Musculoskeletal System: Manual Therapy Paper

6. The physician orders alendronate (Fosamax) 70mg/wk. what instructions should you give M.S. regarding alendronate?

We are grateful for the “Manual Therapy” reviewers thoughtful review and suggestions to improve our manuscript. Our author team has reviewed, considered, and responded to all comments and suggestions the reviewers proposed in accordance with “Manual Therapy” guidelines. Thus, we are submitting a revised manuscript “The Immediate Cardiovascular Response to Joint Mobilization of the Neck- A Randomized, Placebo-Controlled Trial in Pain-Free Adults” for follow-up consideration for publication in “Manual Therapy”. We are hopeful that our work will be deemed as valuable and disseminated for other manual therapists to consider.

Theory is defined as a description of a set of phenomena and the relationships among the concepts. A frame of reference are theories that is used as the foundation for developing guidelines for practice that assist therapist with clinical reasoning related to the evaluation and treatment of a specific problems (Mosey.1996). The model practice provides a framework with which a therapist is able to make clinical decisions based on a scientific theoretical foundation such as anatomy and physiology an example is the biomechanical guideline that based on anatomy, physiology, and kinesiology. Guidelines for practice are not diagnosis specific, but rather are address problems that people with a variety of diagnoses may experience.

Theory is defined as a description of a set of phenomena and the relationships among the concepts. A frame of reference are theories that are used as the foundation for developing guidelines for practice that assist therapist with clinical reasoning related to the evaluation and treatment of a specific problems (Mosey.1996). The model practice provides a framework with which the therapist is able to make clinical decisions based on a scientific theoretical foundation such as anatomy and physiology an example is the biomechanical guideline that based on anatomy, physiology, and kinesiology. Guidelines for practice are not diagnosis specific, but rather are address problems that people with a variety of diagnoses may experience.

Summertime is ALL about being active. Water sports, biking, camping and hiking are activities that make us feel like kids again. But what happens when we can no longer enjoy these activities because we are in so much pain? Do we give up?

The interventions that I observed was the use of contrast bath for the Chronic Regional pain, E-stim, Ultrasound, hot packs for the pain management as well as to decrease the stiffness and swelling. The activity that I observed were ROM arc to increase movement in the bilateral upper extremities, sand box to increase core strength, Theraputty, peg boards, cognition pattern puzzles, visual perception puzzles, arm bike (rollator), bolts and screw for fine motor coordination, mini mental test to intact orientation as well as memory. I observed how therapist were teaching the patients to increase independence while transferring from bed to wheelchair to commode. I observed the use of adaptive devices to make the patient as functional as possible with their daily activities such as long handled shower brush, Reacher, sock aid, leg lifter, adaptive heavy weighted utensils and many

Arrow Physical Therapy is a full-service physical therapy clinic that is located in Seattle, Washington. Their specialties include movement screen, rehabilitation for dancers, rehabilitation for crossfit and weightlifting athletes, and hip impingement and labral tears. Arrow Physical Therapy makes its patients stay active, stay healthy, and stay passionate. Arrow Physical Therapy is where individualized programming, movement quality, and a return to sport are given much emphasis. Sarah is their orthopedic physical therapist. Arrow Physical Therapy provides excellent physical therapy. Patients must choose them because of their effective treatments and home programs that produce great outcomes, one on one appointments with a skilled therapist,

Physical therapy has come a long way in the last couple of decades, literally transforming the way pain, functional limitations and recovery from surgery is treated. But just as with any other healthcare provider, it’s the people behind the front door - and their treatment philosophy - which makes the critical difference in the patient experience.

Professionalism is the ability to demonstrate the skills necessary to perform a specific task or job. Being a student in a doctor of physical therapist degree program requires dedication and a strong desire to help people. I have displayed the skills of professionalism in my current jobs and past experiences, and I hope I can expand on these skills as a student in a physical therapy degree program. Communication, accountability, maturity and ethics are key skills that are prominent in the profession in which I hope to encounter on my path to being a physical therapist.

Musculoskeletal disorders (MSDs) are injuries or disorders at several body regions especially involved the muscles, joints, cartilage, tendon, nerves and also the structures that support the neck, upper and lower limbs and lower back. It can be occur due to sudden force or extended exposure to physical factors such as awkward posture, repetitive works, force and vibration while performing work at workplace. This definition definitely excludes those conditions such as fractures, contusions, abrasions, and lacerations resulting from sudden physical contact of the body with external objects (CDC, 2012).

Musculoskeletal injuries represent a significant occupational problem among nurses. In health care settings, injuries are very common among nurses and other healthcare workers on the job. In the U.S. healthcare industries, the rates of injuries in the healthcare profession is highest. Unfortunately, healthcare workers are always at risk of suffering many different types of physical harm on the job. Workers can also be injured by a variety of people or things they encounter on a daily basis in their jobs. These injuries usually occur from manual lifting, moving and repositioning, or ambulation of patients. Nurses Association (ANA) has declared that Safe Patient Handling and Mobility (SPHM) is a top health and safety concern for both nurses and

The second therapy in the patient with OA is manual therapy which mostly focuses on the manipulation and mobilization of the hip joint. Both the manual therapy and exercise therapy are effective methods and have shown good results between the patients with OA. Manual therapy is a physical treatment which is used by physiotherapist, and manual therapist, to treat the musculoskeletal pain and disabilities by using methods such as massage therapy, joint mobilization/ manipulation and stretching of the shortened muscles.

During my time observing, I experienced both the therapists and the technicians preforming many different types of activities. Some of these activities included ultrasounds, e-stim, and manual therapy techniques. Manual therapy is an effective practice utilized by the therapists at this clinic. Many of the manual therapy applications I observed were applied to help patients by decreasing their pain and increasing their range of motion. I was also given the opportunity to directly observe my supervisor develop various exercise/therapy programs for his patients. Every plan was developed based upon each patient’s individual needs. My supervisor would typically make slight adjustments to his patient’s exercise/therapy plan based upon their

remaining visits to give more focus on strengthening and conditioning of patient o make him

Physical therapy is different from taking medications and having surgery in many ways. It improves mobility, balance, reduces the amount of pain, it doesn't have any side effects, and it is more cost efficient. Therapy has also shown similar improvement in functional status and pain as those who had undergone surgery. Having surgery is very risky, has a long recovery time, it is very expensive. Taking medications has many side effects and can cause addiction. Addiction from medications can interfere with a person’s daily responsibilities such as work, relationships, or health. A person may not be aware of their behavior and the fact that it is out of control, and it can cause problems for themselves and others. Using other forms of treat can