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Health & Wellness , Aches & Pains , Physical Therapy , Joint Pain

Have You Scheduled Your 2023 PT Exam?

(used with permission from the American Physical Therapy Association Private Practice Section)

Haven’t thought about having an annual PT exam? We’re biased, but we think you should. You see your optometrist and dentist regularly because your eyes and teeth are important. You get an annual physical from your family physician. You might even be getting ready to see your accountant to get your yearly taxes done.

But what about the rest of your body? Have you lost range of motion, or strength? How’s your balance and coordination? These all affect how you move. You might not notice small changes until you have problems like trouble lifting a heavy load, joint pain, or a sprained ankle from a stumble.

An annual PT exam can catch problems early, then correct them before they lead to something bigger.

What to Expect

An annual PT exam is quick and easy. Your annual visit may include:

A history of your injuries, as well as a health history
Assessment of your strength, balance, flexibility, etc.
A review of your movement goals (do you want to run a marathon? Get on and off the floor easily playing with your grandkids?)
A review and update of your exercise program

How Important Is Moving Well?

There is strong evidence suggesting that movement is a valuable predictor of future health and resilience against disease. Moving well can keep you healthier and help you live longer.

Here are some examples of the power of movement when it comes to predicting future health:

Gait Velocity

Gait velocity is how fast you walk. Studies have shown that if your typical walking speed is over 1 m/s or 3.3 ft/s, you’re likely able to complete typical daily activities independently. You’re also less likely to be hospitalized and less likely to have adverse events like falls.

Get On and Off the Floor

A series of studies suggest that if you can go from standing to sitting on the floor and back to standing without using your hands, you’re a lot less likely to die than someone who can’t. It’s called the sitting-rising test. You can find the instructions and examples with a quick internet search.

Notice that both gait velocity and the sitting-rising test aren’t specific to any one thing. The risk of hospitalization in the gait velocity studies was hospitalization for any reason. Death in the sitting-rising studies was death from anything. So science says that moving well is incredibly important to your overall health. It’s also important for your quality of life.

We think moving well is just as important as your teeth, eyes, and taxes. If you agree, get that annual PT exam scheduled!

References

Physical Therapists’ Role in Prevention, Wellness, Fitness, Health Promotion, and Management of Disease and Disability – https://www.apta.org/apta-and-you/leadership-and-governance/policies/pt-role-advocacy

Ability to sit and rise from the floor is closely correlated with all-cause mortality risk — ScienceDaily

Gait velocity as a single predictor of adverse events in healthy seniors aged 75 years and older – PubMed (nih.gov)

Physical Therapy , Health & Wellness , Blog

Elevate Your Heart Rate With Physical Therapy

(Used with permission from the Private Practice Section of the American Physical Therapy Association)

Heart disease is a leading cause of death and disability.

This shouldn’t be a surprise – it’s been at the top of the list for years. You know that taking care of your heart is important. That means doing things like eating right, avoiding smoking, and exercising regularly. While all of those things can be difficult, today we’re going to focus on exercise.

How Physical Therapy Can Help With Your Heart Health

Cardiovascular exercise is anything that makes you breathe harder and your heart pump faster. That could be walking, running, dancing, biking, swimming or hiking. It strengthens your heart and blood vessels. It can help control weight, lower blood pressure, reduce stress, and prevent heart disease.

If you’re regularly going for a run or swimming laps, you don’t need help from your PT. But 3 out of 4 adults aren’t exercising regularly. If you’d like to get started, your PT may be just the person to help you. It’s not uncommon to get injured, then never get back to your old routine. Your PT can help you deal with the old injury and design a plan to get you safely back to regular activity.

It’s also not uncommon to try to be more active on your own, only to stir up pain somewhere like your back, hip, knee or shoulder. Your PT can help with that too. They’ll figure out why you’re having pain, help you correct it, and get you a plan to reach your goals.

Physical therapists can also help you safely increase your activity levels after major medical issues like a heart attack, stroke, or even cancer. Recent research has shown improvements in cardiovascular fitness, fatigue levels and even pain in cancer patients who participate in a personalized physical fitness plan from a PT.

Whatever your barriers to physical activity are, your PT can likely help you overcome them. As movement experts, physical therapists are trained to deal with a variety of conditions. They’ll help you work around whatever issues you have so you can safely elevate your heart rate and keep cardiovascular disease away.

Health & Wellness , Physical Therapy , Aches & Pains , Sports , Blog

Concussions Happen, PT Can Help

Written by Brad Kruse, PT, DPT, SCS, CSCS, Cert DN

Concussions happen.

When people talk about concussions, the first thing that comes to mind is a sport related injury. While those who play football or hockey see the highest incidence of this type of injury, the rate of concussions in other sports like soccer are not far behind. At Dubuque Physical Therapy, we have worked with patients who have had a concussion while participating in swimming, and in golf, as well as people who were injured at work or who slipped and experienced a fall.

A concussion is a mild traumatic brain injury (mTBI).

Anyone, at just about any age, can have a concussion. Concussion symptoms can sometimes be missed, particularly when they follow a non-sport related incident. This type of injury generally is the result of the brain moving around within the skull and often coming into contact with the inside of the skull. A direct blow to the head can be the cause, but a concussion can also occur with no direct contact to the head. A blow to the body that results in the head moving or stopping quickly can result in what is called an impulse mechanism of injury. In either case, there is a change in brain function that results in altered brain and neural function.

Concussion Symptoms Vary

The forces involved in a concussion impact many systems in the body. While there is a wide range of symptoms that can be present following a concussion, among the most common symptoms are:

headache
dizziness/lightheadedness
nausea
sensitivity to light or noise
mental impairments such as difficulty with concentration or retention of information.

The vast majority of concussions resolve relatively quickly. In adults, about 75% of those with a concussion recover within a week, and 90+% of concussion related symptoms resolve within the first 2 weeks. In teenagers or younger individuals, the recovery time is typically longer. Most of our younger population with a concussion recover within 2 weeks, and 85% of symptoms resolve within 4 weeks.

Physical therapists can help guide a person through the concussion recovery process. This recovery process includes the return to mental as well as physical activity. A school aged individual needs to tolerate being in the classroom before we worry about a return to athletic activities. An adult may need to work through the recovery process in order to return to work. Mental/cognitive issues can be treated in a similar fashion to physical limitations, with the prescription of specific activities or exercises from your PT.

Persistent Post-Concussion Symptoms

Persistent post-concussion symptoms, those that linger for more than 2 weeks in adults, and 2-4 weeks in younger individuals, can be subdivided into various categories.

Symptoms such as a headache or dizziness can be cervicogenic in nature, meaning some dysfunction in the cervical spine (neck) is contributing to the problem.
Dizziness, ringing in the ears and vision related problems can be related to the vestibular system (helps with balance and the brain’s ability to determine the position of the body), or the ocular system (eyes).
Another common subgroup of persistent concussion related symptoms relates to the cardiovascular system. Heart rate and blood pressure changes can trigger post-concussion symptoms.

Research shows us that simply resting and completely avoiding exercise or mental activity does not help the recovery process.

Instead, a specific process that gradually increases the intensity and duration of the offending task(s) leads to a faster resolution of symptoms. Every person and their individual circumstances are unique, just as every concussion is unique. Recovery from persistent post-concussion symptoms can be bolstered by having a physical therapist as part of the health care team involved in an individual’s recovery.

The expert physical therapists at Dubuque Physical Therapy are trained to assess which components are contributing to post-concussion symptoms. We will then work with you, and in coordination with your physician or health care provider and your school or employer, to develop an individual plan for recovery.

When a concussion happens, Dubuque Physical Therapy can help!