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  • The Changing Role of Rehab

    The definition of rehab today is very different from the definition of many years ago. In the simplest sense, rehab refers to the process of receiving the various therapies with the goal of improving function. Back in the day, going to rehab implied a long hospital stay. Patients didn't leave rehab until they were either better or as better as ...
    Posted to Toni Talks about PT Today (Weblog) on January 4, 2011
  • Supervised Exercise or Extended Therapy?

    During our monthly staff meeting, one of our sister facilities presented an in-service describing recent changes in a post-therapy program for patients. The program had relocated to a new location and expanded services. Before the move, it was held after-hours in the gym of another inpatient rehabilitation facility. Graduated patients could come ...
    Posted to Toni Talks about PT Today (Weblog) on December 8, 2010
  • Perceptions of Gait

    Last Saturday I evaluated an acute stroke patient. She had a four-day history of episodic right-leg weakness so I was trying to determine her baseline. No matter what question I asked her, she responded that she had no trouble getting around at home. She denied weakness, leg instability or loss of balance. Then as an afterthought, she said, ...
    Posted to Toni Talks about PT Today (Weblog) on November 3, 2010
  • Patience

    I don't think I'm very patient. Often I'll be working with a patient and be biting my tongue or forcing myself to sit still. The funny thing is I'm frequently complimented on how patient I am with my patients. Obviously it's a good thing no one can see what's going on in my head. What is patience anyway? To be patient is having the ability to ...
    Posted to Toni Talks about PT Today (Weblog) on September 7, 2010
  • Recovery or Compensation?

    In the world of neuro physical therapy, and I suspect others as well, there are two general approaches to therapy. One is recovery, in which we strive to regain lost function through various processes such as facilitating brain plasticity and forced use. The other is compensation, in which we strive to increase functional mobility through whatever ...
    Posted to Toni Talks about PT Today (Weblog) on August 10, 2010
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