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  • Dosage Matters

    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 case of a static activity. In both cases, more is considered better. Last weekend I worked at a ...
    Posted to Toni Talks about PT Today (Weblog) on February 11, 2014
  • Sharing Knowledge

    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. Sports therapists and trainers have been preaching it for decades. What's new is how the concept ...
    Posted to Toni Talks about PT Today (Weblog) on October 9, 2013
  • Horse Show or TPTA Conference?

    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 even a thousand people. But it's a good opportunity to be involved in what's going on here and ...
    Posted to Toni Talks about PT Today (Weblog) on July 3, 2013
  • What Do I Include in CEUs?

    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 I teach, I have lots of material to cover so spend little time on any one thing. The CEU module ...
    Posted to Toni Talks about PT Today (Weblog) on March 5, 2013
  • How Much Help Is Too Much?

    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 for strategy, tactile cues to follow the strategy and manually assisting them with playing the ...
    Posted to Toni Talks about PT Today (Weblog) on August 14, 2012
  • My New Pet Peeve

    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 annoys me so much isn't the machine but the individuals who put every patient on it every day ...
    Posted to Toni Talks about PT Today (Weblog) on June 19, 2012
  • Don't Count These Patients Out

    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 should be treated that way. It's been a nice change. They complain. They tell me they can't do ...
    Posted to Toni Talks about PT Today (Weblog) on May 29, 2012
  • Brain or Brawn

    Last week, I found myself following in the footsteps of a therapist who truly believed in hands-on therapy. No matter how hard I tried, I couldn't replicate his treatments. His patients were walking with only therapist-assist. I could barely get them to stand. Finally a tech let me in on his secret. The man was a weightlifter. He was substituting ...
    Posted to Toni Talks about PT Today (Weblog) on February 21, 2012
  • Don't Touch That Patient

    I had an unusual conversation with a nurse last week. I was in the neuro ICU preparing to evaluate a patient. I always check with a patient's nurse prior to doing so to make sure the patient is medically stable. Normally the nurses are very helpful and happy to see therapy. Not this time. This nurse refused therapy for the patient because she ...
    Posted to Toni Talks about PT Today (Weblog) on August 2, 2011
  • Early Mobilization

    In last week's issue of ADVANCE for Physical Therapy& Rehab Medicine, the cover story described a three-month clinical trial of early mobilization in the ICU. I wanted to cut it out and post it prominently at work. I think all medically stable ICU patients should be mobilized, and I mean out of bed. Author Lisa West points out there is ...
    Posted to Toni Talks about PT Today (Weblog) on June 7, 2011
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