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@RecarteAdabelle I think this is where advocacy groups are so important to convince insurance companies that the evidence supports these interventions. We can also stay up to date on EBP ourselves and talk about new ideas with our colleagues and patients! #PT582#ARF
I think these changes could only come from reducing the for-profit nature of the healthcare industry. Sometimes insurance won't cover newer evidence-based treatments, so PTs have to result to using older methods that may not be as effective #ARF#PT582
@CanteraCaroline I remember the clinic where I worked using ultrasound on one pt who had calcium deposits after a shoulder injury. The PT said he wanted the US to break up the deposits to hopefully decrease pain. Not sure how common that is but it seemed like a creative use. #PT582#CC
@Riley_shae98 Strengthening is important but so is the neuroplasticity component. I think you're on to something with watching the contraction, maybe this could be incorporated into some visualization techniques to improve athletic performance! #PT582#RI
@RyanOli22855873@NAUPT582 Maybe not necessarily strength but perhaps a greater awareness of their limbs moving in space and a more efficient/smooth pathway because of the NP component. It would probably be more measurable than manual contact because we can see the quantity of stim. #PT582#RO
@kdavidnau I think I would recommend it in cases of muscle atrophy, such as following knee joint replacement surgery. As long as they don't have contraindications (kidney problems, blood sugar medication, etc) I would recommend it! #KD#PT582
@kdavidnau We typically think of using creatine for athletes who want to improve muscle performance, but I found this article about using it in conjunction with PT for patients with muscle atrophy. This could be helpful for rehab of post-op patients! #KD#PT582 https://t.co/Avi49bVcLu
@JacquelineTorpy Love this! I think I've seen this video or something similar before. Dance can also be helpful for older adults to keep them learning and help prevent cognitive decline - I'm trying to get my parents to start taking dance classes as they get older. #PT582#AR
@DBlair_NAUSPT Great point, I've seen videos where they have patients pretend to answer a phone and other activities to practice ADLs. Also would be beneficial to incorporate new actions with the older ones for greater learning. #PT582#AR
@AnnaLeighSPT It's also important to form connections with these patients over the things they do remember, such as stories from their past, because they can experience positive emotions and we want them to have a good experience! #PT582#AR
@AnnaLeighSPT Love this idea Anna! I've seen videos of PTs incorporating music to regulate tempo of exercises, and even have their patients dance with them. Music stimulates the brain and can sometimes unlock memories too! #PT582#AR
@CaitieBell1 Great point, complexity is vital for learning! What can we do if patients become frustrated by the complexity of the exercise? Some people have suggested incorporating things they are already familiar with. #PT582#AR
@TateTsingine Good connection Tate - what we call "muscle memory" is partly implicit motor learning. Which PNF techniques do you think could be helpful for this patient population? #PT582#AR
@TsaiJames_ Good point, we can manipulate which familiar aspects we include in learning, and environment can be one of them. Do you think this makes these patients good candidates for at-home PT? #PT582#AR
@McCarthyShealey Excellent idea, using their existing memories to help them learn new things may make the process easier. It can also help to have questions about familiar things they like to talk about so you can redirect them if they get frustrated or confused. #PT582#AR