RehabAtHome

Certified Physical Therapist / Physiotherapist (PT) dedicated in the idea of physical rehabilitation & therapy with minimal use of expensive equipment. For many conditions, there are a lot of remedies we can perform ourselves at home. My duty is to provide you with the right dosage of information & education!

[rehabathome]

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Follow me on Instagram (@physioweng) for more contents as I won’t be updating as much over here!

https://www.instagram.com/physioweng/

[rehabathome]

The different types of hip fracture!

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Always Be Able to Transfer

Hey folks!

Let’s talk about transferring! Transferring is simply a fancy word for “I can get out of my chair by myself.” Not everybody can do it, but for those who can it’s a valuable skill to have and is very, very important.

For those of you who are able to transfer: do everything in your power to keep this ability. Being able to transfer yourself in and out of your chair not only opens up areas that may otherwise be inaccessible (e.g., regular bus seats), but it also helps prevent serious health issues like pressure sores and skin damage.

It is possible to lose the ability to transfer. Among physically disabled folks, losing the ability to transfer due to poor health is a huge red flag.

Now, to be clear, I’m not talking about being literally trapped in your chair, unable to leave it. I’m talking about not being able to transfer out of your chair and into things that are lower or higher than the position of your chair. People who lose their ability to transfer usually end up only to transfer from their chair to their bed and back. Notice how this list doesn’t include things like showers, bathtubs or toilets? Losing the ability to transfer also means your personal hygiene suffers immensely which can lead to other health problems that can be straight-up fatal.

So how do you keep the ability to transfer? 

Practice Transferring

One of the main reasons I’ve seen people lose their ability to transfer is that they don’t keep up the strength training to easily and comfortably move their body in and out of their wheelchair.

Bodies change over time and it’s important that you practice moving you in and out of your chair on a regular basis. Practice going from your chair to the couch, repeatedly until you’ve worked up a bit of a sweat. You’ll be getting exercise and using your bodyweight as the resistance as well as gaining the muscle-memory that will help make moving from your chair second nature. 

Once that becomes easy, practice transferring from the floor to your chair, from the chair to the tub, etc.

Keep practicing until your body becomes comfortable with how it feels to move and lift its own weight. The more you practice, the faster and easier transferring will become!

[rehabathome]

Well said, a lot of patients overlook the importance of being physically independent, which is essential for survival in the long run.

[rehabathome]

Mayo Classification is most commonly used for categorizing olecranon fractures. It looks into 3 important aspects of the fracture, namely displacement, comminution and stability. What are the other fracture classifications that you can name out?

[rehabathome]

With the growing population of elderly over the past few decades, geriatric rehabilitation is becoming more and more relevant in the current physiotherapy practices. Much like many other student therapists out there, I personally wasn't particularly fond of physical therapy in the field of geriatric. However after increasing my exposure throughout my clinical practices (and my Bachelor's research project on sarcopenia) I began to realize the value and importance of physical rehabilitation for our elderly. Are you a physical therapist? Will you venture into creating a better life for the old aged?

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Allman' Classification is the undoubtedly simplest way to classify clavicular fractures. However it might not be as specific as Neer's (for lateral clavicle fractures only) or Craig's classification. What are the other types of fracture classifications that you know of? 🤔 And why is it important for physical therapists to understand them? Follow RehabAtHome for more amazing contents in the future!📚😇

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The orthopedic classification most commonly used for proximal humeral fracture or fracture-dislocation is the Neer's classification. Based on the classification, the humeral head can be divided into 1-part (not shown in this picture), 2-parts, 3-parts and 4-parts fracture. 1-part fracture happens when a fracture line can be observed radiographically but no displacement (separation of bony structures or discontinuity) is present. What are the other classifications of fracture that you know of?

[rehabathome]

Garden's Classification of femoral neck fracture. It is one of the simplest and most widely used classifications for fracture of the femoral neck. What are other fracture classifications that you know of?

[rehabathome]

Today I'd love to talk a little about why walking balance pose a major issue for the elderly. Remember that risk of fall in the geriatric population is the reason for increased mortality, morbidity, increased healthcare costs and prolonged hospital stays. A myriad of problems arise from falling, hence prevention of fall is the key and the first step is to improve their balance control.

When it comes to walking balance, we’re focusing mainly on the dynamic balance control (the ability to maintain COG over the BOS when the body is IN MOTION) as opposed to static balance.

Here are some of the factors I find important to understand why the elderly fare poorer in the balance department compared to their younger counterparts:

Poorer vision and hearing

Decreased joint proprioception and kinesthesia

Decreased sensation of the foot (especially in the diabetics)

Cognitive impairment or dementia

Decreased muscle strength of the lower limbs and trunk

Poor posture when walking due to increased incidence of kyphosis (shifting the COM anteriorly)

Poor control over momentum (imagine breaking suddenly from a quick sprint)

Decreased muscle length of the lower limbs

Multiple interaction of drugs (4 or more prescriptive medications)

Orthostatic hypotension

Sarcopenia or frailty

Poorer ability to recover from a loss of balance (e.g. COM perturbated out of BOS suddenly)

Reduced reaction time, poorer reflexes

Elderly tend to walk with their feet wide apart for a greater base of support (BOS) and a slower gait speed as a form of compensation for their lack of balance. Some spends most of their time looking at the ground (which contributes to a stooped posture) to make up for their lack of joint position sense (proprioception - knowing where your body part is in relation to the space without looking) and movement sense (kinesthesia - or knowing in which way / direction your joints or limbs are moving without looking).

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[rehabathome]

Hello, do you have any tips or at home exercises for someone with cervical radiculopathy; my Neurologist suggests surgery, but I'm truly against it, as an under 30 female

Surgery should always be kept as the last option. It is hard to give any advise over the internet without assessing your condition. How bad are your symptoms now?

[rehabathome]

What did you graduate with/ major in before you went into PT school?

It is a little different here in my country. I took STPM (you can google it), a form of pre-U, focusing on Biology.

[rehabathome]

What are the types of Cerebral Palsy (CP) that you know of? CP is one of the greatest culprits for developmental delays in children, be it physical, social or mental. Early diagnosis and rehabilitation go a long way in ensuring the sense of independence and wellbeing among children with CP! Common physiotherapy/physical therapy managements for CP children: Splinting Constraint Induced Movement Therapy (CIMT) (in the case of hemiplegic CP) Proper Positioning Spasticity Management Neuromuscular Electrical Stimulation (NMES) Functional Electrical Stimulation (FES) Gait Training Muscle Strengthening Exercises Manual Stretching Aquatic Therapy Follow RehabAtHome for more wonderful contents in the future! 📚🤗

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Types of Spinal Cord Injury (SCI) Typical complications of SCI include: Autonomic Dysreflexia (AD) Orthostatic Hypotension (OH) Spinal Shock Spasticity and Hypertonia Contracture Pain Deep Vein Thrombosis (DVT) Heterotopic Ossification Osteoporosis and Risk of Fracture Pressure Sores Impaired Temperature Control Pulmonary Impairment Bladder, Bowel and Sexual Impairments Follow RehabAtHome for more contents in the future! 📚🤗

[rehabathome]

Steps for Upper Limb Tension Test 1 (ULTT1, Median nerve bias):

With the patient in supine, the examiner performs the following movement in sequence:

Scapular depression

Shoulder abduction

Forearm supination, wrist and finger extension

Shoulder lateral rotation

Elbow extension

Contralateral cervical side bending

Also known in some sources as ULTTA , the Upper Limb Tension Test one is one of the neurodynamic assessment technique to test for the presence of cervical radiculopathy (in particular, the Median Nerve).

At each stage/step of the movement sequence, ask the patient is any symptom is reproduced. A positive test is indicated by pain, tingling sensations or numbness at any stage.

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A brief summary of the severity of peripheral nerve injury according to Sunderland's and Seddon's classification.

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2 major types of Cerebrovascular Accident (CVA). Patients should begin their rehabilitation immediately after stroke to facilitate recovery and prevent long-term impairments / disabilities!

[rehabathome]

Reblog if you AGREE! 💪🏻❤️