Posts Tagged ‘Physical Therapy’

Pilates for Fitness vs. Pilates for Rehabilitation- Part 2

Friday, September 19th, 2008

An interview with Lindy Royer, a professional physical therapist for the last twenty years, sheds a little light on Pilates for fitness versus Pilates for rehabilitation. She says,

“I think the big difference between Pilates for rehabilitation and Pilates for fitness is that the former focuses on getting an individual to a desired state of functional movement, whereas the latter focuses on general athletic or health goals.”

Pilates is a perfect match for those seeking rehabilitation because Pilates is very versatile. It can increase the strength and endurance of a professional football player, yet it can also bring an individual back to the world of functional living after knee surgery or a knee/hip replacement.

The Reformer, which is one of the most common pieces of equipment used in Pilates rehabilitation, can be adjusted to fit the specific needs of any rehab client. The Reformer is an active tool that physical therapists can use for clinical reasoning. They can apply a certain series of movements to a patient, and then adjust the “dose” accordingly upon recovery rate and injury improvement.

Not only does The Reformer improve and heal injuries, it acts as the ramp for those seeking whole body wellness in the long run. This is what makes The Reformer heads and shoulders above other rehabilitation equipment.

Because The Reformer has a potent power to increase overall fitness, this is happening simultaneously as the injury is gently and effectively being healed. The nature of the Reformer movements tone and incorporate all of the muscles of the body at the same time. The goal of all physical therapy is not only to heal the individual but also to reintroduce them to a life of activity much like, if not the same as their former lifestyle.

Since the focus of Pilates can be two-fold, fitness and rehabilitation, these will then become the body’s focal point and this balance of meeting becomes an inexorable force of restoration and vigor.

While moving the body parts simultaneously is a trademark movement in Pilates for fitness, it isn’t as commonly used in Pilates for rehabilitation in the beginning. In Pilates for rehabilitation the focus is on separate compartments of movement.

The body is then broken down into each area of movement that needs attention. As the body becomes more accustomed to that movement, then layers of motion are added to increase mobility within the injured joint and within the surrounding muscles.

Touching on the mind-body connection mentioned before, this is where the deep breathing patterns in Pilates act as the sewing string that binds the slow and controlled movement with the intention of focus. Pilates for rehabilitation and for fitness have many common denominators, but as the factors are separated out they can become two separate forms of Pilates training.

In time they usually can blend into one another creating an entire basis for health and injury, which becomes a cycle of rehabilitation and fitness improvement, a cycle that is not found in any other form of exercise

Knee Injury Treatments

Monday, July 14th, 2008

For initial relief from a knee injury the best approach is what physical therapists and physicians refer to as R.I.C.E. This stands for rest, ice, compression, and elevation. Inflammation will be the first symptom of the injury that will need to be treated. Rest is also a bid factor in knee injury recovery.

Depending on the severity of the injury sometimes crutches may be needed, but trying to use the knee a lot less, especially in rigorous activity, will be of great importance in the healing process.

Physical therapy is also a great pairing in the recovery process with R.I.C.E. Having programs designed to improve the condition, with the focus being on active recovery, greatly benefits those will knee injuries in the long run. When the knee is prompted to engage in safe yet effective exercises it will be able to acclimate to normal activity much faster and with more ease than just rest alone can give. The goal of physical therapy is to reintroduce a person to their previous active lifestyle, without the injury continuing to get worse, or never fully healing.

Pillates-based rehab has also had much success as an added step in the process of healing knee injuries. Because of its gentle approach to healing, Pilates-based rehab allows for the entire body to be active while a patient may still be in recovery.

Muscular imbalances are one of the leading causes of knee injuries, and Pilates aims to retrain the body’s functionality to work as one cohesive unit. This provides an avenue for not only the injury to improve but also drastic improvements will be made in postural habits, quality of movement, mind-body connection, and core strength.

When it comes to specific conditions like Chrondomalcia, physical therapy and Pilates act as viable treatment options as well.

Physicians will often recommend low impact activity, such a cycling, swimming, walking, and Pilates and yoga. Surgery is of course an option, but if a holistic approach is preferred, since may patients wish to forego the invasiveness of a procedure these low-impact exercises will help improve the condition without surgery.

For torn ligaments such as the ACL, PCL, and LCL it is important to strengthen the muscles surrounding the injury. Since rigorous or weight bearing activity is strictly discouraged, it can be somewhat challenging to improve strength surrounding the injury without furthering the damage in the area of concern.

With the exercises and modalities that physical therapy and Pilates based rehab offer, a client can heal the injury and increase the overall health of their body at the same time. While the exercises, poses, and movements in Pilates and physical therapy are challenging to the body and build strength, they avoid the risk that more conventional forms of exercise and training may impose.

There are many causes of knee injuries, but proper alignment, heightened body awareness and core strengthening when balanced with low impact cardio, will result in a lower chance of a knee injury in an individual.

History of Physical Therapy Part 2

Thursday, July 10th, 2008

In 1921 the first edition of the PT Review was published, that year also marked the time when The American Women’s Physical Therapeutic Association was formed. The association was led by President Mary McMillan, and included 274 members. During the 1940’s and 1950’s, a nationwide attack of Polio swept through the United States and created an even higher demand for physical therapists. Fro the next 20-30 years, war worn-and-torn soldiers and polio victims would be the main clientele that would make up the roster of physical therapy patient in the United States.

Before what is known as today as the American Physical Therapy Association (APTA), was in full force, most of the doctors that were using physical therapy treatments were eighty percent general practitioners. Only twenty percent of those performing physical therapy were properly trained in the field.  Physical therapy has had the same goals throughout its century long existence, to “foster advancements in physical therapy practice, research, and education.” This was used as a catalyst to focus on generating a higher population of individuals with proper knowledge of physical therapy methods.

It wasn’t until the 1950’s that physical therapy began taking its full shape. Manipulative spine treatments and joint practices were introduced in addition to the passive exercises, massage and hydrotherapy previously developed. It was also during this era that physical therapy began to branch out of the “medical” connotation it held and began to practice outside of hospital environments such as colleges, outpatient centers, clinics, nursing homes and public schools.

In the 1970’s a specialized program for Orthopedics emerged. Later that year, the International Federation of Orthopedic Manipulative Therapy (IFOTMT) was official. This federation is greatly responsible for the continually progress and necessary change needed to maintain manual therapy’s worldwide status.

With the introduction of the new “digital world” in the 1980’s new modalities were added to the already expansive list of practices. Ultrasound treatments, cold lasers, Isokinetics (electronic resistance exercises), iontophoresis and electric stimulators rounded out a well-organized attempt at a furthering profession.

With the obvious advances of technology and its effect on the medical profession, a manual therapist from Norway names Freddy Kaltenborne, saw a need for a formal collaboration of training and residency. He was one of the founders of the American Academy of Orthopedic Manual Physical Therapy (AAOMPT). This organization was critical to the physical therapy profession, since it introduced standardized practices and common specializations that would create a bond within all modes of facilities, patients, and therapists.

Out of the development of the American Academy of Orthopedic Manual Therapy many institutes, universities, residencies and fellowship programs have evolved and thrived. It is easy to forget the advancements that have been made from the days before the polio vaccine became commonplace, and our health was one of life’s biggest luxuries.

Physical therapy continues to reissue new life to those suffering from injuries or ailments that might impede the highest quality of life possible. Without the hard work and research of generations past, physical therapy may not be the lifeline that so many people have found to rescue them from a life with injury.

History of Physical Therapy Part 1

Tuesday, July 8th, 2008

Physical Therapy has a rich history that spans continents, cultures, and centuries. It has been suggested that the study of Physical Therapy can be dated back to 460 B.C., when physicians like Hippocrates and Hector introduced the practice in its primitive form. Both of them used alternative treatments, and were assumedly the first to introduce hydrotherapy (water pressure) and massage therapy into the world of whole body healing.

The earliest evidence we have of physical therapy implementation dates back to the year 1894. Four nurses introduced the Chartered Society of Physiotherapy to England right before the turn of the century. Even to this day in most countries physical therapy is referred to as Physiotherapy. Only in the United States is physiotherapy referred to as physical therapy.

It wasn’t even until the early 1900’s that physical therapy began to branch out into other parts of the world, besides England as an accepted form of bodywork. It began with the two physicians in the year 1917 that acted as the pioneers paving the road for widely accepted forms of Physical therapies in the United States.

This land bridge between the United States and England was under construction during World War II by two doctors, Frank Granger and Joel Goldthwait. These two gentlemen were summoned by the Surgeon General to investigate British forms of treatment, and what they discovered was the early stages of physical therapy.

It seemed that the British had developed a new way of healing their wounded that was extremely effective, and the United States wanted to develop its own form of physiotherapy to heal our own wounded.

From that point it seemed that Physical Therapy was to be considered one of the most effective ways to treat ailments and injuries. However, training and patient education for practitioners and patients concerning the act of physical therapy needed to be further development.

In 1914 the Walter Reed General Hospital was established in Portland Oregon. This was the beginning of physical therapy inundation in the United States. Some of the most well trained individuals from all over the globe began teaching at the Walter Reed program to and its programs began to shape potential students into highly trained individuals. Upon graduation these early physical therapists were known as “reconstruction aides”.

Within five years there were 45 new hospitals that offered physical therapy, not to mention were fully equipped with proper facilities in which to administer it. From passive exercises to corrective exercises, hydrotherapeutic modalities, massage, and a variety of adaptive equipment; all became readily available and common practice within the medical community.

As is common for the medical profession, continuing research needed to be documented for this newfound landscape of medical proficiency if physical therapy wished to secure it’s footing in the medical community. This marks the time when the profession of physical therapy began to take shape and become more scientifically sound. When the polio epidemic swept the nation in 1924, physical therapy was the first plan of defense on the physically debilitating disease.

Physical Therapy

Sunday, June 22nd, 2008

Around the same time that Joseph Pilates was beginning his methodology of whole-body wellness, a group of physical therapists were forming an organization. In the year 1921, The American Women’s Physical Therapeutic Association was formed. The association was led by President Mary McMillan, and included 274 members.

It wasn’t until the end of the 1930’s that men were admitted into the association, swelling the number of member attendance to nearly 1,000. Since then Physical Therapy has helped millions of people rehabilitate their bodies and reenter a whole new world of personal health.

During the 1940’s and 1950’s, a nationwide attack of Polio swept through the United States and created an even higher demand for physical therapists to the tune of 8,00o additional during that time. Today there is over 71,000 members and is currently called The American Physical Therapy Association (APTA). Physical therapy has had the same goals throughout its century long existence, to “foster advancements in physical therapy practice, research, and education.”

With support from the health care specialty community, physical therapy is one of the leading responses to musculoskeletal disorders. Physical Therapy’s integration of movement furthers the physical freedom of natural movement within the injured and recovering client. To be a professional physical therapist, a master’s degree or a doctorate is required. This level of educational inundation is one of the reasons that physical therapy has grown in its success, as each physical therapist is extremely apt to handle the responsibilities at hand.

Which specific responsibility each therapist has is dependent upon their area of expertise. There are five different departments, which focus on different aspects of physical therapy. Those areas of concentration are orthopedic, geriatric, neurological, pediatric and cardiovascular and pulmonary physical therapy. Orthopedic Physical therapists focus on outpatient treatment, which is often associated with post-surgical procedures, as well as sports injuries and arthritis.

Geriatric physical therapists concentrate on those that are going through the normal, yet sometimes painful, stages of aging. Neurological therapy focuses on those who suffer from brain damage, Alzheimer’s, Parkinson’s, and strokes. Heart surgery patients would most likely be referred to a cardiovascular or pulmonary rehabilitation therapist, to increase their functional independence. Pediatric physical therapy works close at hand with children and infants when an early detection of a birth defect or disease is discovered.

There are a wide variety of facilities that offer physical therapy. From the halls of hospitals to the comfort of small studios, you can find all kinds of outpatient and rehabilitation clinics to choose from. Even some yoga and Pilates studios offer physical therapy as component to their repertoire since physical therapy treatment circumvents the principles found in “whole-body” healing methods.

Oftentimes a physician as a form of beneficiary outpatient treatment prescribes physical therapy. Its wide spanning clientele are a testament to the tried and true methods involved in physical therapy, and will continue to grow in its successes as more and more patients are prescribed involvement.

Pilates Based Physical Therapy

Saturday, June 21st, 2008

Pilates-Based Physical Therapy finds its methodology to be in the same family of framework as physical therapy, but different psychological approaches sets them apart. Pilates based physical therapy sees whole-body wellness as the cure to injury as well as the key to functional living, for a better quality of life long after the initial stages of recovery. When the road to healing is paved with the Pilates based physical therapy practices, that path will lead to a life where moving better means feeling better.

Treating a symptom and not the problem will only result in a temporary fix. When maladaptive movements are corrected and analyzed through the lens of Pilates, it creates a whole new spectrum of possibility and adds a depth of scope into everyday living.

The focus of Pilates-based rehab to not only improve the quality of life but also re-educated the body to move in a more energy efficient manner. Self-awareness is heightened by the breathing patterns Pilates integrates into its slow and controlled movements. Much like physical therapy it does incorporate patience and diligence into its objective.

Another unique difference found in Pilates-based physical therapy is that you are generally assured the same technician each time you schedule and appointment. In physical therapy there is no chance of obtaining a “swinging door” practitioner. A relationship between the Pilates-based rehabilitation instructor and its client is of great importance, so that relationship is developed over time with the same instructor. A partnership generates a level of trust, and can be motivation for faster recovery.

When a client begins to involve themselves in new ways of moving, and new ways of walking, sitting and standing, provided by Pilates-based rehab, an awakening will be discovered. Sometimes just the way that we carry ourselves can lead to injury and imbalance, and we are completely unaware of it. Pilates will teach you how to listen to your body and respond accordingly.

Pilates is done on machines that assist the body along in creating more efficient patterns of movement. Each machine is spring-loaded and can be adjusted to fit the comfort zone of each client. With the careful observation and assistance of highly qualified Pilates professional, proper muscle recruitment will be developed keeping your specific needs in mind. Pilates based-rehab blends traditional therapy modalities with innovative Pilates poses to create a much needed mind-body connection technique that begins to heal the body from the outside in.

Understanding that climate of healthcare concerns, where time and money can be tight, Pilates designs its program to be highly effective in a short amount of time. Sequencing stabilization within the body and within the mind of a person suffering from an injury is at the forefront of those who teach Pilates. There are many options out there for rehabilitation, but we encourage you to give Pilates-based physical therapy a try and compare “notes” with former rehabilitation methods.

We believe that you will find Pilates to be a gentle progression from injury to wellness, no matter who you are, how old you are, your physical condition, female or male, Pilates based rehab can change the way you view the process of recovery and live your life beyond it.

Pilates Based Rehabilitation Part 2

Tuesday, June 17th, 2008

Pilates based-rehab is excellent for those that suffer from, but is not limited to post-surgery pain, muscle strain, sciatica, impingements, scoliosis, fibromyalgia, hip or knee replacement surgery, chronic neck and back pain, performance or sports injuries, shoulder girdle pain, hip and knee pain or strain, as well as foot and ankle issues. Pilates has also yielded excellent results for soft-tissue injuries.

In recent years Pilates based rehab has incorporated meditation, Yoga, medicine and Swiss balls into its circuit. Because of this, a wider range of creative movements has been added, making the benefits of Pilates ever more so reaching into meditative responsiveness and mind-body balance. The stretching and lengthening movements that one can achieve, through the series of postures developed in Pilates, rely on the use of pulleys, straps, and arm and leg cuffs. Long and short box accessories can be added to the regime for variety, but the exercises will still remain easy to do and easy on the body.

This layering of endless positions and options give any Pilates based rehabilitation instructor the ability to create a personalized system of appropriate movement for each client. An instructor’s attention to detail coupled with their extensive knowledge of biomechanics should make anyone who suffers from a nagging injury feel optimistic about their recovery.

Pilates is also versatile in “who” it can help. Elite athletes can be training next to the elderly, and body builders can be in the same class as ballerinas. The skill level of an accomplished Pilates participant can be developed from the ground up. When a student is beginning with an injury, the goal of Pilates-based rehab is that over time not only with the injury be corrected but that they will be inducted into the world of regular, healthy individuals.

While the scientific data to support Pilates based rehab is scarce, the claims of its participants cannot go ignored as evidence. There have been motor learning studies compiled in support of the case of Pilates and its achievements. Numerous testimonials and patient reports from doctors can act as proof in and of itself.

The healing proponents of Pilates in the lifestyle of athletes, for example, have been personally noted in their rehab reports. (rehabpub.com) Specifically there have been testimonies claiming that their body awareness has increased, that they feel as if their coordination is more acute, and because of increased flexibility they expect a rapid return to their chosen sport. Brent Anderson, (PT, OCS) has been quoted saying that, “The system is yoga-based with Germanic overtones of fitness; by today’s standards it matches with rehabilitation very well.” From a physical therapist standpoint, Pilates is given the credit where it is due.

The beneficiary results of Pilates are indisputable. It seems that Pilates based rehab is quickly becoming a very common addition to manual rehab. This is because the search has been on for discovering a system in which a rehabilitated individual will not only heal, but also excel in the aftermath of an injury.  rapidrehabla.com/services.html

Pilates Based Rehabilitation Part 1

Monday, June 16th, 2008

Injuries within the body not only plague everyday life with constant pain, but injuries also prevent a person from feeling whole, or completely engaged in society. Our physical health is one of the most important things we have, and yet it is so easily taken for granted. Without proper care, our health can easily be compromised and when that can happen our world can be turned upside down. A healthy body is one of the biggest luxuries that a person can come to have, and it should be treated as such.

However when an injury does occur, it is imperative to begin a healing regime for the body as soon as one is physically able. The only bump in the road, when it comes to rehabilitation, is the seemingly wide chasm between the initial stages of an injury to the implementation of everyday activity. Some people’s injuries dictate the rest of their lives, and the frustration from failed attempts at recovery leave them defeated and disillusioned.

In addition to Physician recommended physical therapy, Pilates based therapy can act as that “off ramp” from recovery to daily living. It constructs a bridge to the world of activity that an injured individual was once a part of.  An explanation of Pilates and its methodology can begin to shed some light on a rather gray area of rehabilitation, “What happens after physical therapy?”

Pilates based rehab can be performed on the Pilates Reformer or on a mat. The Pilates Reformer alleviates tension in the joints and muscles, while lengthening and strengthening the areas in and around the injury. The body operates on the Reformer plane through a series of breathing, stretching and full body strengthening patterns. Repetitions are replaced with concentrated movement. The paces of these patterns are deliberate and controlled.

Pilates exercise progressions include not only injury prevention techniques, but also more importantly injury correction exercises. This allows for front-end and back-end rehabilitation during every stage of recovery. Pilate’s most unique component is that is works the entire body in phases of movement, instead of just one muscle or muscle group at a time.Since Pilates is a low-impact, partial weight bearing exercise it is perfect for toning injured areas.

Pilates assigns the “core” a series of stability challenges, which requires the muscles to be in constant static control. This focus creates joint mobility and flexibility within the framework of the body. When performed correctly and under the supervision of a highly trained individual, a “resetting” of irregular spine alignment, disjointed bones, muscular imbalance and strains can occur.

Injuries stem from muscular imbalances or spinal misalignment. In Pilates based rehab the injured area is considered just an “alarm” from the circuit center for which the injury itself may have assimilated. Correcting posture and re-learning every day movement it the solution Pilates based rehab provides. This is the epitome of “killing one bird with two stones”. Each posture is rooted in gentility and encourages the natural flow of the body’s mechanics. This enables an injured person to ease into recuperation without much pain or unneeded physical effort.  rapidrehabla.com/services.html