Ernest Miller

[Ernest Miller @EmillerWSSU]

@TimFahrnerSPT @DPTPathophy2018 https://t.co/Xy9kU3gkPh

And the second, examing how different breathing techniques alter abdominal muscle activation in the curl up ex: https://t.co/SMq6FJujZ2

[Ernest Miller @EmillerWSSU]

@TimFahrnerSPT @DPTPathophy2018 As mentioned, respiratory considerations are often an overlooked component of both MSK pathology and exercise rx. Here are 2 articles, the first a case of ankylosing spondylitis that saw significant improvement in respiratory function with inspiratory mm training:

[Ernest Miller @EmillerWSSU]

@amrsalehSPT @DPTPathophy2018 Further studies are needed to substantiate these effects and elucidate mechanisms, but PTs should be aware and follow the research on this modality as a potential safe, effective, non-pharmacological treatment option.

[Ernest Miller @EmillerWSSU]

@amrsalehSPT @DPTPathophy2018 Whole Body Vibration (WBV) training is currently being investigated as a treatment option for improved function post SCI. There is evidence to suggest WBV may improve strength, balance, walking performance and reduce spasticity: https://t.co/ajfIwcGYfT
https://t.co/8Lt0myMHCy

[Ernest Miller @EmillerWSSU]

@amrsalehSPT @DPTPathophy2018 Recent articles pose a reduction in stretch reflex excitability as a potential mechanism in decreased spasticity, while an increase in neuromuscular activity may be the cause of improved strength, balance, and walking.

[Ernest Miller @EmillerWSSU]

@DavisTuckerSPT @DPTPathophy2018 @NbaileySPT @kerseySPT @carmen_reichle This study is another piece of evidence suggesting that pain and observable tissue damage are not perfect correlates. Pts may be convinced they have a "bad" knee based off imaging, a self-limiting belief that may undermine potential for improvement. PT can change mindset.

[Ernest Miller @EmillerWSSU]

@DavisTuckerSPT @DPTPathophy2018 @NbaileySPT @kerseySPT @carmen_reichle One thing that might be added to this great list of recommendations is patient friendly education on pain and pain management. The study I am linking presents evidence that a significant amount of patients with OA in imaging are asymptomatic. https://t.co/J5TQVsPKuS

[Ernest Miller @EmillerWSSU]

@KPelfrey_SPT @DPTPathophy2018 Link to article: https://t.co/a9cIEDAPqu
PTs can help highlight the possibilities that still exist with ALS, rather than the limitations and can also play a key role in developing a patient's self-efficacy by teaching pts to better navigate their environments and through Ex.

[Ernest Miller @EmillerWSSU]

@KPelfrey_SPT @DPTPathophy2018 The author of the article ended her recommendation list by touching on the importance of gratitude. The linked article indicated the importance of related psycho-social concepts, hope and self-efficacy to QOL of ALS patients:

[Ernest Miller @EmillerWSSU]

@TaylanJadeSPT The more musically inclined among us could integrate into treatment plan? Maybe a patient has a musical interest we could tap into? At the very least, could PT's come up with simple sensory/motor challenges for our patient's involving music for a more engaging rehab program?

[Ernest Miller @EmillerWSSU]

@TaylanJadeSPT In the spirit of the creative rehab interventions already mentioned, here is an article making the case for the role of musical instruments in CP : https://t.co/UpR0sCowIQ

[Ernest Miller @EmillerWSSU]

@TaylanJadeSPT The authors argue playing musical instruments requires the sort of sensory and motor coordination that can help CP development skills requiring the integration of many brain regions affected by CP.

[Ernest Miller @EmillerWSSU]

@HunterGrubbs5 @DPTPathophy2018 Exercise does not only have to be about strength and endurance training, but also skill acquisition, creativity, and task accomplishment.

[Ernest Miller @EmillerWSSU]

@HunterGrubbs5 @DPTPathophy2018 In addition to the positive physiological adaptations exercise can elicit, PT's can also use exercise as a way to teach patients how to better manage their living/working environments while facings the unique challenges of their respective symptoms.

[Ernest Miller @EmillerWSSU]

@StumpKiara @DPTPathophy2018 This is great Kiara. We need to be mindful of the people who are supporting our patient, and provide them with our support when we can!

[Ernest Miller @EmillerWSSU]

@DPTPathophy2018 https://t.co/ElpvXV3R9T Which of the lifestyle risk factors possibly associated with developing Alzheimer's can PTs play a role in mitigating and how? #pathnews #group1

[Ernest Miller @EmillerWSSU]

@amrsalehSPT @DPTPathophy2018 For this and many other reasons, I think PT's should be well versed enough in nutrition to communicate the importance of diet to the patient, provide evidence based resources, and referrals when indicated! Thanks Amr!

[Ernest Miller @EmillerWSSU]

@TimFahrnerSPT @DPTPathophy2018 In my albeit limited experience working in healthcare environments, I've realized how often a patient's interaction with their providers may be the most social support they receive in their week. Crucial that PTs are aware of their impact. Thanks for this point Tim!

[Ernest Miller @EmillerWSSU]

@SPTTravisIsaac @DPTPathophy2018 *prevalence not incidence.

[Ernest Miller @EmillerWSSU]

@SPTTravisIsaac @DPTPathophy2018 Thanks for linking this article! Had no idea the incidence of smoking was 11% higher in the military population. Add that to the stresses of military life (the smoking habit probably isn't a coincidence) and we have two big risk factors in this population!

[Ernest Miller @EmillerWSSU]

@lsouthernspt @DPTPathophy2018 Thanks Lauren! I was unaware of this link and the physiology behind it. I agree we can provide education for the patient in regard to general stress management techniques as well as the effects that physical and social elements of exercises may have on stress.