Author Archives: dave

Physical Therapy for Dementia

Dementia is a group of conditions that affect the brain, causing problems with memory, thinking, communication, and behavior. Dementia has many forms, including Alzheimer’s disease, vascular dementia, Lewy body dementia, and more. It’s a big deal. According to the WHO, it’s the seventh leading cause of death worldwide and one of the major causes of disability among older people. While there is no cure for dementia, there are ways to manage the symptoms and improve the quality of life for people living with this condition.

Physical activity is one common recommendation. While exercise is certainly beneficial to everyone, the evidence for exercise’s effect on dementia symptoms is mixed. Most studies do show that exercise can help delay or reduce symptoms like depression, or apathy. Some studies also show a benefit in delaying or reducing cognitive declines. If you’re familiar with the benefits of exercise, this all makes sense. We know exercise has a positive effect on mood and depression. When your heart pumps harder during exercise, it increases blood flow throughout your body, including to your brain.

DOES ANY TYPE OF EXERCISE WORK?
For people with dementia, it doesn’t appear as simple as “exercise and symptoms improve.” Studies have shown that the type of exercise, duration, and frequency all make a difference. For example, one study showed that people with dementia who engaged in dance movement therapy had less depression and better physical function. A second group who performed other types of exercise at the same intensity did not see those benefits. This is where a physical therapist can be incredibly beneficial.
Physical therapy for dementia is tailored to each individual’s needs, goals, abilities, and preferences. The physical therapist will conduct a thorough evaluation of the person’s medical history, physical condition, cognitive status, functional level, and personal interests. Based on this information, the physical therapist will design a personalized treatment plan that includes specific exercises and activities that target the areas that need improvement.

The treatment plan may include:
Aerobic exercises to improve cardiovascular health, oxygen delivery to the brain, mood, energy levels, and cognitive function. Strength exercises to build muscle strength and power. Balance exercises to challenge the person’s ability to maintain equilibrium and prevent falls. Functional exercises that mimic or practice daily activities that are important or meaningful to the person, such as climbing stairs, getting in and out of bed or a car, or using utensils. Coordination exercises or more complex movements like dance or tai chi. Evidence shows more complex movements like these have larger effects on more dementia symptoms than a simpler exercise like riding a stationary bike. Dual-task or cognitive exercises like combining walking with doing math out loud, or solving puzzles while on a stationary bike or treadmill. Again, research shows that combining physical and cognitive challenges can have an effect on dementia symptoms.
The physical therapist will monitor the person’s progress and adjust the treatment plan as needed. They’ll also provide feedback and encouragement. The physical therapist will also educate and advise the person and their family or caregivers on how to continue or incorporate physical activity into their daily routine and lifestyle.

Physical therapy is a safe and effective way to help people with dementia improve their physical and mental health, as well as their quality of life. Physical therapy can also provide support and guidance to people with dementia and their caregivers, helping them cope and adapt to the changes and challenges that come with this condition.

References:
• The effect of physical activity on dementia – https://pubmed.ncbi.nlm.nih.gov/31425142/
• Low & High Intensity exercise for people with dementia – https://pubmed.ncbi.nlm.nih.gov/32192537/
• Dance movement & exercise with dementia – https://pubmed.ncbi.nlm.nih.gov/30496547/
• Physical Therapy as Treatment for Cognitive Decline
• Physical Therapy for Dementia: How and Why It Helps Patients
• Exploring the Benefits of Physical Therapy for Dementia Patients
• Dementia and Physical Therapy – In Motion O.C.
• How Patients With Dementia Benefit From Physical Therapy – FOXRehab

Spring Back into Motion: Preventing Overuse Injuries

Spring Back into Motion: Preventing Overuse Injuries

As flowers bloom and the days get longer, it’s natural to want to get outside. Whether you’re digging in your garden, hitting the trails, or playing sports, spring brings new energy. But if you were inactive this winter, your body might not be ready for a sudden burst of activity.

What Are Overuse Injuries?

Overuse injuries happen when we do too much, too soon, or too often. These aren’t injuries from a fall or sudden twist. Instead, they build up slowly from repeating the same movements over and over. Common symptoms of overuse injuries include:

  • Muscle soreness that doesn’t go away
  • Painful joints that ache when moving
  • Tendons that feel tender to touch
  • Swelling that doesn’t go down

Why Spring Can Be Risky

After winter, many of us jump back into activities at full speed. Our bodies aren’t prepared for this sudden change. Think about it:

  • We’ve been less active during cold months
  • Muscles might be weaker or tighter
  • Our stamina isn’t what it was last fall
  • We’re excited about the nicer weather and may do too much at once

5 Simple Ways to Prevent Injuries

1. Start Slow

Begin with just 15-30 minutes of your activity.

Add a little more time each week – 10% is a good guideline. Your body needs time to adjust!

2. Warm Up Right

Never skip your warm up.

Take 5-10 minutes to walk, do gentle stretching, and move your joints before any activity.

3. Mix It Up

Don’t do the same activity every day.

Trying different things will let you use new muscle groups and give others rest.

4. Listen to Your Body

Pain is a warning sign.

If something hurts, stop and rest. A little muscle soreness is normal, but sharp pain isn’t.

5. Use Good Tools and Form

For gardening, use tools with padded handles and kneel instead of bending. For sports, make sure your gear fits well and learn proper form.

Your Physical Therapist Can Help

Your PT is your body’s best friend when getting active again. We can:

 

  • Check your movement patterns to spot problems before they cause pain
  • Create a safe plan to build strength and flexibility
  • Teach you specific exercises for your favorite activities
  • Show you proper form to prevent strain
  • Help you recover if you do get hurt

 

Don’t let an injury stop you from enjoying spring! With a little care and the right help, you can stay active and pain-free all season long.

 

References:
Research:
  • Napier C, Willy RW. The Prevention and Treatment of Running Injuries: A State of the Art. Int J Sports Phys Ther. 2021 Aug 1;16(4):968-970. doi: 10.26603/001c.25754. PMID: 34386275; PMCID: PMC8329326.
  • Khan, A., Jamil, M. ., Butti, S., Ahmad, I., Ullah, H., Khan, A., & Imtiaz, . (2023). Causes, Precautions and Management of Risk Factors Associated with Sports Injuries: Risk Factors Associated with Sports Injuries . THE THERAPIST (Journal of Therapies &Amp; Rehabilitation Sciences), 4(03), 56–58. https://doi.org/10.54393/tt.v4i03.143
  • Dennis van Poppel, Maarten van der Worp, Anouk Slabbekoorn, Sylvia S.P. van den Heuvel, Marienke van Middelkoop, Bart W. Koes, Arianne P. Verhagen, Gwendolyne G.M. Scholten-Peeters,Risk factors for overuse injuries in short- and long-distance running: A systematic review, Journal of Sport and Health Science, Volume 10, Issue 1, 2021, Pages 14-28, ISSN 2095-2546,https://doi.org/10.1016/j.jshs.2020.06.006.
Article and Content:
  1. https://www.choosept.com/guide/physical-therapy-guide-achilles-tendon-injuries-tendinopathy
  2. https://www.choosept.com/guide/physical-therapy-guide-wrist-tendinitis
  3. https://www.choosept.com/guide/physical-therapy-guide-posterior-tibial-tendon-dysfunction-acquired-flat-foot-adults
  4. https://www.choosept.com/guide/physical-therapy-guide-rotator-cuff-tendinitis

 

Move Your Way to a Healthier Heart: A Physical Therapist’s Guide

Move Your Way to a Healthier Heart: A Physical Therapist’s Guide

 Your heart is your body’s most important muscle. Like any muscle, it needs regular exercise to stay strong and healthy. This February, as we observe Heart Health Month, let’s explore how physical activity can boost your heart health and how physical therapists can help. 

Why Movement Matters 

Every time you exercise, you’re giving your heart a workout. 

Regular physical activity helps lower blood pressure, reduce bad cholesterol, and maintain a healthy weight. The current guidelines for adults suggest at least 150 minutes of moderate intensity exercise per week to significantly reduce your risk of heart disease, which remains the leading cause of death worldwide.

Getting Started Safely 

While exercise is crucial for heart health, starting a new exercise routine requires careful planning, especially if you: 

  • Have existing heart conditions 
  • Haven’t exercised in a while 
  • Are recovering from heart surgery or cardiac events 
  • Have other health conditions that affect your mobility 

 

This is where physical therapists become incredibly helpful! 

Physical therapists are movement experts who can: 

  • Assess your current fitness level and any risk factors 
  • Design a personalized exercise program that matches your abilities and goals 
  • Teach proper exercise techniques to prevent injury 
  • Monitor your progress and adjust your program as needed 
  • Provide education about heart-healthy lifestyle choices 

 

They work closely with your healthcare team to ensure your exercise program is safe and effective, especially if you’re managing heart conditions or recovering from cardiac events. 

 

Some PTs specialize further and become cardiovascular and pulmonary physical therapists. 

 They have had further training and experience in prevention, rehabilitation, and treatment for people who are at risk for, or diagnosed with, heart, lung, and other health conditions, such as: 

  • Chronic obstructive pulmonary disease (COPD) 
  • Acute and chronic breathing disorders 
  • Diabetes 
  • Vascular (blood vessel) disease 
  • Arterial (artery) disease 
  • Cystic fibrosis 
  • High blood pressure 
  • Heart disease and heart failure 

Simple Steps to Start 

You don’t need to run marathons to improve your heart health. Start with: 

  • Short walks around your neighborhood 
  • Gentle swimming or water exercises 
  • Light resistance training 
  • Stretching and flexibility exercises 

 

Remember, any movement is better than no movement. Your physical therapist can help you find activities you enjoy and can stick to long-term.  

Contact our physical therapy team today to begin your journey toward better heart health through safe, guided physical activity. 

  

References: 

Research: 

1) Fairag M, Alzahrani S A, Alshehri N, et al. (November 21, 2024) Exercise as a Therapeutic Intervention for Chronic Disease Management: A Comprehensive Review. Cureus 16(11): e74165. doi:10.7759/cureus.74165 

2) Piercy, K. L., & Troiano, R. P. (2018). Physical activity guidelines for Americans from the US Department of Health and Human Services. Circulation: Cardiovascular Qualityand Outcomes, 11(11). https://doi.org/10.1161/circoutcomes.118.005263 

3) Skou, S. T., Pedersen, B. K., Abbott, J. H., Patterson, B., & Barton, C. (2018). Physical activity and exercise therapy benefit more than just symptoms and impairments in people with hip and knee osteoarthritis. Journal of Orthopaedic & Sports Physical Therapy,48(6), 439–447. https://doi.org/10.2519/jospt.2018.7877 

4) Jeong, S.-W., Kim, S.-H., Kang, S.-H., Kim, H.-J., Yoon, C.-H., Youn, T.-J., & Chae, I.-H. (2019). Mortality reduction with physical activity in patients with and without cardiovascular disease. European Heart Journal, 40(43), 3547–3555. https://doi.org/10.1093/eurheartj/ehz564 

 

Articles and Content: 

1) https://www.choosept.com/guide/physical-therapy-guide-heart-disease-heart-failure 

2) https://www.choosept.com/why-physical-therapy/specialty-areas-physical-therapy/cardiovascular-pulmonary-physical-therapy 

3) https://www.choosept.com/podcast/cardiovascular-disease-role-of-physical-therapy 

4) https://www.aptacvp.org/for-the-public 

 

How To Create Sustainable Exercise Habits

Regular exercise is one of the best things you can do for your health.

It helps you stay strong, keeps your heart healthy, and lifts your mood. Exercise can help you sleep better, think clearer, and feel more energized. Best of all, you don’t need fancy equipment or hours of workout time to get these benefits.

Starting an exercise plan is one thing – sticking to it is another. Here are some proven ways to make exercise a lasting part of your daily life:

Start Small, Win Big

  • Even 5-10 minutes of exercise counts
  • Build up slowly as things get easier
  • Don’t forget to celebrate your small wins along the way

Link Exercise to Your Daily Routine

  • Try 10 squats while brewing coffee
  • Do counter push ups while your food is in the microwave
  • Stretch during TV commercials

Make it Fun

  • Pick activities you enjoy
  • Try different types of exercise until you find what clicks
  • Join a walking group, exercise class, or exercise with a friend

Make it Stick

  • Research shows that exercising 4x / week for 6 weeks is the minimum to form a habit
  • Put workout times in your calendar, and treat them like any other important meeting
  • Pack your gym bag the night before

Get Support

  • Work out with friends or family
  • Join group fitness classes
  • Find an exercise buddy

 

Need Help Getting Started?

As physical therapists, we’re experts in movement and exercise. We can help you:

  • Create a safe exercise plan that fits your needs
  • Work around any pain or physical limits
  • Learn proper form to prevent injury
  • Build strength and flexibility safely

 

Whether you’re completely new to exercise or getting back into it after a break, we’re here to help. Don’t let pain or uncertainty hold you back – schedule a visit to start your exercise journey the right way.

 

Remember, the best exercise plan is one you’ll actually stick to. Start small, build slowly, and focus on consistency over perfection. Your future self will thank you!

 

References:

Research:

  • Kaushal, N., Rhodes, R.E. Exercise habit formation in new gym members: a longitudinal study. J Behav Med 38, 652–663 (2015). https://doi.org/10.1007/s10865-015-9640-7
  • Rhodes, R. E., & Fiala, B. (2009). Building motivation and sustainability into the prescription and recommendations for physical activity and exercise therapy: The evidence. Physiotherapy Theory and Practice, 25(5–6), 424–441. https://doi.org/10.1080/09593980902835344
  • Holm, A.T. Tveter, T. Moseng, H. Dagfinrud,Does outpatient physical therapy with the aim of improving health-related physical fitness influence the level of physical activity in patients with long-term musculoskeletal conditions? Physiotherapy, Volume 101, Issue 3, 2015,Pages 273-278, ISSN 0031-9406, https://doi.org/10.1016/j.physio.2014.11.005
  • Roma Forbes, Allison Mandrusiak, Michelle Smith, Trevor Russell. A comparison of patient education practices and perceptions of novice and experienced physiotherapists in Australian physiotherapy settings. Musculoskeletal Science and Practice. Volume 28, 2017, Pages 46-53, ISSN 2468-7812, https://doi.org/10.1016/j.msksp.2017.01.007

 

Articles and Content:

How to Prepare for your First Physical Therapy Session

If you’ve never been to physical therapy before, the unknowns of your upcoming appointment can be intimidating and stressful.

To put your mind at ease, here are some things to keep in mind that will make your visit a success.

How to prepare for your first physical therapy session

What to bring

Here’s a quick list of the necessary documents and items you should bring with you on the day of your first appointment:

  • Prior to your appointment, you can print and fill out your patient registration form and bring the completed copy with you to lessen the amount of paperwork you’ll have to fill out at the office.
  • If your visit is prescribed by a doctor, bring your prescription for therapy. If you don’t have a prescription, don’t worry! Thanks to direct access, you do not need a physician’s referral to go to physical therapy.
  • Identification card, insurance card(s) or case number
  • A blank check, debit or credit card for your co-pay
  • List of medications (prescription and over-the-counter) and supplements you’re currently taking
  • List of healthcare professionals and physicians that your physical therapist can contact regarding your evaluation, plan, and progress
  • X-ray or MRI results if applicable

What to wear

You can expect to be moving around quite a bit during your first appointment. Here are a few clothing suggestions to consider for certain injuries:

  • Upper body – Tank tops and loose-fitting t-shirts make it easier for our physical therapists to access the injured area whether it’s a shoulder or lower back.
  • Knee – Shorts or loose-fitting pants that can be pulled up over the knee work best.

A general rule of thumb of what to wear to your appointments is to dress as if you were going to the gym for a workout. You want to be able to move freely without any restrictions from your clothing.

What to expect during your first examination

Your first physical therapy session will likely last about an hour. During your appointment, you’ll work through an evaluation with your physical therapist that includes a patient interview and a physical exam.

The interview will include basic questions such as:

  • When did your pain and symptoms begin?
  • How did they start?
  • What types of activities aggravate your symptoms?

The physical exam will focus on evaluating your balance, coordination, flexibility, mobility, and strength through functional activities and body mechanics.

From there, your physical therapist will work with you to create a plan that’s catered to YOU and YOUR needs to help you feel like yourself again.

We don’t want you to just go through the motions. That’s why it’s our goal at CACC Physical Therapy to work with you and explain why you’re doing a particular exercise.

We believe that your active involvement in your recovery is an integral factor to your overall success!

Add a Physical Therapist to Your Healthcare Team to Fight Diabetes

According to the Centers for Disease Control and Prevention, it is estimated 34.2 million Americans have diabetes. Millions of those do not even know they have the disease where the body does not produce enough insulin, or the body does not react normally to insulin, to regulate glucose (sugar) in the blood. When someone has diabetes, the level of glucose in the blood becomes too high which can cause several health problems.

Diabetes can affect people of all ages and cause problems like weakness, loss of endurance, obesity, and balance problems. As a result, many people with diabetes become sedentary and don’t get enough exercise. Physical activity can lower high-blood sugar levels and Physical Therapists, who are movement experts, can train people to safely add physical activity to their lives in effective ways.

According to the American Diabetes Foundation, these signs may be present in those with diabetes:

  • Slow-healing sores
  • High blood pressure
  • Frequent infections of the gums, skin, vagina, or bladder
  • Unexplained weight loss

Diabetes symptoms include:

  • Increased thirst
  • Frequent urination
  • Constant or extreme hunger
  • Fatigue
  • Sweating
  • Tingling, burning, or numbness in feet and hands
  • Blurred vision
  • Pain in joints or muscles
  • Cramping or pain in the legs, or limping while walking
  • Weakness
  • Chronic pain

When you have diabetes, adding a Physical Therapist to your healthcare team can help with your:

Strength and Movement: PTs are movement experts who can help you move your joints safely to build strength.

Flexibility: If your muscles are tight, your PT can help stretch them and teach you stretches to do at home, by yourself.

Pain Levels: A PT can help reduce pain with targeted exercises and technology. They can also teach you how to manage your pain at home, without the need for medication.

Balance: Physical Therapists are experts at restoring your sense of balance, enabling you to get back to your daily activities. They can also help find obstacles that may be inhibiting your stability.

Endurance: PTs can restore your energy levels by working to combat any weaknesses you may have from lack of physical activity. They work with you to create a plan that fits your current fitness level and goals.

Working with a PT when you have diabetes can make you healthier overall, which ultimately helps you control the disease and get back to living the life you deserve.

Taken, in part from: https://www.choosept.com/guide/physical-therapy-guide-diabetes

 

Celebrate National Physical Therapy Month

October is National Physical Therapy Month, a time to recognize the vital role physical therapists play in improving our health. If you’ve ever considered physical therapy or have experienced its benefits, here are five reasons to celebrate this valuable intervention.

Holistic Approach

Physical therapy takes a holistic approach to health. Instead of just treating symptoms, physical therapists focus on the whole body. They assess how different systems interact and work together to improve your overall function and mobility. This leads to better outcomes, as it addresses the underlying issues rather than just masking pain.

Safety

One of the biggest advantages of physical therapy is its safety. Unlike surgeries and medications, which can come with side effects, risk of infection, and more, physical therapy is a non-invasive treatment option. It provides effective methods for managing pain and improving function without the risks associated with invasive procedures. This makes it a great choice for many individuals seeking relief from pain recovery from an injury.

Cost-Effectiveness

Physical therapy can be more cost-effective than other medical interventions, like surgeries or long-term medication use. Many people find that investing in physical therapy not only reduces the need for more expensive treatments down the line but also leads to quicker recovery times. By addressing issues early on, you can save money in the long run while improving their health.

Improved Mobility and Function

Physical therapists are all about getting you moving and back to the activities you love. Whether recovering from surgery, an injury, or managing a chronic condition, therapy helps you regain your ability to perform daily activities. By working closely with your physical therapist, you’ll get a personalized plan that focuses on your goals.

Long-Term Benefits

The benefits of physical therapy extend beyond immediate relief. By identifying and addressing the root causes of pain and dysfunction, your physical therapist will help you achieve long-lasting improvements in your health. Additionally, physical therapy emphasizes the importance of physical activity and exercise, which have incredible benefits for overall well-being. You’ll learn how to stay active, reducing your risk for future injuries and promoting a healthier lifestyle!

As we celebrate National Physical Therapy Month, it’s essential to recognize the many advantages of physical therapy. From its holistic approach and safety, to the cost-effectiveness, and long-term benefits physical therapy offers a comprehensive solution for anyone seeking to improve their health.

If you’re considering physical therapy, call one of our clinics nearest you and find out how it can help you lead a more active, fulfilling life.

From the APTA

Improve Your Posture With Three Simple Exercises

Are you slumped in your chair, or standing with your shoulders hunched forward? Let’s focus on your posture.

Posture is probably the most misunderstood word of fitness. As a matter of fact, posture is more than just something we “don’t do right.” Posture can change our lives, both physically and mentally. And it’s never too late to improve our posture.

Try these Exercises and Stretches
Wall Arch

Face the wall with your feet about 6 inches from the wall and 6 inches apart. Stretch your arms up to touch the wall while taking a deep breath (concentrate on flattening your stomach). Exhale and bring your arms down.

Mid Back Posture Correction

Sit on a chair with your chin in, but not up. Keep the stomach tight, chest forward and feet together flat on the floor. Raise your arms to form a “W” position (shoulders relaxed and elbows bent). Bring the elbows gently back, pinching the shoulder blades together and hold for a count of 1-2-3, then relax for the same count.

Wall Slide

Stand with your back and buttocks flat against a wall and feet a few inches away. Tuck in your chin to keep your head as close to the wall as possible. Flatten your tummy and “slide” up and down the wall. Keep your back and tummy flat while bending the knees and never go lower than a 90-degree angle.

Did you know?
  • Every move you make is affected by your posture.
  • The origin of the word posture stems from the Latin word for “position”.
  • Everything in your body is connected. Each misaligned movement can cause an issue.
  • In order for your muscles to grow and organs to function, you need a good supply of oxygen.
  • When you have poor posture, you’re less able to bring in enough air.