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Manual Therapy Horizons - October 2008
An Official
Publication of Hands-On Seminars |
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RESEARCH STUDIES
Q & A
MEET OUR STAFF
DATES & LOCATIONS
SPECIAL PROMOTION
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Dear Colleagues and Course Participants:
Welcome to the October 2008 edition of Manual Therapy Horizons the official
newsletter of Hands-On Seminars.
As the fall sets in, we get closer to the
November Presidential election and the big question for health care providers
and patients is, which candidate is going to serve better the interests of our
profession and of our patients. The truth of the matter is that while there are
hundreds of thousands of people uninsured or underinsured the large insurance
companies collect higher insurance premiums while reimbursing less and less for
valuable physical therapy services.
We strongly encourage you to get involved during this election period.
Go to the APTA web site and look at the important issues for our profession:
APTA
Take a look at the proposals of the presidential candidates regarding health
care:
CANDIDATE POSITIONS
And finally - VOTE on November 4th.
We are also delighted to announce that In collaboration with Hands-on
Seminars, Rocky Mountain University of Health Professions is offering a manual
therapy elective track for the transitional Doctor of Physical Therapy (DPT)
degree program. For additional information please visit our web site:
www.handsonseminars.com
On another note keep sending your clinical comments and questions at:
hos@handsonpt.org
Feel free to forward the newsletter to any other colleagues and friends.
All the best,
Dimitrios Kostopoulos, PT, PhD, DSc
Konstantine Rizopoulos, PT, FABS
Founders Hands-On Seminars
1-888-767-5003
www.handsonseminars.com
EVIDENCE BASED PHYSICAL THERAPY
The purpose of this column of the newsletter is to provide you with
either a research article or a review of research pertinent to the area
of manual therapy. We will select articles that are friendly to read.
Treatment of carpal tunnel syndrome: a review of the
non-surgical approaches with emphasis in neural mobilization
Dimitrios Kostopoulos, PT, PhD, DSc
Abstract: Carpal tunnel syndrome (CTS) results from the
entrapment of the median nerve at the wrist. It is the most common
entrapment syndrome causing frequent disability especially to working
populations. Aside from the surgical release approach there are other
non-invasive therapeutic methods for the treatment of CTS. This paper
will review the evidence regarding neurodynamic testing and
neuromobilization of the median nerve as a treatment approach to CTS.
CLINICAL ROUNDS:
"I am treating a post-mastectomy patient who suffers from significant
limitation of ROM of her right shoulder. I have tried to work with both active
an passive ROM exercises with her, used gentle mobilization techniques and
pulleys for home exercise program. After almost 2 months of treatment there is
very little to no change. Can you suggest any other exercises or other
intervention"
Terri M. - Orlando, FL
ANSWER:
Dear Terri, thanks for your question and for your persistence to help this
patient. Treating post-mastectomy patients with shoulder problems can be a
challenging task. You have to be very compassionate and understanding on the
patient's emotional condition while at the same time you treat the shoulder
condition.
Post-mastectomy patients especially if their procedure included removal of the
axillary nodes have restricted the movement of the shoulder for several weeks
due to post-surgical pain. The area is very painful, sore and uncomfortable to
movement. Patients feel more comfortable maintaining the arm in adduction and
internal rotation, which provides a less painful to them position. This position
if maintained for prolonged time creates overshortening of the internal rotator
muscles, especially of the subscapularis muscle.
Overshortening creates or activates myofascial trigger points and further
referred pain to the shoulder, scapula, forearm and even the neck region. We
find that treating these patients with gentle myofascial trigger point therapy
and muscle energy techniques for the subscapularis muscle can greatly help
improve ROM of the shoulder. Adding treatment of the terres major and the
latissimus dorsi muscles can be very beneficial.
Obviously, if there are capsular adhesions, mobilization and manipulation
techniques of the shoulder, scapula and the thoracic spine can help. Good luck
with the treatment and let us know of your progress.
Relevant HOS courses that cover these approaches are:
PT-01
and
PT-04.
Each month we showcase one of the instructors of Hands-On Seminars. In this
issue we would like to introduce
Luke Bongiorno, PT, MCMT
Luke
is a Physical Therapist specializing in Manual Therapy and a Certified Senior
Instructor for Hands On Seminars. Luke is teaching courses for HOS both
nationally and internationally. He received his Physical Therapy degree from the
University of Melbourne in Australia. He specializes in manual therapy and the
treatment of musculoskeletal injuries. Luke has a special interest in the
treatment of tennis players and runners, and is involved in both sports as well.
He has been a speaker at the American College of Sports Medicine and is a
clinical educator for Columbia University and the College of Staten Island
Physical Therapy programs.
Luke has had training in advanced manual skills, trigger point and
myofascial therapy, spinal stabilization, McKenzie Institute mechanical
diagnosis and therapy, McConnnell patellofemoral and shoulder treatment, and
advanced taping techniques. He has received the Mastery Certification in Manual
Therapy and is in the process of receiving his DPT degree from Rocky Mountain
University as part of the new DPT program with emphasis in Manual Therapy
sponsored by Rocky Mountain University and Hands On Seminars. Luke is a part of
the medical team for the New York Road Runner's Club, including the NYC
Marathon.
Luke keep up the good work and we are proud to have you as part of our
teaching team.
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Receive a free Trigger Point Knobber with any new registration when you mention code: "Manual Therapy Horizon Newsletter" |
Knowing is not Enough, We Must Apply,
Willing is not Enough, We must Do!
Goethe
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Journal of Bodywork & Movement Therapies is the Official Journal of Hands-On Seminars.
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Customer Testimonials
As a private practice owner I have realized that the Mastery Certification in Manual Therapy has contributed significantly in building a successful practice image to my community
V. Georgakopoulos, PT, MCMT
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