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Toni Talks about PT Today

‘We're All Gonna Need Physical Therapy Soon'
by Toni Patt
I spent last weekend at a horse show in San Antonio. Even though I had both show horses with me, there was still a lot of down time. Since everything is close quarters it's easy to overhear conversations. While I was waiting I was surprised to hear someone Read More...
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Dosage Matters
by Toni Patt
There were two common themes at CSM this year: dosage and intensity. Every clinical presentation I attended mentioned one or the other. Intensity was defined as how hard the patient is working. Dosage referred to the number or reps or duration in the Read More...
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MRSA and Football
by Toni Patt
While I was driving home this evening, a news report came on the radio. Some professional football players have been placed on the injured list because they developed MRSA. I had to chuckle at the reporter as he conveyed the gravity of the situation. Read More...
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Sharing Knowledge
by Toni Patt
When I teach, I describe using mental imagery in motor learning and as anti-neglect strategy. One of the main tenets of motor learning is repetition or as I say, practice, practice and practice some more. The concept of using mental imagery isn't new. Read More...
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How Old is Too Old for Therapy?
by Toni Patt
Today at lunch we were talking about how much older our patients are today compared to years past. Someone observed that many of our older patients just want to stay in bed. They are worn out from living. She went on to say that when you've reached 90 Read More...
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Horse Show or TPTA Conference?
by Toni Patt
This afternoon I received the monthly email from the Texas Physical Therapy Association. It contained a prospectus for the upcoming annual conference and early registration. This is much smaller than the APTA's Combined Sections Meeting, probably not Read More...
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Group Think Evidence
by Toni Patt
When I was at the horse show last weekend, I learned one of the show kid mothers is a PT. I learned this because she was treating another of the mothers using cranio-sacral therapy. I'm not sure what pushed more of my buttons, her treating someone on Read More...
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‘I Can't Help, My Back Hurts'
by Toni Patt
This morning there was a patient on the floor so the request went out for lifting help. Four people responded, including me, a PTA, a male CNA and the patient's nurse. The patient was a big man, weak and in a narrow space so it wasn't going to be easy. Read More...
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What Do I Include in CEUs?
by Toni Patt
Recently I took on another challenge, writing a CEU module. When I agreed to do it, I thought no problem. This is what I teach. I already have an outline and references. I can just fill in the words. After I started writing, I realized something. When Read More...
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Working from Home
by Toni Patt
My current job comes with a perk I've never experienced before -- working from home. No, the patients don't come to me. Our documentation is Internet-based so I have the luxury of being able to write notes from home. Some people might say that is a curse, Read More...
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How Much Help Is Too Much?
by Toni Patt
I've been using the Nintendo Wii with more of my patients. This has created a dilemma for me. I don't know how much help to give my patients. At first I didn't help them at all but that wasn't successful. Since then I have alternated between verbal cues Read More...
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My New Pet Peeve
by Toni Patt
We all have things that annoy us. I have a new one at work, the assisted ergometer. It can be used for the UEs or LEs and programmed to provide either resistance or assistance to whoever is working the pedals. To me it is a glorified restorator. What Read More...
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Don't Count These Patients Out
by Toni Patt
It's been a while since I've had more than a few geriatric patients on my caseload. Now that my caseload is all geriatric, I've had to readjust. It's a good thing I didn't forget the first rule of geriatric care. Elderly patients are people, too. They Read More...
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Plus-Size Therapy
by Toni Patt
Last weekend, the Houston newspaper ran a story about how local health care providers are struggling to cope with heavier patients. It praised them for investing in plus-size furniture, heavy-duty stretchers and toilets that can support extra weight. Read More...
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Very Acute Therapy
by Toni Patt
This week I found myself at an outpatient orthopedic clinic treating work-related injuries. The clinic was one of several in the area. They have agreements with many local industries to provide medical and therapy services to injured employees. The injured Read More...
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