Cheshire P & P

Chartered Physiotherapist - APPI Pilates Instructor and Presenter - Mum of 3 - Therapy that moves you

[Cheshire P & P @Cheshirephysio]

@APPIHealthGroup comprehensive course this weekend in Hampstead #rollinglikeball #pilates great weekend fantastic group #fabulous #inspired

[Liz Bayley @lizbayleyphysio]

STAGE 1 FOOT STRENGTH 🦶🏼🏋🏼‍♀️
NEW video to share with patients:

https://t.co/9pYe5lVIzR

1.Hallux abduction
2.Piano toes
3.Banded big toe
4.Toe extension press
5.Toe extended heel raises
6.Pronation/supination
7.Single leg balance

Intrinsics ✅
Extrinsics ���
Calf ✅

[Running-Physio @tomgoom]

How do you restore neural mobility for patients who have had back and leg pain?

I tend to start with gentle ‘flossing’ style movements in supine then progress on to a gym ball glide.

For runners I may progress into standing to replicate the swing phase and demands of running

[Liz Bayley @lizbayleyphysio]

NO WEIGHTS NO PROBLEM

You don’t need a gym membership to build strength. Some of the most effective resistance tools are already in your home 🏡

Or, instead of adding load, try this:

⏱️ Increase time under tension (TUT)
🖐🏼 Add isometric holds
📐 Increase the ROM

[ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧 @Retlouping]

End of an Era
https://t.co/TGzAQAJ088

“using carefully constructed language that does not introduce yellow flags by implicating structures that do not appear to be the cause of the symptoms.”

[The Sp⚽️rts Physio @AdamMeakins]

Love this… @jimmycarr roasts physios!

“You’re medical… but only just” 😂 #RubEverything

[Liz Bayley @lizbayleyphysio]

I’ve often wondered if I’ve missed hip, pelvic, or femoral shaft BSIs in my patients, but a review of the literature suggests my theory that dancers don’t get more proximal BSIs, is probably correct (not including pars defects, just lower limb & pelvic)!

A thread 🦴🩰 🧵 1/6

[Running-Physio @tomgoom]

Gym ball squats are underrated! They’re a great option to strengthen the quads and load the patellar tendon. Especially useful if working into hip flexion is painful e.g. during a standard squat.

[James Noake @DrJN_SportsMed]

Consent ✅

High level 1500m runner

Weekly volumes increasing

Runing on beach / hilly terrain on holiday

Increasing L quad (medial mainly) pain - 'bruised' feeling (thought was due to foam rolling)

Then increasing sharp pain, even on walking

Hop test +ive
Resisted quads contraction irritable
Femoral fulcrum test +ive with foam roller

MRI - high grade proximal femur diaphysis stress fracture with cortical involvement (red arrow) & periosteal reaction medially at vastus medialis origin (white arrow)

Adductor avulsion syndrome / 'thigh splints' can have similar clinical & radiological picture, but oedema & periostitis is too anteromedial for it to be adductor (which is moe linea aspera / posterior)
https://t.co/PytkPh9BwK

[Bianca Broadbent @thecyclephysio]

‼️ Have you had a TKR? ‼️

Then I would really love to hear from you via the questionnaire 👇

I’m specifically looking at participation in cycling post-op, even if you are not a cyclist per se, your opinions are useful, as you may have used a bike for rehab.

#tkr #tka #cycling

[Running-Physio @tomgoom]

Physiological effects of the menopause and suggested treatments, adapted from a great a Clinical Commentary, Rothschild and Collingwood (2023):
🔗 https://t.co/rrI3Mibfxk

[Running-Physio @tomgoom]

Changes in oestrogen levels influence tendon health, especially around the menopause. Now there's evidence that HRT may help pain and dysfunction.

[The Sp⚽️rts Physio @AdamMeakins]

This is the best thing you will watch on social media this week! 🥰

Its never too late to start resistance training, but often you will need a reason and the support of others to get started! 🤜🤛

Sons and daughters, I urge you all to help your parents get started! 👍

[Dr Andrew Meyerson @AndrewMeyerson]

Take 2 minutes to watch this. It’s one of the best interviews I’ve seen so far on the #DoctorsStrike. Thank you @DrHilaryJones.

[Dr Paddy Barrett @Paddy_Barrett]

High Levels Of Muscle Strength are associated with longer life spans.

How to measure at home:

The 30-Second Chair Test

1. Sit on a stable chair with arms crossed.
2. Stand up & sit as many times as you can in 30 seconds
3. See where you stack up.
4. Train accordingly.

[James McCormack @Flawless_Physio]

🦶High Ankle Sprains (ankle syndesmosis injury) can take up to 2-4 times longer to recover compared to lateral ankle sprains.🦶

The diagnostic accuracy of our clinical tests are of low sensitivity and specificity. 📊

It's recommended that a cluster of tests are performed.

A positive result in the following 3 clinical tests should significantly increase your suspicion of a syndesmosis injury. 📈

Upon palpation, local tenderness of the syndesmosis ligaments was reported with a sensitivity of 92% and a specificity of 29%.

📊 The syndesmosis squeeze test found a sensitivity of 26%, with a specificity of 88%.

A dorsiflexion-external rotation stress test sensitivity of 71% and a specificity of 63%.

🦵Additionally, Nussbaum et al. identified that an inability to perform 10 single-leg hops without significant pain should increase your suspicion.

🏥MRI is the gold standard of imaging with similar accuracy to arthroscopic findings.
#sportsmedicine #physio #podiatry #anklesprain

[Dr Paddy Barrett @Paddy_Barrett]

Muscle Mass & Muscle Strength

Are major determinants of how long you will live and the quality of your life as you age.

Here's why.

🧵👇

/1

[Chartered Society of Physiotherapy (CSP) @thecsp]

'We have been warning that a lack of rehab is causing the system to seize up'.

Our response to data published today revealing the reasons for hospital departure delays: https://t.co/lqXEzx7g9X

Rehab is vital in addressing the challenges now and in the future.

#RightToRehab

[Des Ryan @DeasunO]

Important - a meta-analysis of 53 studies finds that resistance training not only boosts physical fitness in school-age kids but also enhances their cognition, academic results, and classroom behaviour. ( We need physical activity every day in schools secondary and primary )

[ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧 @Retlouping]

Just updated this thread 🧵 👇

[The Sp⚽️rts Physio @AdamMeakins]

If your physio tells you that heavy lifting with a bent back is bad for you… go find another physio!

Progressive exposure to lifting in a variety of postures and positions is key to a strong robust and resilient spine!

Weak things break! 😍