Jake Bartschi

[Jake Bartschi @BartschiJake]

#PT582 #ARF A meta-analysis concluded that spondylolisthesis and spinal stenosis had better outcomes of decreased pain and disability more than 2 years after follow up than an exercise based intervention group https://t.co/ts4Uc5aQD9

[Jake Bartschi @BartschiJake]

#PT582 #CC I wouldn't use ultrasound to reduce pain because the research doesn't back it and we have so many other tools in our tools kit that are shown to reduce pain. If I used it on a patient for other reasons and they reported pain reduction as well, I might use it again.

[Jake Bartschi @BartschiJake]

@RyanOli22855873 #PT582 #RO We could use PNF patterns in conjunction with NMES at the beginning stages of rehab is the patient is really struggling with muscle activation and contraction but after that we should be using résistance/pullies etc. in order to progress rehab.

[Jake Bartschi @BartschiJake]

@manderslat #PT582 #AS We should see these alternative treatments once conservative treatment has failed us and we are not longer seeing progress. Patient that are more susceptible, patients that are performing a lot activity are at higher risk, resting and patient education are best.

[Jake Bartschi @BartschiJake]

@SptTaryn I think a bungee would also work, making sure the bungee has enough support for the patient is key since they vary in resistance. Also guarding the patient when necessary.

[Jake Bartschi @BartschiJake]

We can fit amputees with prosthetics and customize This article talks about the use of a harness to help patients feel more stable while performing more complex core exercises. chttps://wheelessonline.com/userfiles/21-1-8.pdf when necessary. #PT582 #TM

[Jake Bartschi @BartschiJake]

@rainataylorrr I would say start simple, challenge them to start exercising in 10 min blocks and seeing how that makes them feel. Hopefully they feel better and become more motivated!

[Jake Bartschi @BartschiJake]

#PT582 #RT As entry level physical therapists we can educate our patients not only on the benefits of physical activity, but how much is optimal, and also give them some ideas of how they can meet the guidelines. Some people never start because they don’t know what to do.

[Jake Bartschi @BartschiJake]

#PT582 #JB Thanks for a great discussion about implementing contextual interference into practice as a PT. Here is my summary!

[Jake Bartschi @BartschiJake]

@CaitieBell1 #PT582 #JB Great progression Catie! That will definitely help the patients balance once they get out in the community that is full of uneven surfaces and all kinds of objects/forces that might perturbate them.

[Jake Bartschi @BartschiJake]

@layneunderthes1 I like the way you are thinking, helping our patients to be able to adapt to the world around them is crucial! I think we can apply this approach to specific goals that each patient has so they can perform the activities they love #PT582 #JB

[Jake Bartschi @BartschiJake]

@ColleenDrisSPT #PT582 #JB That is a great example! One example I thought of was when I was working with a patient going through cardiac rehab, instead of the patient just walking the therapist had the patient bouncing a physioball in different ways while walking.

[Jake Bartschi @BartschiJake]

@layneunderthes1 #PT582 #JB Layne I agree, I was thinking an obstacle course would be a great way to introduce contextual interference to a elderly patient wanting to ambulate in the community!

[Jake Bartschi @BartschiJake]

@CaitieBell1 #PT582 #JB Thank you Caitie those are great examples! Providing perturbations to patients while they are practicing static balance might be a way to start introducing more contextual interference, how might we progress the patient from there?

[Jake Bartschi @BartschiJake]

@ColleenDrisSPT #PT582 #JB That is awesome, thank you for the example! You also worked at a clinic, can you remember when the physical therapists used higher contextual interference on an athlete or maybe a non-athlete during rehab?

[Jake Bartschi @BartschiJake]

@EmilioA43040616 #PT582 #JB Yes I agree and the general consensus appears to favor low contextual interference at the earlier stages of rehab, can you think of a specific patient impairment that might benefit from higher contextual interference earlier in rehab?

[Jake Bartschi @BartschiJake]

@kdavidnau #PT582 #JB It seems like working with athletes might be the most common use of random practice, can you think of a time when you observed random practice being used on a non-athlete patient?

[Jake Bartschi @BartschiJake]

@EmilySelby_SPT #PT582 #JB During the later stages of rehab once the patient has built confidence and is progressing, how might we introduce random practice to an elderly patient recovering from a total knee that would like to be able to go on hikes again?