Cerebral Palsy Course Now Available in French – Prise en charge des enfants atteints de paralysie cérébrale

Thanks to our recent collaborations with Humanity Inclusion we have been able to translate our Cerebral Palsy course into French! This is a massive boost to our French speaking colleagues in France, Africa and Haiti as well as our partners in Guyana, Niger, Senegal, Ivory Coast and Mali.

The CP course now joins Les Accidents Vasculaires Cérébraux, Prestation de services en fauteuil roulant and Pied Bot in our growing list of dual language courses. Of course these are only available to Physioplus members.

Prise en charge des enfants atteints de paralysie cérébrale

Cerebral Palsy is one of the commonest disorders of child development with an incidence of 2-2.5 per 1000 live births. The condition potentially has a major impact on quality of life and participation in society for the child with Cerebral Palsy. Quality of life for the child’s family is also affected with implications for parents being able to work, housing and care of a disabled young person through childhood into adult life. The condition also has a major impact on health, social and education services with increasing survival of more severely affected children.

En savoir plus sur la paralysie cérébrale

Pied Bot

In 2017 Physiopedia,the ICRC and the GCI collaborated to deliver the best course about how to manage clubfoot anywhere on the internet. This really was a huge collaboration of key partners around the world to produce something special. The course aims to provide a basic theoretical understanding of clubfoot and to align global understanding of the theoretical principles underlying the management of children with clubfoot.

En savoir plus sur le pied bot!

 Les Accidents Vasculaires Cérébraux

Stroke is a devastating condition and is the second leading cause of death globally. It is a real challenge to global health and the prevalence of stroke is only going to increase as the aging population increases. This course aims to provide an overview of physiotherapy practice relating to Stroke to develop a foundation of knowledge that will enable you to assess and treat individuals with acute and chronic impairment as a result of stroke.

En savoir plus sur les accidents vasculaires cérébraux!

Prestation de Services en Fauteuil Roulant

In 2018 Physiopedia, the International Committee of the Red Cross (ICRC) and the World Health Organisation (WHO) collaborated to develop and deliver a online programme of courses covering the topic of Wheelchair Service Provision. This courses aims to provide a comprehensive theoretical understanding of Wheelchair Mobility and to develop an understanding of the theoretical principles, skills and knowledge underlying the management skills and knowledge in the management of wheelchair service delivery.

En savoir plus sur la fourniture de fauteuils roulants!

Top 5 Fridays! 5 Things to do After an Ankle Sprain

Queen’s University Neuromotor Function Project Enters It’s Third Year

Some of the best work on Physiopedia has been created by physiotherapy students who have taken part in our Educational Projects. For students the projects offer an opportunity to create lasting resources for others on a global scale, for educators it offers an opportunity to involve their students in the knowledge creation process. This is a unique opportunity and students are often as excited about the projects as we are.

Put simply, students create resources in Physiopedia based on the content of their module or course content. This then demonstrates their understanding of a topic as well as contributing to this professional resource. The projects can provide opportunities for students to practice reviewing and disseminating literature related to current guidelines in a contemporary way. It is an interactive forum between educators and students allowing collaboration, and exposure to international learning opportunities. It really is a creative and unique way to develop academic skills such as reflection, critical assessment, writing and referencing skills.

The Neuromotor Function Project

A really excellent example of how the projects on PP come together to link learning skills and knowledge creation is the Neuromotor Function Project which forms part of the “Neuromotor Function II” module in the first year of the MSc in Physical Therapy at Queens University.  The students work in groups and create or update pages on PP that relate to neurological conditions which affect movement problems in adults.

Last year there were some top quality articles created including the topical subject of “Modified Constraint-Induced Movement Therapy for Stroke” and “Repetitive Transcranial Magnetic Stimulation for the Management of Parkinson’s Disease“. These pages are created with the utmost quality and care in keeping with the PP house rules. To ensure this quality there is a guide for students too!

Clearly content creation is an important part of PP but the refresh and review aspect of the projects is arguably more important. Thanks to Queen’s University there are numerous pages which are updated to keep clinicans up-to-date with the latest evidence to give their patients the best treatment possible.

It can definitely be said that some of the best work on Physiopedia has been created by Physiotherapy Students who have taken part in our educational projects and Queen’s University are a shining example of that.

18 months ago Rachael Lowe interviewed Dr Kathleen Norman from Queen’s about her experience of running a student assignment on Physiopedia.

About Physiopedia’s Projects

We have an entire page dedicated to our growing list of past and present projects. If you would like to find out more about how to create your own content development project we have a step-by-step guide to help explain what you need to do.

Lat Inhibition to Improve Overhead Mobility

Stretching a muscle with high tone works, AFTER the muscle fatigues or you stretch long enough to change the perception of stretch. That's not normally a rapid process as the more the nervous system perceives stretch, muscles tend to increase in tone to fight the passive stretch.

Inhibiting a muscle by passively slacking it rapidly reduces tone, so you can start dynamically moving into the restricted range of motion and then start loading once the pattern is reinforced.

Lat Inhibition for Overhead Mobility

Want to learn more? Check out our full online seminar full of simple assessments and pain free treatments, focused on home program and patient education!

Want to learn in person? Attend a #manualtherapyparty! Check out our course calendar below!

Learn more online!

Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school. Live cases, webinars, lectures, Q&A, hundreds of techniques and more! Check out Modern Manual Therapy!

Keeping it Eclectic...

This article was originally posted on Modern Manual Therapy Blog

Can CashPT Clinics Treat Medicare Patients?

In this week’s short video, I wanted to share a question I got a while back from one of my clients.

If you’re struggling with Medicare issues, I hope this helps!

The question I got asked is if you can treat someone who has Medicare, even if the person doesn’t care that they can’t use it.

Technically, no. There are, however, certain things you can do.

If this person just needs help with walking and some stretching, you can do exercise instruction or personal training with them. But if you’re going down this road of utilizing exceptions to the Medicare rule, there’s a few things you need to do.

You need to be well-educated on the policies and procedures and how it relates to a cash-based practice. You need to have a consent or agreement that the patient signs, and you need to be very clear that what you’re providing is not covered. Most importantly, you should consult an attorney to discuss where you lie in this and the possible ramifications of it all.

The best thing I can say is to read up about it. Patients won’t get it. Honestly, a lot of PTs won’t get it. Educate yourself before you take the risk.

If you’re looking for more information on Medicare in CashPT, check out my blog post about it here!

Keeping it Eclectic...

This article was originally posted on Modern Manual Therapy Blog

Can Physiotherapists Play a Role in Fertility?

We recently finished another round of the increasingly popular Physiopedia Volunteer Orientation Course. As part of the final assignment members were tasked to write an original piece of work to share with the profession, the contributions were of the highest quality. Below is the great piece of work written by Nicole Sandhu.

The Link Between Weight and Fertility

A study conducted by Kiel et al. (2018), examined the effect of high-intensity interval training (HIT) on women undergoing assisted fertilization through a pilot randomized control trial. Eighteen woman with a body mass index of over 25.0 kg/m​2​ were split into two groups: the control group “usual care” (n=10) and the intervention group “HIT” (n=8). The first outcome measure was “ongoing pregnancy” and the second was “insulin sensitivity, reproductive hormones, oxygen uptake, and body composition.” The study concluded that HIT significantly improved insulin sensitivity, VO​2 ​peak, and abdominal fat. Furthermore, fertility outcomes may increase by improving insulin sensitivity and the regulating the hypothalamic-pituitary-adrenal axis, central obesity, as well as, cardiovascular fitness [​2,3].

Implications for Clinical Practice

A limitation of this study is the small sample size, as it is a pilot study. However, it has been well documented that weight has a strong correlation with the outcome of assisted fertilization [​2,4]. Physiotherapists may be well positioned to assist patients with this aspect of their fertility journey. The first step for physiotherapists is to become educated on the topic and aid in educating the public on the importance of exercise and weight management in fertility. Physiotherapists can have a more direct role through creating and implementing an exercise program to suit the needs of their clients. Exercise is a relatively inexpensive addition to “usual care” in improving the outcomes of assisted fertilization. Additionally, exercise may aid in the mental health of clients during this challenging time. The ultimate goal is to aid individuals in reaching their fertility goals and it is important that as healthcare providers we are informative and proactive regarding the breadth of issues that could be affecting their assisted fertility outcomes.

References

1. ​Government of Canada. Fertility. Available from https://www.canada.ca/en/public-health/services/fertility/fertility.html​ (accessed 1 March 2019).
2. ​Kiel IA, Lundgren KM, Mørkved S, Kjøtrød SB, Salvesen Ø, Romundstad LB, Moholdt T. Women undergoing assisted fertilisation and high-intensity interval training: a pilot randomised controlled trial. BMJ open sport & exercise medicine. 2018 Jul 1;4(1):e000387.
3. Hakimi O, Cameron LC. Effect of exercise on ovulation: a systematic review. Sports Medicine. 2017 Aug 1;47(8):1555-67.
4. ​Zain MM, Norman RJ. Impact of obesity on female fertility and fertility treatment. Women’s health. 2008 Mar;4(2):183-94.

Talking Tendons Podcast: Injection Therapy - What Does the Evidence Tell Us?

via Tendinopathy Rehab

Injections such as steroid and platelet-rich plasma continue to be popular for tendinopathy, and there are other emerging injections such as the high-volume injection. Take a listen to the latest episode of 'Talking Tendons' where I discuss the latest evidence.

If you're interested in delving deeper into the conversation I will be hosting a 1 day seminar in Melbourne on the 4th May 2019 titled Injection Therapy in Tendinopathy: Art & Science.

We are lucky to be joined by both international and national speakers including Dr Brooke Coombes (Physiotherapist), Dr John Orchard (Sports Physician), Dr Glen Whittacker (Podiatrist), Dr Dean Samaras (Podiatric Surgeon), Prof Dylan Morrissey (Physiotherapist), Dr Otto Chan (Radiologist), Dr Hans Tol (Sports Physician), A/Prof Jane Fitzpatrick (Sports Physician) and A/Prof David Connell (Radiologist).

 BOOKINGS

References

1. Boesen, Anders Ploug, Hansen, Rudi, Boesen, Morten Ilum, Malliaras, Peter, Langberg, Henning. Effect of High-Volume Injection, Platelet- Rich Plasma, and Sham Treatment in Chronic Midportion Achilles Tendinopathy. The American Journal of Sports Medicine. 2017;45(9):2034-43.

Peter Malliaras
Tendinopathy Rehabilitation

Want to learn in person? Attend a #manualtherapyparty! Check out our course calendar below!

Learn more online!

Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school. Live cases, webinars, lectures, Q&A, hundreds of techniques and more! Check out Modern Manual Therapy!

Keeping it Eclectic...

This article was originally posted on Modern Manual Therapy Blog