Brian Shaw, PT, DPT

USC DPT Class of 2019

[Brian Shaw, PT, DPT @BShawPT]

Blood flow restriction has been a great alternative to augment strength gains in the clinic with patients who cannot tolerate heavy resistance loading, but cannot replace more dynamic forms of ther-ex specifically focused on power and functional movement retraining.

[Brian Shaw, PT, DPT @BShawPT]

I’ve found prescribing ther-ex for the Medicare population way more difficult due to the limited positions they can assume, presence of multiple co-morbidities, safety concerns with balance, and slow transition speeds. You’ve really got to be 🎯 with each exercise!

[Brian Shaw, PT, DPT @BShawPT]

I've come to realize the home exercise program is the most critical part of treatment but the hardest intervention to measure and ensure quality. Maybe I should start giving out gold stars to those who actively track and demonstrate understanding of their motor learning

[Brian Shaw, PT, DPT @BShawPT]

Pt. presents with 7+ years of chronic T/S pain with heaviness in neck and tightness across L/S + T/S. MRI of C/S and T/S came back inconclusive and pt. found no relief with prescribed meds. Radiating pain to anterior chest reproducible at L T3-T4 TP. Could this be T4 syndrome?

[Brian Shaw, PT, DPT @BShawPT]

27 y/o soccer player 5 months s/p ACLR constantly asks for verbal feedback during SL neuromuscular control training. Learning to resist giving too much cues/varying the type of cues delivered in order to promote optimal motor learning.

[Brian Shaw, PT, DPT @BShawPT]

iPad motion analysis is twice as powerful when you can utilize a patient’s movement impairment as visual feedback, as well as objectively track progress visit to visit for complex, return to sport movements such as cutting/jumping

[Brian Shaw, PT, DPT @BShawPT]

Objective measures for strength and neuromuscular control s/p ACLR are valuable markers of progress; however, in some cases fail to uncover the psychological factors which limit a patient’s return to a specific activity limitation. @JasonCozby

[Brian Shaw, PT, DPT @BShawPT]

Beginning to wonder if every patient with anterior knee pain presents with dynamic knee valgus and pelvic instability....or if I’m just conditioned to see these movements and I’m missing the big picture 🤔 @JasonCozby

[Brian Shaw, PT, DPT @BShawPT]

56 y/o F presented w/ LBP + radiating pain w/ flex. During movement re-ed via quadruped rocking, pt. unresponsive to verbal + visual cues. Placed ball on pt.’s neutral L/S lordosis as a tactile cue and her form instantly improved. There’s a cue out there for everyone! @JasonCozby

[Brian Shaw, PT, DPT @BShawPT]

Memory fading 🤦‍♂️? Can’t find your 🔑’s again? Try exercise 🏃🏼‍♂️🏃‍♀️! It’s been shown to be an effective non-pharmacological, Neuro-protective treatment against Dementia! So get up and actively 🥊 Mild Cognitive Impairment & Alzheimer’s
#PT546week13 @juliehershberg

[Brian Shaw, PT, DPT @BShawPT]

How PT’s can ID potential brain tumors 🧐:

1. Recognize Red Flags 🚩 (headaches, seizures, nausea, vomiting, etc.)

2. Conduct thorough Neuro-screen 👨🏻‍⚕️

If you suspect a patient has a brain tumor, send him/her to get imaging (CT/MRI) asap!

#pt546week12 @juliehershberg

[Brian Shaw, PT, DPT @BShawPT]

@Drake. We wishin’ and wishin’ and wishin’ that you consider donating 🙏 #GodsPlan

https://t.co/GB2q7rfmO7

[Brian Shaw, PT, DPT @BShawPT]

Re-Thinking 🧠 Concussions 🤔

1.) Post-concussion, you need to let your brain SLEEP 😴 despite what you’ve heard in the past.

2.) Physical activity 💪 is GOOD for you post-concussion, and may prevent secondary symptoms from developing long term!

#PT546week11 @manjiridahdul

[Brian Shaw, PT, DPT @BShawPT]

If you don’t want your patient to drop it when his/her head is🔥:

S-ystemic 🤮
N-ecological 🧠
O-nset <1 min ☝️
O-lder >50 🧓👵
P-revious headache hist. 🤯
P-ostural, positional 🙃
P-recipitated by valsalva 😣
P-apilledema 👀

1 of these= refer!

#PT546week10 @juliehershberg

[Brian Shaw, PT, DPT @BShawPT]

👀👀👀

F-ace
A-rms
S-peech
T-ime

To catch symptoms of someone who may have an acute ischemic (70-80%) stroke, or (20%) Hemmoraghic stroke. You could be the difference! Every second counts ⏱

#PT546Week9 @juliehershberg

[Dr. Robert Klapper @DrRobertKlapper]

#LAKERS. Look carefully at how #LONZO is moving laterally! His MCL Ligament is working beautifully!#8thseed

[Brian Shaw, PT, DPT @BShawPT]

Movement analysis is a critical component of correctly diagnosing spastic or extrapyramidal types of cerebral palsy and may directly guide intervention in treating this non-progressive disease that affects the CNS in a variety of areas.

#PT546week8 @bsargent_usc @juliehershberg

[Brian Shaw, PT, DPT @BShawPT]

Did you know @Drake's head producer @OVO40 was dx'd with MS on his 22nd bday? When asked about his perspective on MS, he said "I wish people knew how unpredictable the disease is. 1 day I can walk 5 miles and the following day only 500 ft." #PT546Week7 #RapFacts @juliehershberg

[Brian Shaw, PT, DPT @BShawPT]

Just because a patient presents with marked movement disorders does not mean they automatically have Parkinson's! Have to be a #DocBrown to differentiate PD from atypical PD diseases like MSA or CBD. Don't want to say #GreatScott before its too late!

@NoraDarakDPT #PT546week6

[Brian Shaw, PT, DPT @BShawPT]

Chief Complaint: Sudden onset of dizziness from balancing the peripheral & central causes of vertigo.

S: 2/10
I: Occurs when receiving new pt. info in lab
N: Anxiety abt upcoming midterm
S: Acute (1 hour s/p lecture)

Goal: Become a pt. case in #PT546week5

@LibbyKrauseDPT