ with elbows flexed at 90⁰.
• Palms facing lower extremities.

ENDING POSITION
• Elbows fully extended.

DON’T
• Allow elbows to come down past bench height or 90⁰ bend.
• Left feet off the ground.
• Arch your back.

CHEST FLY

START POSITION
• Lay flat on bench with feet flat on the ground.
• Dumbbells touching each other with palms facing each other with elbows slightly bent.

ENDING POSITION
• Arms out at your side at 90⁰ with elbows flexed at about 120⁰.

DON’T
• Lift feet off the ground.
• Arch your back.
• Allow elbows to come down past bench height.

Knowing how to exercise at the gym, can build confidence and reduce the likelihood of injury. View the complete Exercising Do’s and Don’ts series below:

Postoperative Physical Therapy

November 17, 2016 Teresa Stockton - Aging, Blog, Hip, Knee

Postoperative physical therapy after a Total Hip Replacement is essential to your recovery. Your physical therapist will follow your physician’s protocol and will focus on range of motion exercises, progressive strengthening exercises, gait training, balance training, and activity specific training to meet your specific needs. Modalities such as ice and e-stim may be used to help reduce discomfort and swelling. It is very important to complete your home exercise program as directed by your physical therapist and physician.

RANGE OF MOTION EXERCISES
Swelling and pain can make you move your knee less. Your physical therapist can teach you safe and effective exercises to restore the range of motion to your knee so that you can perform your daily activities.

STRENGTHENING EXERCISES
Weakness of the muscles of the thigh and lower leg is typical after surgery. Your physical therapist can determine the best strengthening exercises for you with the goal of no longer needing a cane or walker to walk.

BALANCE TRAINING
Specialized training exercises can help your muscles “learn” to adapt to changes in your world such as uneven or rocky ground. When you are able to put your full weight on your knee without pain, your physical therapist may add agility exercises so that you can safely and quickly change directions or make quick stops or starts. They may use a balance board that will challenge your balance and knee control. These exercises will be safe and fun.

GAIT TRAINING
Your physical therapist will work with you in retraining your gait following your surgery using appropriate assistive devices such as a walker or cane. They will make sure that you will be able to safely and confidently go up and down stairs, negotiate curbs, and inclines, etc.

ACTIVITY SPECIFIC TRAINING
Depending on the requirements or your job or the type of recreational activities you enjoy, your physical therapist will tailor your program so that you can meet your specific demands.

This article about postoperative physical therapy was written by STAR Physical Therapy, an outpatient physical therapy group with over sixty locations in Tennessee. Established in 1997 with one clinic and one mission – to serve. Today, they have grown to offer that direct service in more than 60 clinics, and while they’ve grown, one thing that has not changed is their commitment to you, their communities, and their employees. For more information click here.

Exercising Do’s and Dont’s

November 15, 2016 Teresa Stockton - Blog, Sports and Fitness

In the third installment of our gym series we examine the proper ways to exercise at the gym from start to finish. If you have any sudden significant increase in pain, swelling, or discoloration while performing or following exercise, discontinue immediately and contact your therapist at your next therapy session.

SCAPULAR RETRACTION / ROW

START POSITION
• Standing or seated with back in neutral with feet shoulder width apart.
• Squeeze shoulder blades together.
• Elbows slightly bent and forearms parallel to the floor.

ENDING POSITION
• Elbows at 90⁰ flexion.
• Shoulders pulled back.
• Hands at your sides at shoulder width and forearms parallel to the floor.

DON’T
• Swing body back and forth.
• Let the weight pull you forward between repetitions (keep the shoulders back).
• Shrug.

ANTERIOR DELTOID – FRONTAL RAISE

START POSITION
• Standing with spine in neutral position with feet shoulder width apart.
• Palms facing down.

ENDING POSITION
• Arm raised to 90⁰ directly in front of you.
• Elbow in full extension.

DON’T
• Raise arm past 90 degrees.
• Swing body back and forth.
• Rotate wrist.
• Shrug shoulders.

LATERAL DELTOID – LATERAL RAISES

START POSITION
• Standing with spine in neutral position with feet shoulder width apart.
• Elbows bent at 90 degrees.

ENDING POSITION
• Arms raised to 90 degrees at your side.
• Palms facing down.

DON’T
• Raise arms past 90 degrees.
• Swing body back and forth.
• Shrug shoulders.

BENCH PRESS

START POSITION
• Lay flat on bench with both feet flat on the ground.
• Place a rolled towed in the center of the chest.
• Arms extended with wide grip to facilitate 90 degree bend at the elbow at the bottom of repetition.

ENDING POSITION
• Lower slowly until the bar touches the towel
• Elbows should not pass the height of the bench bending to about 90 degrees.

DON’T
• Lift feet off the ground.
• Arch your back.
• Bounce bar off your chest (barbell should only touch the towel lightly).

This information about exercise at the gym was written by STAR Therapy Services, an outpatient physical therapy group with six locations in Houston, Texas. At Star Houston Therapy Services, their number one priority is the patient. They strive to provide individualized treatment with hands-on, compassionate care. They perform comprehensive evaluations and encourage patient input for treatment planning and goal setting. For more information click here.

View the complete Exercising Do’s and Don’ts series below:

McKenzie Method: Diagnosis & Treatment

November 1, 2016 Teresa Stockton - Back, Blog, Manual Therapy

MECHANICAL DIAGNOSIS PHASE:
This system is based on the symptomatic and mechanical responses of patients to various repeated movements or static loading forces(that is a mechanical evaluation). It allows the classification of patients into broad, rather than tissue-specific, categories and thus leads to the formulation of treatment. Rather than seeking to make a diagnosis, which is the identification of a disease by the means of its signs and symptoms, The McKenzie system concentrates on syndrome identification. A syndrome is a characteristic group of symptoms and pattern responses characteristic of a particular problem. The system is now widely used to classify and treat patients with mechanical disorders.

PHYSICAL EXAMINATION PHASE:
• Explanation of problem to patient and reason for required exercise program
• Time scale
• The appropriate loading strategy, or strategies needed to manage the condition demonstrated to and practiced by the patient.
• The repetitions and regularity of exercise program explained to patient
• The expected pain response explained to patient

ASSESMENT PHASE:
• Symptomatic diagnosis
• Mechanical Diagnosis

PATIENT MANAGEMENT PHASE:
• Patient education component of management
• Information about the problem itself
• What patients can do to help themselves
• Information about tests, diagnosis and interventions
• Active Mechanical Therapy component:
• The specific exercises should be demonstrated to the patients, they should practice these, the expected pain response should be explained, as well as any warnings against lasting aggravation of their condition and as necessary progressions and alterations should be given.

This information was written by Hamilton Physical Therapy Services, L.P., an outpatient physical therapy group with five locations in Mercer County, New Jersey since 1978. Their modern state-of-the-art facilities are equipped to offer patients an excellent opportunity to reach their optimal functional abilities. Managed and operated by physical therapists mandates that patient care is our number one priority. For more information click here.