Do It for the Girls! How Physical Therapists and Exercise Can Assist Breast Cancer Survivors

by Alaina Militello, SPT

 

One in eight women in the United States will be diagnosed with breast cancer in their lifetime. That is one diagnosis every 2 minutes. Although diagnoses are on the rise, medical treatment has advanced so much over the years that survivorship is at an all-time high. With more survivors living longer after initial cancer treatment, the healthcare world is having to shift gears in treatment to focus on increasing longevity and quality of life for these women. When it comes to increasing function and quality of life, who better to consult than your friendly neighborhood physical therapist!

 

There are many hardships that women face after treatment of breast cancer, both physically and psychologically. One of the most common physical complaints that breast cancer survivors have are an increased sensitivity to pain, largely in the upper extremity on the same side of the affected breast. Lymphedema, or swelling of the extremity, may cause discomfort but more severe pain and discomfort is often due to central sensitization.

 

Central sensitization is a phenomenon that occurs in the nervous system where activation of the pain centers in the brain are constantly firing and often do not turn completely “off”. This means that ordinary touch in these patients may be painful, and painful sensations become even more painful. Breast cancer survivors with this kind of response will often have features like:

 

  • Pain disproportional to the extent of the injury
  • Widespread pain
  • Hyperalgesia (persistent elevated pain)
  • Altered sensitivity to external stimuli (i.e. light, noise, odors)

 

Physical therapists are trained in how to differentiate pain responses, between normal and hypersensitive, and then know how to proceed appropriately within their treatment plan. They are also experts in exercise and human movement which allows them to create programs specialized for increasing a survivors’ function and therefore quality of life. Evidence has proven that through exercise, cancer patients can increase peak oxygen consumption, increase physical functioning and well-being, as well as decrease symptoms of fatigue that often follows cancer treatment.

 

Although physical therapists have a direct effect on the physical hardships of cancer survivorship, there is research out there that shows mind-body exercises, like yoga and dance, can improve self-esteem and body image. Many women following breast cancer treatment are concerned with their appearance and sexuality as a woman because they feel a loss of control between their mind and their body. Mind-body therapies can assist women in gaining a sense of control over their bodies and increase their confidence overall after winning their battle against cancer.

 

Physical therapy along with these complementary therapies can bring these resilient breast cancer survivors towards a better quality of life and a better outlook in their years of remission.

 

 

 

 

 

 

References:

  1. De, A. G., Meeus, M., De, T. V., Vos, L., Van, M. K., Geraerts, I., & Devoogdt, N. (2018). Unraveling Self-Reported Signs of Central Sensitization in Breast Cancer Survivors with Upper Limb Pain: Prevalence Rate and Contributing Factors. Pain physician21(3), E247-E256.
  2. Husebø, A. M. L., & Husebø, T. L. (2017). Quality of Life and Breast Cancer: How Can Mind–Body Exercise Therapies Help? An Overview Study. Sports5(4), 79.
  3. McNeely, M. L., Campbell, K. L., Rowe, B. H., Klassen, T. P., Mackey, J. R., & Courneya, K. S. (2006). Effects of exercise on breast cancer patients and survivors: a systematic review and meta-analysis. Cmaj175(1), 34-41.
  4. Nijs, J., Leysen, L., Adriaenssens, N., Aguilar Ferrandiz, M. E., Devoogdt, N., Tassenoy, A., … & Kuppens, K. (2016). Pain following cancer treatment: guidelines for the clinical classification of predominant neuropathic, nociceptive and central sensitization pain. Acta oncologica55(6), 659-663.
  5. Sandel, S. L., Judge, J. O., Landry, N., Faria, L., Ouellette, R., & Majczak, M. (2005). Dance and movement program improves quality-of-life measures in breast cancer survivors. Cancer nursing28(4), 301-309.
  6. http://www.nationalbreastcancer.org/breast-cancer-facts
  7. https://www.health.ny.gov
  8. https://www.cancer.org

ACL Injuries and Prevention

By Sports PT Clinical Blog Team

 

(Photo credit: https://www.skysports.com/nfl/news/12040/11507127/jimmy-garoppolo-suffers-potential-season-ending-injury-in-san-francisco-49ers-defeat) 

 

 

The San Francisco 49’ers quarterback Jimmy Garrapolo’s worst fears were confirmed Monday when an MRI revealed that he suffered a torn ACL in his left knee late in Sunday’s game against the Kansas City Chiefs.  

 

 

49’ers coach Kyle Shanahan said after the game the team feared Garoppolo had suffered such a devastating injury but further testing was needed to be sure. That certainty came Monday afternoon, as the team announced the official diagnosis.

 

 

Garrapolo’s next steps will be an initial course of daily Physical Therapy for swelling reduction and range of motion exercises to maximize outcome in surgery. He will have 6-9 months of intensive rehabilitation in hopes to return to the NFL.

 

 

 

In the US each year 200,000 ACL injuries are reported, making ACL injuries one of the most common injuries among athletes. Athletes from the high school level to the pros are impacted by devastating ACL injuries.

 

 

 

About ACL’s:

 

 

  • Two-thirds of ACL tears are NON-CONTACT injuries.

Most ACL injuries occur when an athlete pivots or lands from a jump, not direct collisions.

 

 

  • High school females are at the highest risk for ACL injury.  WHY?

Females are bio-mechanically structured with muscle imbalances including wider, weaker hips and hormonal fluctuations that make ligaments looser.

 

 

  • 8-50% of athletes do NOT return to their sport after ACL reconstruction.

The rehabilitation process is lengthy and requires skilled physical therapy along with mental preparedness for return to sport.

 

 

 

Proper training and ACL risk reduction programs are key.

It is crucial that proper form with squat mechanics, jump training, plyometrics, and strengthening are the focus of a training program.

 

 

 

We have SportsmetricsTM certified clinicians that train athletes in specific ACL reduction programs. Additionally, our clinicians are trained in Functional Movement Screens (FMS) to screen for objective risk of injury.

 

 

 

For more information on ACL risk reduction, contact us at info@sptny.com.

 

 

Falls Risk Prevention

By Dr. Alanna Pokorski, PT, DPT

 

 

 

How Can a Physical Therapist Help?

 

A physical therapist can conduct a brief check (“screening”) of your fall risk. If the screening shows that you are at risk, the therapist will perform a thorough evaluation, including:

 

  • Review of your medical history
  • Review of your medications
  • Simple vision test
  • Home safety assessment
  • Simple test of your thinking abilities
  • Check of your heart rate and blood pressure measurements at rest and while you change positions (from sitting/lying to standing)
  • Foot and footwear assessment
  • Balance, strength, and walking ability assessment

 

Based on the evaluation results, your physical therapist will design a plan that is tailored to your needs. Your treatment plan may include:

 

 

Balance training. Balance training has been shown to be an important and effective part of falls prevention. Your physical therapist will design exercises that challenge your ability to keep your balance as well as recover from a loss of balance, including exercises such as single-leg standing, or holding your balance while performing an action like reciting the alphabet.

 

 

Walking and moving. A prescribed exercise program should include a walking program. However, starting a walking program with poor balance can actually increase your risk for falling. Talk to your doctor or a physical therapist before you initiate a walking program to make sure that it is the right choice for you.

 

While working with a physical therapist, you may be asked to perform activities, such as:

  • Dance steps
  • Walking in circles
  • “Figure 8” exercises to strengthen the core abdominal muscles that help stabilize your body
  • Working through an obstacle course

 

 

Doing more than one thing at the same time—safely. Older adults who have difficulty walking and talking at the same time are at a higher risk of falling. To help increase your safety during daily activities, your physical therapist can design a “dual-task” training program. This kind of training will challenge you to maintain walking speed, while you perform another task, such as counting backward, engaging in a conversation, or carrying a bag of groceries.

 

 

Strength training. Strengthening is a key element of fall prevention and is very effective in preventing falls, especially when combined with balance exercises. Your physical therapist will design an individualized strengthening program that focuses on specific muscle groups to help improve your standing balance, your balance while walking, and your ability to recover from a loss of balance.

 

 

Endurance training. Aerobic exercise is physical exercise of relatively low intensity and long duration; it can help improve almost every aspect of your health, especially your endurance. Your physical therapist can work with you to plan a safe aerobic program, such as a walking or an aquatic program, to address your specific needs. The program may start with as little as 10-minute sessions and progress to 30-minute sessions, as your endurance improves.

 

 

Pain management. Pain management plays a crucial role in older adults’ risk for falling and quality of life. Certain exercises, such as strengthening and aerobic exercises, are appropriate interventions to relieve pain in addition to decreasing fall risk. Treatments need to be modified appropriately, depending on each individual’s source of pain. Physical therapy has been shown to help individuals reduce or eliminate their need for pain medication, including opioids.

 

 

Education. Your physical therapist will take the time to explain how you can best manage your own risks for falling. Your therapist also may talk to you about the best activities to help maintain your quality of life, and offer educational resources, such as:

 

 

Fear management. It is important for you to talk with your physical therapist about the fear you have of falling. The therapist will work with you to build your confidence and help you get back to the activities that you may be avoiding because you are afraid of falling. Your individual assessment can also identify the activities that you actually should avoid to stay safe.

 

 

Community programs. Several community-based fall-prevention programs are promoted by the Injury Prevention and Control Center of the Centers for Disease Control and Prevention in collaboration with the Administration on Aging. These programs help people:

  • Reduce their fear of falling
  • Set goals for increasing their physical activity
  • Make their homes more safe
  • Exercise more to increase their strength and balance

These programs often are led by volunteer coaches. Your physical therapist may be involved in setting up one of these programs or can help you find programs in your area that are best for you.

 

 

Personal recommendations. Your physical therapist can provide personal recommendations based on your condition and goals to help you:

  • Increase the safety of your home environment by making changes, such as removing throw rugs or clutter
  • Adjust how you complete your daily tasks to reduce your fall risk
  • Choose appropriate footwear
  • Learn about proper nutrition, improving your sleep schedule, and other general information that can help reduce your fall risk
  • Meet with other health care providers when appropriate

 

 

What Kind of Physical Therapist Do I Need?       

 

All physical therapists are prepared through education and experience to treat people who have a fear of falling, and balance problems. You may want to consider:

  • A physical therapist who is experienced in treating people with neurological problems or treating the geriatric population. Some physical therapists have a practice with a neurological or a vestibular (balance) rehabilitation focus or run an interdisciplinary fall-prevention clinic.
  • A physical therapist who is a board-certified clinical specialist or who completed a residency or fellowship in neurologic physical therapy or geriatrics. This physical therapist has advanced knowledge, experience, and skills that may apply to your condition.

 

Contact us at www.sptny.com

3 Tips for Backpack Safety

By: Dr. Alanna Pokorski, PT, DPT

 

 

 

Now that kids are back in school and homework is in full swing, children and parents should follow these 3 key tips to prevent injury from those heavy backpacks: 

 

 

  • Wear both straps. Using just one strap causes one side of the body to bear the load of the backpack and creates a muscular imbalance, making the body vulnerable to injury. Wearing both straps creates a healthy symmetry and weight is better distributed amongst the shoulders and spine.

 

 

  • Strap adjustment and backpack placement. The backpack should rest on the middle of the back and straps should be adjusted so that the child can easily stand with good posture AND take the backpack off easily. Straps that are too loose or too tight can create neck strain and a backpack should never rest on the low back.

 

 

  • Lighten the load. The weight of the backpack should be 10-15% of the childs bodyweight, so using a scale can be helpful to create a good balance. Arrange the items so that the heaviest items are closest to their back as to create a more stable backpack.

 

 

 

If you have made sure that your child is using their backpack properly, and they continue to have neck or back pain, contact us for a Physical Therapy evaluation at www.sptny.com.

 

The Elbow Epidemic: Baseball’s Recent Rise in “Tommy John” Surgery and What Can Be Done About It

By Daniel Fox, SPT

 

 

 

What Is Tommy John Surgery?

 

Tommy John surgery, more formally known as Ulnar Collateral Reconstruction (UCLR), is a surgical procedure first performed by Frank Jobe in 1974 on MLB pitcher Tommy John. The surgery consists of repairing/replacing a torn UCL, which is a small ligament on the inside of the elbow that serves to stabilize the elbow. It is frequently performed in overhead throwing athletes and has notably shown a significant rise in the past 10 years amongst baseball players of all ages.

 

 

The Increase in UCLR Prevalence

 

Between the years 2007 and 2011, 790 athletes documented in a private player database underwent Tommy John surgery. This number is likely smaller than the actual representation, due to not every player in the country being included in these kinds of databases. Over half of these athletes (58.6%) were between 15-19 and 22.2% were between 20-24 years old. Major League Baseball has seen a rise in this category as well as over 400 Tommy John surgeries have been performed from 1974 to date.

 

 

Higher Risks

 

In recent 2018 study, 115 out of 134 Division I baseball players who had undergone the surgery were identified as pitchers. Which equates to a surgery rate 5.9 times higher than non-pitchers. The majority of these surgeries were performed on freshman and sophomore pitchers, during the season, and who played in warm-weather states. Recent studies have also shown a relationship between elbow injuries and lack of external rotation, total rotation and lack of flexion of the throwing arm. Studies on youth pitchers have shown a correlation between elbow injuries and higher number of games played, pitches thrown and innings pitched.

 

 

What Can You Do?

 

  1. Sport Diversification: Warm weather states show higher prevalence for Tommy John surgeries due to the fact that baseball is accessible virtually all year round and young athletes are choosing to specialize in one sport. Decrease the amount of stress and strain on your arm/your child’s arms by giving rest time to participate in other sports/activities.
  2. Play Different Positions: To decrease the amount of stress to the throwing arm by taking a break from the mound to play other areas in the field that involve less repetitive throwing.
  3. Limit Pitch Counts: Limit the number of pitches thrown per game, week, month and year to keep the arm healthy. http://m.mlb.com/pitchsmart

 

 

What Can Physical Therapy Do?

 

  1. Address Individual Differences: Physical therapists can identify and address limitations in elbow, shoulder, core and hip range of motion, strength and stability to help limit the risk of injury.
  2. Mid-Season Prehab Programs: Physical therapists can design and implement mid-season programs that include stretching, strengthening, stability and recovery work in order to ensure that your arm stays healthy throughout the season.
  3. Rehab: For those who unfortunately have to have elbow surgery, Physical Therapy can get you back on the field through individualized rehab programs.

 

 

 

 

 

References:

  1. Erickson BJ, Nwachukwu BU, Rosas S, et al. Trends in medial ulnar collateral ligament reconstruction in the united states: A retrospective review of a large private-payer database from 2007 to 2011. Am J Sports Med. 2015;43(7):1770-1774. Accessed Aug 13, 2018. doi: 10.1177/0363546515580304.
  2. Rothermich MA, Conte SA, Aune KT, Fleisig GS, Cain EL, Dugas JR. Incidence of elbow ulnar collateral ligament surgery in collegiate baseball players. Orthopaedic Journal of Sports Medicine. 2018;6(4):232596711876465. http://journals.sagepub.com/doi/full/10.1177/2325967118764657. doi: 10.1177/2325967118764657.
  3. Erickson BJ, Chalmers PN, Bush-Joseph CA, Romeo AA. Predicting and preventing injury in major league baseball. Am J Orthop. 2016;45(3):152-156. Accessed Aug 13, 2018.
  4. Erickson BJ, Harris JD, Tetreault M, Bush-Joseph C, Cohen M, Romeo AA. Is tommy john surgery performed more frequently in major league baseball pitchers from warm weather areas? Orthopaedic journal of sports medicine. 2014;2(10):2325967114553916. https://www.ncbi.nlm.nih.gov/pubmed/26535277.

 

 

 

What is Proprioceptive Neuromuscular Facilitation?

By Courtney Roth, SPT

 

Proprioceptive neuromuscular facilitation (PNF) is a specific manual technique used by physical therapists to help improve a patient’s functional status. Traditionally, PNF was used to treat patients with neurological conditions such as stroke, multiple sclerosis, and Parkinson’s disease. However, research also supports its use for patients with orthopedic conditions such as back, neck and shoulder pain or muscle imbalances.1-7 PNF is a unique treatment approach because it uses diagonal patterns that incorporate multiple planes of movements, making the task more functional and effective in achieving patient goals.

 

 

 

The philosophy of PNF is based on five concepts8

 

  1. The human body moves as a unit, so PNF involves treating the whole person, not just the area of injury. Physical therapists can help identify whether someone has muscle imbalances or compensations in other areas of the body that may be contributing to their symptoms.
  2. PNF aims to tap into a patient’s underlying potential, by requiring active patient participation in order to mobilize strength, coordination, and range of motion reserves.
  3. A positive therapeutic environment is a critical component of PNF. Tasks that the patient is successful in performing without provoking symptoms are performed first, and then progress is built on those successes. Treatment avoids any movements that are painful for the patient.
  4. PNF aims to help patients achieve their highest level of function.
  5. In order to ensure progress made in the clinic carries over to a patient’s daily life, PNF implements principles of motor learning by using repetition and variability in multiple contexts to achieve retention of motor skill.

 

 

Adding PNF techniques to the treatment plan of many orthopedic conditions can help better integrate the nervous and musculoskeletal systems in order to move easier, more efficiently, and without pain.

 

 

 

References:

  1. Olkzac A, Wlodzislaw K, Domaniecki J. The PNF method in the treatment of intervertebral disc disease. The PNF method in the treatment of intervertebral disc disease. 2008;8(3):241-252.
  2. Rezasoltani A, Khaleghifar M, Tavakoli A, Ahmadi A, Minoonejad H. The Effect of a Proprioceptive Neuromuscular Facilitation Program to Increase Neck Muscle Strength in Patients with Chronic Non-specific Neck Pain. World Journal of Sport Sciences. 2010;3(1):59-63
  3. Maicki T, Bilski J, Szczygieł E, Trąbka R. PNF and manual therapy treatment results of patients with cervical spine osteoarthritis. Journal of Back and Musculoskeletal Rehabilitation. 2017;30(5):1095-1101. doi:10.3233/bmr-169718.
  4. Lee J-H, Park S-J, Na S-S. The Effect of Proprioceptive Neuromuscular Facilitation Therapy on Pain and Function. Journal of Physical Therapy Science. 2013;25(6):713-716. doi:10.1589/jpts.25.713
  5. Park K, Seo K. The Effects on the Pain Index and Lumbar Flexibility of Obese Patients with Low Back Pain after PNF Scapular and PNF Pelvic Patterns. Journal of Physical Therapy Science. 2014;26(10):1571-1574. doi:10.1589/jpts.26.1571.
  6. Jain AS, Anandh S, Pawar A. Effectiveness of Proprioceptive Neuromuscular Facilitation as an Adjunct to Eccentric Exercises in Subacromial Impingement. Indian Journal of Physiotherapy and Occupational Therapy – An International Journal. 2017;11(2):141. doi:10.5958/0973-5674.2017.00051.x.
  7. Voight M, Hoogenboom B, Cook G. The chop and lift reconsidered: integrating neuromuscular principles into orthopedic and sports rehabilitation. North American Journal Of Sports Physical Therapy: NAJSPT [serial online]. August 2008;3(3):151-159.
  8. Adler SS, Beckers D, Buck M. PNF in Practice: an Illustrated Guide. Berlin: Springer; 2014.

 

5 Ways to Decrease Risk of Tennis Elbow in Recreational Tennis Players

By: Rachel Raycraft, SPT

 

 

 

  • Improve Technique

 

  • Racquet head (lower string tension and smaller racquet heads)

 

  • Grip size on the racquet-not too big or too small

 

  • Loosen your grip on the racquet while swinging

 

  • Strengthen your core muscles

 

 

 

 

What is it? Tennis Elbow is caused by very small tears in a muscle in your forearm generally from repeated stress (ex. playing tennis). It can make gripping activities painful and it might be uncomfortable to turn the palm of your hand up and down.

 

 

The tennis serve is the most important stroke in the game because it is your chance to score a point without having to hit the ball a second time. Your tennis serve begins with your feet, the power comes from your legs, hips and core muscles, then you swing your arm. If you use your body to perform the twisting motion it will put less stress on your elbow and shoulder.

 

 

Some basic exercises to do to improve your tennis serve are heel raises, squats, standing on one leg and kicking the other leg out to the front, side and back, Russian twists on an exercise ball, shoulder rows with an exercise band, bicep curls and small tosses against the wall with a ball. These exercises are good to do twice a day.

 

 

If pain continues, contact your local physical therapist for more guidance. Depending on your insurance company you can see a physical therapist without a physician’s referral for 10 visits or 30 days, whichever comes first.

 

 

Sport Specialization vs. Sport Diversification Among Young Athletes: Which is Better?

By Curtis Monin, SPT

 

 

It seems that within the past 10 years, professional sports stars have become increasingly more recognizable and followed than ever before. The Project Play study has shown that 56.6% of all American children are involved in some sort of organized sport activity. With a steady rise of children playing sports, the competition for becoming the best and making it into professional leagues has never been a more challenging task. This increased competition and desire for success has made the majority of children shift their focus from playing multiple sports that they enjoy, to just focusing on one sport, or having sport specialization. This blog will go into the differences of sport specialization and sport diversification among youth athletes and why the latter may be the better option for your children!

 

 

 

What is Sport Specialization?

 

Sports specialization is defined as “intense, year-round training in a single sport with the exclusion of other sports.” This belief follows the idea that if a child devotes a full time commitment into one sport, they will develop and increase their skill levels of that specific sport at a much quicker rate than someone who doesn’t. Having a higher skill level and knowledge of a certain singular sport, increases the child’s chances of performing better than their peers, thus having a larger likelihood of becoming a successful athlete later in life. This is exactly why this school of thought has become so attractive to young athletes and soccer moms alike, however, just about with anything in life, it also has its downfalls. In order to develop their skills to an elite level, children who specialize in one sport for the means of success often have a very high training volume year round which includes rigorous amounts of repetition. This large amount of training can affect children differently than adults simply because the youngsters are still growing. The bodies of developing children are constantly changing, so a certain movement one month may have totally different stresses on the body than the next month. In young athletes, growth cartilage is present at the growth plate as well as the musculotendinous insertion. Growth cartilage is known to be vulnerable to the stress of repeated microtraumas. Injuries like Osgood Schlatter’s Disease of the knee and “Little Leaguers Elbow” are just a few examples of overused injuries within youth athletes that can bring on significant discomfort. Another problem of specialization for younger children early in their development can be the potential mental fatigue a child can face. This can be due to the constant high demands for improvement, success or simply being too active. With this mental fatigue, a child may feel burned out and lose motivation to continue on with performing their sport. Now on to sport diversification!

 

 

 

What is Sport Diversification?

 

Sport Diversification is the school of thought that a child should be involved in as many different sports as they would like throughout their younger years. In early development of their athletic prowess, children exposed to multiple sports allow them to have a higher drive for the gratification of the games themselves rather than a pure focus on training. There is a belief that children who have diversity with the sports they participate in can have a potential physical and cognitive crossover effect between activities. It’s that different sports require different movement patterns, which can allow for children to challenge their minds and brains to numerous unique stimuli that one specific sport simply cannot offer. For example, the power developed from skating in hockey may be applied to increasing the force behind a kick of a soccer ball. Additionally, having high eye tracking abilities from tennis may transfer into following the ball in baseball. Lastly, when children participate in numerous different sports, it allows them to have multiple options to fall back on if they were to ever lose interest in one of the sports, thus improving their chances of continuing to play sports into adolescence.

 

 

 

It may seem tempting for both the young athletes and their parents alike to push the idea of sports specialization in order to achieve greatness, however it is shown that sports diversification as much more long term benefits and fewer negatives. Young athletes should highly consider sports diversification if they would like to participate in sports and have lower chances of injury, lower chances of losing overall interest, and have higher chances of developing multiple, last skills that specializing in one sport can’t contribute.

 

 

 

 

 

 

Sources:

 

-The Aspen Institute, Project Play, 2016

-Difiori, J., Benjamin, H., Brenner, J., Gregory, A., Jayanthi, N., Landry, G., & Luke, A (2014). Overuse injuries and burnout in youth sports: A position statement from the American Medical Society for Sports Medicine. Clinical Journal of Sports Medicine. 24(1):3-20.

-Jayanthi N, Pinkham C, Dugas L, Patrick B, LaBella C. Sports Specialization in Young Athletes: Evidence-Based Recommendations. Sports Health. 2013;5(3):251-257. doi:10.1177/1941738112464626.

-
Oliver, JL, Lloyd, RS, and Meyers, RW. Training elite child athletes: Promoting welfare and well-being. Strength and Conditioning Journal 33(4): 73-79, 2011.

-Childhood Sports Participation and Adolescent Sport Profile

François Gallant, Jennifer L. O’Loughlin, Jennifer Brunet, Catherine M. Sabiston, Mathieu Bélanger

Pediatrics Nov 2017, e20171449; DOI: 10.1542/peds.2017-1449

What to Expect on Your First Visit to Sports PT

By Julie Wolfley, PT, DPT, OCS

 

 

Welcome to Sports PT! Thank you so much for choosing us!

 

 

What can you expect?

 

In one phrase, its our mission …which is, “To be the premier provider of quality physical therapy services in a positive, professional, and compassionate environment.”  That’s our culture, with every patient, every time. Lets explain what you can expect to experience.

 

 

First call:

 

When you make the first call, you will be warmly greeted by one of Patient Services Coordinators (PSC’s) who will help schedule your initial evaluation appointment to your convenience. We will obtain information about your injury, as well as insurance information so our experts can verify insurance benefits. We want to support you in every way, so you can focus on your care.

 

 

First Visit:

 

On your first visit, you will be welcomed by one or our PSC’s and your paperwork will be thoroughly reviewed. Many patients prefer to fill out paperwork from home which is available on our website under “PATIENT FORMS.”  If patients choose to complete this at our office, it typically takes about 10-15 minutes to fill out. The PSC will go over your insurance coverage with you and any other questions you may have.

 

Your Physical Therapist (PT) will be delighted to meet you, and you will be welcomed into an evaluation room. This is where your PT will seek to learn more about your injury and to determine a diagnosis and treatment plan. The evaluation is thorough, with a combination of discussion and hands on evaluation. Comfortable clothing is recommended, and clothing that can allow access to the injured area is recommended. Your PT will ask questions for about 10-15 minutes regarding symptoms, goals and medical history. After this discussion, your PT will perform a physical evaluation to determine what needs to be addressed in PT. Often, there are areas of tightness and weakness that a PT will assess. The objective of PT will be help restore your normal activities and achieve your goals! If for some reason your injury or condition requires a different health care provider, a referral to the person will be facilitated that day.

 

 

Education:

 

We are committed to patient education which includes:  injury, prognosis, and treatment plan. Our PT’s will use medical resources such as posters, models, computer videos, and demonstration to help understand your injury and WHY/HOW PT can help. The PT will make a recommendation as to how many times a week you will attend PT and what the main focus of your treatments will be. Most patients attend PT 2-3 days per week, depending on the condition. Sometimes more, sometimes less.

 

 

TREATMENT:

 

In most cases, you will be given 1-3 exercises on Day 1 with photos and clear instructions for home. Many times, the PT will perform some type of hands-on skilled care to help restore motion or help reduce pain.You will have the same PT the majority of your visits, to maximize your consistency of care.

 

 

 

Day 1 is complete! Whats next?

 

After the evaluation, treatment, and hands on care, your PT and PSC will coordinate appointment with you. The average first visit is a little over an hour. After your visit, the PT will write up your initial evaluation note. If an MD referred you, that evaluation will be sent to him or her.

 

This begins your Physical Therapy journey with us! Thank you again for choosing Sports PT of NY. We are committed to clinical excellence and outstanding customer service in a fun environment.

 

 

Total vs Reverse Shoulder Arthroplasty: Which Allows for Better Return to Sports and Work?

By: Cameron Diedrickson, SPTA

 

 

 

         When the reverse total shoulder arthroplasty was introduced in the United States in 2004, it caused a spike in shoulder arthroplasties. 10,000 RTSA’s were performed in 2007 which was five times as many as were performed in 2004.  As of 2011, RTSA’s accounted for 42% of all shoulder arthroplasties. The indications for both RTSA and total shoulder arthroplasty (TSA) are different, but if given the option, which would enhance your ability to return to sport or work?

 

            71 RTSA and 115 TSA recipients were asked how able they were to participate in sports following the procedure. Swimming and golf were among the most common sports that were reported. TSA patients had a 27% easier time participating in shoulder dominant sports over RTSA patients. The survey also found that RTSA recipients reported a higher inability to perform shoulder specific sports (20%) over TSA patients (4%).  Does this trend hold true for work as well?

 

            When asked about work, housework and gardening were the most common types. Taking that into consideration, 21% of TSA patients reported an easier time with those activities. Gardening was a 65% difference in score and housework came in at 34% difference. The scores for work and sport were relatively consistent between the two groups. Overall, recipients of a TSA have more ability to work and partake in sports following their procedure. With proper rehabilitation though, it is very possible for everyone to return to the activities they enjoy participating in.

 

 

 

 

References:

 

 

Familiari, F., Rojas, J., Nedim Doral, M., Huri, G., & McFarland, E. G. (2018). Reverse total shoulder arthroplasty. EFORT Open Reviews, 3(2), 58–69. http://doi.org/10.1302/2058-5241.3.170044

 

 Jennifer Kurowicki, MD Samuel Rosas, MD Tsun Yee Law, MD Jonathan C. Levy, MD . Participation in Work and Sport Following Reverse and Total Shoulder Arthroplasty. Am J Orthop.

May 23, 2018