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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
  • 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
  • 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
  • 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
  • The Red Fish

    A few weeks ago, I wrote about using the Nintendo Wii and wondering how much help I should give my patients. Since that time, I've settled into helping them to either prevent frustration or teach a new motor program. That creates higher scores while enabling motor learning. The only exception is the red fish. One of the games we play involves ...
    Posted to Toni Talks about PT Today (Weblog) on August 21, 2012
  • 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
  • The Wonder of Wii

    A new piece of equipment has found its way into our department, a Nintendo Wii. Up until last weekend I'd never even seen one, much less played with one. The literature is full of articles describing how to use the Wii therapeutically, particularly with the geriatric population. The evidence says it is effective. Nowhere did I read how much fun it ...
    Posted to Toni Talks about PT Today (Weblog) on July 3, 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
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