『日本カイロプラクティック徒手医学会誌』 第5巻(2004年)に一部発表(奨励賞) 『マニュアルメディスン研究会誌』 vol. Frequently Asked Questions (FAQ): Physical Therapy Patients: New Jersey. Orthopedic Physical Therapy – Probably the most common physical therapy specialist is the orthopedic specialist. These specialists care for post- surgical patients, arthritis, tendinitis/tendinosus, fracture rehabilitation, muscle sprains and strains, neck and back pain, hip and knee problems, shoulder, elbow, and wrist conditions. Some are board certified as Orthopedic Certified Specialists (OCS). Manual Therapy – Manual therapy is a broad term that describes a variety of hands- on treatment techniques that are applied to movement dysfunctions. Grade five mobilizations, Mulligan mobilizations with movement, Maitland and Kaltenborn techniques, functional technique, neural mobilization, joint mobilization, craniosacral therapy, strain/counter strain, myofascial release, etc. These are some of the more popular manual therapy techniques. Many manual therapists will take continuing education courses, obtain certifications in manual therapy, and will sit for board certification from the American Physical Therapy Association and other organizations. Most physical therapists incorporate manual therapy techniques as a part of a complete treatment plan. Geriatric Physical Therapy – Some therapists specialize in the rehabilitation of seniors. As the body ages, a variety of challenges arise. We stiffen, we lose strength, our balance skills decline, our bones become brittle (osteoporosis), our endurance decreases, and we take longer to recover from injuries. Balance and fall prevention are of paramount importance to the therapist who is working with seniors and some clinics are solely dedicated to caring for those with balance problems. Most physical therapists work with seniors/geriatric patients. Some have obtained additional education, have passed a board examination, and have earned the Geriatric Certified Specialist (GCS) title. Sports Rehabilitation – Experts in assisting with recovery after injury and surgery. Many sports specialists help with retraining the athlete utilizing running, throwing, jumping, and sport- specific programs to name a few. A therapist with the Sports Certified Specialist (SCS) title has passed a board certified test. Fitness and Wellness – Physical therapists are well trained to help with your fitness needs and wellness programs. If you need an exercise program, have trouble with your weight, are concerned about osteoporosis, have an issue with diabetes, or you would like to learn how to prevent falls, physical therapists can help. The previous examples are just a few of the many programs physical therapists offer. Hand Therapy – Most physical therapists are well trained to treat hand and wrist conditions. Stretching positions for the coracohumeral ligament: Strain measurement during passive motion using fresh/frozen cadaver shoulders. Hej - Vi er super glade for at se dig herinde! Før du går i gang med at sætte bøger til salg, vil vi lige bede dig oplyse et par ekstra ting! Laurie Hartman, DO, PhD. Laurie Hartman is the author of "Handbook of Osteopathic Technique" and is a world-renowned expert on osteopathic technique and manual therapy. Some therapists have taken additional courses and training and have passed a hand therapy certification examination. These therapists are called Certified Hand Therapists (CHTs). Women’s Health – Some therapists specialize in women’s issues such as pregnancy problems, pelvic pain, and incontinence. Special treatment is available for women who have these problems. Many that suffer from incontinence do so needlessly. A physical therapist may be able to help. Industrial Rehabilitation – Specialists in industrial rehabilitation help with those that have suffered on- the- job injuries. Moreover, they will evaluate work tasks, fabricate assistive devices, evaluate your ergonomic situation, and help redesign work flow/tasks to decrease the incidence of injury. Often, industrial rehabilitation specialists will evaluate your ability to perform certain job tasks with a Functional Capacity Evaluation (FCE). Pediatric Physical Therapy – Pediatric therapists specialize in the rehabilitation of children. They may assist with kids who suffer from cerebral palsy, developmental disorders, neurological disorders, and/or orthopedic problems.A Pediatric Certified Specialist (PCS) is a board certification that some may obtain from the American Physical Therapy Association.Aquatic Physical Therapy – Aquatic therapy takes advantage of the physical properties of water to assist with the rehabilitative process.Buoyancy, turbulence, hydrostatic pressure, and thermal properties of water can assist with the rehabilitation of a patient.Those suffering from chronic pain, osteoarthritis, fibromyalgia, rheumatoid arthritis, lumbar fusion surgery, or with a limited weight- bearing status are just a few of the many different patient populations that can benefit from aquatic therapy. How To Install Vnc On Fedora 17 Desktop . Cardiac and Pulmonary Rehabilitation – A small percentage of physical therapists practice in this discipline.Those that pass the board certification have the title of Cardiovascular and Pulmonary Certified Specialist (CCS) work with patients who have had heart attacks, bypass surgeries, angioplasty, breathing problems, emphysema, and other heart/lung related conditions. Physical therapists are well equipped to work with these types of patients because many of them have orthopedic ailments that limit their ability to function. In other words, a physical therapist can address the heart and lung problems as well as the muscle problems that are concurrently present. Neurological, Spinal Cord Injury, and Traumatic Brain Injury Rehab – A large portion of physical therapists work with patients who suffer from these conditions. Functional retraining including, walking, wheelchair use, getting in and out of bed or chairs (transfer training), moving in bed (bed mobility), and retraining patients to use their shoulders, arms, and hands are just some of the services these therapists provide to those with neurological involvement. A certified specialist holds a Neurologic Certified Specialist title (NCS). Balance, Dizziness, and Vertigo Rehabilitation – Many suffer from dizziness or BPPV (benign paroxysmal positional vertigo). Some clinics specialize in the rehabilitation of patients with vertigo. Patient education, strengthening, safety awareness, posture and balance exercise, walking exercise, and special techniques that affect sensory and balance centers of the brain and limbs are all important components of a rehabilitation program. Amputee Rehabilitation – many physical therapists specialize in the rehabilitation of amputees. Caring for the injured limb, functional and walking training, training in the use of assistive devices (crutches, canes, prosthetic limbs, etc.) are all provided by a therapist who specializes in care for amputees. Wound Care – Some therapists specialize in the treatment and care of wounds. This is accomplished by the removal of unviable tissue (debridement), the application of special dressings and prescription drugs/ointments, and the use of ultrasound, electrical stimulation, and aquatic modalities to promote healing. Exercise and patient education are also routine components of a wound care program. ECS (Clinical Electrophysiologic Certified Specialist) – A physical therapist who is board certified to perform electroneurophysiology examinations such as nerve conduction studies and electromyography. Lymphedema Rehabilitation – We take it for granted but a special component of the circulatory system, the lymph system, helps filter and drain fluid from our arms and legs. When this drainage system is damaged, painful swelling can result. Some therapists specialize in the treatment of lymphedema as it is called. Special positioning, massage and bandaging techniques are utilized by the lymphedema specialist. Osteoporosis Rehabilitation and Prevention – Some practitioners specialize in the evaluation and treatment of osteoporosis patients. Working in concert with your medical doctor, the therapist will often design a specialized weight- bearing and resistance training program for those with this silent disease. Stretching positions for the coracohumeral ligament: Strain measurement during passive motion using fresh/frozen cadaver shoulders. The coracohumeral ligament is a fibrous structure that contributes to the stability of the glenohumeral joint by combined action with the rotator cuff muscles, superior glenohumeral ligament, and capsule. In particular, the coracohumeral ligament functions to prevent inferior subluxation of the humeral head,[1. In addition, together with the supraspinatus muscle, subscapularis muscle, superior portion of the glenohumeral ligament, and antero- superior portion of the capsule of the glenohumeral joint, the coracohumeral ligament constitutes the rotator interval. Contracture of the rotator interval has been proved to cause contracture of the glenohumeral joint.[4, 2. Burkart et al[1. 1] reported that the coracohumeral ligament originates from the base of the coracoid process and inserts into both the greater tubercle and lesser tubercle of the humerus. Pouliart et al[2. Tetro et al[2. 6] reported that the coracohumeral ligament was composed of both superficial and deep fibers, and that the superficial fibers insert into the greater tubercle of the humerus and deep fibers insert into the lesser tubercle.[2. Moreover, the fibers inserting into the greater tubercle of the humerus comprise the major fibers of the coracohumeral ligament.[1. In this study, we measured the strain on the superficial fibers of the coracohumeral ligament, which insert into the greater tubercle, using a strain gauge. According to a previous report on the measurement of the tensile properties of the coracohumeral ligament[3. Gagey et al[8], Neer et al[5] and Ozaki et al[7] have reported that patients with refractory shoulder contracture were successfully treated by surgical resection of the coracohumeral ligament. Therefore, the clarification of effective stretching positions for the coracohumeral ligament is important to treat and prevent shoulder joint contracture by physical treatment. Various stretching procedures have been reported for the coracohumeral ligament. Burkart et al[1. 1] reported that the coracohumeral ligament restricted the range of motion of external rotation of the glenohumeral joint at 0 degrees of elevation and 5. Edelson et al[1. 7] reported that the coracohumeral ligament was tight during flexion and external rotation of the glenohumeral joint, and Ferrari[1. In addition to their studies, Kuhn et al[1. Terry et al[1. 6] directly measured strain on the coracohumeral ligament in relation to the range of motion of the glenohumeral joint; however, they did not take slack in the ligament into consideration. In their study, flexion and extension of the shoulder joint or external rotation with 0 degrees of elevation were regarded as effective stretching positions for the coracohumeral ligament. Kelley et al[1. 4] reported that positive strain on the coracohumeral ligament was obtained in external rotation with extension, and external rotation with extension plus adduction of the shoulder joint. In this experiment, a reference length was adopted to measure strain on the coracohumeral ligament. In consequence, positive strain on the coracohumeral ligament was obtained in 9 glenohumeral joint positions; i. These results were consistent with the positions (external rotation at 0° elevation) reported by Burkart et al[1. Terry et al[1. 6] and Edelson et al[1. Table 2) Moreover, positive strain on the coracohumeral ligament obtained during external rotation with extension, and external rotation with extension and adduction of the shoulder joint was reported by Kelley et al[1. Table 2)Table 2. In Vitro Positions of the Glenohumeral Joint for the Strain Measurement of Coracohumeral Ligament and Significant Corresponding In Vivo Stretching Positions of the Shoulder. The strain on the coracohumeral ligament in this study ranged from 4. Although these strain values are compatible with those obtained from the lineal region of a stress- strain curve of a tendon or ligament; in this region micro ruptures in the ligament and tendon occur[3. Bigliani et al[2. Therefore, stretching of the coracohumeral ligament within the range of 4. Stretching procedures obtained from this mechanical study have the potential to stretch the coracohumeral ligament with safety and are thought to be useful for the treatment of shoulder contracture. There are several limitations to this study. First, because the specimens were harvested from aged cadavers, the range of motion and mechanical properties of the specimens might be different from those of specimens from younger adults, with the strain on the ligament observed in the aged cadavers likely to be smaller than that on ligament in younger adults.[4. Second, the interclass coefficient of the measured external rotation angles by the manually application of maximal external rotation at each measurement position was 0. However, it is true that the rotational torque of the shoulder produced by the manual application using grade III mobilization after Kaltenborn's procedure may fluctuate. We will establish a quantitative measurement system for the applied rotational torque of the shoulder joint using a torque gauge in future studies. Third, in this study, though humeral head subluxation was carefully observed by three researchers and no visible and palpable subluxation was detected during experiment, minor translations of the humeral head might have occurred without being noticed.
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