Andy Barker’s Post

Just because your patient has shoulder pain does not mean they have a shoulder problem… And need shoulder rehab. WTF Andy! I had a patient just yesterday in the clinic complaining of left shoulder pain for the last 3 months, yet it was not his shoulder that was the problem… But his left elbow! In short, he had flared his left elbow on holiday carrying his youngest child a lot, developing a distal bicep problem. This had seemingly fixed itself up, however, a month after the elbow pain, the shoulder on the same side started to hurt. The body is clever like that. It will find a way around a problem. It will compensate. In this case the shoulder, and specifically his left anterior deltoid and pec minor were doing more work, to help out the bicep problem. Initially, this is a good strategy, as it allows the body to keep functioning, but… If not addressed it causes issues longer term, just like this patient’s shoulder pain. The last physio he saw rehabbed his shoulder and gave him all the usual shoulder rehab exercises… But he did not get better, because… His shoulder was not the problem. If your shoulder pain patient is not improving, make sure to check that another issue elsewhere is not driving the problem. Hope this helps, Andy Barker The New Grad Physio Mentor PS. Being able to make sense of this patient’s injury stated with the subjective assessment… And the ability to be able to identify previous injuries that might have been contributing to his shoulder pain… Before testing out these assumptions in the objective assessment. Would you know how to work out if a patient’s elbow issue (or some other injury) was causing their shoulder pain, or not? Need some help? Head here and I’ll show you how to do this… https://lnkd.in/gGyB8aHF #newgradphysio #newgradphysiomentor #newgrad #newgrads #physiotherapy #physio #physicaltherapy #students #therapy #MSK #physiotherapist #studentphysiotherapist #physiostudent #sportstherapy #studentphysio #sportsrehab #learning #cpd #sportsphysio #mentor

Injuries to the MCL (medial collateral ligament) are one of the most common traumatic knee injuries you will see… But despite their prevalence, there are no definitive protocols as to the best way to manage these types of injuries! So unless you have managed a lot of these types of injuries it can be really difficult to know how to manage this type of problem. If you are faced with this sort of injury you will need to decide… - Whether to brace the knee or not - If you brace, decide what sort of brace to use - If you brace, decide what angle to brace the knee at - If you brace, decide how long to brace the knee for, and when to change the brace settings - What clinical markers you will use to determine the removal of the brace There’s 5 clinical decisions, that just relate to the use of a knee brace! And that is not including what treatments, rehab or other specific MCL strategies you need to know to ensure you manage your patient, or athlete, with an MCL injury, in the best possible way. I have managed dozens of these injuries during my time working in professional sport and private practice, from grade 1’s to grade 3’s and have had experience of surgical MCL cases too. Having seen so many of these injuries and having had this injury myself (I gave injured both my MCL’s in the past), the way I manage an MCL injury has greatly changed over the years… And is very different to what the textbooks, many other therapists and even consultant knee surgeons would advise. All this week I’ll be focusing on MCL injury management. To ensure I help you in the best possible way… Let me know what you need to know! Post a comment below or send me a DM and let me know... 'What your biggest challenge is when it comes to MCL injury management.' I'll collate the best questions and put some content together and post this week to help you out. Speak soon, Andy The New Grad Physio Mentor PS. I’d like to tell you both my MCL injures happened playing sport. One did, the other… I injured when I fell off a table I was dancing on on a lads holiday in Malia! The less we talk about that one the better! #newgradphysio #newgradphysiomentor #newgrad #newgrads #physiotherapy #physio #physicaltherapy #students #therapy #MSK #physiotherapist #studentphysiotherapist #physiostudent #sportstherapy #studentphysio #sportsrehab #learning #cpd #sportsphysio #mentor

Gait training is a type of physical therapy. It can help improve your ability to stand and walk. Your doctor may recommend gait training if you've had an illness or injury that affects your ability to get around. It may help you gain independence in walking, even if you need an adaptive device. FesiaWALK is an innovative FES device with convincing results in supporting neuro muscular rehabilitation in patients and helps them with gait correction, balance training and muscle strengthening as some of the core benefits. Advantages that could be obtained from FesiaWALK include: 1. Reduced Fall Risk - Enhanced stability minimizes the likelihood of falls . 2. Improved Reaction time - Better response to sudden changes 3. Increased Independence - Greater confidence in navigating outdoor environment. FesiaWALK device is a positive enhancement of balance sessions for patients with Neurological conditions. The process of FesiaWALK is not just a progressive journey for the sake of improvement of stability but to make people's lives much better. For OPD kindly WhatsApp at +91 9311095473 For partnering with us please write to us at info@gilcoglobal.in Fesia Technology Gilco Global #gilcoglobal #fesia #sidewalk #fallrisk #fesdevice #patients #gait #training #improve #device

✨The Humble Pegboard✨ Use of the pegboard in neuro rehab for targeting hand and arm function is indispensable. I’ve been recently using it with a gentleman recovering from left hemiplegia combined with left hemi-neglect. This simple activity has gotten him more engaged in rehab than any other activity so far. Here a few ways I’ve used it to target different goals of his recovery process: ▪️Tie a weight cuff to the affected arm and it helps add some resistance training to that arm which is play-based. ▪️Placing the pegs on the far left to force him to take note of his surrounding on the left. ▪️Simple reach outs in unsupported sitting that are task-based helped in better trunk activation as well as dynamic sitting balance. ▪️Using the right hand to locate the pegs and using the left hand and arm for stability helped gain better weight bearing in supported standing, thus also targeting standing dynamic balance. ▪️Lastly, the humble peg board was the only activity he engaged in several times throughout the day as a self-performed repetitive task. Win-win! Fellow physios who treat neurological caseloads or otherwise, how do yo use the humble pegboard clinically? 💡 💭Let me know your thoughts! 💭 #physiotherapy #stroke #rehabilitation #dubai #recovery #exercise #neurorehab

Getting on top of shoulder pain (and keeping it at bay) is one of a new grad physio’s biggest challenges! A few shoulder stretches… Scapula stability exercises… Or theraband external rotations don’t cut it for most shoulder injuries. You know what I am talking about, right? Here’s what you need to do instead… #1 Don’t Push Into Pain There are some injuries you can load into pain, like some tendon issues and injuries like a lateral ankle… But shoulders are typically not one of these injuries. The often do not respond well to loading into pain, as they irritate the shoulder, causing an increase in your patient’s symptoms… Something that your patient will not thank you for!!! But don’t get this wrong… This does not mean you have the rest the shoulder and be uber cautious and conservative. Complete the opposite. The shoulder needs to be loaded to get better. You just need to know what exercises to do to find the right balance between loading the injured area… But not push it too far so that you flare up your patients shoulder symptoms. Easier said than done right? Need some help with your shoulder pain patients? Then just send me a DM with the word ’SHOULDER’ and I’ll send you over my most popular shoulder pain resource for FREE. Hope it helps, Andy Barker The New Grad Physio Mentor PS. Keep your eyes out for my next couple of emails that will have some more top tips to help you make sense of... And manage different shoulder pain problems! #newgradphysio #newgradphysiomentor #newgrad #newgrads #physiotherapy #physio #physicaltherapy #students #therapy #MSK #physiotherapist #studentphysiotherapist #physiostudent #sportstherapy #studentphysio #sportsrehab #learning #cpd #sportsphysio #mentor

⚡️Quick Board is the only technology that assesses critical components of agility. The Agility Rating allows you to quickly assess an athlete's agility in less than 5 minutes. The Rating assesses the following characteristics: * Explosiveness * Reaction * Proprioception/Accuracy * Movement Efficiency * Symmetry The rating consists of the following exercises: 🦵🏽🦶🏽Stagger Step (Left/Right) = Movement Efficiency and Symmetry 🦵🏽🦵🏽Double Leg React = Reaction and Symmetry 🔥 Foot Fire = Explosiveness   The Agility Rating quantifies athlete agility and highlights areas that need improvement. ☑️ Stagger Step (Left and Right) • Poor: Below 55 Touches • Average: 55-75 Touches • Excellent: 76+ Touches (Highest Result to date is 85) ☑️ Double Leg React • Poor: Below 12 Reactions • Average: 13-17 Reactions • Excellent: 18+ Reactions (Highest Result to date is 23) ☑️ Foot Fire • Poor: Below 100 Touches • Average: 101-129 Touches • Excellent: 130+ Touches (No Highest Result to date is 158) Mike St. George PT, DPT Ivy Rehab Network Kevin Martin Daniel Thompson Quick Board Rothman Orthopaedics Bill Castor Newtown Athletic Club ACL RETURN 2 PLAY ACADEMY Team ACL Florida Orthopaedic Institute Florida Medical Clinic Orlando Health Orthopaedic Medical Group of Tampa Bay Brian Richter Patrick Watson, MBA, MHA St. Mary Medical Center Capital Health (US) Temple Health – Temple University Health System #AgilityRating #QuickBoard #SportsTech #SportsRehab #ACLRehab #Return2Play

Some educational thoughts! 🤓 As we say in Poland - learn, because knowledge is the key to power. Ankle sprain is the most common musculoskeletal injury among people who engage in sports, both recreationally and professionally [1]. 40% of patients who experience this type of injury may develop chronic symptoms [2]. This is mainly due to neglecting the injury and the lack of proper rehabilitation 🏃♂️ Several risk factors for ankle sprain are described in the literature [3-10]: 📌 Modifiable risk factors: ▪️ Limited dorsiflexion of the foot ▪️ Weakness/deficits in proprioception ▪️ Weak postural muscles ▪️ Weakened strength and stabilization of the pelvis, hip, and ankle joint ▪️ Overweight/obesity, high BMI ▪️ Wearing high-heeled shoes 📌 Non-modifiable risk factors: ▪️ History of previous ankle injuries ▪️ Age – younger individuals has greater risk of injury (females aged 10-14; males aged 15-19) ▪️ Excessive foot pronation ▪️ Tallness ▪️ Lower limb axis misalignment ▪️ Type of sport (especially sports played on hard surfaces like courts) 📚 Scientific research proves the superiority of functional and activity-based treatment over prolonged immobilization [11]. An appropriate rehabilitation program should include [12]: ▪️ Early mobilization of the ankle joint after sprain ▪️ Early, gradual loading of the injured limb ▪️ Implementation of stabilization and functional training – focusing on range of motion, strengthening, and proprioception training ▪️ Implementation of preventive programs ▪️ Patient education ▪️ Proper monitoring of therapy progress using functional and objective strength tests (muscle strength in the injured limb should differ by a maximum of 10% compared to the healthy limb). 🦾 The video shows how we deal with ankle rehab in Fizjo Factory Chorzów. Link to the literature: https://lnkd.in/dyVDz_cR Biodex Rehab Desmotec Srl #education #rehab #rehabilitation #desmotectraining #biodex #desmotec #isokinetic #biofeedbacktherapy #isokinetics #balance #balancetraining #anklerehab #anklerecovery #anklesprain

This video focuses on Temporomandibular Joint (TMJ) manipulation using the innovative Speeder Board method. This is part of our comprehensive course covering 108 advanced manipulation techniques. 📚 Course Highlights: -Open to All Manual Therapists: Whether you're a chiropractor, osteopath, physiotherapist, or other allied health professional, this course is for you. -Extensive Curriculum: Master 108 techniques with full theoretical and clinical applications. -79 HD Speeder Board Tutorials: Detailed, step-by-step videos on using the Speeder Board for various techniques. -29 HD Drop Table Tutorials: In-depth videos on Drop Table techniques, including practical applications. -Fully Certificated: Receive a Post Graduate Diploma and educational transcript upon completion. -CPD Accredited: Approved by GoSC, GCC, CSP, and GMC for post graduate CPD. -UK Registered Trademark: Learn techniques recognized under a UK trademark. 📅 Special Offer: Standard Price: £199 Discounted Price: £99 🔍 What You’ll Learn: -60 Hours of CPD: Gain valuable knowledge and practical skills. -Speeder Board Techniques: From cervical spine to extremities. -Drop Table Techniques: Comprehensive methods for spine, ribs, shoulders, and pelvis. -Expert Insights: Clinical commentaries, research surveys, and expert lectures. 🔗 Enroll Now: https://lnkd.in/efap8uei 🌟 Benefits: U-K Trademarked Logo: Access the logo for your website to showcase your expertise. -New Skills: Master Medium Velocity Low Amplitude (MVLA) Manipulation and more. 💬 Contact Us: For more details, visit our website or get in touch directly. Transform your practice and enhance your professional skills with our expert-led course. Don’t miss out—sign up today and start mastering advanced chiropractic techniques! #OMTTraining #ContinuingEducation #TMJTreatment #EvidenceBasedPractice #Chiropractic #SpeederBoard #DropTable #OnlineTraining #ProfessionalDevelopment #CPD #ChiropracticAdjustmentTechniques

"I recently trained #CPR (Cardio Pulmonary Resuscitation) a Bachelor of Physiotherapy (BPT) from [Chennai Trade Centre]. My coursework and my Hands experience have provided me #KarpagaVinayagaCRTC with a strong foundation in anatomy, biomechanics, physical therapy techniques, and patient care. I have developed expertise in various therapeutic exercises, manual therapy, and rehabilitation strategies, and I am eager to apply my skills to help patients improve their physical health and well-being." #JayacollegeofPhysiotherapy #COLS -Compression Only Life Support,PROVIDER CERTIFICATE ......

Choosing a graft for ACL reconstruction is not easy. There isn't a clear-cut flowchart or questionnaire to fill out that will give you your answer. Something worth understanding is how the different graft choices may influence rehabilitation. This paper by Smith et al (2020) saw that athletes who had a bone-patellar tendon-bone graft were slower to meet return to sport and return to run criteria as compared to those who had a hamstring graft or allograft. I had a BPTB graft and did notice slower initial progress through my rehab, compared to patients I took through as a physiotherapist who had hamstring grafts. I think this type of information is more useful for the education part of a physiotherapist's role - understanding these differences and being able to explain them to a patient. #aclreconstruction #aclrehab #physiotherapy