Dear Dr. Rabs, > > Its Matthew Loughner and I have the questions for the interview for my senior research paper. I have ten questions and I ll send five at a time. I really appreciate you taking the time to be interviewed. > > 1. How has the technology of Physical Therapy evolve over the years? Probably the biggest change in technology over the years has been in how we seek information and record data .
When I first got into the field books were the means by which we obtained information. Now new information can be sought by powerful search engines on an almost continual basis. We now also do much of our documentation via a software program whereas initially documentation was done primarily on paper. Information gathering and according have definitely changed drastically in my career thus far. > > 2. How are you introduced to new techniques of Physical Therapy when they are newly discovered?
New concepts in Physical therapy are most readily disseminated via literature reviews which can be done manually on a regular basis or set up to give you automatic feeds. Manual techniques are still best learned by onsite education provided by a skilled practioner > > 3. How do you determine what exercises a patients does depending on his/her injury?
Understanding of both normal and abnormal anatomy, kinesiology, biomechanics and physiology is a good starting point. As above for many conditions different techniques have been investigated and evidence guides your practice. Last but not least the patients input and therapist past experience also serve as treatment guides. > > 4. What are potential risks of Physical Therapy?
PT is typically considered conservative care. So while the risks are those that might be commonly associated with exercise( sprain, strain, aggravating inflammation or other conditions of the body systems involved in movement - cardiovascular, pulmonary,musculoskeletal) - these risks are still often mild when compared vs other forms of care ie medicine or surgery > > 5. Is manual adjustment more helpful than independent exercises? Why? Neither. The literature has consistently shown that these 2 features in combination - manual treatment and exercise- offer the best results. > >
6. What are some reasons why Physical Therapy is better than surgery?The best reason is that surgery is associated with risks such as infection or medical complications. Therapy also makes the patient a more active participant in their own care. that being said PT is insufficient in managing some conditions and surgery is the best option. 7. How does ice and stimulus help the muscles recover? In short they both help to modulate pain and minimize inflammation 8.How do you know to either use heat or ice on an injury? Is one method better than the other?Both can be used for pain modulation. Ice is used most often in the 1st 48 hours after injury or after activity because it is superior to heat in controlling inflammation. 9.What is the average amount of time that it takes for a minor injury to heal with Physical Therapy? For example, what are some of the injuries and how long do they take to heal? It depends on the involved tissue and the degree of injury. 1st degree sprains/ strains are smaller and thus require less time 2-4 weeks; 2nd degree injuries may require an additional 2-4 weeks and 3rd degree sprains strains may take months or even require surgery depending on their location. Fracture may take 4-8 weeks to heal generally speaking 10.What are some examples of how Physical Therapy affects different generations? For example, how does the exercises and injury differ from a young person compared to an older person? People may receive PT across the life span. We have pediatric clinicians who may see an infant shortly after birth for PT related to a congenital problem or birth related trauma. We also see folks in the last stages of their life to enable transfers and ambulation when getting up or walking have become a challenge. In between we see a variety of conditions in all different age groups with their rehab goals varying accordingly. For some folks it may be being able to climb a ladder at work, while for others a goal may be combing their hair or reaching in a cabinet. While for others it might be participating in a sport (such as swimming ) without limitations from pain. The key is identifying their impairments and how these are causing this patient to have activity restrictions and attacking it from all angles in order to allow the individual to participate in activities which are meaningful to them.
> > Sincerely, > Matthew Loughner > > ________________________________ > From: "rabsshaw" <firstname.lastname@example.org> > To: email@example.com > Sent: Monday, February 18, 2013 5:52:31 PM > Subject: PT
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