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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
  • 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
  • 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
  • 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
  • My Morning Coffee Group

    I like to start work early; the earlier the better. Usually this means I start my day alone. I grab the first patient I find out of bed and get started. Not anymore. A few days ago, I was having trouble convincing a patient to come to therapy. In frustration, I offered her a cup of fresh coffee to sip while we were working. Little did I know it ...
    Posted to Toni Talks about PT Today (Weblog) on May 15, 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
  • Working on Rehab Again

    It's been a while since I've had the opportunity to treat patients on our rehab unit. Usually I do evaluations. Someone else does the treatments. Today I actually did some rehab treatments. Not evaluations but 60 minutes of treatment in which I could work on whatever I wanted. What a nice change of pace. Usually my day is filled with stroke ...
    Posted to Toni Talks about PT Today (Weblog) on December 27, 2011
  • 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
  • The Results of Getting Involved

    It's been several months since I was elected as a board member to the Southeast District (SED) of the TPTA. Another meeting is coming up this week. I have nothing to report. That isn't particularly surprising since I only have two responsibilities; the spring and fall student socials. Next month will be different. Meanwhile I've had time to ...
    Posted to Toni Talks about PT Today (Weblog) on February 22, 2011