Danielle Angulo

[Danielle Angulo @DanielleAngulo4]

#CC #PT582 Study compared US/TENS/PT for treating OA finding no difference. All did the same stretching & isometric ex. on top of their treatments. B/c of this I would just stick w/ PT b/c US & TENS doesn’t really seem to make any more of a difference. https://t.co/Xb7sUgtzGE

[Danielle Angulo @DanielleAngulo4]

#TT #PT582 Iontophoresis could be good alternative for pain management b/c it only affects one area of the body rather than the whole body like oral meds. Both have possible side effects, pt needs to decide what is worth it. pt preference needs always needs to be considered.

[Danielle Angulo @DanielleAngulo4]

@BiesemeyerEllie If patient was not responding to traditional OP therapy or maybe aquatics, I would probably recommend hippotherapy. A different environment and stimulation might be more effective. I would try therapies that I could personally facilitate before sending them elsewhere #EB #PT582

[Danielle Angulo @DanielleAngulo4]

#EB #PT582 As patients improved with anticipatory mechanisms their need for compensatory ones decreased. The patients rode in different positions: forward, backwards, & side sitting. As they rode the horses they performed therapeutic activities. https://t.co/g7Qh5rlmBH

[Danielle Angulo @DanielleAngulo4]

#RO #PT582 I think that the muscle contraction that the NMES would cause more specific muscles to activate. Combining it with PNF would allow specific muscles to be activated during these functional exercises, allowing for better movement in these functional patterns.

[Danielle Angulo @DanielleAngulo4]

Here is my overview of the great discussion we had on aquatic therapy and cardiac rehab. Thank you for joining in! #PT582 #DA

[Danielle Angulo @DanielleAngulo4]

#PT582 #DA
Thank you all for participating in my discussion tonight! I think one thing we all learned is how much more research needs to be done on aquatic therapy and CVD. Have a great night!

[Danielle Angulo @DanielleAngulo4]

@jacquedompier #PT582 #DA Once again we see how important patient education is in the effectiveness and progression of PT! Great answer, and you're right patients may not know they like something until they try it!

[Danielle Angulo @DanielleAngulo4]

@jacquedompier AT is a fantastic starting point, but I had patients that were in AT for YEARS (bc they liked it so much) & not making much progress. would you encourage these pts to do land therapy to keep progressing or will they become discouraged & drop fully bc they dont like it? #PT582 #DA

[Danielle Angulo @DanielleAngulo4]

@RecarteAdabelle I think that is a great plan! I think monitoring the factors that the articles did through exercise is a good idea, bc patients may downplay how they are feeling. Monitoring those factors is a extra measure of safety no matter if they are mild/severe patients. #PT582 #DA

[Danielle Angulo @DanielleAngulo4]

@Kiernan20732093 #PT582 #DA I would consider other conditions a pt may have. If they have a hard time doing land exercises because of another condition on top of the heart condition it might be worth it to try the pool. Everyone needs exercise and to find what works best. what do you think?

[Danielle Angulo @DanielleAngulo4]

@HubbertKaytlin #PT582 #DA I really like the list of conditions that you believe should be considered for this intervention! I am glad you were able to observe this type of therapy, it is an experience not many have due to a low amount of clinics with pools!

[Danielle Angulo @DanielleAngulo4]

@Karmae20 #DA #PT582 Why do you think that aquatic therapy is considered to be a safer option for these patients, when others may say it is a contraindication? But I do agree that more research needs to be done on this topic!

[Danielle Angulo @DanielleAngulo4]

@JacquelineTorpy #DA #PT582 I think this is a great plan when starting with a patient! Better to start slow and be safe!
How would you determine when it would be safe for the patient to progress and increase water height and exercise intensity?

[Danielle Angulo @DanielleAngulo4]

@NathanTurley4 #DA #PT582 This is great news! Especially for those that may have this condition but may not be able to exercise on land easily due to other issues.
I wonder if it could help reverse/regress the condition?

[Danielle Angulo @DanielleAngulo4]

@TateTsingine #DA #PT582 I am glad to see that there are some guidelines that have been established!
Does the duration/intensity/increases differ depending on the level of submersion in the water because of the effects of hydrostatic pressure?

[Danielle Angulo @DanielleAngulo4]

#PT582 #DA Welcome to PT582 Twitter Thursday! Join in the discussion!

[Danielle Angulo @DanielleAngulo4]

@Kiernan20732093 I think that this could be incorporated into the treatment plan. And the plan should be adjusted as the pt progresses or hits road blocks. One plan may not work the entire time through treatment. #KJ #PT582

[Danielle Angulo @DanielleAngulo4]

Depression makes adherence hard but there are strategies to make it easier. Identify what type of exercise the person likes bc theyre more likely to do it, support from mental health professionals, set reasonable goals, and prepare for setbacks #PT582 #KJ https://t.co/Hu5GIsN9Lr