Discover and read the best of Twitter Threads about #rehab

Most recents (13)

Our patient @_ryleefoster was involved in big car accident in 2021. She broke her neck and suffered multiple other injuries.

She is a professional goalkeeper at @LiverpoolFCW and the target is to get back playing.

This is her last year just out of the Halo neck device

🧵 1/11 Image
And this is her now…check out the neck bulk 🤩!!

We have focussed on building neck strength after she suffered a life threatening injury and lost so much muscle after being immobilised in the Halo brace…

How did we do it?

Why is it needed? Image
The main reason it is needed beyond general life is that Rylee wants to get back to the demands of her job…she is a goalkeeper and will need to dive again with safety and confidence …

Yesterday was her first “dive” since before the accident…a huge moment in her rehab!!
Read 12 tweets
Finally! New @WHO guideline specifies: NO EXERCISE THERAPY for #PostCovid patients if they suffer from POST-EXERTIONAL SYMPTOM EXACERBATION.

Hope this will protect more patients from becoming bedbound by wrongly applied #rehab measures like GET

Please RT

For more info see 🧵⬇️
The new recommendations can be found in the WHO “Living Guideline for the clinical management of Covid-19” (publ. 09/15/22).

Link to the original document as PDF or via online platform here:
who.int/publications/i…

Excerpts in the thread (PEM/PESE mentions and highlights)

2/
If I’m not mistaken, #PEM/#PESE were not even mentioned in the last version (06/22). Now many of the changes relate to #PESE (mentioned in 7 out of 16 new recommendations!).

Summary of the new recommendations below (#PESE mentions highlighted).

3/
Read 18 tweets
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/
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/
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/
Read 4 tweets
1. I've never met anyone "against" #naloxone or #SafeConsumptionRooms. No one is "against" saving lives, bit of a shit defense to folk raising questions tbh. I for one feel we need them as gateways into proper treatment - as neither can be called or is an alternative to that
2. Coming out defensively seems to be the fall back for anyone in that field who is asked a question on it or who in some way feels challenged

What I am against is the circus it has become, & the gravy train.
3. Since the pilot that was run in Glasgow for a short while it has all become about the £. To be clear, the folk you see out there arent offering to do this all out the goodness of their hearts, £ spent already, & projected to be, is in the millions.
Read 15 tweets
Proud to announce the final paper of my dissertation is out @ASHAJournals 🎉

Here, we aimed to assess longitudinal performance in language and other cognitive domains important for academic success in young adults with acquired brain injury (ABI) participating in intensive rehab Image
22 young adults with ABI (#stroke, traumatic brain injury (#TBI), tumor, encephalitis) attended ≥ 12-week semester of the Intensive Cognitive and Communication Rehabilitation program. The program (lectures, individual therapy, tech. training), was held 6 hours/day, 4 days/week. Image
14 young adults with ABI served as deferred treatment/usual care control participants. All participants demonstrated language and/or other cognitive impairment on a standardized assessment battery (WAB, RBANS, SCCAN, DCT) administered before/after each semester.
Read 14 tweets
Re @bmj_latest article last week ‘moving beyond controversy’ #LongCovid & #MECFS
Article that imho largely added to & repeated controversy & ignored much recent research
For which I was interviewed & quoted

There r things I REALLY need to make clear
1/6
bmj.com/content/373/bm…
2/6
I didnt see or review article prior to publication, I solely approved my quote.
During the lengthy interview, on ‘the debate over exercise & what should be happening’ I shared up to date referenced evidence of science behind PEM, potential harms of GET, debunking of PACE
3/6
Rather than respond myself, I highly recommend reading responses to the article, inc @DianeOLeary @DecodeMEstudy @MEResearchUK Dr Shepherd @MEAssociation

Though I was glad of opportunity to warn of dangers of PEM, for full thoughts pls see this video
Read 6 tweets
Delighted to have our new paper on the psychological response to injury in male & female collegiate Gaelic games players published in @Sports_Health this week.
doi.org/10.1177/194173…
Will include a thread of our main findings 👇1/
2/ Gaelic games players had similar levels of fear avoidance & lowered confidence in returning to sport as other athletes highlighting the importance of psychosocial support during their #rehab. They especially worried about returning to play too soon & making their injury worse
3/ Players were least confident in their ability to
not concentrate on the injury & in the injured
body part to handle the demands of the situation -making sure players build their confidence up by sequentially completing targeted tasks right up to sport specific skills is needed
Read 5 tweets
It’s my honor to moderate the Thomas L. Petty, MD Master FCCP Memorial Lecture to be given by Mary Hart, RRT. This award is given to a @accpchest FCCP known for their exceptional mentoring and clinical instruction skills. Excited for this lecture! #CHEST2020
Mary Hart RRT FCCP #CHEST2020
Hart: Will focus on some real world patient-centered studies that can impact patient outcomes. #CHEST2020
Read 10 tweets
I just crossed the 4 month mark of being sick w' #COVID19. I am young, & I was healthy. Dying is not the only thing to worry about. I still have a near-daily fever, loss of cognitive function, essential tremors, GI issues, severe headaches, heartrate of 150+, viral arthritis, 1/
heart palpitations, muscle aches, a feeling like my body has forgotten to breathe. Over the past 124 days I've lost all feeling in my arms & hands, had extreme back/kidney/rib pain, phantom smells (like someone BBQing bad meat), tinnitus, difficulty understanding text/reading, 2/
difficulty following conversations, sensitivity to noise & light, nonstop bruising. *Thinking* can cause headaches now. I'm not alone in the cognitive issues; it's as common a symptom as cough.

No one knows when #longcovid patients aren't contagious; many are alone for months.
Read 22 tweets
Dear @PaulGarnerWoof as a doctor myself, who’s been on same journey, it’s been interesting to read the evolution of your thoughts on experiencing #Covid_19 viral/postviral fatigue & then on Sx experienced by those who develop #ME/CFS . People who are so often wrongly disbelieved.
@PaulGarnerWoof to read u say,
“I am reading materials about pacing and CFS/ME and listening to the CFS/ME community. I am taken aback that doctors have been so dismissive of what these patients have been saying for so long” & to hear youve spoken to Charles Shepherd too is great
@PaulGarnerWoof so much work is being done by charities & individuals to advocate for patients but also to teach, educate & convince many doctors that these symptoms are REAL, debilitating & MUST be believed & correctly advised & managed.
@MEAssociation @MEActNet @actionforme
Read 5 tweets
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)
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?
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?
Read 9 tweets

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