Morgan Drew

NAU DPT 2022

[Morgan Drew @MorganDrew16]

#PT582 #CC In certain situations, ultrasound could be used. While evidence may not clearly supports its healing effects, if the patient believes it provides them with relief, then we could provide that modality as long as it is not the only part of their treatment.

[Morgan Drew @MorganDrew16]

#PT582 #AJ NMES can be used to prevent shoulder subluxation especially poststroke in the acute phases, it does not seem to support long term prevention without continued treatment. Strengthening exercises should be used in combination with this treatment for long term benefits.

[Morgan Drew @MorganDrew16]

@RyanOli22855873 #RO #PT582 Ryan that's a good question, but I think l physically they would be ready because this stimulation is improving ROM, not necessarily strength. Strength would be a more gradual progression. Therefore, physically, they would not be putting too much strain on their body.

[Morgan Drew @MorganDrew16]

#PT582 #RO The following article demonstrates that FES in combination with PNF is beneficial for patients in improving ROM. However, over time the benefits seem to decrease. Therefore, FES could be used at the start of treatment, but not for long term. https://t.co/eJQZFBuwy0

[Morgan Drew @MorganDrew16]

@JordynMaxwell2 #JM #PT582 I would imagine that postural stability would improve and a reduced fall risk because if a person's sensations are more intact, they may be able to better respond to stimuli and thereby recover faster and catch themselves before falling.

[Morgan Drew @MorganDrew16]

Creatine supplementation should be avoided by patients who have preexisting renal disease. Taking supplements can raise creatinine levels, which is a waste product of muscle activity, and could worsen a patient’s condition. #PT582 #KD https://t.co/NeQdyFdm4Q

[Morgan Drew @MorganDrew16]

As a PT, I will the APTA Health Promotion and Wellness Council, which will provide me with the tools to educate patients. Also I will direct patients to available resources, such as the CDC, to provide suggestions on living a healthier lifestyle. #PT582 #RT

[Morgan Drew @MorganDrew16]

Thank you to all participated and joined in on the conversation about Botulinum toxin last Thursday. Below is a summary of our discussion. #PT582 #MD

[Morgan Drew @MorganDrew16]

@Dmbrockman @Dmbrockman Agreed, it allows for quicker progress, but how long do you think a person should do this? At what point would you say that enough progress has been made to no longer need injections or do you think a patient should get them throughout his/her life? #PT582 #MD

[Morgan Drew @MorganDrew16]

@SterrettCarolyn I forgot to add #PT582 #MD to my last comment. :)

[Morgan Drew @MorganDrew16]

@RyanOli22855873 I think, especially for children, stimulating the gait control theory would be a great idea. This way if thye have to have more than 1 injection, they are not scared of it the following time. #PT582 #MD

[Morgan Drew @MorganDrew16]

@DanielleAngulo4 @DanielleAngulo4 I agree! Since botox allows for such a quick improvement in spasticity, do you think that it could cause patients to be less satisfied with the results from exercise interventions, if the results from exercise do not seem as immediate? #PT582 #MD

[Morgan Drew @MorganDrew16]

@SterrettCarolyn @SterrettCarolyn I agree that it is a great modality to be used for patients with contractures! Do you think that botox, like medication, for some patients could also be used too frequently and cause an overreliance on botox and lead to less effort towards other interventions?

[Morgan Drew @MorganDrew16]

@AlexJacobs_SPT @AlexJacobs_SPT That is a great article find! Your article also mentioned that it seems to be more effective when injected in children at younger ages; do you think that botox could cause harm to the development of the child? #PT582 #MD

[Morgan Drew @MorganDrew16]

@ds_DPT Agreed! Some studies have shown that atrophy occurs after botox, so strengthening exercises would be important.
Multani et al. Toxin in the Management of Children with Cerebral Palsy. Paediatr Drugs. doi:10.1007/s40272-019-00344-8 #PT582 #MD

[Morgan Drew @MorganDrew16]

@abigail_lue I agree! I think that it is definitely patient dependent and important to see how the patient responds to the botox intervention. #PT582 #MD

[Morgan Drew @MorganDrew16]

@HaydenHoekstra @HaydenHoekstra agree that if it is paired with active exercise then it can be beneficial for short term and long term purposes! Are there particular active exercises that you think would be beneficial, (ie isometric, isotonic,etc)? #PT582 #MD