Discover and read the best of Twitter Threads about #Physio
Most recents (22)
🧠 The NEW Consensus statement on concussion in sport: the 6th International Conference on #Concussion in Sport from the Amsterdam, October 2022 interdisciplinary meeting is OFFICIALLY out via @BJSM_BMJ 📄
🧵 Here are the key takeaways summarized by the article:
#FOAMed
🧵 Here are the key takeaways summarized by the article:
#FOAMed
Individuals with persisting symptoms (ie, symptom duration >4 weeks) should be evaluated with a MULTIMODAL CLINICAL ASSESSMENT including the use of standardized and validated symptom rating scales. 2/
The potential long-term effects of Sports Related Concussion & repetitive head impacts (RHI) are areas of ongoing public health interest and concern among both healthcare professionals and the general public. 3/
Geil mein Termin fällt aus weil HÄ im Urlaub ist & das fällt denen 2 Stunden vorher ein⁉️ Ganze Nacht nicht geschlafen für nix. Boah bin ich sauer. Da kann man ja wohl mal früher Bescheid sagen. Ich hab den Termin explizit bei ihr gemacht.
1/2
#NieWiederUnsichtbar #MECFS
1/2
#NieWiederUnsichtbar #MECFS
Ich hab tausend Sachen zu klären & jetzt geht gar nix.
Und fragt die ernsthaft, ob ich für Blutabnahme & EKG dann trotzdem vorbeikommen will 🤡 Ihr wisst die Antwort...
Als ob ich für so ein scheiß extra mit KTW (!) da hinfahren würde 🙄
2/2
#MillionsMissing
Und fragt die ernsthaft, ob ich für Blutabnahme & EKG dann trotzdem vorbeikommen will 🤡 Ihr wisst die Antwort...
Als ob ich für so ein scheiß extra mit KTW (!) da hinfahren würde 🙄
2/2
#MillionsMissing
Und jetzt wollen die mir keine #Physio Verordnung schicken, weil HÄ unterschreiben muss. Lächerlich, noch andere Ärzte in der Praxis. Ich hatte seit 3 Wochen keine Behandlung. Es wäre der letzte Termin vorm Umzug. Soll ich jetzt nach 8 Jahren gehen ohne mich zu verabschieden?
𝗖𝗵𝗲𝗰𝗸 𝘁𝗵𝗶𝘀 𝗼𝘂𝘁:
Linktr.ee/physiosinsport
really is our One-Click access to;
▪️Courses,
▫️Reviews
▪️Research!
𝙬𝙝𝙖𝙩 𝙘𝙖𝙣 𝙮𝙤𝙪 𝙡𝙞𝙣𝙠 𝙩𝙤?
A Thread 🧵
Linktr.ee/physiosinsport
really is our One-Click access to;
▪️Courses,
▫️Reviews
▪️Research!
𝙬𝙝𝙖𝙩 𝙘𝙖𝙣 𝙮𝙤𝙪 𝙡𝙞𝙣𝙠 𝙩𝙤?
A Thread 🧵
The 𝘿𝙖𝙨𝙝𝙗𝙤𝙖𝙧𝙙 feature allows navigation through links
ON your LAPTOP 𝘈𝘕𝘋 your Devices
ON your LAPTOP 𝘈𝘕𝘋 your Devices
Click on Our 𝗙𝘂𝗻𝗰𝘁𝗶𝗼𝗻𝗮𝗹 𝗥𝗲𝗵𝗮𝗯 𝘁𝗼 𝗥𝗧𝗦 course for example
and you'll go straight to Information & Checkout!
Remember 𝘗𝘈𝘙𝘛 𝘖𝘕𝘌 is 𝘯𝘰𝘸 𝗢𝗻𝗹𝗶𝗻𝗲
𝘗𝘈𝘙𝘛 𝘛𝘞𝘖 𝗮𝘁 𝘃𝗲𝗻𝘂𝗲𝘀 𝗳𝗿𝗼𝗺 𝗠𝗮𝗿𝗰𝗵!
#Function
#FunctionalRehab
#CPD
#Pathway
and you'll go straight to Information & Checkout!
Remember 𝘗𝘈𝘙𝘛 𝘖𝘕𝘌 is 𝘯𝘰𝘸 𝗢𝗻𝗹𝗶𝗻𝗲
𝘗𝘈𝘙𝘛 𝘛𝘞𝘖 𝗮𝘁 𝘃𝗲𝗻𝘂𝗲𝘀 𝗳𝗿𝗼𝗺 𝗠𝗮𝗿𝗰𝗵!
#Function
#FunctionalRehab
#CPD
#Pathway
Please retweet and share if you support my and others' vaccine injury recoveries.
My fiancé and I were supposed to get married in July 2022. Given the first 2 vaccine mandates, we figured that we had no choice but to keep on taking the boosters in order to be able to travel for our honeymoon / have liberties to go to stores etc.
We decided to take the 3rd @moderna_tx booster anticipating that perhaps it would also be mandated by the #Canadian #government.
A golden oldie for this weeks repost:
It’s difficult trusting the process and accepting that success is earned over prolonged periods of consistency.
When we have bad sessions or bad weeks, we can often let it affect us.
1/
It’s difficult trusting the process and accepting that success is earned over prolonged periods of consistency.
When we have bad sessions or bad weeks, we can often let it affect us.
1/
We double down on training, play catch up with missed sessions, add extra onto sessions which weren’t planned for, and this can lead to performance being affected even more or worst case, injury.
2/
2/
When injured, a bad day or weeks rehab can make the wheels fall off and we sabotage ourselves even more.
If you’ve had a bad week or a bad day, or progress simply hasnt been as fast as you wished it was, reflect on the last month, last 6 weeks and look for the
3/
If you’ve had a bad week or a bad day, or progress simply hasnt been as fast as you wished it was, reflect on the last month, last 6 weeks and look for the
3/
Six reasons to assess the cranial nerves in the MSK clinic.
A thread 🧵
Reason 1.
You assess and manage patients with neck pain/ headache/orofacial symptoms
#Physio #Physiotherapy #PhysicalTherapy
A thread 🧵
Reason 1.
You assess and manage patients with neck pain/ headache/orofacial symptoms
#Physio #Physiotherapy #PhysicalTherapy
Reason 2.
You routinely assess neurological function when you encounter
1. Distal symptoms in the upper limb
2. Distal symptoms in the lower limb
It is logical therefore to do the same when it comes to the neck/head/face
You routinely assess neurological function when you encounter
1. Distal symptoms in the upper limb
2. Distal symptoms in the lower limb
It is logical therefore to do the same when it comes to the neck/head/face
Reason 3.
You will see patients who complain of post trauma/insidious onset dizziness/nausea/visual disturbances
... which may or may not be linked to CN dysfunction.
CN testing should form part of your routine risk assessment. pubmed.ncbi.nlm.nih.gov/34182898/
You will see patients who complain of post trauma/insidious onset dizziness/nausea/visual disturbances
... which may or may not be linked to CN dysfunction.
CN testing should form part of your routine risk assessment. pubmed.ncbi.nlm.nih.gov/34182898/
Slide 5 of our "Seven Slides for Physios": Physiotherapy Assessment of ME
Links and resources 👇
#MEAwarenessWeek #Physio #cpdicord
@thecspstudents @thecsp
Links and resources 👇
#MEAwarenessWeek #Physio #cpdicord
@thecspstudents @thecsp
Slide 4: PEM, Fatigue and Diagnostic Issues
This is one area that is key for physios to understand when trying to appraise the evidence
More reading and references 👇
#MEAwarenessWeek #MEAwarenessDay
#Physio #CPD
@thecspstudents @thecsp
This is one area that is key for physios to understand when trying to appraise the evidence
More reading and references 👇
#MEAwarenessWeek #MEAwarenessDay
#Physio #CPD
@thecspstudents @thecsp
ICC Criteria
onlinelibrary.wiley.com/doi/full/10.11…
onlinelibrary.wiley.com/doi/full/10.11…
Canadian criteria
tandfonline.com/doi/abs/10.130…
tandfonline.com/doi/abs/10.130…
Slide 3 of our "Seven Slides for Physios": Post Exertional Malaise
References (there's a lot... and they are just a small selection) and further reading below 👇
#MEAwarenessWeek #CPD #Physio
@thecspstudents @thecsp @WorldPhysio1951
References (there's a lot... and they are just a small selection) and further reading below 👇
#MEAwarenessWeek #CPD #Physio
@thecspstudents @thecsp @WorldPhysio1951
Further reading on PEM:
journals.plos.org/plosone/articl…
journals.plos.org/plosone/articl…
A short video describing PEM:
Slide 1 of our "Seven Slides for Physios": What is ME, and why do you need to know about it?
Resources and references in this thread 👇
#MEAwarenessweek #CPD #Physio
@thecsp @thecspstudents @WorldPhysio1951
Resources and references in this thread 👇
#MEAwarenessweek #CPD #Physio
@thecsp @thecspstudents @WorldPhysio1951
More information and links to resources and a free CPD module for health professionals can all be found on our website:
physiosforme.com/what-is-me
physiosforme.com/what-is-me
A series of short films by @DialoguesMECFS gives an excellent overview for those who prefer to learn through this medium
dialogues-mecfs.co.uk
dialogues-mecfs.co.uk
6 reasons to take #BloodPressure in the MSK physiotherapy clinic.
A thread to ponder over Easter 🧵
#Haemodynamics #Physio #PhysicalTherapy #Hypertension
1/
A thread to ponder over Easter 🧵
#Haemodynamics #Physio #PhysicalTherapy #Hypertension
1/
Reason 1.
Vital signs tell you lots about the patient’s general health.
The 2 minutes it takes to check someone’s blood pressure may impact directly on your clinical reasoning and subsequent management.
2/
Vital signs tell you lots about the patient’s general health.
The 2 minutes it takes to check someone’s blood pressure may impact directly on your clinical reasoning and subsequent management.
2/
Reason 2.
High blood pressure is generally asymptomatic, so you wouldn’t know if the person sitting in front of you might be hypertensive.
... Unless you take the time to check.
3/
High blood pressure is generally asymptomatic, so you wouldn’t know if the person sitting in front of you might be hypertensive.
... Unless you take the time to check.
3/
You want to grow as a therapist or clinician.
In particular, to help people who are suffering persistent pain, whatever their circumstances.
Different ages, backgrounds, circumstances, occupations.
Persistent pain affects people right across society.
Cont… 👇
In particular, to help people who are suffering persistent pain, whatever their circumstances.
Different ages, backgrounds, circumstances, occupations.
Persistent pain affects people right across society.
Cont… 👇
How well equipped are you to help them?
Do you understand pain sufficiently well to be able to help the person understand all their experiences?
Do you have the skills and toolbox to help them navigate the way forward to shape a positive future?
👇
Do you understand pain sufficiently well to be able to help the person understand all their experiences?
Do you have the skills and toolbox to help them navigate the way forward to shape a positive future?
👇
Do you have self-awareness and an ability to be present as we must?
Do you know your own philosophy? Play to your strengths?
This is just some of the work we do together, cultivating your beginner’s mind and openness to learning so that you can grow and flourish.
👇
Do you know your own philosophy? Play to your strengths?
This is just some of the work we do together, cultivating your beginner’s mind and openness to learning so that you can grow and flourish.
👇
I was asked a brilliant Q today in an online chat with some newly qualified coaches.
What’s the key to success in endurance sports??
A thread……
1/11
#ukrunchat #uktrichat #success #endurance #physio
What’s the key to success in endurance sports??
A thread……
1/11
#ukrunchat #uktrichat #success #endurance #physio
It didn’t take me long to answer to be honest, I think it’s the same secret for all sports (and life in general!)
the key is simply to be consistent over a prolonged period - sustained / maintained consistency.
2/11
the key is simply to be consistent over a prolonged period - sustained / maintained consistency.
2/11
The successful athletes, and by that I mean relative success to the individual, not necessarily podium finishes per se, is that they are world class at doing the basics, rather than being basic at the world class things.
3/11
3/11
Just thought I’d share this study again in response to a patients Q earlier today regarding running in one shoe only vs rotating multiple pairs.
I’m a big fan of rotating between multiple “different” types of shoes to “ spread the load”.
1/4 #ukrunchat #run #Shoes #physio
I’m a big fan of rotating between multiple “different” types of shoes to “ spread the load”.
1/4 #ukrunchat #run #Shoes #physio
We can’t remove forces and physics but we can be smart with them.
It’s a strategy I use myself.
Of course there are runners who use one pair and don’t get injured as well, there’s far more to this puzzle than simply changing shoes as I talk about often,
2/4
It’s a strategy I use myself.
Of course there are runners who use one pair and don’t get injured as well, there’s far more to this puzzle than simply changing shoes as I talk about often,
2/4
but maybe, for some, it’s something to think about trying alongside appropriate training and recovery.
It’s a far from perfect paper, as many are, and other confounders may apply but it’s a tactic some may wish to apply.
3/4
It’s a far from perfect paper, as many are, and other confounders may apply but it’s a tactic some may wish to apply.
3/4
We have now submitted our response to the NICE draft guidelines for ME.
The full response can be downloaded, along with a summary of our main thoughts, on our blog post here.
physiosforme.com/post/physios-f…
The full response can be downloaded, along with a summary of our main thoughts, on our blog post here.
physiosforme.com/post/physios-f…
Summary of the summary: Overall, we are pleased with the tone and content of the Draft Guideline.
NICE are now advising against the use of structured exercise programmes for people with ME - something all #physio should be aware of
The Vertebral Artery Test Part II:
Risk assessment of the cervical spine
4 clinical cases to try and make sense of risk assessment.
Of interest to ALL #Physiotherapy #PhysicalTherapy #FCP clinicians #Neck #Headache #Haemodynamics #Risk #VBI #CAD
Risk assessment of the cervical spine
4 clinical cases to try and make sense of risk assessment.
Of interest to ALL #Physiotherapy #PhysicalTherapy #FCP clinicians #Neck #Headache #Haemodynamics #Risk #VBI #CAD
A consideration of major or serious adverse events.
#Risk #LossOfVision #Stroke #Death #VBI #CarotidArtery #CAD
#Risk #LossOfVision #Stroke #Death #VBI #CarotidArtery #CAD
Into the 4th decade we go!
#Physio #PhysicalTherapy #VBI #CervicalSpine #Risk
How do we move forward from here?
#Physio #PhysicalTherapy #VBI #CervicalSpine #Risk
How do we move forward from here?
Covid-19 Linked To Life-Threatening Blood Clots in ARTERIES of Lower Extremities
"Awareness of lower limb arterial thrombosis as a possible complication of COVID-19 is important for all providers who take care of these patients” #Physio #PhysicalTherapy cathlabdigest.com/content/covid-…
"Awareness of lower limb arterial thrombosis as a possible complication of COVID-19 is important for all providers who take care of these patients” #Physio #PhysicalTherapy cathlabdigest.com/content/covid-…
#Physio #FCP ‘s
Time to brush up on your haemodynamics ✅
"We found that arterial thrombosis associated with COVID-19 infection was characterized by dire outcomes, namely strikingly increased rates of amputation and death, which in our series were 25% and 38%, respectively,"
Time to brush up on your haemodynamics ✅
"We found that arterial thrombosis associated with COVID-19 infection was characterized by dire outcomes, namely strikingly increased rates of amputation and death, which in our series were 25% and 38%, respectively,"
Be aware that arterial complications will likely present as PAIN in the early stages.
There may be an exercise induced component.
That may be down to deconditioning or fatigue OR it may be due to underlying pathology.
#Haemodynamics #COVID19
There may be an exercise induced component.
That may be down to deconditioning or fatigue OR it may be due to underlying pathology.
#Haemodynamics #COVID19
So, a thread about fixing #flatfeet in kids here: footgearlab.com/exercises-to-c…
Let's unpack why there is a just enough truth to suck parents in, but not enough to be of value.
Firstly: Author quals. Sure, don't have to be qualified, this author is content ed (no health prof input)
Let's unpack why there is a just enough truth to suck parents in, but not enough to be of value.
Firstly: Author quals. Sure, don't have to be qualified, this author is content ed (no health prof input)
/Just the title alone should ring warning bells.
If exercises were all it took to FIX foot posture, why doesn't everyone have feet with lovely arches from doing 20 simple things?
Let's also suck parents in with a cute photo, & guilt them into doing something that they'll fail.
If exercises were all it took to FIX foot posture, why doesn't everyone have feet with lovely arches from doing 20 simple things?
Let's also suck parents in with a cute photo, & guilt them into doing something that they'll fail.
/First words are the next issue:
Flat feet is a condition...um nope. Flat feet are an appearance. Millions of people, adults & children from all races, weights, tall, short, heavier & skinnier can have flat feet.
It's an appearance and no more a condition than blue eyes.
Flat feet is a condition...um nope. Flat feet are an appearance. Millions of people, adults & children from all races, weights, tall, short, heavier & skinnier can have flat feet.
It's an appearance and no more a condition than blue eyes.
Meine Freundin wurde gestern operiert. Im Krankenhaus ist wenig los, da alle Betten für Corona geräumt wurden so gut es ging. Dies liefert tiefe Einblicke darin, wie gut unser Gesundheitssystem eigentlich ist, vor allem wozu die #Pflege fähig sein kann. Thread:
Es kommt regelmäßig jemand vorbei und fragt ob sie etwas braucht und wie sie sich fühlt. Die Leute sind freundlich und gut gelaunt, unterhalten sich mit ihr und bringen sogar mal ungefragt Tee oder Wasser vorbei. Man klärt sie auf und gibt Tipps
heute Abend sind sogar zwei nette Personen noch einmal mit ihr aufgestanden um stehen zu üben. Es kommt 1-2 mal am Tag die #Physio. Zu einer 20 Jährigen. Unfassbar. Sogar die Stationsärztin und die Chirurgin nehmen sich Zeit Fragen zu beantworten und aufzuklären
Thinking of taking your loved one out of #longtermcare during the #covid19 ? There is *no easy answer*. But here are few things to think about:
1) Do they need to be transferred (bed / toilet / shower) and how would you do that?
2) Do they need a Hoyer lift? (thread continues)
1) Do they need to be transferred (bed / toilet / shower) and how would you do that?
2) Do they need a Hoyer lift? (thread continues)
3) Do you have the medications and expertise to provide the medical care?
4) Are you in danger of infecting other vulnerable members of your household?
5) How will you support them if they have dementia?
6) Do you have knowledge on how to support #incontinence & the products?
4) Are you in danger of infecting other vulnerable members of your household?
5) How will you support them if they have dementia?
6) Do you have knowledge on how to support #incontinence & the products?
7) Who will you call if they get sicker either with #Covid19 or their underlying #health issues?
8) are they going to lose their #placement in the #nursinghome (in Ontario - the answer would be yes)
9) who else in your home needs care?
10) how will you support #socialengagement?
8) are they going to lose their #placement in the #nursinghome (in Ontario - the answer would be yes)
9) who else in your home needs care?
10) how will you support #socialengagement?
#Mindfulness OR #McMindfulness ?
#Sociology
“Stress has been pathologised and privatised, and the burden of managing it outsourced to individuals. Hence the pedlars of mindfulness step in to save the day.”
#Sociology
“Stress has been pathologised and privatised, and the burden of managing it outsourced to individuals. Hence the pedlars of mindfulness step in to save the day.”
“If we are unhappy about being unemployed, losing our health insurance, and seeing our children incur massive debt through college loans, it is our responsibility to learn to be more mindful.”
“This has come about partly because proponents of mindfulness believe that the practice is apolitical, and so the avoidance of moral inquiry and the reluctance to consider a vision of the social good are intertwined.”
This is an interesting paper ... and the authors highlight involvement of the ICA.
BUT ... the focus on Cervical arterial dissection (CAD) ONLY is restrictive.
There is much more to risk assessment in the cervical spine than dissection. 🔎
BUT ... the focus on Cervical arterial dissection (CAD) ONLY is restrictive.
There is much more to risk assessment in the cervical spine than dissection. 🔎
Cervical arterial dysfunction (CAD)however, is a term that covers all arteries & all pathologies.
Confused ...?
It is confusing ...
I try to shed some light on the topic and the many acronyms here @TrustmePhysio 👀👇👇👇👇
youtube.com/channel/UC9lb2…
Confused ...?
It is confusing ...
I try to shed some light on the topic and the many acronyms here @TrustmePhysio 👀👇👇👇👇
youtube.com/channel/UC9lb2…
Perhaps the use of the term CADf might help reduce the confusion...?
@NathanHutting
@NathanHutting
