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Physical Fitness and the New Year

“Physical Fitness – a dynamic physical state compromising cardiovascular/pulmonary endurance, muscle strength, power, endurance, and flexibility; relaxation; and body composition that allows optimal and efficient performance of daily and leisure activities.” Physical inactivity is the leading contributor to increased mortality and morbidity, physical therapists are exercise experts across the lifespan and physical therapists promote physical activity and exercise.

With the New Year, we rush to the gym determined to burn off those holiday calories and work toward our New Year’s resolutions. But unfortunately, studies show that more than half of those who join a gym will drop out in 3-6 months. If we can stay consistent, that creates a habit and a habit creates a healthier lifestyle.

Exercise can help prevent excess weight gain. When you engage in physical activity, you burn calories. The more intense the activity, the more calories you burn, the more calories you burn, the more weight you lose. Regular exercise helps prevent or manage a wide range of health problems and concerns, including stroke, metabolic syndrome, type 2 diabetes, depression, arthritis and falls. Physical activity stimulates numerous brain chemicals that may leave you feeling happier and more at ease. You may also feel better about your appearance and yourself when you exercise frequently, which can boost your confidence and improve your self-esteem.

Exercise and physical activity can be enjoyable. It gives you a chance to wind down, enjoy the outdoors or merely engage in activities that make you happy. I love to lift weights, for Sherri its running. So whether it’s a 5k, yoga, or a spin class; get out there, and get active!

References

cache://(itunes.apple.com/us.podcast/move-forward-radio/id127519960’mt=2) – Google Search. (n.d.). Retrieved from (https://itunes.apple.com/us.podcast/move-forward-radio/id127519960?mt=2)

Ries, E. (2009, June). Login. Retrieved from http://www.apta.org/PTinMotion/2009/6/Feature/WellBeyondFunction?

7 great reasons why exercise matters. (2016, October 13). Retrieved from https://www.mayoclinic.org/healthy-lifestyle/fitness/in-depth/exercise/art-20048389?pg=2

Clarifying Women’s Health

Women’s health is much more than just treating lady parts or pelvic floor complications. Physical therapist address women’s health conditions from infancy through geriatric years focusing on specific women’s health needs. 

Clarifying Women’s Health:

I have provided women’s health care for years and find many people including women are confused about women’s health care. The definition of women’s health is providing specific care during the entire life cycle for women’s issues including: incontinence, pelvic dysfunction, osteoporosis, breast cancer, lymphedema, fibromyalgia and other diseases that differ for women than men (Wojciechowski, 2009).

Kristie C. is a patient of mine and is an avid female runner that I admire and appreciate. Kristie has ran 9 marathons all over the world including Ethiopia in 2015. She suffered a right knee injury requiring meniscal repair with osteoarthritis debridement. As a result of her injury and lack of post-op rehabilitation she gained 60 lbs and began suffering additional complications of depression, anxiety and chronic pain. As a women’s health therapist I was able to treat Kristie’s knee, but also considered her complete lifestyle and surpass traditional knee rehabilitation to meet her goals of resuming running. Meeting Kristie’s running goals resolved her depression, anxiety, weight gain and chronic pain. Returning women or any patient to their previous lifestyle or passion, like running marathons is a true blessing.

Another example of women’s health is a patient of mine that was diagnosed with breast cancer resulting in several lymph node removal with lumpectomy. As a result of lymph node removal she suffered with lymphedema in her arm making her job as a hairstylist and being a grandmother difficult. Treating her lymphedema, shoulder range of motion and shoulder strength allowed her to return to full function using her arm as a hairstylist and playing with her grandson again.

Many times women’s health focuses on women during menopause, for things like urinary incontinence and constipation or in younger women with diagnoses of pelvic pain and / or sexual dysfunction (Wojciechowski, 2009). However, pelvic floor diagnoses are not the only conditions women are affected with more than men. Women also are more often diagnosed with rotator cuff tears, shoulder impingement, shoulder adhesive capsulitis, carpel tunnel, osteoarthritis, rheumatoid arthritis, fibromyalgia and lupus (Wojciechowski, 2009). All injuries and diseases affect women differently than men and physical therapist should be aware of the differences even if they don’t treat gynecological  and obstetric care (Wojciechowski, 2009). Not only do women recover and heal differently than men they also have heart disease signs and symptoms differently (Wojciechowski, 2009). For example, women usually complain of difficulty breathing, nausea and vomiting, fatigue, back pain, shoulder pain and jaw pain (Medline, 2014).

In conclusion, treating the pelvic floor is a huge part of women’s health physical therapy for condition such as post-surgical complication after c-section, episiotomy, hysterectomy, sexual dysfunction, bowel and bladder disorders. In addition, women’s health physical therapy is treating all women’s health conditions throughout their life cycle for their specific needs and differences.

Respectfully,

Sherri Boos, PT, DPT

References

Wojciechowski, M. (2009). Women’s Health: It’s More Than You May Realize. PT in Motion 7. Retrieved from http://www.apta.org/PTinMotion/2009/11/Feature/WomensHealth

Women’s Heart Disease: Heart Disease Risk Factors. (2014). Retrieved from https://medlineplus.gov/…/winter14/articles/winter14pg26-27.html

 

 

Total Knee Arthroplasty

Total knee arthroplasty aka total knee replacement is a surgical procedure that has proven success relieving pain for people who suffer with knee difficulties from an injury, degenerative disorder and inflammation (Klein, 2006). In the United states alone over 300,000 total knee procedures are performed and these numbers increase as younger people need a total knee replacement (Klein, 2006). A total knee replacement procedure is a difficult surgery to recover from and should be taken very seriously. The complication are: severe pain, bruising, swelling, blood clot, temporary and permanent paralysis, infection, numbness and even death.

There are several things that help a person’s total knee outcome a success: good physical health and strength, weight, flexibility, education about the procedure and expected loss of function and nutrition to improve healing. Pre-habilitation is program that our facility offers to encourages your success after this procedure. Pre-habilitation is usually just a few visits to educate you about the produce, nutrition, possible loss of function, strengthen specific muscles and stretch tight muscles and joints.

Klein, L. J. (2006, October 18). Total Knee Replacement (CBM 2003-2). Retrieved from https://www.nlm.nih.gov/archive/20061214/pubs/cbm/tkr.html#110

Sepsis Awareness Month

Sepsis is a dangerous illness overpowering your immune reaction to infection (Sepsis Fact Sheet – National Institute of General Medical Sciences, 2017). Your body reacts to the infection using your immune system to produce chemicals to fight off infection. This causes an extensive amount of inflammation throughout the body. As a result of this response secondary complications can happen and tissue damage including internal organs can die. Over 15 million individuals acquire sepsis yearly in the United States and 250,000 die annually (Get Ahead of Sepsis – Know the Risks. Spot the Signs. Act Fast, 2017).

Early identification, quick care and avoiding infection is vital. Anyone can get sepsis and most all infection can cause sepsis (Sepsis Fact Sheet – National Institute of General Medical Sciences, 2017).

Signs and symptoms of sepsis include:

* Delirium and / or incomprehension

* Difficulty breathing

* Fast heart rate

* Fever, chills

* All over body pain and aches

* Moist and sweaty skin

(Get Ahead of Sepsis – Know the Risks. Spot the Signs. Act Fast, 2017.)

Patients and family should be proactive to avoid infections, know the signs of sepsis and act fast if sepsis is suspected (Get Ahead of Sepsis – Know the Risks. Spot the Signs. Act Fast, 2017).

 

References

Get Ahead of Sepsis – Know the Risks. Spot the Signs. Act Fast. | Features | CDC. (n.d.). Retrieved from https://www.cdc.gov/features/get-ahead-sepsis/index.html

Sepsis Fact Sheet – National Institute of General Medical Sciences. (n.d.). Retrieved from https://www.nigms.nih.gov/Education/Pages/factsheet_sepsis.aspx

Pre-habilitation

Pre-habilitation is physical therapy prior to a surgical procedure or chemo therapy for strengthening, conditioning, and education to ensure a successful outcome. Many people feel better prepared for surgery or chemo after a strengthening program because it strengthens weak muscles that could prevent you from getting out of bed, walking to the restroom and walking in the halls. Many times after a surgical procedure or chemo, patients are forced to go to a nursing home or hospital rehab because their functions have diminished, leaving them unsafe to go home (Ries, 2016). Going to a nursing home, or anywhere other than home, can devastate you and your family members. Pre-habilitation will help you prevent unexpected discharge planning.  In addition, prehab will provide post-op education, procedure precautions, home adaptation, and walking with assistance and/or a device, increasing a patient’s success rate.
Pre-habilitation is an individualized plan of care based on your needs and desires. Your therapist will evaluate you and your needs to develop a plan of care and home exercise program. The home exercise program allows you to become comfortable and familiar with the exercise program you will most likely be doing while in the hospital. Some pre-habilitation programs are 1 visit, while others are a few weeks. Our clinic will help you decide what works best for you.
Respectfully,
Sherri Boos, PT, DPT
 References
Ries, E. (2016). Better Sooner and Later: Prehabilitation. PT in Motion, 1-12. Retrieved from http://www.apta.org/PTinMotion/2016/2/Prehabilitation/

Physical Health and Fitness

Physical therapy is much more than just about function it’s about treating the entire patient looking at a fitness and wellness side to patient care too. Physical therapist are well trained in nutrition, exercise and fitness and should be considered experts in rebuilding and restoring movement in patient’s lives.
Physical therapy focuses on helping, teaching and boosting patients to achieve stages of physical activity necessary to reduce and prevent disease (Ries, 2009).  Staying physically active as possible with limitations such as back, neck, hip, knee, ankle, feet or shoulder can be challenging. We recognize patient needs and accommodate fitness opportunities with guidance to remain fit and prevent disease.
The American Physical Therapy Association (APTA) promotes PT / PTA role in physical wellness and fitness and began an campaign called “ Move Forward” to engage physical therapist in assisting the public in wellness and fitness (Ries,2009).
Sincerely,
Sherri Boos
References
Ries, E. (2009). Well Beyond Function. PT in Motion, 1-11. Retrieved from June 2009

Women’s Health

Women’s Health
 
Women’s Health Physical Therapy is a specialized area of care that requires additional education and training. Women of all ages can suffer with complication including: pelvic pain, urinary and bowel incontinence, pelvic prolapse, breast cancer complications, osteoporosis, female athletic injuries, fibromyalgia, pediatric pelvic problems and diastasis recti.
 
The leading women’s health diagnosis is diastasis recti (separation of abdominal muscle) and pelvic floor weakness following childbirth. To restore abdominal and pelvic floor strength and function exercise can begin week 1 or 2 after delivery to regain core strength. Strengthening will improve carrying newborn, transitional movements in and out of bed, car and chair. As the abdominal gap closes advance exercises are prescribed.
 
Pelvic floor strengthening (kegel exercise) can begin immediately after delivery and progress to functional sitting, standing and daily activity. Strengthening the pelvic floor also develops sexual fulfillment, as well as prevent prolapse and incontinence.
 
Sincerely,
Sherri Boos, PT DPT
 
                                                                                                References
APTA. (n.d.). Health Center for Women – MoveForward. Retrieved from http://www.moveforwardpt.com/forhealthcareprofessionals/detail/health-center-women.

Scoliosis

scoliosisScoliosis is a curve in spine that can cause uneven shoulders or hips and curvature in lumbar and thoracic regions. Scoliosis can be diagnosed by performing Adams forward bending test, unless scoliosis is mild an x-ray may be needed.

Complications of scoliosis are low back pain on concave side and secondary hip arthritis. Scoliosis can be addressed through physical therapy and regular exercise. Even small curves should be addressed. Yoga is a healthy stretching and strengthening program that is very helpful practice where imbalances exist.

Sherri Boos, PT, DPT

Oklahoma Wound Care Services

Oklahoma Wound Care Services

Yukon Wound Care and Rehabilitation opened in 2014 to serve Yukon and Oklahoma rural residents with excellent affordable wound care services.  We currently serve Yukon, Mustang, El Reno, Piedmont, Chickasha and many other rural areas in Oklahoma. Our patients receive up to date compassionate wound care so they don’t have to travel to the metro area for care. Many patients cannot or don’t want to travel to the Oklahoma City, Midwest City or Norman for wound care.

Several of our patients have shared stories of not being able to wear shoes for 5 years due large draining wounds causing restricted walking and difficult adult daily activities. Furthermore, we have patients that come to us for successful healing after years of failed wound care at other facilities.

Our facility strives to reduce pain, restore function and heal wounds as quick as possible and affordable.  We are committed to serve not only Yukon, but all metro and surrounding Oklahoma Cities with the latest wound care assessment, skills and products.

In addition to wound care services we also specialize in women’s health, orthopedic, cardio conditioning, vestibular rehab, and pre-habilitation. Our mission is to provide all patients with the results they want and the care they deserve.

Complications of Obesity

obesity complicationsObesity is an accumulation of excessive fat that jeopardizes a persons health and imbalance in energy causing excessive weight gain. At least 30% of the world’s population were over weight in 2008, afflicting 200 million males and 300 million females. Causes of obesity are food intake, sedentary lifestyle, poor quality of sleep and genetics. Strategies to avoid obesity are increased physical exercise, improve sleep pattern and proper nutrition. Physical therapy can help patients incorporate healthy lifestyle changes through exercise, diet and sleep to avoid obesity and manage weight.