Understanding Pain Beyond the Physical: The Biopsychomotor Model & Emotional Thought in Physiotherapy (For anyone in healthcare—or if you've ever wondered about the "mind-body" connection) Over the past few years, groundbreaking studies have transformed how we understand pain and healing, especially in physiotherapy. Two pivotal models have really shifted the game: 1️⃣ The Biopsychomotor Model of Pain Developed by Michael J. L. Sullivan, this model moves beyond the idea of pain as purely physical. Pain affects our behaviors too—from instinctive reactions like guarding an injury to how we communicate our discomfort to others. This behavioral shift in understanding means that physiotherapists aren’t just treating a sensation; they’re addressing a complex web of behaviors, emotions, and even social interactions. 2️⃣ Emotional Thought and Its Role in Therapy Research by Mary Helen Immordino-Yang and Antonio Damasio dives into how emotions are central to cognition—they aren't just a side note. For patients in physiotherapy, incorporating emotional and social factors could mean better outcomes. It’s not just about exercises but also about creating positive experiences that foster confidence, learning, and motivation. 💡 What this means for physiotherapists: Integrating these models encourages a holistic approach to pain—one that recognizes emotional and social dimensions as part of the healing process. Here’s what this can look like in practice: Encouraging expression: Allowing patients to communicate pain without judgment. Building resilience: Promoting positive reinforcement and empathy. Tailoring interventions: Understanding individual emotional responses, especially for patients prone to catastrophizing or social anxiety. 🧠 Effective physiotherapy isn’t just physical. It’s about reshaping how patients respond to and manage their pain on a deeper level—helping them build resilience and adapt more effectively, ultimately leading to a better quality of life. Curious to hear from other healthcare professionals: How do you integrate emotional support in your practice? P.S. If you found this perspective helpful, consider resharing ♻️ and let’s keep the conversation going.
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Stroke: Physiotherapy Assessment 1. Importance of Assessment -Collects data on movement, impairments, activity restrictions. -Guides intervention planning and clinical decision-making. -Ongoing, patient-centered goal setting. 2. Key Aspects of Assessment -Medical Chart: Stability, readiness for physiotherapy. -Condition: Stroke type, onset, progression. -Investigations: Imaging, tests for assessment planning. -History: Comorbidities, surgeries, medication impacts. 3. Subjective Assessment -Effects on patient’s life, pre-stroke activities, goal setting. 4. Social History -Support structures, living conditions, activity history. 5. Functional Abilities -Personal care, sensory needs, pain, fatigue, patient concerns. 6. Objective Assessment -Examines posture, mobility, impairments. Key Components: -Voluntary Movement: ROM (Passive, Active-Assisted, Active). -Strength: Muscle force (Manual, Functional, Mechanical tests). -Coordination: Smooth movements (Finger-to-Nose, Heel-to-Shin). -Involuntary Movements: Tremor, clonus, chorea, associated reactions. -Tone Abnormalities: Hypotonia, spasticity, rigidity. -Reflexes: DTR, Babinski’s, Hoffmann’s. -Sensation: Light touch, pain, temperature, vibration, proprioception. 7. Sensory Modalities -Light Touch, Pain, Temperature, Vibration, Proprioception. 8. Vision & Hearing -Vision: Essential for balance and movement. -Hearing: Crucial for communication. 9. Functional Activities -Daily tasks, mobility (bed, transfers, balance, gait). 10. Gait Whole-body coordination, efficiency, muscle response, center of gravity. 11. Cognitive Status Attention and orientation for rehabilitation support.
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Telehealth care (physiotherapy) is an essential aspect of managing various musculoskeletal conditions, including lumbar and cervical region pain. When to Start Physical Rehabilitation • For conditions like intervertebral disc prolapse or prolonged back pain, actual physical rehabilitation begins when the acute pain phase is almost over. • Consulting a physical therapist during this phase is crucial. They guide patients through a gradual progression of physical activities. Understanding Physiotherapy • Physiotherapy is not just about multiple treatment sessions. It’s about • Guidance towards better movement • Pain-free living • Improved independence by utilizing physical abilities effectively. Over-Treating and Self-Reliant Management • Over-treatment is not the solution. A well-planned rehabilitation program is essential. • Patients need awareness about self-reliant management plans. Changing Perceptions • Physiotherapy is not always about realignment. It’s about optimizing movement and function. • Chronic pain management will see a shift in approach in the coming years. Online Consultations • Video consultations with physiotherapists can make a significant difference. • Most cases don’t require constant observation or specific treatment techniques. Confidence and exercise prescription play a vital role. Why Choose a Physiotherapist? • Physiotherapists belong to evidence-based modern healthcare. • They spend years educating themselves to provide appropriate exercise guidance during recovery. Trust in Science and Qualified Professionals: • Trust science by relying on qualified professionals for physiotherapy guidance. Physiotherapy is more than just treatment sessions; it’s about empowering patients to achieve pain-free movement and independence. Online consultations can be effective, and trusting qualified physiotherapists is essential for evidence-based care . #telehealthcare #physiotherapy
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The Role of Myofunctional Therapy in Tongue-Tie Treatment: A Collaborative Approach for ENT Specialists Understanding Tongue-Tie Definition: Tongue-tie (ankyloglossia) is a condition where the lingual frenulum is shorter than usual, restricting tongue movement. Prevalence: It affects about 4-10% of newborns and can persist into adulthood if not treated. Impact of Tongue-Tie Infants: Challenges with breastfeeding, potential weight loss, and feeding difficulties. Children: Speech impediments, dental issues, and breathing problems. Adults: Orofacial pain, sleep apnea, and impaired oral functions. Myofunctional Therapy: An Overview Definition: Myofunctional therapy (MT) focuses on improving the function of facial and tongue muscles through targeted exercises. Techniques Used: Includes exercises to enhance tongue mobility, improve swallowing patterns, and optimize orofacial muscle function. Goals: Improve breathing, correct improper tongue function, and enhance overall orofacial function. Benefits of Collaboration for ENT Specialists Comprehensive Care: MT complements surgical interventions (e.g., frenectomy) to enhance outcomes. Patient Satisfaction: Improved patient experiences and satisfaction through holistic treatment approaches. Reduced Recurrence: MT helps prevent reattachment and recurrence of symptoms post-surgery. Practical Steps for Collaboration Referral Process: Establish a streamlined referral system between ENTs and myofunctional therapists. Integrated Treatment Plans: Create joint treatment plans tailored to individual patient needs. Integrating Myofunctional Therapy into tongue-tie treatment plans can significantly improve patients outcome. By working together, we can provide comprehensive, effective care for individuals affected by tongue-tie.
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Understanding Sacroiliac Joint Pain As a physiotherapist, I often encounter patients struggling with sacroiliac joint (SIJ) pain, a condition that can significantly impact daily activities and quality of life. The SIJ connects the sacrum at the base of the spine to the iliac bones of the pelvis, playing a crucial role in weight distribution and movement. Common Causes of SIJ Pain: • Injury or Trauma: Falls or accidents can lead to inflammation or dysfunction. • Poor Posture: Prolonged sitting or standing can contribute to muscle imbalances around the joint. • Pregnancy: Hormonal changes and weight shifts can put extra stress on the SIJ. • Arthritis: Degenerative conditions may lead to joint stiffness and pain. Symptoms to Watch For: • Localized pain in the lower back, buttocks, or hips. • Discomfort during activities like sitting, standing, or climbing stairs. • Pain that may radiate down the leg but does not follow the typical nerve root pattern. Effective Management Strategies: 1. Physiotherapy: Targeted exercises can strengthen the muscles around the SIJ, improve flexibility, and promote better alignment. 2. Manual Therapy: Techniques such as joint mobilization and soft tissue manipulation can alleviate pain and restore function. 3. Education: Understanding body mechanics and ergonomics can help prevent future episodes of pain. 4. Lifestyle Modifications: Maintaining a healthy weight, staying active, and practicing good posture are essential for long-term management.
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Comparison of Clinical Practices and Treatment Preferences by Physical Therapists for Patients of Plantar Fasciitis: Clinical Practices and Treatments by Physical Therapists … Aqsa Faiz, Mubushara Afzal, Malik Osama, Subita Kafeel, Aisha Imran, Bahadur Kanwer The Healer Journal of Physiotherapy and Rehabilitation Sciences 4 (1), 917-926, 2024 Background Plantar fasciitis is a common and disabling condition. it is the most common cause of heel pain accounting for 11 to 15% of all foot symptoms and affects all age groups, genders, and ethnicities, with higher prevalence reported in females between 40 to 60 years. It is usually associated with pain at the calcaneum's anteromedial prominence and activity limitation. Various therapeutic approaches are used in the management of plantar fasciitis. Objective The purpose of this study was to compare the clinical practice and treatment preferences in patients with plantar fasciitis within and after six weeks of the onset of plantar fasciitis using a self-designed questionnaire. Methods This was a cross-sectional survey comprising 100 physical therapists working in different public and private selected clinical settings. Participants were selected through a simple random sampling technique. The study included all participants who were registered physiotherapists actively working in government/private and welfare clinical settings whereas, those physiotherapists who are not working in clinical settings and have not treated plantar fasciitis patients were excluded from the study. After fulfilling the inclusion criteria, informed consent was obtained, and self-designed Performa was filled in. A self-designed questionnaire is used as a data collection tool. It comprised 12 closed-ended questions. Percentages were calculated for all quantitative variables. Descriptive statistics like mean and standard deviation were reported for quantitative variables. Spearman correlation coefficient was applied to assess the association between qualitative variables. Results The results of this study suggested that the use of treatment modalities varied across physiotherapists. Within six weeks of onset, shoe alterations, strengthening exercises, steroid injection, acupuncture, and ultrasound showed significant results whereas, after six weeks of onset, wobble board, cryotherapy, steroid injections, and ultrasound showed significant results. Conclusion The results of this study have highlighted the current level of evidence-based practice and diversity in the diagnosis, management, and treatment of plantar fasciitis used amongst physical therapists according to their clinical experience and availability of treatment modalities. #snsinstitutions #snsdesignthinkers #designthinking
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Experience from 25 Days of Clinical Posting During my 25 days of clinical posting in a physiotherapy clinic, I had the opportunity to gain practical insights into the field of physiotherapy. The experience provided me with hands-on exposure to patient care, therapeutic techniques, and the overall functioning of a physiotherapy unit. One of the most valuable experiences was learning how to assess patients. Each patient who visited the clinic had unique conditions, ranging from musculoskeletal injuries to neurological disorders. I observed the physiotherapists conduct detailed assessments by taking patient history, performing physical examinations, and understanding their pain patterns. This step is critical for devising a customized treatment plan. I realized the importance of identifying the root cause of the problem, as effective treatment relies heavily on accurate diagnosis. I was introduced to various physiotherapy modalities such as therapeutic exercises, manual therapy, electrotherapy, and hydrotherapy. Observing these treatments and their effects on different patients helped me appreciate the versatility of physiotherapy. I also got to see how the combination of manual therapy techniques like soft tissue mobilization and stretching exercises could enhance recovery in conditions like cerebro vascular accident or post-surgical rehabilitation Effective communication between the physiotherapist and the patient is crucial for treatment success. During my posting, I learned how to explain procedures to patients and calm their anxieties, especially for those undergoing therapy for the first time. I observed the importance of empathy and patience, as many patients were dealing with chronic pain and long-term disabilities. Building rapport with the patient often led to better adherence to the treatment regimen. Overall, my 25-day clinical posting in a physiotherapy clinic was an enriching experience. It deepened my understanding of physiotherapy’s role in rehabilitation and patient care. It also enhanced my communication skills and gave me a better grasp of the treatment modalities available for various physical conditions.
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Physiotherapy offers numerous benefits for the geriatric population (Elderly care physiotherapy) , helping to improve their quality of life and maintain independence. Here’s a detailed explanation with pointers and emojis for clarity: 👉🏻Maintaining Mobility 🚶♂️ Physiotherapy helps seniors regain muscle strength, balance, and coordination, which are crucial for walking, mobility, and performing daily tasks. 👉🏻Preventing Falls 🛑 With exercises that enhance strength and balance, physiotherapy reduces the risk of falls, which is a common concern among older adults. 👉🏻Enhancing Independence By improving physical function, physiotherapy enables older adults to perform everyday activities independently, from personal care to household chores. 👉🏻Managing Pain 💊 It provides pain relief from various conditions like arthritis, which is especially beneficial for those who prefer non-pharmacological treatments. 👉🏻Improving Cardio-Respiratory Function ❤️ Exercises in physiotherapy can enhance heart and lung function, contributing to overall health and endurance. 👉🏻Supporting Recovery 🏥 Post-surgery or after a stroke, physiotherapy plays a key role in rehabilitation, helping to restore function and speed up recovery. 👉🏻Preventing Muscle Atrophy 💪 Regular physiotherapy exercises prevent the wasting away of muscles due to inactivity, which is common in the elderly. 👉🏻Promoting Cognitive Function 🧠 Engaging in physical therapy can also help maintain cognitive functions, keeping the mind as active as the body. 👉🏻Customized Care 👩⚕️ Physiotherapists provide personalized care plans, taking into account each individual’s health status and specific needs. 👉🏻Accessible Treatment 🏡 Services can be provided in various settings, including clinics, hospitals, and even at home for those with mobility challenges. Physiotherapy is a valuable resource for the geriatric population, offering a holistic approach to health and well-being. It empowers older adults to live their lives to the fullest, with as much autonomy and functionality as possible. 😊 For Advanced, skilled and personalized physiotherapy treatment Contact Dr. DIPAK SHAH SENIOR PHYSIOTHERAPIST with 20+ years of experience Appointments :9978676570 https://lnkd.in/dy6AKx23
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World Physiotherapy Day is celebrated on September 8 every year. It is a day to recognize the contribution of physiotherapists to the healthcare system and to raise awareness about the benefits of physiotherapy. Physiotherapy, also known as physical therapy, is a healthcare profession that focuses on the assessment, diagnosis, and treatment of disorders and injuries affecting the physical function of the body. Physiotherapists use various techniques, including exercise, manual therapy, and education, to help patients recover from injuries, manage chronic conditions, and improve their overall health and well-being. The theme for World Physiotherapy Day varies each year, but some previous themes have included: - "Add Life to Years" - "Movement for Health" - "Physiotherapy and Mental Health" - "Physiotherapy: The Science of Healing" On World Physiotherapy Day, physiotherapists, patients, and healthcare organizations come together to promote the importance of physiotherapy and its benefits, such as: - Improving mobility and function - Reducing pain and inflammation - Enhancing recovery from injuries and surgery - Preventing chronic diseases - Improving mental health and well-being Let's recognize the valuable work of physiotherapists and promote the benefits of physiotherapy on this World Physiotherapy Day!
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Physiotherapy helps to restore movement and function when someone is affected by injury, illness or disability. It can also help to reduce your risk of injury or illness in the future. It takes a holistic approach that involves the patient directly in their own care https://lnkd.in/dqUTGvRA. What is physiotherapy the study of? The heart of the physiotherapy profession is understanding how and why movement and function take place. Physiotherapy is anchored in movement sciences and aims to enhance or restore function of multiple body systems the treatment of disease, injury, or deformity by physical methods such as massage, heat treatment, and exercise rather than by drugs or surgery. "he was placed on dialysis before undergoing two years of gruelling physiotherapy as he learned to walk again" https://lnkd.in/dyyiWtfY. What can physiotherapy be used for? Physiotherapy is a type of treatment you may need when health problems make it hard to move around and do everyday tasks. It helps you move better and may relieve pain. It also helps improve or restore your physical function and your fitness level. Why do people want to do physiotherapy? Help people Physiotherapy can make invaluable changes to a person's quality of life. Serious health problems like cystic fibrosis and arthritis can be effectively treated with physiotherapy, so having the skills to make this possible is an impressive contribution to society https://lnkd.in/dTjP7yzB.
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The Importance of Differential Diagnosis in Physiotherapy In physiotherapy, differential diagnosis is critical to ensure accurate and effective treatment. Since multiple conditions can present with similar symptoms, identifying the exact cause of pain or dysfunction allows for more targeted interventions. Here’s why it matters: 1. Prevents Misdiagnosis: Hip pain, for example, could stem from osteoarthritis, a labral tear, or even referred pain from the lower back. Without a thorough assessment, the wrong condition could be treated, leading to prolonged discomfort and ineffective care. 2. Better Treatment Plans: Each condition requires a specific treatment approach. For instance, managing femoroacetabular impingement (FAI) will differ from addressing trochanteric bursitis. A correct diagnosis allows the physiotherapist to create a rehabilitation plan that addresses the root cause, optimizing recovery. 3. Improved Patient Outcomes: Accurate diagnosis leads to faster relief from symptoms and more efficient rehabilitation. By targeting the right structures or dysfunctions, patients can regain mobility and function sooner, improving their overall quality of life. 4. Risk Reduction: Misdiagnosis or failure to address the true source of pain can worsen the condition or lead to compensatory injuries. A differential diagnosis helps minimize the risk of further injury. Point to Note ➡️ DDX is the cornerstone of effective physiotherapy care.
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