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  • ‘We're All Gonna Need Physical Therapy Soon'

    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 in the barn next to us say, ''We're all gonna need physical therapy soon.'' I wasn't ...
    Posted to Toni Talks about PT Today (Weblog) on March 25, 2014
  • 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
  • Wheelchair Races After Dinner in the Parking Lot

    At the SNF where I work part-time, the parking lot behind the building is built on an incline with a bend about three-fourths of the way down. There is a curb along the entire length of the descent. Last weekend, a resident told me it's possible to descend the length of the parking lot in a wheelchair without using the brakes or crashing. He was ...
    Posted to Toni Talks about PT Today (Weblog) on November 6, 2013
  • 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
  • How Old is Too Old for Therapy?

    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 years of age, you have the right to stay in bed. In many ways, I agree with her. Advanced age, ...
    Posted to Toni Talks about PT Today (Weblog) on July 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
  • Group Think Evidence

    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 the fly or using cranio-sacral to do so. This isn't the first time I've said I don't think PTs ...
    Posted to Toni Talks about PT Today (Weblog) on May 29, 2013
  • ‘I Can't Help, My Back Hurts'

    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. As we were positioning ourselves to lift him the nurse stepped away. She said she didn't lift ...
    Posted to Toni Talks about PT Today (Weblog) on March 19, 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
  • Working from Home

    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, not a benefit. Physical therapy is one of the few fields I never would have thought could ...
    Posted to Toni Talks about PT Today (Weblog) on August 28, 2012
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