Discover and read the best of Twitter Threads about #physicaltherapy

Most recents (11)

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
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
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/
Read 6 tweets
6 reasons to take #BloodPressure in the MSK physiotherapy clinic.

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/
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/
Read 8 tweets
Heads up to followers on twitter, will be virtually attending the #ESASRBANZBMS conference this week (21-24th Nov) so expect a bunch of tweets with a particularly heavy science bend. Disclaimer: this is by no means an extensive coverage & usually includes personal reflections. /1
So before continuing, I will try to...
- keep everything here in this thread
- share what I snippets I can
- add a number to keep tweets in some order
- respond where possible (but am also engaging in the conference spaces)
- link to papers when I can /2
Now a bunch of # in case relevant to these folks: #MedTwitter #Science #anzbms #biology #pharmatwitter #ortho #rheum #immunology
#arthritis #pathology #physicaltherapy
#pt #MSKRad #OccupationalTherapy
#physiotherapy

Anyone is most welcome to add relevant tags :D /3
Read 35 tweets
I'm so dissapointed in the doc who has been my best PCP for years #NEISvoid #DisabilityTwitter #EhlersDanlosSyndrome I have cci and it got significantly worse the last 2 months. I've tried to deal with it myself, but its been a major issue for pain, mobility & neuro symptoms #eds
that nothing helps. we changed from a pain patch to an injection because it give me more relief, but my symptoms persist & cause serious limitations i didn't have before. my PCP told me I had to do PT to get scans. I said okay, because this has happened before. I need 6 weeks
to get scans, which is a lot. my 1st pt was terrible [and I posted about it earlier] and my next pt is somebody I've never been with, so idk if they know eds. the only PT who I know, like, and who knows eds is booked through December. I called insurance to ask about getting scans
Read 16 tweets
1/ So here is the final result on the Cranial Nerves poll.

>50% responded that they were not taught CN’s at University

In addition 56% who WERE taught it suggested they were not comfortable acting on the findings.
2/ It is worth reflecting on the fact that most trained PT’s will assess neurological function in suspected upper limb and lower limb neurological dysfunction ... BUT NOT routinely in the cervical-cranial region.
3/ For a profession that positions itself as able ‘First Contact Practitioners’ for MSK conditions, that HAS to to be an #AFI

Serious adverse events related to cervical-cranial neurovascular dysfunction = Vision loss, Stroke or Death
Read 8 tweets
I’m in a graveyard.

Why?

#Risk #CervicalSpine #VertebralArtery #Physiotherapy #PhysicalTherapy

Part III - Risk Assessment of The Cervical Spine

... coming VERY soon! 👀
Part III - Risk Assessment of The Cervical Spine: Directions For The Future

If the vertebral artery test truly is dead (?), where do we go from here?

#CervicalSpine #RiskAssessment #FCP #Physiotherapy #PhysicalTherapy #ClinicalReasoning #Haemodynamics

Thanks to @RikKranenburg @NathanHutting @RogerKerry1 and the Australian Physiotherapy Association for providing me with the impetus to think about, and produce these short films. #Haemodynamics #RiskAssessment #CervicalSpine #FCP #Physiotherapy #PhysicalTherapy #Education Image
Read 3 tweets
1/ Women in Critical Care:

👍 Just recorded #ISICEM roundtable w @frubulotta @ElisabethWaele @FlaviaSepsis & Dr. Juffermans. 🎥 🍿 on Sept 16th.

Let’s eliminate prejudice based on gender, sexual pref & color. Here is a Baker’s Dozen of Women ICU Leaders!

#heforshe #medtwitter Image
2/ The first woman leader in Critical Care I discussed was Dr. Christina Jones from UK. She is a Biochemist, Nurse, Masters Social Work, PhD in Psychotherapy.

👊Mother of ICU Support Groups & ICU Diaries. As an expert, she shaped our field!

#sccm #esicm #pulmcc #ICUrehap Image
3/ 2nd world leader in Crit Care presented was Dr. Deborah Cook, from McMaster Univ in Canada. Seminal trials in Ulcer Proph, Bioethics, CCCTG trials, and now edifying us about how to provide healing in the dying process through her 3-Wishes Project.
#endoflife #palliativecare Image
Read 8 tweets
Risk Assessment of the cervical spine for NON-MANUAL THERAPISTS

4 case scenarios, to problem solve #RISK in the assessment & management of neck pain presentations.

#ClinicalReasoning #Physiotherapy #PhysicalTherapy #FCP #Haemodynamics #VertebralArtery
Case 1.

Mayumi a 69 year old male archer (retired factory worker).

#ClinicalReasoning #FCP #Physiotherapy #PhysicalTherapy #Haemodynamics
Case 2.

Phil a 41 year male sports shop proprietor and ex-olympic rower.

#ClinicalReasoning #FCP #Physiotherapy #PhysicalTherapy #Haemodynamics
Read 5 tweets
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

A consideration of major or serious adverse events.

#Risk #LossOfVision #Stroke #Death #VBI #CarotidArtery #CAD Image
Into the 4th decade we go!

#Physio #PhysicalTherapy #VBI #CervicalSpine #Risk

How do we move forward from here? Image
Read 5 tweets
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-…
#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,"
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
Read 4 tweets
#Running gait retraining is something many patients and clinicians discuss during their #telehealth #PhysicalTherapy visits. Keep in mind a few key concepts (1/n):
Here is a somewhat controversial slide. You could have an entire podcast debate on this topic. Most likely there is "better form for the individual" but one true ideal? Unlikely. So....(2/n)
If a runner is pain-free with running you should be very careful before changing their form. (3/n)
Read 9 tweets

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