an online Instagram web viewer

#oldnotweak medias

Photos

DO YOU SHARE RESEARCH WITH YOUR PATIENTS?

I had a patient yesterday that did not want to perform single leg stands. He insisted he couldn’t do it and that he didn’t need too.

This patient, however, does not use an assisted device therefore single leg stance activities are very important for him.

To help with buy in and motivation to perform these activities I went on line and found a research article explaining how single leg stance for 10 secs was the best indicator of fall risk.

I used this article to help explain why if he is not using an assistive device he needs to work on single leg stance with the goal being at least 10 seconds.

After this he agreed. Sometimes patients need more than just our word for it. 
For the link to the article I showed her go to our blog (link in our bio.) And comment below the exercise you find is the most feared by your patients.

#physicaltherapy #physicaltherapist #physicaltherapyassistant #getiatrics #oldnotweak #geriatricpt #geriatricphysicaltherapy #geriatricoccupationaltherapy #geriatricot #occupationaltherapy #occupationaltherapist #PT #OT #thenoteninjas #physicaltherapystudent ##physicaltherapistassistant #physicaltherapistlife #occupationaltherapists #occupationaltherapyassistant #occupationaltherapystudent #getpt1st #physicaltherapytreatment #dptstudent #dpt #physiotherapy #physiotherapist #physio #physiotherapie #physiolife #evidencebased
DO YOU SHARE RESEARCH WITH YOUR PATIENTS? I had a patient yesterday that did not want to perform single leg stands. He insisted he couldn’t do it and that he didn’t need too. This patient, however, does not use an assisted device therefore single leg stance activities are very important for him. To help with buy in and motivation to perform these activities I went on line and found a research article explaining how single leg stance for 10 secs was the best indicator of fall risk. I used this article to help explain why if he is not using an assistive device he needs to work on single leg stance with the goal being at least 10 seconds. After this he agreed. Sometimes patients need more than just our word for it. For the link to the article I showed her go to our blog (link in our bio.) And comment below the exercise you find is the most feared by your patients. #physicaltherapy  #physicaltherapist  #physicaltherapyassistant  #getiatrics  #oldnotweak  #geriatricpt  #geriatricphysicaltherapy  #geriatricoccupationaltherapy  #geriatricot  #occupationaltherapy  #occupationaltherapist  #PT  #OT  #thenoteninjas  #physicaltherapystudent  ##physicaltherapistassistant  #physicaltherapistlife  #occupationaltherapists  #occupationaltherapyassistant  #occupationaltherapystudent  #getpt1st  #physicaltherapytreatment  #dptstudent  #dpt  #physiotherapy  #physiotherapist  #physio  #physiotherapie  #physiolife  #evidencebased 
#Avoid1RMLiving #oldNOTweak

#Repost @seniorrehab (@get_repost)
・・・
Loaded carries.

Great for strength, balance, & LIFE.

Amazingly scalable...even for those that need an assistive device to walk.

Another example echoing Coach Glassman's words - "The needs of an Olympic athlete & our grandparents differ by DEGREE not kind. -@dustinjonespt

#geriPT #ICEphysio #ICEtrained #physiotherapy #physio #crossfit #fallsprevention #balance #fitness @crossfit @crossfithealth
Loaded carries.

Great for strength, balance, & LIFE.

Amazingly scalable...even for those that need an assistive device to walk.

Another example echoing Coach Glassman's words - "The needs of an Olympic athlete & our grandparents differ by DEGREE not kind. ---
My friend will be on @barbellpysio's level before you know it 😏 #oldNOTweak --- -@dustinjonespt

#geriPT #ICEphysio #ICEtrained #physiotherapy #physio #crossfit #fallsprevention #balance #fitness
HOW ARE YOUR ASSESSMENT STATEMENTS?

When writing an assessment statement make sure it is detailed, shows your skill and is functional. • Examples of POOR Assessment Statements: • Gains are increased distance with ambulation and improvement of caregiver being able to assist patient secondary to progressing dementia symptoms. • For this assessment you would want to add the distance ambulated and where they can get to now. • Skilled care is required to continue with skilled PT or OT to improve quality of life and reduce amount of assistance required from caregiver. • For this assessment it is too global of a statement (make it more specific) and make sure to add in function. • Examples of GOOD Assessment Statements: • Pt with slow progression secondary to hindrance to rate of recovery and poor carryover of skilled training with transfers and ambulation secondary to poor cognition, frequent mood fluctuations causing low motivation at times due to progressing dementia. • Pt’s hindrances of rate of recovery and poor carryover are being addressed with frequent verbal and tactile cueing with ambulation and transfers, frequent caregiver education regarding dementia symptoms, support groups and social worker services.

Also did you know we have all of our posts with increased information on our blog!!! It is much easier to find the information you are looking for that way. Go to the link in our bio to check it out 🙌🏻 And make sure to tag a friend in this post! We are getting so much good feedback your friend will love you for sharing this info with them.

#physicaltherapy #physicaltherapist #physicaltherapyassistant #getiatrics #oldnotweak #geriatricpt #geriatricphysicaltherapy #geriatricoccupationaltherapy #geriatricot #occupationaltherapy #occupationaltherapist #PT #OT #thenoteninjas #physicaltherapystudent ##physicaltherapistassistant #physicaltherapistlife #occupationaltherapists #occupationaltherapyassistant #occupationaltherapystudent #getpt1st #physicaltherapytreatment #dptstudent #dpt #physiotherapy #physiotherapist #physio #physiotherapie #physiolife #evidencebased
HOW ARE YOUR ASSESSMENT STATEMENTS? When writing an assessment statement make sure it is detailed, shows your skill and is functional. • Examples of POOR Assessment Statements: • Gains are increased distance with ambulation and improvement of caregiver being able to assist patient secondary to progressing dementia symptoms. • For this assessment you would want to add the distance ambulated and where they can get to now. • Skilled care is required to continue with skilled PT or OT to improve quality of life and reduce amount of assistance required from caregiver. • For this assessment it is too global of a statement (make it more specific) and make sure to add in function. • Examples of GOOD Assessment Statements: • Pt with slow progression secondary to hindrance to rate of recovery and poor carryover of skilled training with transfers and ambulation secondary to poor cognition, frequent mood fluctuations causing low motivation at times due to progressing dementia. • Pt’s hindrances of rate of recovery and poor carryover are being addressed with frequent verbal and tactile cueing with ambulation and transfers, frequent caregiver education regarding dementia symptoms, support groups and social worker services. Also did you know we have all of our posts with increased information on our blog!!! It is much easier to find the information you are looking for that way. Go to the link in our bio to check it out 🙌🏻 And make sure to tag a friend in this post! We are getting so much good feedback your friend will love you for sharing this info with them. #physicaltherapy  #physicaltherapist  #physicaltherapyassistant  #getiatrics  #oldnotweak  #geriatricpt  #geriatricphysicaltherapy  #geriatricoccupationaltherapy  #geriatricot  #occupationaltherapy  #occupationaltherapist  #PT  #OT  #thenoteninjas  #physicaltherapystudent  ##physicaltherapistassistant  #physicaltherapistlife  #occupationaltherapists  #occupationaltherapyassistant  #occupationaltherapystudent  #getpt1st  #physicaltherapytreatment  #dptstudent  #dpt  #physiotherapy  #physiotherapist  #physio  #physiotherapie  #physiolife  #evidencebased 
Old ?? Maybe but not weak.. 500 reps for one set.. #poulmartinussen #bodybuilding #oldschool #fitness #newergiveup #bigfather #oldnotweak
Avoid one rep max living - Dustin Jones

Say you want to lift your laundry basket. It‘s 10lbs. The max you are able to lift is 11lbs. You‘re working at over 90% capacity for that task! 😳 That is highly fatiguing, it is not repeatable and biomechanically we might argue that we worry more about injuries under fatigue at max load than sub max loads. 
Now imagine your were able to lift 50lbs off the floor, which is a completely reasonable expectation for 👵🏼 60-80 year old females (makes even more). Now your are lifting your laundry at just 20% of your capacity.

Fatigue goes down, repeatability goes up, quality of life also improves! Reserve and resilience is increased. Vulnerability is decreased.

Great post from @christina_prevett 🙏🏼
Changed it a little bit, hope that’s all right! 😉

@dustinjonespt @icephysio @seniorrehab 
#resistancetraining #bodybuilding #training #rehab #workout #fitness #fitspo #physio #quotes #oldnotweak #crossfit #science #physiotherapy #sport #motivation #lifting #education #health
Avoid one rep max living - Dustin Jones Say you want to lift your laundry basket. It‘s 10lbs. The max you are able to lift is 11lbs. You‘re working at over 90% capacity for that task! 😳 That is highly fatiguing, it is not repeatable and biomechanically we might argue that we worry more about injuries under fatigue at max load than sub max loads. Now imagine your were able to lift 50lbs off the floor, which is a completely reasonable expectation for 👵🏼 60-80 year old females (makes even more). Now your are lifting your laundry at just 20% of your capacity. Fatigue goes down, repeatability goes up, quality of life also improves! Reserve and resilience is increased. Vulnerability is decreased. Great post from @christina_prevett 🙏🏼 Changed it a little bit, hope that’s all right! 😉 @dustinjonespt @icephysio @seniorrehab #resistancetraining  #bodybuilding  #training  #rehab  #workout  #fitness  #fitspo  #physio  #quotes  #oldnotweak  #crossfit  #science  #physiotherapy  #sport  #motivation  #lifting  #education  #health 
Low-load resistance training accompanied by Blood Flow Restriction (BFRE) is an effective tool to slow the age-related decline in function according to a new review and meta analysis. (1)
.
BFRE has shown to promote muscular adaptations in different populations and reviews report an acceptable level of safety for BFRE for older age populations. (2)
.
In the figure you can see a forest plot (last part of the video). It displays the effect size of BFRE compared to High-Load training for both strength and muscle mass, respectively. (1)
.
BFRE is an alternative for older populations, for whom traditional training might be contraindicated due to comorbidities such as arthritis where high mechanical stress on the joints is not tolerated. (1)
.
Conclusion: BFRE are an effective training modality for counteracting the age-related decline in muscle mass, strength and function. (1,2)
.
(1) Centner et al. 2018 - Effects of Blood Flow Restriction Training on Muscular Strength and Hypertrophy in Older Individuals - A Systematic Review and Meta-Analysis
.
(2) Loenneke et al. 2012 - Potential safety issues with blood flow restriction training
.
#fitcuffs #inocera #occlusiontraining #bloodflowrestriction #rehab #okklusionstræning #sarcopenia #rehabscience #ocklusionsträning #okklusjonstrening #fisio #fisioterapia #bfre #bfr #oldnotweak #strenght #hypertrophy #effectsize #review #fysioterapi #styrkeløft #metaanalysis #musclegrowth #arthritis #exercisephysiology #strongbyscience #physio #personligtræning #personligtræning #bfrbands #trening
Low-load resistance training accompanied by Blood Flow Restriction (BFRE) is an effective tool to slow the age-related decline in function according to a new review and meta analysis. (1) . BFRE has shown to promote muscular adaptations in different populations and reviews report an acceptable level of safety for BFRE for older age populations. (2) . In the figure you can see a forest plot (last part of the video). It displays the effect size of BFRE compared to High-Load training for both strength and muscle mass, respectively. (1) . BFRE is an alternative for older populations, for whom traditional training might be contraindicated due to comorbidities such as arthritis where high mechanical stress on the joints is not tolerated. (1) . Conclusion: BFRE are an effective training modality for counteracting the age-related decline in muscle mass, strength and function. (1,2) . (1) Centner et al. 2018 - Effects of Blood Flow Restriction Training on Muscular Strength and Hypertrophy in Older Individuals - A Systematic Review and Meta-Analysis . (2) Loenneke et al. 2012 - Potential safety issues with blood flow restriction training . #fitcuffs  #inocera  #occlusiontraining  #bloodflowrestriction  #rehab  #okklusionstræning  #sarcopenia  #rehabscience  #ocklusionsträning  #okklusjonstrening  #fisio  #fisioterapia  #bfre  #bfr  #oldnotweak  #strenght  #hypertrophy  #effectsize  #review  #fysioterapi  #styrkeløft  #metaanalysis  #musclegrowth  #arthritis  #exercisephysiology  #strongbyscience  #physio  #personligtræning  #personligtræning  #bfrbands  #trening 
What age to start and stop weight lifting?⁣
⁣
Its a question under heated debate which is often marred by myth, fear and old evidence.⁣
⁣
In my most recent blogs, I break down from one end of the spectrum to the other of what is safe, using recent evidence.⁣
⁣
Check out my profile for a link to the blog.

#fundamentalphysio #physiotherapy #physicaltherapy #fitness #weightlifting #strengthtraining #gym #functionalfitness #crossfit #oldnotweak #trainforlife #injuryprevention #deadlifts #squats #physioswholift #strongatanyage #liftheavy
What age to start and stop weight lifting?⁣ ⁣ Its a question under heated debate which is often marred by myth, fear and old evidence.⁣ ⁣ In my most recent blogs, I break down from one end of the spectrum to the other of what is safe, using recent evidence.⁣ ⁣ Check out my profile for a link to the blog. #fundamentalphysio  #physiotherapy  #physicaltherapy  #fitness  #weightlifting  #strengthtraining  #gym  #functionalfitness  #crossfit  #oldnotweak  #trainforlife  #injuryprevention  #deadlifts  #squats  #physioswholift  #strongatanyage  #liftheavy 
When teaching your patient proper body mechanics and trying to increase their safety awareness, sometimes verbal instructions are simply not enough.  We need to think out of the box in order for them to understand correct body mechanics and safety techniques for their functional activities.

For this activity, you can print pictures online of correct and incorrect positioning and body mechanics.  Then, have your patients flip over the picture that shows the incorrect way of performing an activity until only the correct pictures are facing up. 
This is a great activity to have your patient perform during their initial evaluation in order for you to gain insight into their safety awareness.  You can even turn it into a goal by writing “patient will score 5/5 on safety awareness activity in 90 days in order to decrease falls risk.” ✨We are curious… how do you address decreased safety awareness with your client? 🤔Comment below👇🏼 We would love to hear from you!

#physicaltherapy #physicaltherapist #physicaltherapyassistant #getiatrics #oldnotweak #geriatricpt #geriatricphysicaltherapy #geriatricoccupationaltherapy #geriatricot #occupationaltherapy #occupationaltherapist #PT #OT #thenoteninjas #physicaltherapystudent ##physicaltherapistassistant #physicaltherapistlife #occupationaltherapists #occupationaltherapyassistant #occupationaltherapystudent #getpt1st #physicaltherapytreatment #dptstudent #dpt #physiotherapy #physiotherapist #physio #physiotherapie #physiolife #evidencebased
When teaching your patient proper body mechanics and trying to increase their safety awareness, sometimes verbal instructions are simply not enough. We need to think out of the box in order for them to understand correct body mechanics and safety techniques for their functional activities. For this activity, you can print pictures online of correct and incorrect positioning and body mechanics. Then, have your patients flip over the picture that shows the incorrect way of performing an activity until only the correct pictures are facing up. This is a great activity to have your patient perform during their initial evaluation in order for you to gain insight into their safety awareness. You can even turn it into a goal by writing “patient will score 5/5 on safety awareness activity in 90 days in order to decrease falls risk.” ✨We are curious… how do you address decreased safety awareness with your client? 🤔Comment below👇🏼 We would love to hear from you! #physicaltherapy  #physicaltherapist  #physicaltherapyassistant  #getiatrics  #oldnotweak  #geriatricpt  #geriatricphysicaltherapy  #geriatricoccupationaltherapy  #geriatricot  #occupationaltherapy  #occupationaltherapist  #PT  #OT  #thenoteninjas  #physicaltherapystudent  ##physicaltherapistassistant  #physicaltherapistlife  #occupationaltherapists  #occupationaltherapyassistant  #occupationaltherapystudent  #getpt1st  #physicaltherapytreatment  #dptstudent  #dpt  #physiotherapy  #physiotherapist  #physio  #physiotherapie  #physiolife  #evidencebased 
#oldNOTweak on display here this evening!

Here in the SRP group we talk so much about the importance of major #functional movements like #squats and #deadlifts and just wanted to emphasize the importance of implementing these ideas into practice and just how amazing people are.... I mean look at those body mechanics at 80!

We started with the object on the stairs but now she’s moving through full range. 💥Don’t be afraid to challenge your patients💥- they might be surprised themselves!  @kuhnalys
#oldNOTweak  on display here this evening! Here in the SRP group we talk so much about the importance of major #functional  movements like #squats  and #deadlifts  and just wanted to emphasize the importance of implementing these ideas into practice and just how amazing people are.... I mean look at those body mechanics at 80! We started with the object on the stairs but now she’s moving through full range. 💥Don’t be afraid to challenge your patients💥- they might be surprised themselves! @kuhnalys
At Hyland Physical Therapy and Wellness we are proud to be a 5-star business, that’s a ⭐️⭐️⭐️⭐️⭐️ business as rated by our clients on Google‼️⁣
⁣
Call today for a free consultation❗️⁣
⁣
👉🏻918-251-7199
At Hyland Physical Therapy and Wellness we are proud to be a 5-star business, that’s a ⭐️⭐️⭐️⭐️⭐️ business as rated by our clients on Google‼️⁣ ⁣ Call today for a free consultation❗️⁣ ⁣ 👉🏻918-251-7199
HOW TO AVOID A LAWSUIT

These days fear of being sued is a big discussion in the medical community. I don’t want to get into how sad I think it is we have to worry about this while doing our job (if we know we are doing what is best for our patients.) But it happens 😢

To help avoid your chances of being sued make sure you are doing the following: • Work on establishing a good relationship with all of your patients. Make sure to listen to them. Treat them like a friend. Really get to know them and establish a trust between you.
• Document and code services appropriately. Rember write your notes like they are being read in court.
• Make sure you have liability insurance (it was recommended to me to carry extra insurance even though my company provides it by someone who was sued before.)
• Ask them their goals and have them agree with all goals established for them.
• Be invested in their outcome.

And of course document your skill and how your patient responded! Go to the link in our bio for tips on that!! Comment below if being sued is something you think about (even occasionally) when working with patients 👇🏻👇🏻👇🏻
HOW TO AVOID A LAWSUIT These days fear of being sued is a big discussion in the medical community. I don’t want to get into how sad I think it is we have to worry about this while doing our job (if we know we are doing what is best for our patients.) But it happens 😢 To help avoid your chances of being sued make sure you are doing the following: • Work on establishing a good relationship with all of your patients. Make sure to listen to them. Treat them like a friend. Really get to know them and establish a trust between you. • Document and code services appropriately. Rember write your notes like they are being read in court. • Make sure you have liability insurance (it was recommended to me to carry extra insurance even though my company provides it by someone who was sued before.) • Ask them their goals and have them agree with all goals established for them. • Be invested in their outcome. And of course document your skill and how your patient responded! Go to the link in our bio for tips on that!! Comment below if being sued is something you think about (even occasionally) when working with patients 👇🏻👇🏻👇🏻
🙌🏽 This is why strength training at every age is important!  #Repost @staveoff with @get_repost
・・・
People often ask us why we advocate so strongly for heavier loading for my clients over the age of 50 (or 60, or 70, or 80). Dustin Jones said it beautifully today in the course. We are trying to stop the world of max rep living in our older clients. What do we mean by this. •
•
Say you want to lift your laundry basket. It’s 10 lbs. The max your client can lift is 11 lbs. You’re working at over 90% capacity for that task. That is highly fatiguing, it is not repeatable and biomechanically we might argue that we worry more about injuries under fatigue/max load than sub maximal loads. Now imagine that same client can lift 50 lbs off the floor (a completely reasonable expectation for my 60-80 year old female clients). Now she is working at 20% capacity. •
•
Fatigue goes down, repeatability goes up, quality of life also improves? Reserve and resilience is increased. Vulnerability is decreased. #missionaccomplished
#oldnotweak #physio #strongateveryage #strongatanyage #geriPT #weightlifting #olderadult
🙌🏽 This is why strength training at every age is important! #Repost  @staveoff with @get_repost ・・・ People often ask us why we advocate so strongly for heavier loading for my clients over the age of 50 (or 60, or 70, or 80). Dustin Jones said it beautifully today in the course. We are trying to stop the world of max rep living in our older clients. What do we mean by this. • • Say you want to lift your laundry basket. It’s 10 lbs. The max your client can lift is 11 lbs. You’re working at over 90% capacity for that task. That is highly fatiguing, it is not repeatable and biomechanically we might argue that we worry more about injuries under fatigue/max load than sub maximal loads. Now imagine that same client can lift 50 lbs off the floor (a completely reasonable expectation for my 60-80 year old female clients). Now she is working at 20% capacity. • • Fatigue goes down, repeatability goes up, quality of life also improves? Reserve and resilience is increased. Vulnerability is decreased. #missionaccomplished  #oldnotweak  #physio  #strongateveryage  #strongatanyage  #geriPT  #weightlifting  #olderadult 
We haven't realized the full benefits of exercise ACROSS THE LIFESPAN.

Pretty fascinating to see the power of #MOVE. #oldNOTweak

#Repost @seniorrehab
・・・
We've had at least a dozen people send us this @npr piece this morning.

Y'all already know exercise is GOOD...but I think we're just scratching the service on how GOOD it can be when performed over a lifespan.

A new breed of older adult is rising that is showing us that "Normal Aging" as we perceive it now may just be deconditioning.  Yes, there will be decline...but how much?

Fascinating stuff. h/t to @christina_prevett who speaks to this well in her Masters Athlete lecture.

#fitness #prevention #strengthtraining #oldNOTweak #physiotherapy #physio @icephysio
We haven't realized the full benefits of exercise ACROSS THE LIFESPAN. Pretty fascinating to see the power of #MOVE . #oldNOTweak  #Repost  @seniorrehab ・・・ We've had at least a dozen people send us this @npr piece this morning. Y'all already know exercise is GOOD...but I think we're just scratching the service on how GOOD it can be when performed over a lifespan. A new breed of older adult is rising that is showing us that "Normal Aging" as we perceive it now may just be deconditioning. Yes, there will be decline...but how much? Fascinating stuff. h/t to @christina_prevett who speaks to this well in her Masters Athlete lecture. #fitness  #prevention  #strengthtraining  #oldNOTweak  #physiotherapy  #physio  @icephysio
We've had at least a dozen people send us this @npr piece this morning.

Y'all already know exercise is GOOD...but I think we're just scratching the service on how GOOD it can be when performed over a lifespan.

A new breed of older adult is rising that is showing us that "Normal Aging" as we perceive it now may just be deconditioning.  Yes, there will be decline...but how much?

Fascinating stuff. h/t to @christina_prevett who speaks to this well in her Masters Athlete lecture.

#fitness #prevention #strengthtraining #oldNOTweak #physiotherapy #physio @icephysio
We've had at least a dozen people send us this @npr piece this morning. Y'all already know exercise is GOOD...but I think we're just scratching the service on how GOOD it can be when performed over a lifespan. A new breed of older adult is rising that is showing us that "Normal Aging" as we perceive it now may just be deconditioning. Yes, there will be decline...but how much? Fascinating stuff. h/t to @christina_prevett who speaks to this well in her Masters Athlete lecture. #fitness  #prevention  #strengthtraining  #oldNOTweak  #physiotherapy  #physio  @icephysio
#Repost @motuspt
・・・
BFR isn’t just for athletes. In #rehab, it’s an adaptable adjunct to therapeutic #exercise for many populations including the #aging and elderly. 👵🏻🧓🏻
Using BFR with #walking is a simple and effective way to build exercise tolerance, gain #musclemass and improve safety and independence in the #community and at #home.
🚶🏼‍♂️🚶🏽‍♀️
#oldnotweak #bfrtraining #bloodflowrestriction #bloodflowrestrictiontraining #dptstudent #physiotherapy #physicaltherapy #elderly
#Repost  @motuspt ・・・ BFR isn’t just for athletes. In #rehab , it’s an adaptable adjunct to therapeutic #exercise  for many populations including the #aging  and elderly. 👵🏻🧓🏻 Using BFR with #walking  is a simple and effective way to build exercise tolerance, gain #musclemass  and improve safety and independence in the #community  and at #home . 🚶🏼‍♂️🚶🏽‍♀️ #oldnotweak  #bfrtraining  #bloodflowrestriction  #bloodflowrestrictiontraining  #dptstudent  #physiotherapy  #physicaltherapy  #elderly 
#Repost @motuspt with @get_repost
・・・
BFR isn’t just for athletes. In #rehab, it’s an adaptable adjunct to therapeutic #exercise for many populations including the #aging and elderly. 👵🏻🧓🏻
Using BFR with #walking is a simple and effective way to build exercise tolerance, gain #musclemass and improve safety and independence in the #community and at #home.
🚶🏼‍♂️🚶🏽‍♀️
#oldnotweak #bfrtraining #bloodflowrestriction #bloodflowrestrictiontraining #dptstudent #physiotherapy #physicaltherapy #elderly
#Repost  @motuspt with @get_repost ・・・ BFR isn’t just for athletes. In #rehab , it’s an adaptable adjunct to therapeutic #exercise  for many populations including the #aging  and elderly. 👵🏻🧓🏻 Using BFR with #walking  is a simple and effective way to build exercise tolerance, gain #musclemass  and improve safety and independence in the #community  and at #home . 🚶🏼‍♂️🚶🏽‍♀️ #oldnotweak  #bfrtraining  #bloodflowrestriction  #bloodflowrestrictiontraining  #dptstudent  #physiotherapy  #physicaltherapy  #elderly 
People often ask us why we advocate so strongly for heavier loading for my clients over the age of 50 (or 60, or 70, or 80). Dustin Jones said it beautifully today in the course. We are trying to stop the world of max rep living in our older clients. What do we mean by this. •
•
Say you want to lift your laundry basket. It’s 10 lbs. The max your client can lift is 11 lbs. You’re working at over 90% capacity for that task. That is highly fatiguing, it is not repeatable and biomechanically we might argue that we worry more about injuries under fatigue/max load than sub maximal loads. Now imagine that same client can lift 50 lbs off the floor (a completely reasonable expectation for my 60-80 year old female clients). Now she is working at 20% capacity. •
•
Fatigue goes down, repeatability goes up, quality of life also improves? Reserve and resilience is increased. Vulnerability is decreased. #missionaccomplished.
#oldnotweak #physio #kingstonphysio #ygkfitness #geriPT #weightlifting #olderadult
People often ask us why we advocate so strongly for heavier loading for my clients over the age of 50 (or 60, or 70, or 80). Dustin Jones said it beautifully today in the course. We are trying to stop the world of max rep living in our older clients. What do we mean by this. • • Say you want to lift your laundry basket. It’s 10 lbs. The max your client can lift is 11 lbs. You’re working at over 90% capacity for that task. That is highly fatiguing, it is not repeatable and biomechanically we might argue that we worry more about injuries under fatigue/max load than sub maximal loads. Now imagine that same client can lift 50 lbs off the floor (a completely reasonable expectation for my 60-80 year old female clients). Now she is working at 20% capacity. • • Fatigue goes down, repeatability goes up, quality of life also improves? Reserve and resilience is increased. Vulnerability is decreased. #missionaccomplished . #oldnotweak  #physio  #kingstonphysio  #ygkfitness  #geriPT  #weightlifting  #olderadult 
#Repost @motuspt
・・・
BFR isn’t just for athletes. In #rehab, it’s an adaptable adjunct to therapeutic #exercise for many populations including the #aging and elderly. 👵🏻🧓🏻
Using BFR with #walking is a simple and effective way to build exercise tolerance, gain #musclemass and improve safety and independence in the #community and at #home.
🚶🏼‍♂️🚶🏽‍♀️
We have a video of this in use on the website! Link in bio ✌🏼✌🏼
http://proptgroup.com/what-is-it-with-blood-flow-restrictive-training/

#oldnotweak #bfrtraining #bloodflowrestriction #bloodflowrestrictiontraining #dptstudent #physiotherapy #physicaltherapy #elderly
#Repost  @motuspt ・・・ BFR isn’t just for athletes. In #rehab , it’s an adaptable adjunct to therapeutic #exercise  for many populations including the #aging  and elderly. 👵🏻🧓🏻 Using BFR with #walking  is a simple and effective way to build exercise tolerance, gain #musclemass  and improve safety and independence in the #community  and at #home . 🚶🏼‍♂️🚶🏽‍♀️ We have a video of this in use on the website! Link in bio ✌🏼✌🏼 http://proptgroup.com/what-is-it-with-blood-flow-restrictive-training/ #oldnotweak  #bfrtraining  #bloodflowrestriction  #bloodflowrestrictiontraining  #dptstudent  #physiotherapy  #physicaltherapy  #elderly 
Good Monday Morning to all!

I ❤️ this quote, because I believe it is 💯% true!

Often, whether it’s starting a project, setting goals, or taking steps to fulfill your life’s dreams, it can seem impossible. This picture of the beach 🏝 is personally motivating for me, as I grew up seeing this every day and want to return to it as part of my big goals for the future. 
Getting started is always the first step and starting with what is truly necessary. If you are seeking a transformation in your life, due to pain 😩, immobility 🚷, or from lack of knowing where to start 🤷🏻‍♂️, Hyland Physical Therapy and Wellness is there for you! 
So, let’s go out there and do the impossible! 👊🏻👍🏻💪🏻💥🔥 #motivationmonday #IworkforPatients #physicaltherapist #physicaltherapy #physiotherapist #physiotherapy #manualtherapy #myofascialrelease #ceeaa #oldNOTweak #beempowered #activeaging #successfulaging #geriatricpt
Good Monday Morning to all! I ❤️ this quote, because I believe it is 💯% true! Often, whether it’s starting a project, setting goals, or taking steps to fulfill your life’s dreams, it can seem impossible. This picture of the beach 🏝 is personally motivating for me, as I grew up seeing this every day and want to return to it as part of my big goals for the future. Getting started is always the first step and starting with what is truly necessary. If you are seeking a transformation in your life, due to pain 😩, immobility 🚷, or from lack of knowing where to start 🤷🏻‍♂️, Hyland Physical Therapy and Wellness is there for you! So, let’s go out there and do the impossible! 👊🏻👍🏻💪🏻💥🔥 #motivationmonday  #IworkforPatients  #physicaltherapist  #physicaltherapy  #physiotherapist  #physiotherapy  #manualtherapy  #myofascialrelease  #ceeaa  #oldNOTweak  #beempowered  #activeaging  #successfulaging  #geriatricpt 
What a weekend! Solid group of clinicians. Thanks again @housefitstl
@bethtemplin!! Repost @icephysio (@get_repost)
・・・
What a weekend at @housefitstl! Can't thank @bethtemplin & her crew enough for having us out for the Modern Management of the Older Adult course.

LOTS of great discussion, conversations, & #DEADLIFTS.

Working to change the face of #geriPT 
#oldnotweak #physio #physiotherapy #fitness #kettlebell #barbell #rehab
What a weekend! Solid group of clinicians. Thanks again @housefitstl @bethtemplin!! Repost @icephysio (@get_repost) ・・・ What a weekend at @housefitstl! Can't thank @bethtemplin & her crew enough for having us out for the Modern Management of the Older Adult course. LOTS of great discussion, conversations, & #DEADLIFTS . Working to change the face of #geriPT  #oldnotweak  #physio  #physiotherapy  #fitness  #kettlebell  #barbell  #rehab 
SOLID group in STL 👌👌 #Repost @icephysio
・・・
What a weekend at @housefitstl! Can't thank @bethtemplin & her crew enough for having us out for the Modern Management of the Older Adult course.

LOTS of great discussion, conversations, & #DEADLIFTS.

Working to change the face of #geriPT 
#oldnotweak #physio #physiotherapy #fitness #kettlebell #barbell #rehab
What a weekend at @housefitstl! Can't thank @bethtemplin & her crew enough for having us out for the Modern Management of the Older Adult course.

LOTS of great discussion, conversations, & #DEADLIFTS.

Working to change the face of #geriPT 
#oldnotweak #physio #physiotherapy #fitness #kettlebell #barbell #rehab
#Deadlifts for Older Adults!? You bet. These #geriPT clinicians are learning how at @icephysio Modern Management of the Older Course.

They're not for everyone (ie Osteoporosis & vert Fx risk, etc) but good for MANY.

There are ways to modify this movement to reduce RISK & maximize REWARD.

We need to end Max Rep Living (see @christina_prevett's recent post)....#Deadlifts are a great way to do that.

#oldNOTweak
#End1RMLiving
#physicaltherapy #physiotherapy #mmoa
#Deadlifts  for Older Adults!? You bet. These #geriPT  clinicians are learning how at @icephysio Modern Management of the Older Course. They're not for everyone (ie Osteoporosis & vert Fx risk, etc) but good for MANY. There are ways to modify this movement to reduce RISK & maximize REWARD. We need to end Max Rep Living (see @christina_prevett's recent post)....#Deadlifts  are a great way to do that. #oldNOTweak  #End1RMLiving  #physicaltherapy  #physiotherapy  #mmoa 
BFR isn’t just for athletes. In #rehab, it’s an adaptable adjunct to therapeutic #exercise for many populations including the #aging and elderly. 👵🏻🧓🏻
Using BFR with #walking is a simple and effective way to build exercise tolerance, gain #musclemass and improve safety and independence in the #community and at #home.
🚶🏼‍♂️🚶🏽‍♀️
#oldnotweak #bfrtraining #bloodflowrestriction #bloodflowrestrictiontraining #dptstudent #physiotherapy #physicaltherapy #elderly
BFR isn’t just for athletes. In #rehab , it’s an adaptable adjunct to therapeutic #exercise  for many populations including the #aging  and elderly. 👵🏻🧓🏻 Using BFR with #walking  is a simple and effective way to build exercise tolerance, gain #musclemass  and improve safety and independence in the #community  and at #home . 🚶🏼‍♂️🚶🏽‍♀️ #oldnotweak  #bfrtraining  #bloodflowrestriction  #bloodflowrestrictiontraining  #dptstudent  #physiotherapy  #physicaltherapy  #elderly 
#Repost @icephysio (@get_repost)
・・・
Modern Management of the Older Adult at @housefitstl is rockin!

Finishing the morning with a nice little WoD using some key functional measures we use in #geriPT.

Not your grandma's #geriPT course.

Now on to #Deadlifts & #Squats!

#oldNOTweak #BuildTheBike
#Repost  @icephysio (@get_repost) ・・・ Modern Management of the Older Adult at @housefitstl is rockin! Finishing the morning with a nice little WoD using some key functional measures we use in #geriPT . Not your grandma's #geriPT  course. Now on to #Deadlifts  & #Squats ! #oldNOTweak  #BuildTheBike 
Modern Management of the Older Adult at @housefitstl is rockin!

Finishing the morning with a nice little WoD using some key functional measures we use in #geriPT.

Not your grandma's #geriPT course.

Now on to #Deadlifts & #Squats!

#oldNOTweak #BuildTheBike
Do you participate in journal clubs? No? Well you should!  Our professions thrive on being able to provide evidence-based practice.  One of the best ways to to get up to date research is to participate in frequent journal clubs on various topics with other physical and occupational therapists. 
We like to attend journal clubs monthly with other clinicians on our team or with our students.  If you are a member of your national association (AOTA or APTA) you should have access to tons of free research articles. 
You can meet in your facility, a local coffee shop or hold a phone conference. 
Journal clubs are an easy way to learn about current practice trends.  It is important to document in your treatment sessions that your treatments are supported by research.  This will also help you to produce better outcomes for your patients. 
When hosting a journal club, you take on a leadership role and facilitate the article discussion.  You or another member of your group will take notes on your key takeaway points and then send them to the other members of the group afterwards. ✨Have you read any good research articles recently for your journal club?  We want to hear about it! Comment below.
Do you participate in journal clubs? No? Well you should! Our professions thrive on being able to provide evidence-based practice. One of the best ways to to get up to date research is to participate in frequent journal clubs on various topics with other physical and occupational therapists. We like to attend journal clubs monthly with other clinicians on our team or with our students. If you are a member of your national association (AOTA or APTA) you should have access to tons of free research articles. You can meet in your facility, a local coffee shop or hold a phone conference. Journal clubs are an easy way to learn about current practice trends. It is important to document in your treatment sessions that your treatments are supported by research. This will also help you to produce better outcomes for your patients. When hosting a journal club, you take on a leadership role and facilitate the article discussion. You or another member of your group will take notes on your key takeaway points and then send them to the other members of the group afterwards. ✨Have you read any good research articles recently for your journal club? We want to hear about it! Comment below.
#Repost @seniorrehab (@get_repost)
・・・
After a terribly unproductive #HomeHealthPT day, got to end the week on a high note with a powerful lesson learned. 
This is my buddy. 85 y.o. Marine. L BKA during #KoreanWar

He's been glued to his power wheelchair for the past year. Generally deconditioned. Him & his family were concerned.

After 6 weeks...his power wheelchair serves as extra seating.

What'd we do? 🤔

Nothing fancy. Progressive exercise and a whole lot of #HopeDealing 💪

He lost hope. He thought he was destined to use his power WC for the rest of his life DESPITE having the capacity to improve. 😮

All it took was for a team of #HomeHealth clinicians to give him permission to challenge himself & guide him on this rehab journey in a safe/thoughtful manner. Now this guy's off to the races.

#HopeDealer #GeriPT #HomeHealthPT #physicaltherapy #physiotherapy  #oldnotweak #physio
#Repost  @seniorrehab (@get_repost) ・・・ After a terribly unproductive #HomeHealthPT  day, got to end the week on a high note with a powerful lesson learned. This is my buddy. 85 y.o. Marine. L BKA during #KoreanWar  He's been glued to his power wheelchair for the past year. Generally deconditioned. Him & his family were concerned. After 6 weeks...his power wheelchair serves as extra seating. What'd we do? 🤔 Nothing fancy. Progressive exercise and a whole lot of #HopeDealing  💪 He lost hope. He thought he was destined to use his power WC for the rest of his life DESPITE having the capacity to improve. 😮 All it took was for a team of #HomeHealth  clinicians to give him permission to challenge himself & guide him on this rehab journey in a safe/thoughtful manner. Now this guy's off to the races. #HopeDealer  #GeriPT  #HomeHealthPT  #physicaltherapy  #physiotherapy  #oldnotweak  #physio 
#Repost @thebarbellphysio with @get_repost
・・・
"The needs of an #Olympic Athlete & our Grandparents differ by DEGREE...not KIND." -Coach Glassman @crossfithealth @crossfit @crossfittraining 
#physiotherapy 
#physicaltherapy 
#crossfit
#homehealthPT
#fitness
#oldNOTweak
#mmoa
#Repost @thebarbellphysio with @get_repost
・・・
"The needs of an #Olympic Athlete & our Grandparents differ by DEGREE...not KIND." -Coach Glassman @crossfithealth @crossfit @crossfittraining

Repost @seniorrehab

rEMOM 10'
💪10m of Pushing Walker (Brakes On focusing on speed) w. 13# KB
💪Unresisted Walking

#geriPT
#physiotherapy 
#physicaltherapy 
#crossfit
#homehealthPT
#fitness
#oldNOTweak
#mmoa
I love this so much. Brings both of my worlds together 🏋🏻‍♂️👵🏼👴🏼💪🏻
.
.
.
#crossfit #fitness #forall .
.
.
#Repost @seniorrehab with @get_repost
・・・
"The needs of an #Olympic Athlete & our Grandparents differ by DEGREE...not KIND." -Coach Glassman @crossfithealth @crossfit @crossfittraining

A nice little rEMOM (👌@dr.mitch.dpt) to finish out a session.

rEMOM 10'
💪10m of Pushing Walker (Brakes On focusing on speed) w. 13# KB
💪Unresisted Walking

#geriPT
#physiotherapy 
#physicaltherapy 
#crossfit
#homehealthPT
#fitness
#oldNOTweak
#mmoa
I love this so much. Brings both of my worlds together 🏋🏻‍♂️👵🏼👴🏼💪🏻 . . . #crossfit  #fitness  #forall  . . . #Repost  @seniorrehab with @get_repost ・・・ "The needs of an #Olympic  Athlete & our Grandparents differ by DEGREE...not KIND." -Coach Glassman @crossfithealth @crossfit @crossfittraining A nice little rEMOM (👌@dr.mitch.dpt) to finish out a session. rEMOM 10' 💪10m of Pushing Walker (Brakes On focusing on speed) w. 13# KB 💪Unresisted Walking #geriPT  #physiotherapy  #physicaltherapy  #crossfit  #homehealthPT  #fitness  #oldNOTweak  #mmoa 
DOCUMENTING PRIOR LEVEL OF FUNCTION

During an evaluation you must document your patients prior level of function.

In this documentation write how long ago the patient was at this level. I usually try for a time span of 1 year or less.

Make sure to document all areas you could be focusing on during treatments. If you are unsure if you will be working on stairs still document prior level.

Be specific. During transfers make sure to provide what type of transfer it is. For example sit to stand, stand pivot, squat pivot, etc.

Also for transfers document the surface such as from a toilet, recliner, bed, sofa, etc.

With ambulation make sure to write what assistive device they were using such as a rolling walker or quad cane. Include type of surface such as carpet, wood, uneven. Also include the distance and if they only ambulated that distance in the home document that or if they were going out into the community include that.

And we know documentation can be brutal 🥴

That’s why we wrote a documentation cheat sheet for you!! Go to the link in our bio for it 🙌🏻
DOCUMENTING PRIOR LEVEL OF FUNCTION During an evaluation you must document your patients prior level of function. In this documentation write how long ago the patient was at this level. I usually try for a time span of 1 year or less. Make sure to document all areas you could be focusing on during treatments. If you are unsure if you will be working on stairs still document prior level. Be specific. During transfers make sure to provide what type of transfer it is. For example sit to stand, stand pivot, squat pivot, etc. Also for transfers document the surface such as from a toilet, recliner, bed, sofa, etc. With ambulation make sure to write what assistive device they were using such as a rolling walker or quad cane. Include type of surface such as carpet, wood, uneven. Also include the distance and if they only ambulated that distance in the home document that or if they were going out into the community include that. And we know documentation can be brutal 🥴 That’s why we wrote a documentation cheat sheet for you!! Go to the link in our bio for it 🙌🏻
|Olympic Athletes vs Grandparents|
.
.
Love this quote from Coach Glassman. Training for the CrossFit games and rehabilitation for your grandparents should not differ. The only difference is the end goal. Whether training to win the CrossFit games or training to keep up with your grandkids, the training concept is the same.
.
.
Food for thought: What’s the difference between the sled push event at the CrossFit Games and pushing your walker with a KettleBell on it? Both have the same concept just with different goals.
.
.
Inspired by @seniorrehab
@crossfitgames
@crossfit
@crossfithealth
.
.
#elderlyrehab #grandparents #oldnotweak #olympic #physicaltherapy #physiotherapy #massage #massagetherapy #rmt #rehabilitation #therapy #exercise #mobility #movement #weightlifting #functionaltraining #training #flexibility #crossfit #health #yoga #workout #lifestyle #fitfam #strength #gym #keswick #ontario #georgina #toronto
|Olympic Athletes vs Grandparents| . . Love this quote from Coach Glassman. Training for the CrossFit games and rehabilitation for your grandparents should not differ. The only difference is the end goal. Whether training to win the CrossFit games or training to keep up with your grandkids, the training concept is the same. . . Food for thought: What’s the difference between the sled push event at the CrossFit Games and pushing your walker with a KettleBell on it? Both have the same concept just with different goals. . . Inspired by @seniorrehab @crossfitgames @crossfit @crossfithealth . . #elderlyrehab  #grandparents  #oldnotweak  #olympic  #physicaltherapy  #physiotherapy  #massage  #massagetherapy  #rmt  #rehabilitation  #therapy  #exercise  #mobility  #movement  #weightlifting  #functionaltraining  #training  #flexibility  #crossfit  #health  #yoga  #workout  #lifestyle  #fitfam  #strength  #gym  #keswick  #ontario  #georgina  #toronto 
Well said and very true.
#fitlife

#Repost @thebarbellphysio (@get_repost)
・・・
"The needs of an #Olympic Athlete & our Grandparents differ by DEGREE...not KIND." -Coach Glassman @crossfithealth @crossfit @crossfittraining

Repost @seniorrehab

rEMOM 10'
💪10m of Pushing Walker (Brakes On focusing on speed) w. 13# KB
💪Unresisted Walking

#geriPT
#physiotherapy 
#physicaltherapy 
#crossfit
#homehealthPT
#fitness
#oldNOTweak
#mmoa
"The needs of an #Olympic Athlete & our Grandparents differ by DEGREE...not KIND." -Coach Glassman @crossfithealth @crossfit @crossfittraining

Repost @seniorrehab

rEMOM 10'
💪10m of Pushing Walker (Brakes On focusing on speed) w. 13# KB
💪Unresisted Walking

#geriPT
#physiotherapy 
#physicaltherapy 
#crossfit
#homehealthPT
#fitness
#oldNOTweak
#mmoa
#Repost @icephysio (@get_repost)
・・・
"The needs of an Olympic athlete & our Grandparents differ by DEGREE...not KIND." -Coach Glassman of @crossfit 
Finished this last session before our first MMOA course with a little rEMOM (👌@dr.mitch.dpt)

rEMOM x10':
💪10m of pushing Walker (brakes on & focus on speed) w. 13# KB
💪Walking rest
-@dustinjonespt 
#geriPT
#physiotherapy
#physicaltherapy
#crossfit
#fitness
#oldNOTweak
#Repost  @icephysio (@get_repost) ・・・ "The needs of an Olympic athlete & our Grandparents differ by DEGREE...not KIND." -Coach Glassman of @crossfit Finished this last session before our first MMOA course with a little rEMOM (👌@dr.mitch.dpt) rEMOM x10': 💪10m of pushing Walker (brakes on & focus on speed) w. 13# KB 💪Walking rest -@dustinjonespt #geriPT  #physiotherapy  #physicaltherapy  #crossfit  #fitness  #oldNOTweak 
Cleared hot. ------------------ #Repost @seniorrehab (@get_repost)
・・・
"The needs of an #Olympic Athlete & our Grandparents differ by DEGREE...not KIND." -Coach Glassman @crossfithealth @crossfit @crossfittraining

A nice little rEMOM (👌@dr.mitch.dpt) to finish out a session.

rEMOM 10'
💪10m of Pushing Walker (Brakes On focusing on speed) w. 13# KB
💪Unresisted Walking

#geriPT
#physiotherapy 
#physicaltherapy 
#crossfit
#homehealthPT
#fitness
#oldNOTweak
#mmoa
Cleared hot. ------------------ #Repost  @seniorrehab (@get_repost) ・・・ "The needs of an #Olympic  Athlete & our Grandparents differ by DEGREE...not KIND." -Coach Glassman @crossfithealth @crossfit @crossfittraining A nice little rEMOM (👌@dr.mitch.dpt) to finish out a session. rEMOM 10' 💪10m of Pushing Walker (Brakes On focusing on speed) w. 13# KB 💪Unresisted Walking #geriPT  #physiotherapy  #physicaltherapy  #crossfit  #homehealthPT  #fitness  #oldNOTweak  #mmoa 
"The needs of an #Olympic Athlete & our Grandparents differ by DEGREE...not KIND." -Coach Glassman @crossfithealth @crossfit @crossfittraining

A nice little rEMOM (👌@dr.mitch.dpt) to finish out a session.

rEMOM 10'
💪10m of Pushing Walker (Brakes On focusing on speed) w. 13# KB
💪Unresisted Walking

#geriPT
#physiotherapy 
#physicaltherapy 
#crossfit
#homehealthPT
#fitness
#oldNOTweak
#mmoa
If you have a loved one who has had issues with falls OR if you are 50+ and want to significantly reduce that possibility then this is one exercise that could help tremendously. And you can do it almost anywhere❗️⁣
⁣
1 in 4 adults over 65 will have a fall every year. 😮⁣
⁣
💥We need to change that statistic on its end💥⁣
⁣
Repeated sit to stand is a very good way to start fighting falls. 👊🏻⁣
⁣
✅For beginners: Start with 5 repetitions from an armed chair pushing up with both hands. Do this daily. Increase to 10 reps daily❗️⁣
⁣
✅For intermediate level: Go to single arm assist to stand and do 5 reps every day. Progress to 10 reps with single arm then 2 sets of 10 once that becomes easier❗️⁣
⁣
✅For experts 💪🏻: Cross your arms and stand up 5 times daily. Progress to 2 sets of 10 without arms. Progress to 20 reps with arms crossed. Keep that routine up daily to keep your lower body functioning and strong❗️⁣
⁣
Bonus tip: This can also help to prevent knee pain from normal degeneration of the knee joints with aging‼️
If you have a loved one who has had issues with falls OR if you are 50+ and want to significantly reduce that possibility then this is one exercise that could help tremendously. And you can do it almost anywhere❗️⁣ ⁣ 1 in 4 adults over 65 will have a fall every year. 😮⁣ ⁣ 💥We need to change that statistic on its end💥⁣ ⁣ Repeated sit to stand is a very good way to start fighting falls. 👊🏻⁣ ⁣ ✅For beginners: Start with 5 repetitions from an armed chair pushing up with both hands. Do this daily. Increase to 10 reps daily❗️⁣ ⁣ ✅For intermediate level: Go to single arm assist to stand and do 5 reps every day. Progress to 10 reps with single arm then 2 sets of 10 once that becomes easier❗️⁣ ⁣ ✅For experts 💪🏻: Cross your arms and stand up 5 times daily. Progress to 2 sets of 10 without arms. Progress to 20 reps with arms crossed. Keep that routine up daily to keep your lower body functioning and strong❗️⁣ ⁣ Bonus tip: This can also help to prevent knee pain from normal degeneration of the knee joints with aging‼️
"The needs of an Olympic athlete & our Grandparents differ by DEGREE...not KIND." -Coach Glassman of @crossfit 
Finished this last session before our first MMOA course with a little rEMOM (👌@dr.mitch.dpt)

rEMOM x10':
💪10m of pushing Walker (brakes on & focus on speed) w. 13# KB
💪Walking rest
-@dustinjonespt 
#geriPT
#physiotherapy
#physicaltherapy
#crossfit
#fitness
#oldNOTweak
"The needs of an Olympic athlete & our Grandparents differ by DEGREE...not KIND." -Coach Glassman of @crossfit Finished this last session before our first MMOA course with a little rEMOM (👌@dr.mitch.dpt) rEMOM x10': 💪10m of pushing Walker (brakes on & focus on speed) w. 13# KB 💪Walking rest -@dustinjonespt #geriPT  #physiotherapy  #physicaltherapy  #crossfit  #fitness  #oldNOTweak 
Sticks & Stones may break your bones....but #Kettlebells make them stronger.

#MMOA
#oldNOTweak
#physio
#physiotherapy
#physicaltherapy
#geriPT
Program update on one of my patients I posted about last week. His primary goal is to get back to #RockClimbing because he is a #bamf 🧗‍♀️💪. So this week I progressed some exercises but included some exercises relevant to rock climbing that work grip strength and #closedchain activity (hand fixed to ground or other object). He’s gonna give it a go later this week and see how it feels. I’m optimistic it’ll go well 💪😀💪 I heard a pearl of wisdom recently from @zerenpt that solid rehab programs should look like solid strength and conditioning programs toward end stages of rehab. I think we’re gettin there. 
#physicaltherapy #rehab #oldnotweak
Program update on one of my patients I posted about last week. His primary goal is to get back to #RockClimbing  because he is a #bamf  🧗‍♀️💪. So this week I progressed some exercises but included some exercises relevant to rock climbing that work grip strength and #closedchain  activity (hand fixed to ground or other object). He’s gonna give it a go later this week and see how it feels. I’m optimistic it’ll go well 💪😀💪 I heard a pearl of wisdom recently from @zerenpt that solid rehab programs should look like solid strength and conditioning programs toward end stages of rehab. I think we’re gettin there. #physicaltherapy  #rehab  #oldnotweak 
PT/OT DOCUMENTATION TIP: THINK OF YOUR TREATMENT AND THEREFORE YOUR DOCUMENTATION LIKE A STORY

To make documenting skilled care easier and more efficient think of it like you are telling a story. A story that has a problem then a twist and then the result.

So for this patient her major goal is being able to ambulate without assist again.

Her biggest problem with ambulation is coordination. She is ok when ambulating on a straight path in silence but when when turning she tangles her legs up and loses her balance (she has fallen many times doing this.) And she also loses her balance during dual tasking.

So we started with ambulation and documented the skilled care required. We then focused the rest of the treatment on those deficits. Everything we did that day went back to her ambulation deficits.

And then in the assessment I summed up her deficits. Why the activities were performed. And how she responded to treatment. Also any hindrances that occured to why she needs further work in these areas.

For some of the activities I did with her today check out our stories!!! But before you do comment below with an emoji that describes if kind of post and story is helpful 👇🏻👇🏻👇🏻
PT/OT DOCUMENTATION TIP: THINK OF YOUR TREATMENT AND THEREFORE YOUR DOCUMENTATION LIKE A STORY To make documenting skilled care easier and more efficient think of it like you are telling a story. A story that has a problem then a twist and then the result. So for this patient her major goal is being able to ambulate without assist again. Her biggest problem with ambulation is coordination. She is ok when ambulating on a straight path in silence but when when turning she tangles her legs up and loses her balance (she has fallen many times doing this.) And she also loses her balance during dual tasking. So we started with ambulation and documented the skilled care required. We then focused the rest of the treatment on those deficits. Everything we did that day went back to her ambulation deficits. And then in the assessment I summed up her deficits. Why the activities were performed. And how she responded to treatment. Also any hindrances that occured to why she needs further work in these areas. For some of the activities I did with her today check out our stories!!! But before you do comment below with an emoji that describes if kind of post and story is helpful 👇🏻👇🏻👇🏻
Subliminal Strengthening - How To Build IMPLICIT FITNESS CENTERS

This week's #GeriOnICE #PTonICE dives into some fascinating research on how age stereotypes impact physical function. Yeah that's right. How you perceive aging can impact how you function as you age!

Watch this episode & find out how YOU can influence age stereotypes y
to create IMPLICIT FITNESS CENTERS amongst your networks. (On @icephysio FB page)

#oldNOTweak #MMOA #physio #physiotherapy #physicaltherapy #ageism #fitness #crossfit @icephysio @christina_prevett
Subliminal Strengthening - How To Build IMPLICIT FITNESS CENTERS This week's #GeriOnICE  #PTonICE  dives into some fascinating research on how age stereotypes impact physical function. Yeah that's right. How you perceive aging can impact how you function as you age! Watch this episode & find out how YOU can influence age stereotypes y to create IMPLICIT FITNESS CENTERS amongst your networks. (On @icephysio FB page) #oldNOTweak  #MMOA  #physio  #physiotherapy  #physicaltherapy  #ageism  #fitness  #crossfit  @icephysio @christina_prevett
#Repost @bridge_street_cf with @get_repost
・・・
Let’s give the gift of health this year!!! Invite your friends to come for a free week and see what is going on. If you’re already a member you are an ambassador for health to your friends and or community! The simple act of invitation can lengthen their life and improve the quality!!!! Let’s change the face of health in our community!!! #crossfithealth #crossfit #bridgestreetcrossfit #strongishealthy #oldnotweak #wecurediabetes
#Repost  @bridge_street_cf with @get_repost ・・・ Let’s give the gift of health this year!!! Invite your friends to come for a free week and see what is going on. If you’re already a member you are an ambassador for health to your friends and or community! The simple act of invitation can lengthen their life and improve the quality!!!! Let’s change the face of health in our community!!! #crossfithealth  #crossfit  #bridgestreetcrossfit  #strongishealthy  #oldnotweak  #wecurediabetes 
Let’s give the gift of health this year!!! Invite your friends to come for a free week and see what is going on. If you’re already a member you are an ambassador for health to your friends and or community! The simple act of invitation can lengthen their life and improve the quality!!!! Let’s change the face of health in our community!!! #crossfithealth #crossfit #bridgestreetcrossfit #strongishealthy #oldnotweak #wecurediabetes
Let’s give the gift of health this year!!! Invite your friends to come for a free week and see what is going on. If you’re already a member you are an ambassador for health to your friends and or community! The simple act of invitation can lengthen their life and improve the quality!!!! Let’s change the face of health in our community!!! #crossfithealth  #crossfit  #bridgestreetcrossfit  #strongishealthy  #oldnotweak  #wecurediabetes 
When updating your client’s progress in his/her progress note, it is important to justify the need for providing continued skilled care.  This requires you to write a STRONG assessment statement. 
Here, you should update the gains your client has made since the initial evaluation or last progress report, the hindrances to their rate of recovery and ways you are addressing the hindrances.  Make sure these hindrances are varied from progress note to progress note.  Also, you need to vary the plan to address hindrances to support continued medical necessity.

In your assessment statement, there should be a functional focus on continued care as well as documenting what will be addressed to achieve the goal.  If your client needs continued care due to poor carry over with safety techniques, you may document, “continued skilled OT required for adaptive equipment training and progression of balance activities in order to improve ADLs and decrease falls risk”

Always connect function to your goals in a way that shows how you will address the client’s deficits in order to achieve these outcomes. 
Do you struggle with documentation and showing support for providing continued care? Click the link in our bio for exclusive tips! ✨
When updating your client’s progress in his/her progress note, it is important to justify the need for providing continued skilled care. This requires you to write a STRONG assessment statement. Here, you should update the gains your client has made since the initial evaluation or last progress report, the hindrances to their rate of recovery and ways you are addressing the hindrances. Make sure these hindrances are varied from progress note to progress note. Also, you need to vary the plan to address hindrances to support continued medical necessity. In your assessment statement, there should be a functional focus on continued care as well as documenting what will be addressed to achieve the goal. If your client needs continued care due to poor carry over with safety techniques, you may document, “continued skilled OT required for adaptive equipment training and progression of balance activities in order to improve ADLs and decrease falls risk” Always connect function to your goals in a way that shows how you will address the client’s deficits in order to achieve these outcomes. Do you struggle with documentation and showing support for providing continued care? Click the link in our bio for exclusive tips! ✨
Inpatient settings. Outpatient settings.  Long term care. What all these have in common is the importance of addressing  muscle strength. Whether we are discussing disease progression or quality of life in general, low muscle  mass can have a profound impact. Join Alyssa in exploring  a major part of the #oldNOTweak treatment philosophy.  #geriPT
💪
http://seniorrehab.libsyn.com/combatting-muscle-weakness-one-patient-at-a-time
*
‍
This episode is sponsored by the Academy of Geriatric Physical Therapy. Check out their FREE resources they've given you, listeners of SRP - http://GeriatricsPT.org/SRP
Inpatient settings. Outpatient settings. Long term care. What all these have in common is the importance of addressing muscle strength. Whether we are discussing disease progression or quality of life in general, low muscle mass can have a profound impact. Join Alyssa in exploring a major part of the #oldNOTweak  treatment philosophy. #geriPT  💪 http://seniorrehab.libsyn.com/combatting-muscle-weakness-one-patient-at-a-time * ‍ This episode is sponsored by the Academy of Geriatric Physical Therapy. Check out their FREE resources they've given you, listeners of SRP - http://GeriatricsPT.org/SRP
JUSTIFYING SKILLED CARE WITH AMBULATION

To continue to see our patients and get paid we need to document skilled care. Just ambulating with a patient is NOT skilled care.

And providing the same cues every time is NOT skilled care.

So how do we show our skill: • Educate patient and caregiver on safety and technique with RW including staying close to RW and extending hips and knees
• Provide tactile cues at scapula for posture and verbal cues for patient to look straight ahead
• Provide visual cues with a mirror in order for patient to self correct
• Patient reported a 5/10 on RPE scale after ambulating 1000ft (was 7/10 last week)
• Patient ambulated decreased distance today secondary to reports of fatigue. Vitals accessed and normal. Nursing (or caregiver) aware. 
Remember if the only cue your patient requires is to increase heel strike (or whatever the 1 cue is you always provide)  that can be given to a caregiver and therefore is no longer skilled (Medicare does not care if they actually have a caregiver, just that it could be given to one.) For more skilled care documentation tips go to the link in our bio so you never have to DC a patient early again!!! #physicaltherapy #physicaltherapist #physicaltherapyassistant #getiatrics #oldnotweak #geriatricpt #geriatricphysicaltherapy #geriatricoccupationaltherapy #geriatricot #occupationaltherapy #occupationaltherapist #PT #OT #thenoteninjas #physicaltherapystudent ##physicaltherapistassistant #physicaltherapistlife #occupationaltherapists #occupationaltherapyassistant #occupationaltherapystudent #getpt1st #physicaltherapytreatment #dptstudent #dpt #physiotherapy #physiotherapist #physio #physiotherapie #physiolife #evidencebased
JUSTIFYING SKILLED CARE WITH AMBULATION To continue to see our patients and get paid we need to document skilled care. Just ambulating with a patient is NOT skilled care. And providing the same cues every time is NOT skilled care. So how do we show our skill: • Educate patient and caregiver on safety and technique with RW including staying close to RW and extending hips and knees • Provide tactile cues at scapula for posture and verbal cues for patient to look straight ahead • Provide visual cues with a mirror in order for patient to self correct • Patient reported a 5/10 on RPE scale after ambulating 1000ft (was 7/10 last week) • Patient ambulated decreased distance today secondary to reports of fatigue. Vitals accessed and normal. Nursing (or caregiver) aware. Remember if the only cue your patient requires is to increase heel strike (or whatever the 1 cue is you always provide) that can be given to a caregiver and therefore is no longer skilled (Medicare does not care if they actually have a caregiver, just that it could be given to one.) For more skilled care documentation tips go to the link in our bio so you never have to DC a patient early again!!! #physicaltherapy  #physicaltherapist  #physicaltherapyassistant  #getiatrics  #oldnotweak  #geriatricpt  #geriatricphysicaltherapy  #geriatricoccupationaltherapy  #geriatricot  #occupationaltherapy  #occupationaltherapist  #PT  #OT  #thenoteninjas  #physicaltherapystudent  ##physicaltherapistassistant  #physicaltherapistlife  #occupationaltherapists  #occupationaltherapyassistant  #occupationaltherapystudent  #getpt1st  #physicaltherapytreatment  #dptstudent  #dpt  #physiotherapy  #physiotherapist  #physio  #physiotherapie  #physiolife  #evidencebased 
DOCUMENTING THE SAME ACTIVITY OVERTIME

It is easy to get into to the same routine sometimes and repeat the same activities over and over again.  To Medicare, this type of routine in our treatment notes becomes unskilled and something that can be facilitated by a caregiver. 
Even if your client has a cognitive decline or other impairment that requires repetition, we still need to document OUR skill.

In order to show skill while having our clients perform similar activities over the course of his/her treatment, some things to document are: *Changing cues
*Decreasing assistance levels
*Reps and sets
*Response to treatment (RPE, vital signs)
*Body position (supine - sit - stand)
*Level of support (BUE support, UUE support, no UE support)
*Upgrades/downgrades

If the activity will help your client to achieve his/her goals then it is important to show why they require the skilled of an OT or PT and not passed onto a caregiver. 
Example: Weight shifting
*Start with anterior weight shifting with BUE support on parallel bars, 3x10 reps with rest break to monitor vitals 2* SOB
*Progress to no UE support, RPE 6
*Decreased physical assistance on pelvic girdle, min A for postural adjustments
*Progressed activity to adding functional reach with anterior weight shift, intermittent UUE support *Upgraded position to narrow base of support, client able to perform 9 reps without LOB

Although I am having the client perform essentially the same activity, I am documenting my skill each time and demonstrating progression.

Comment below if you have any specific activities you do often with your clients 👇🏼
DOCUMENTING THE SAME ACTIVITY OVERTIME It is easy to get into to the same routine sometimes and repeat the same activities over and over again. To Medicare, this type of routine in our treatment notes becomes unskilled and something that can be facilitated by a caregiver. Even if your client has a cognitive decline or other impairment that requires repetition, we still need to document OUR skill. In order to show skill while having our clients perform similar activities over the course of his/her treatment, some things to document are: *Changing cues *Decreasing assistance levels *Reps and sets *Response to treatment (RPE, vital signs) *Body position (supine - sit - stand) *Level of support (BUE support, UUE support, no UE support) *Upgrades/downgrades If the activity will help your client to achieve his/her goals then it is important to show why they require the skilled of an OT or PT and not passed onto a caregiver. Example: Weight shifting *Start with anterior weight shifting with BUE support on parallel bars, 3x10 reps with rest break to monitor vitals 2* SOB *Progress to no UE support, RPE 6 *Decreased physical assistance on pelvic girdle, min A for postural adjustments *Progressed activity to adding functional reach with anterior weight shift, intermittent UUE support *Upgraded position to narrow base of support, client able to perform 9 reps without LOB Although I am having the client perform essentially the same activity, I am documenting my skill each time and demonstrating progression. Comment below if you have any specific activities you do often with your clients 👇🏼
DOCUMENTING NEED FOR BASIC BALANCE ACTIVITIES 
This patient falls frequently and after eval I determined it’s because his LE’s are EXTREMELY weak.

He is able to walk and do a lot of functional activities on his own, however, he takes all of the weight off his LE’s with with UE’s.

Upon evaluation it was found he could hardly perform static standing without UE assist.

This patient, however, wants to perform more advanced activities that he did in past PT such as step ups, squats, stairs, etc.

The problem with this, however, is his upper body is doing all the work.

So today a lot of education was given on the importance of performing more basic activities but without use of his UE’s.

If he is ever to stop falling and wants to remain mobile he must focus on LE strength and when given the opportunity to use his UE’s even if told just for balance he takes all of his weight off his legs.

So in my notes I make sure to document exactly what I just said. A lot of his therapy will be basic but that is what he needs. And performing without UE assist is definitely not able to be performed with just a caregiver so I must always note the reason why and the cues given.

In these pictures he is performing sit to stands without UE assist on an 8in raised seat (which was still extremely difficult.) He also stood unsupported and raised his UE’s overhead and performed swimming motions. Basically anything to keep his upper body unsupported and just slightly challenge his base of support.

For more skilled care documentation tips so you never have to DC a patient early again go to the link in our bio!!! #physicaltherapy #physicaltherapist #physicaltherapyassistant #getiatrics #oldnotweak #geriatricpt #geriatricphysicaltherapy #geriatricoccupationaltherapy #geriatricot #occupationaltherapy #occupationaltherapist #PT #OT #thenoteninjas #physicaltherapystudent ##physicaltherapistassistant #physicaltherapistlife #occupationaltherapists #occupationaltherapyassistant #occupationaltherapystudent #getpt1st #physicaltherapytreatment #dptstudent #dpt #physiotherapy #physiotherapist #physio #physiotherapie #physiolife #evidencebased
DOCUMENTING NEED FOR BASIC BALANCE ACTIVITIES This patient falls frequently and after eval I determined it’s because his LE’s are EXTREMELY weak. He is able to walk and do a lot of functional activities on his own, however, he takes all of the weight off his LE’s with with UE’s. Upon evaluation it was found he could hardly perform static standing without UE assist. This patient, however, wants to perform more advanced activities that he did in past PT such as step ups, squats, stairs, etc. The problem with this, however, is his upper body is doing all the work. So today a lot of education was given on the importance of performing more basic activities but without use of his UE’s. If he is ever to stop falling and wants to remain mobile he must focus on LE strength and when given the opportunity to use his UE’s even if told just for balance he takes all of his weight off his legs. So in my notes I make sure to document exactly what I just said. A lot of his therapy will be basic but that is what he needs. And performing without UE assist is definitely not able to be performed with just a caregiver so I must always note the reason why and the cues given. In these pictures he is performing sit to stands without UE assist on an 8in raised seat (which was still extremely difficult.) He also stood unsupported and raised his UE’s overhead and performed swimming motions. Basically anything to keep his upper body unsupported and just slightly challenge his base of support. For more skilled care documentation tips so you never have to DC a patient early again go to the link in our bio!!! #physicaltherapy  #physicaltherapist  #physicaltherapyassistant  #getiatrics  #oldnotweak  #geriatricpt  #geriatricphysicaltherapy  #geriatricoccupationaltherapy  #geriatricot  #occupationaltherapy  #occupationaltherapist  #PT  #OT  #thenoteninjas  #physicaltherapystudent  ##physicaltherapistassistant  #physicaltherapistlife  #occupationaltherapists  #occupationaltherapyassistant  #occupationaltherapystudent  #getpt1st  #physicaltherapytreatment  #dptstudent  #dpt  #physiotherapy  #physiotherapist  #physio  #physiotherapie  #physiolife  #evidencebased 
DOCUMENTING HINDRANCES AND WHAT YOU ARE DOING TO ADDRESS THEM

This patient has a significant fear of falling.

She is just starting therapy and is very hesitant to progress to more advanced balance activities secondary to fear of falling caused by a recent fall.

But that is ok as long as we address this fear and take steps to resolve it.

Throughout my notes I document her fear of falling and I document what I am doing to address it such as:

Educating patient on fall prevention techniques
Educating her caregiver on fall prevention strategies to implement with her
Beginning with B/L UE support and progressing to 1 UE support or no UE support as she gained confidence
Showing increased balance activities to improve patient's confidence in her balance.
Encouraging her that her fear is valid but that we will work through it together 
Gaining a good relationship with her so that she trusts me and will progress activities.

I document this throughout her treatment sessions and then will document this at time of the progress note. Just make sure in the progress note you document the hindrance and what you did and that your previous treatment notes validate that you did do those interventions!

#physicaltherapy #physicaltherapist #physicaltherapyassistant #getiatrics #oldnotweak #geriatricpt #geriatricphysicaltherapy #geriatricoccupationaltherapy #geriatricot #occupationaltherapy #occupationaltherapist #PT #OT #thenoteninjas #physicaltherapystudent ##physicaltherapistassistant #physicaltherapistlife #occupationaltherapists #occupationaltherapyassistant #occupationaltherapystudent #getpt1st #physicaltherapytreatment #dptstudent #dpt #physiotherapy #physiotherapist #physio #physiotherapie #physiolife #evidencebased
DOCUMENTING HINDRANCES AND WHAT YOU ARE DOING TO ADDRESS THEM This patient has a significant fear of falling. She is just starting therapy and is very hesitant to progress to more advanced balance activities secondary to fear of falling caused by a recent fall. But that is ok as long as we address this fear and take steps to resolve it. Throughout my notes I document her fear of falling and I document what I am doing to address it such as: Educating patient on fall prevention techniques Educating her caregiver on fall prevention strategies to implement with her Beginning with B/L UE support and progressing to 1 UE support or no UE support as she gained confidence Showing increased balance activities to improve patient's confidence in her balance. Encouraging her that her fear is valid but that we will work through it together Gaining a good relationship with her so that she trusts me and will progress activities. I document this throughout her treatment sessions and then will document this at time of the progress note. Just make sure in the progress note you document the hindrance and what you did and that your previous treatment notes validate that you did do those interventions! #physicaltherapy  #physicaltherapist  #physicaltherapyassistant  #getiatrics  #oldnotweak  #geriatricpt  #geriatricphysicaltherapy  #geriatricoccupationaltherapy  #geriatricot  #occupationaltherapy  #occupationaltherapist  #PT  #OT  #thenoteninjas  #physicaltherapystudent  ##physicaltherapistassistant  #physicaltherapistlife  #occupationaltherapists  #occupationaltherapyassistant  #occupationaltherapystudent  #getpt1st  #physicaltherapytreatment  #dptstudent  #dpt  #physiotherapy  #physiotherapist  #physio  #physiotherapie  #physiolife  #evidencebased 
If you work with older adults, it is no secret that most falls can be prevented.  In order to keep your clients living in their homes or senior living communities, it is our job to help reduce a client’s falls risk.  Fall prevention requires a multifaceted approach.  As PTs, we help to promote LE strengthening, facilitate dynamic standing balance and improve their overall physical performance.  The OT practitioner will assess the client’s environment and make appropriate modifications, educate caregivers on safe techniques, and assess the need for equipment. 
One of the most frequent causes of falls that we see is from trying to retrieve something that is out of reach.  An easy solution to this problem is to use a long handled reacher.  We recommend all of our clients have a reacher, or multiple reachers, to place throughout their home.  Common places a reacher may be necessary is in the kitchen, bathroom, and bedroom.
A reacher can also be used to help increase independence with dressing for client’s who may have difficulty reaching towards the floor to donn pants or undergarments.

When educating my clients on using a reacher properly, I like in make it a functional and interactive activity.  I do this by placing a bunch of different items on the floor (socks, towels, rings, etc) and have the client ambulate (or self propel wheelchair) throughout the room collecting each item with the reacher.  I may provide cues for sequencing, proper technique and body mechanics, and postural adjustments.

Falls can be prevented! Make sure your client has a reacher and even more important, that they are using it!  We have so many more useful tips for fall prevention, keep following along and check out our blog (link in bio)! Tag a colleague who could use these tips 😊
If you work with older adults, it is no secret that most falls can be prevented. In order to keep your clients living in their homes or senior living communities, it is our job to help reduce a client’s falls risk. Fall prevention requires a multifaceted approach. As PTs, we help to promote LE strengthening, facilitate dynamic standing balance and improve their overall physical performance. The OT practitioner will assess the client’s environment and make appropriate modifications, educate caregivers on safe techniques, and assess the need for equipment. One of the most frequent causes of falls that we see is from trying to retrieve something that is out of reach. An easy solution to this problem is to use a long handled reacher. We recommend all of our clients have a reacher, or multiple reachers, to place throughout their home. Common places a reacher may be necessary is in the kitchen, bathroom, and bedroom. A reacher can also be used to help increase independence with dressing for client’s who may have difficulty reaching towards the floor to donn pants or undergarments. When educating my clients on using a reacher properly, I like in make it a functional and interactive activity. I do this by placing a bunch of different items on the floor (socks, towels, rings, etc) and have the client ambulate (or self propel wheelchair) throughout the room collecting each item with the reacher. I may provide cues for sequencing, proper technique and body mechanics, and postural adjustments. Falls can be prevented! Make sure your client has a reacher and even more important, that they are using it! We have so many more useful tips for fall prevention, keep following along and check out our blog (link in bio)! Tag a colleague who could use these tips 😊
ONE OF MY FAVORITE APPS!!! #clockyourself is an amazing app to work on balance, coordination and cognition.

This patient has pretty good LE strength and is able to ambulate and transfer with low fall risk, however, his coordination is impaired and when dual tasking (even when he is thinking of something in his head) he loses his balance.

To work on this I incorporated using the clock yourself app.

This app calls out numbers on a clock and the patient steps to where that would be (scroll the video to see pictures of the app)

The best part of this app is it can be modified. For this patient I used ½ the clock and 1 LE at a time at a decreased pace.

And with the ability to modify this app it’s easy to document skill and progression. You can progress to alternating LE’s. Increasing cadence. Decreasing cueing pt requires. Added in UE’s with LE’s. Using symbols instead of numbers for memory (again scroll through to see what the app looks like for this.) Let me know below if you use this app or you are going to check it out!!! And for skilled documentation tips check out the link in our bio!! Never DC a patient before they are ready again!
ONE OF MY FAVORITE APPS!!! #clockyourself  is an amazing app to work on balance, coordination and cognition. This patient has pretty good LE strength and is able to ambulate and transfer with low fall risk, however, his coordination is impaired and when dual tasking (even when he is thinking of something in his head) he loses his balance. To work on this I incorporated using the clock yourself app. This app calls out numbers on a clock and the patient steps to where that would be (scroll the video to see pictures of the app) The best part of this app is it can be modified. For this patient I used ½ the clock and 1 LE at a time at a decreased pace. And with the ability to modify this app it’s easy to document skill and progression. You can progress to alternating LE’s. Increasing cadence. Decreasing cueing pt requires. Added in UE’s with LE’s. Using symbols instead of numbers for memory (again scroll through to see what the app looks like for this.) Let me know below if you use this app or you are going to check it out!!! And for skilled documentation tips check out the link in our bio!! Never DC a patient before they are ready again!
Here’s a glimpse into a treatment session I just finished with an older adult client dealing with some mild stiffness dominant shoulder pain affecting OH reaching 🙋‍♂️ Today was his 3rd session and his mobility is already recovering well, so today focused more on reinforcing the new range through strengthening 💪

In programming workouts I try my best to think how can I help the person beyond the reason they came in to see me. Given that this client is an older adult, I decided to include some exercises that challenge upright posture, balance, and some isolated rotator cuff strengthening. 
I forgot to write down #GobletSquats but we did those too because #Squats. He’s got some incredible ankle mobility @dr.mitch.dpt would be jealous. 
Been wanting to start to documenting more of my day to day in hopes that it may help out someone somewhere...so hope this helps! 
#PhysicalTherapy #Rehab #OldNotWeak #ThinkLiftingWeightsIsDangerous #TryBeingWeak
Here’s a glimpse into a treatment session I just finished with an older adult client dealing with some mild stiffness dominant shoulder pain affecting OH reaching 🙋‍♂️ Today was his 3rd session and his mobility is already recovering well, so today focused more on reinforcing the new range through strengthening 💪 In programming workouts I try my best to think how can I help the person beyond the reason they came in to see me. Given that this client is an older adult, I decided to include some exercises that challenge upright posture, balance, and some isolated rotator cuff strengthening. I forgot to write down #GobletSquats  but we did those too because #Squats . He’s got some incredible ankle mobility @dr.mitch.dpt would be jealous. Been wanting to start to documenting more of my day to day in hopes that it may help out someone somewhere...so hope this helps! #PhysicalTherapy  #Rehab  #OldNotWeak  #ThinkLiftingWeightsIsDangerous  #TryBeingWeak 
This is awesome- not just that he is doing some strengthening and functional training but the fact that he MADE IT to the gym!🙌🏻 We know too many people and you might be one of them, who getting to the gym is 90% of the mental and physical work! ❤️A huge part of self-care is providing our brains and bodies with opportunities to do activities that are new and exciting. This helps build self-confidence, self-efficacy and self-respect... and we can all benefit from more of that!  But we have to get there to make it happen.💪🏻🧠✊🏻 #Repost @rocksteadyboxingpinehurst with @make_repost
・・ @spartcnc @mk.mae @zacharyrmullins  #parkinsons #functionalstrength #selfconfidence #selfefficacy #respect #tireflips #balance #oldnotweak #trainforlife
This is awesome- not just that he is doing some strengthening and functional training but the fact that he MADE IT to the gym!🙌🏻 We know too many people and you might be one of them, who getting to the gym is 90% of the mental and physical work! ❤️A huge part of self-care is providing our brains and bodies with opportunities to do activities that are new and exciting. This helps build self-confidence, self-efficacy and self-respect... and we can all benefit from more of that! But we have to get there to make it happen.💪🏻🧠✊🏻 #Repost  @rocksteadyboxingpinehurst with @make_repost ・・ @spartcnc @mk.mae @zacharyrmullins #parkinsons  #functionalstrength  #selfconfidence  #selfefficacy  #respect  #tireflips  #balance  #oldnotweak  #trainforlife 
#SRPrereqs continues  SRP's back-to-school series with easy to implement ideas for CIs and all clinical staff working to improve the #geriPT student experience. #oldNOTweak
*
http://seniorrehab.libsyn.com/back-to-school-special *
This episode is sponsored by the Academy of Geriatric Physical Therapy. Check out their FREE resources they've given you, listeners of SRP - http://GeriatricsPT.org/SRP
#SRPrereqs  continues SRP's back-to-school series with easy to implement ideas for CIs and all clinical staff working to improve the #geriPT  student experience. #oldNOTweak  * http://seniorrehab.libsyn.com/back-to-school-special * This episode is sponsored by the Academy of Geriatric Physical Therapy. Check out their FREE resources they've given you, listeners of SRP - http://GeriatricsPT.org/SRP
When assessing a client’s balance, it is just as important to assess his/her vision.  Vision is essential for balance and movement.  When visual information is misinterpreted, postural control can be negatively impacted.  Therefore, focusing on increasing visual perceptual skills may play a major role in improving client’s balance and help to reduce falls risk. “Balance control is a highly complicated function that involves the integration of the nervous and musculoskeletal systems. Visual, auditory, vestibular, and proprioceptor sensations, as well as visuospatial perception, stimulate the central nervous system to quickly and accurately respond to environmental changes through adjustment of muscle tone, muscle strength, endurance, and joint flexibility” (2015). Effect of visual perceptual disturbance on gait and balance. Journal of physical therapy science, 27(10), 3109-11.

In this activity, the client is instructed to stand on a balance pad and tap the ball in multidirections.  We had our client positioned in front of the parallel bars for safety and use unilateral upper extremity support.  My student moved the ball in various planes to facilitate visual scanning, head turning, trunk rotation, and righting reactions.

#physicaltherapy #physicaltherapist #physicaltherapyassistant #getiatrics #oldnotweak #geriatricpt #geriatricphysicaltherapy #geriatricoccupationaltherapy #geriatricot #occupationaltherapy #occupationaltherapist #PT #OT #thenoteninjas #physicaltherapystudent ##physicaltherapistassistant #physicaltherapistlife #occupationaltherapists #occupationaltherapyassistant #occupationaltherapystudent #getpt1st #physicaltherapytreatment #dptstudent #dpt #physiotherapy #physiotherapist #physio #physiotherapie #physiolife #evidencebased
When assessing a client’s balance, it is just as important to assess his/her vision. Vision is essential for balance and movement. When visual information is misinterpreted, postural control can be negatively impacted. Therefore, focusing on increasing visual perceptual skills may play a major role in improving client’s balance and help to reduce falls risk. “Balance control is a highly complicated function that involves the integration of the nervous and musculoskeletal systems. Visual, auditory, vestibular, and proprioceptor sensations, as well as visuospatial perception, stimulate the central nervous system to quickly and accurately respond to environmental changes through adjustment of muscle tone, muscle strength, endurance, and joint flexibility” (2015). Effect of visual perceptual disturbance on gait and balance. Journal of physical therapy science, 27(10), 3109-11. In this activity, the client is instructed to stand on a balance pad and tap the ball in multidirections. We had our client positioned in front of the parallel bars for safety and use unilateral upper extremity support. My student moved the ball in various planes to facilitate visual scanning, head turning, trunk rotation, and righting reactions. #physicaltherapy  #physicaltherapist  #physicaltherapyassistant  #getiatrics  #oldnotweak  #geriatricpt  #geriatricphysicaltherapy  #geriatricoccupationaltherapy  #geriatricot  #occupationaltherapy  #occupationaltherapist  #PT  #OT  #thenoteninjas  #physicaltherapystudent  ##physicaltherapistassistant  #physicaltherapistlife  #occupationaltherapists  #occupationaltherapyassistant  #occupationaltherapystudent  #getpt1st  #physicaltherapytreatment  #dptstudent  #dpt  #physiotherapy  #physiotherapist  #physio  #physiotherapie  #physiolife  #evidencebased 
DOES YOUR PATIENT HAVE A HINDRANCE TO RATE OF RECOVERY? WHAT IS IT? WHAT ARE YOU DOING ABOUT IT? DOCUMENT IT!!! One of the best ways to document the need for skilled care is to document all your patients hindrances to recovery and what you are doing to address it.

I have been seeing this patient for awhile and we have been working on ambulation. Progress has been slow but she still requires the skill of a PT.

The hindrance to rate of recovery that I addressed today was her lower extremity swelling.

I documented increased swelling B/L LE’s and that causing increased pain in her feet from her shoes being too tight.

To work on this I changed the patient’s shoes and educated the caregiver about the importance of well fitting shoes.

I also talked to nursing (if you are in a home it can be a child or POA) about my concern and what they are doing to address it such as how the patient has been evaluated by the doctor and medical intervention is being done to address this.

I documented that we ambulated decreased distance today because of the edema and pain and how I educated the caregivers on making sure the patient does ambulate but also when she needs rest.

I showed the caregiver exercises to do with the patient to work on the swelling.
All of this documentation shows skill. I documented a hindrance that is affecting speed of recovery (lower extremity swelling.) I documented what I did to address it such as shorter ambulation distance, change of shoes and caregiver education. I also documented vitals and talking with nursing since swelling is obviously a sign of other issues.

What are some common hindrances to recovery you see frequently??? Let us know below 👇🏻 And for more skilled care documentation tips check out the link in our bio 🙌🏻
DOES YOUR PATIENT HAVE A HINDRANCE TO RATE OF RECOVERY? WHAT IS IT? WHAT ARE YOU DOING ABOUT IT? DOCUMENT IT!!! One of the best ways to document the need for skilled care is to document all your patients hindrances to recovery and what you are doing to address it. I have been seeing this patient for awhile and we have been working on ambulation. Progress has been slow but she still requires the skill of a PT. The hindrance to rate of recovery that I addressed today was her lower extremity swelling. I documented increased swelling B/L LE’s and that causing increased pain in her feet from her shoes being too tight. To work on this I changed the patient’s shoes and educated the caregiver about the importance of well fitting shoes. I also talked to nursing (if you are in a home it can be a child or POA) about my concern and what they are doing to address it such as how the patient has been evaluated by the doctor and medical intervention is being done to address this. I documented that we ambulated decreased distance today because of the edema and pain and how I educated the caregivers on making sure the patient does ambulate but also when she needs rest. I showed the caregiver exercises to do with the patient to work on the swelling. All of this documentation shows skill. I documented a hindrance that is affecting speed of recovery (lower extremity swelling.) I documented what I did to address it such as shorter ambulation distance, change of shoes and caregiver education. I also documented vitals and talking with nursing since swelling is obviously a sign of other issues. What are some common hindrances to recovery you see frequently??? Let us know below 👇🏻 And for more skilled care documentation tips check out the link in our bio 🙌🏻
Many of our clients have difficulty performing housework and other ADL tasks. They are often limited by decreased strength, standing balance, and endurance during these activities.  To keep clients engaged and interested in our interventions, we often incorporate housework into treatment. 
Our role as OT’s is to work individually with clients to restore function, teach compensation strategies, adapt the environment or activity to facilitate independence, and promote health. Sometimes we educate our clients on adaptive strategies for performing tasks related to laundry. For example, using a rolling push basket or sitting down while folding clothing to compensate for decreased endurance and promote energy conservation. 
If you treat in a therapy gym, it is easy to skip over functional activities.  In order to keep function in our treatments, we make sure to have the right tools with us.  This basket was purchased at the Dollar Tree along with some towels, socks, and shirts. 
We have clients practice folding laundry, either sitting or standing, placing clothing into basket, and transferring clothing from basket to other surfaces.  This activity can be simply upgraded or downgraded depending on the client’s level of function. You can even facilitate an entire laundry task from washing, to drying, to folding and transporting the clothing.

#physicaltherapy #physicaltherapist #physicaltherapyassistant #getiatrics #oldnotweak #geriatricpt #geriatricphysicaltherapy #geriatricoccupationaltherapy #geriatricot #occupationaltherapy #occupationaltherapist #PT #OT #thenoteninjas #physicaltherapystudent ##physicaltherapistassistant #physicaltherapistlife #occupationaltherapists #occupationaltherapyassistant #occupationaltherapystudent #getpt1st #physicaltherapytreatment #dptstudent #dpt #physiotherapy #physiotherapist #physio #physiotherapie #physiolife #evidencebased
Many of our clients have difficulty performing housework and other ADL tasks. They are often limited by decreased strength, standing balance, and endurance during these activities. To keep clients engaged and interested in our interventions, we often incorporate housework into treatment. Our role as OT’s is to work individually with clients to restore function, teach compensation strategies, adapt the environment or activity to facilitate independence, and promote health. Sometimes we educate our clients on adaptive strategies for performing tasks related to laundry. For example, using a rolling push basket or sitting down while folding clothing to compensate for decreased endurance and promote energy conservation. If you treat in a therapy gym, it is easy to skip over functional activities. In order to keep function in our treatments, we make sure to have the right tools with us. This basket was purchased at the Dollar Tree along with some towels, socks, and shirts. We have clients practice folding laundry, either sitting or standing, placing clothing into basket, and transferring clothing from basket to other surfaces. This activity can be simply upgraded or downgraded depending on the client’s level of function. You can even facilitate an entire laundry task from washing, to drying, to folding and transporting the clothing. #physicaltherapy  #physicaltherapist  #physicaltherapyassistant  #getiatrics  #oldnotweak  #geriatricpt  #geriatricphysicaltherapy  #geriatricoccupationaltherapy  #geriatricot  #occupationaltherapy  #occupationaltherapist  #PT  #OT  #thenoteninjas  #physicaltherapystudent  ##physicaltherapistassistant  #physicaltherapistlife  #occupationaltherapists  #occupationaltherapyassistant  #occupationaltherapystudent  #getpt1st  #physicaltherapytreatment  #dptstudent  #dpt  #physiotherapy  #physiotherapist  #physio  #physiotherapie  #physiolife  #evidencebased 
And if your walking speed is not as quick as it should be for your age, we can help you improve that so that a fall isn’t the reason that you stop!!⁣
⁣
Motivation Monday Walking Speed/Gait Velocity Facts:⁣
⁣
✅Your walking speed predicts your risk of a fall, whether you are 25 or 105.⁣
⁣
✅Slow walking speed is associated with poor balance, poor lower body strength, and decreased self efficacy (poor confidence/not sure of your safety).⁣
⁣
✅Decline is preventable!⁣
⁣
✅Slow gait speeds can improve at any age!! ⁣

So, take action today and keep moving with the steps you need to never stop!⁣
⁣
#motivationmonday #ceeaa #beempowered #oldnotweak⁣
And if your walking speed is not as quick as it should be for your age, we can help you improve that so that a fall isn’t the reason that you stop!!⁣ ⁣ Motivation Monday Walking Speed/Gait Velocity Facts:⁣ ⁣ ✅Your walking speed predicts your risk of a fall, whether you are 25 or 105.⁣ ⁣ ✅Slow walking speed is associated with poor balance, poor lower body strength, and decreased self efficacy (poor confidence/not sure of your safety).⁣ ⁣ ✅Decline is preventable!⁣ ⁣ ✅Slow gait speeds can improve at any age!! ⁣ So, take action today and keep moving with the steps you need to never stop!⁣ ⁣ #motivationmonday  #ceeaa  #beempowered  #oldnotweak ⁣
BALANCE, VISION, COGNITIVE ACTIVITY

This is a great activity for many things including unsupported balance. Trunk rotation. Visual scanning. Cognition.

We had card boards on 2 different tables and this patient had to match the cards.

The tables were set at a 90 degree angle so he had to perform trunk rotation and remember to scan all visual fields.

When documenting I will normally focus on 1 aspect. So if I’m really working on balance that day I will justify if he losing his balance. If he ever required single or double UE support. If he required stepping to maintain balance. Any education I provided on fall prevention techniques.

If I was working more on vision I would note if he was neglecting a side. How many cues he required to scan. 
For cognition I would note if any difficulty matching the numbers or colors. If he required extra time for this activity. If he was able to stay on task.

What are some of your favorite multipurpose activities?? #physicaltherapy #physicaltherapist #physicaltherapyassistant #getiatrics #oldnotweak #geriatricpt #geriatricphysicaltherapy #geriatricoccupationaltherapy #geriatricot #occupationaltherapy #occupationaltherapist #PT #OT #thenoteninjas #physicaltherapystudent ##physicaltherapistassistant #physicaltherapistlife #occupationaltherapists #occupationaltherapyassistant #occupationaltherapystudent #getpt1st #physicaltherapytreatment #dptstudent #dpt #physiotherapy #physiotherapist #physio #physiotherapie #physiolife #evidencebased
BALANCE, VISION, COGNITIVE ACTIVITY This is a great activity for many things including unsupported balance. Trunk rotation. Visual scanning. Cognition. We had card boards on 2 different tables and this patient had to match the cards. The tables were set at a 90 degree angle so he had to perform trunk rotation and remember to scan all visual fields. When documenting I will normally focus on 1 aspect. So if I’m really working on balance that day I will justify if he losing his balance. If he ever required single or double UE support. If he required stepping to maintain balance. Any education I provided on fall prevention techniques. If I was working more on vision I would note if he was neglecting a side. How many cues he required to scan. For cognition I would note if any difficulty matching the numbers or colors. If he required extra time for this activity. If he was able to stay on task. What are some of your favorite multipurpose activities?? #physicaltherapy  #physicaltherapist  #physicaltherapyassistant  #getiatrics  #oldnotweak  #geriatricpt  #geriatricphysicaltherapy  #geriatricoccupationaltherapy  #geriatricot  #occupationaltherapy  #occupationaltherapist  #PT  #OT  #thenoteninjas  #physicaltherapystudent  ##physicaltherapistassistant  #physicaltherapistlife  #occupationaltherapists  #occupationaltherapyassistant  #occupationaltherapystudent  #getpt1st  #physicaltherapytreatment  #dptstudent  #dpt  #physiotherapy  #physiotherapist  #physio  #physiotherapie  #physiolife  #evidencebased 
This old tree kept thriving even when a large boulder tried to get in it's way. #adaptandovercome #adaptordie #grow #oldnotweak  #mothernature
HAPPY 100TH BIRTHDAY 🎂 
I can’t believe one of my patients turned 100 today 😳

It is for patients like her that we need to keep posting on this IG page.

Are we over the amount of money that Medicare most likely will audit? Yes

But she needs skilled therapy and she deserves it.

What we are doing with her a caregiver CANNOT do.

She has her ups and downs. She has progressed, plateaued and regressed throughout my time with her.

BUT she has required the skill only a PT could give.

I have documented different cues. I have documented medical necessity. I have documented caregiver education early and often. I have documenting her hindrances and what I am doing to work on them. 
And if I get audited so be it. She needed it and I believe it’s why she is still in good health and ambulating on her 100th birthday!

For documentation tips to justify skilled care go to the link in our bio! Never discharge a patient early when you know they can benefit from seeing you!

#physicaltherapy #physicaltherapist #physicaltherapyassistant #getiatrics #oldnotweak #geriatricpt #geriatricphysicaltherapy #geriatricoccupationaltherapy #geriatricot #occupationaltherapy #occupationaltherapist #PT #OT #thenoteninjas #physicaltherapystudent ##physicaltherapistassistant #physicaltherapistlife #occupationaltherapists #occupationaltherapyassistant #occupationaltherapystudent #getpt1st #physicaltherapytreatment #dptstudent #dpt #physiotherapy #physiotherapist #physio #physiotherapie #physiolife #evidencebased
HAPPY 100TH BIRTHDAY 🎂 I can’t believe one of my patients turned 100 today 😳 It is for patients like her that we need to keep posting on this IG page. Are we over the amount of money that Medicare most likely will audit? Yes But she needs skilled therapy and she deserves it. What we are doing with her a caregiver CANNOT do. She has her ups and downs. She has progressed, plateaued and regressed throughout my time with her. BUT she has required the skill only a PT could give. I have documented different cues. I have documented medical necessity. I have documented caregiver education early and often. I have documenting her hindrances and what I am doing to work on them. And if I get audited so be it. She needed it and I believe it’s why she is still in good health and ambulating on her 100th birthday! For documentation tips to justify skilled care go to the link in our bio! Never discharge a patient early when you know they can benefit from seeing you! #physicaltherapy  #physicaltherapist  #physicaltherapyassistant  #getiatrics  #oldnotweak  #geriatricpt  #geriatricphysicaltherapy  #geriatricoccupationaltherapy  #geriatricot  #occupationaltherapy  #occupationaltherapist  #PT  #OT  #thenoteninjas  #physicaltherapystudent  ##physicaltherapistassistant  #physicaltherapistlife  #occupationaltherapists  #occupationaltherapyassistant  #occupationaltherapystudent  #getpt1st  #physicaltherapytreatment  #dptstudent  #dpt  #physiotherapy  #physiotherapist  #physio  #physiotherapie  #physiolife  #evidencebased 
my latest for @seniorrehab. •
http://seniorrehab.libsyn.com/the-spt-geriatric-experience
👩‍🎓👨‍🎓
tuition is no joke, and it’s important to make sure our newest clinicians are ready for the demographics of the clinic.  So I listened while some #freshPT s and a student discussed their thoughts. #geriPT #oldNOTweak
my latest for @seniorrehab. • http://seniorrehab.libsyn.com/the-spt-geriatric-experience 👩‍🎓👨‍🎓 tuition is no joke, and it’s important to make sure our newest clinicians are ready for the demographics of the clinic. So I listened while some #freshPT  s and a student discussed their thoughts. #geriPT  #oldNOTweak 
SRP salutes those who have served their country with Tali & Erinn's Veteran's Day inspired episode. " When you know better, you do better" and our veterans  deserve clinicians who do better to meet their needs. #SRPrereqs *
http://seniorrehab.libsyn.com/thank-you-for-your-service
*

#geriPT #oldNOTweak
This episode is sponsored by the Academy of Geriatric Physical Therapy. Check out their FREE resources they've given you, listeners of SRP - http://GeriatricsPT.org/SRP
SRP salutes those who have served their country with Tali & Erinn's Veteran's Day inspired episode. " When you know better, you do better" and our veterans deserve clinicians who do better to meet their needs. #SRPrereqs  * http://seniorrehab.libsyn.com/thank-you-for-your-service * #geriPT  #oldNOTweak  This episode is sponsored by the Academy of Geriatric Physical Therapy. Check out their FREE resources they've given you, listeners of SRP - http://GeriatricsPT.org/SRP
#Repost @seniorrehab (@get_repost)
・・・
What do you do when your patient's PERCEPTION doesn't match REALITY?

What if they're doing better than they perceive?

What if they're doing worse than they perceive?

Check out the latest #GeriOnICE on @icephysio FB page to see.

#physiotherapy #physicaltherapy #oldnotweak #geript #HomeHealth #newgradpt #dptstudent #dpt #mmoa #ptonice
💥Mental paradigm shift💥
⚠️ Caution — rant below 🤷🏼‍♂️
・・・
Getting older doesn’t have to mean loss of mobility, weakness, less active, etc
.
Ernastine (on the left) was sedentary and had never worked out until her mid 50s when she made a change.
.
▪️YES: this may be an exaggeration (but does it have to be!?)
▪️YES: genetics play a role
▪️NO: you don’t know what the woman on the right has went through in her life (and she could be very healthy on the inside) . There are obviously caveats and circumstances that are out of our control (not the point)
.
By and large, our day to day choices from today- will decide our fate of tomorrow. .
You can control so much! 🙌🏻
.
The choices we make in our 30s-60s are so crucial for our 70s and 80s. We must build up a reserve of strength, activity tolerance, and mobility to rely and thrive on in our later and elder years.
.
And going beyond strength and mobility. . . .
📚Thanks to Yanghi (2018) we now know the effects of ONE HOUR of strength training a week can decrease the chances of metabolic syndrome by 30%, and can decrease the risk of a heart attack or stroke by 40-70%!
.
🙌🏻THATS HUGE!
.
So many older patients I work with wish they could do more. Wether it be travel more in retirement, or just be able to walk down the isle of their grand kids’ wedding without help.
.
I know for many, this is simply a mental paradigm shift....
.
Society tells us (and many believe) ... I’m getting old... so I will get weak.. it’s just the way it is!
.
Yes.. as we age, things change . I’m not arguing that. But if that’s what our mindset is , and that’s how we plan. You’re right on.
.
 It doesn’t have to be that way.
.
Go to YouTube and check out all the older adults (masters) in @crossfit and see the changes people are making. It’s so inspiring. Also, every year older adults are breaking more records for running and lifting events! Also, groups like @icephysio are constantly challenging society’s mentality and promoting #oldnotweak ! Check them out .
.
What will your 80s look like?! .
.
Left? Or right? .
.
Comment, like and share to get the word out and do your part in changing societies mentality!
.
.
Credit picture: @function360physiotherapy
💥Mental paradigm shift💥 ⚠️ Caution — rant below 🤷🏼‍♂️ ・・・ Getting older doesn’t have to mean loss of mobility, weakness, less active, etc . Ernastine (on the left) was sedentary and had never worked out until her mid 50s when she made a change. . ▪️YES: this may be an exaggeration (but does it have to be!?) ▪️YES: genetics play a role ▪️NO: you don’t know what the woman on the right has went through in her life (and she could be very healthy on the inside) . There are obviously caveats and circumstances that are out of our control (not the point) . By and large, our day to day choices from today- will decide our fate of tomorrow. . You can control so much! 🙌🏻 . The choices we make in our 30s-60s are so crucial for our 70s and 80s. We must build up a reserve of strength, activity tolerance, and mobility to rely and thrive on in our later and elder years. . And going beyond strength and mobility. . . . 📚Thanks to Yanghi (2018) we now know the effects of ONE HOUR of strength training a week can decrease the chances of metabolic syndrome by 30%, and can decrease the risk of a heart attack or stroke by 40-70%! . 🙌🏻THATS HUGE! . So many older patients I work with wish they could do more. Wether it be travel more in retirement, or just be able to walk down the isle of their grand kids’ wedding without help. . I know for many, this is simply a mental paradigm shift.... . Society tells us (and many believe) ... I’m getting old... so I will get weak.. it’s just the way it is! . Yes.. as we age, things change . I’m not arguing that. But if that’s what our mindset is , and that’s how we plan. You’re right on. . It doesn’t have to be that way. . Go to YouTube and check out all the older adults (masters) in @crossfit and see the changes people are making. It’s so inspiring. Also, every year older adults are breaking more records for running and lifting events! Also, groups like @icephysio are constantly challenging society’s mentality and promoting #oldnotweak  ! Check them out . . What will your 80s look like?! . . Left? Or right? . . Comment, like and share to get the word out and do your part in changing societies mentality! . . Credit picture: @function360physiotherapy
What do you do when your patient's PERCEPTION doesn't match REALITY?

What if they're doing better than they perceive?

What if they're doing worse than they perceive?

Check out the latest #GeriOnICE on @icephysio FB page to see.

#physiotherapy #physicaltherapy #oldnotweak #geript #HomeHealth #newgradpt #dptstudent #dpt #mmoa #ptonice
I came upon this ball when I was looking through the activity closet of the assisted living facility I work in.  I asked if I could borrow the ball and have used it in many of my treatment sessions.  Written on the ball are various talking points including “donut toppings, cities in California, and popular food combinations.” I like this activity for clients who have a mild cognitive deficit who I am also working on improving balance with.  You can upgrade the activity by having your client stand on a balance pad or add wrist weights.  You can easily make your own conversation ball by adding numbered stickers to the ball and then listing different topics numbered on a seperate sheet of paper to reference. 
Therapy equipment can be expensive, but there are also a lot of cheap tools out there to help you build your “tool box.” I love going to the dollar store, dollar section from @target , and @fivebelow to look for new ideas and supplies.  If you haven’t already, check out our @kit that we put together to show you all of our favorite products.  https://kit.com/thenoteninjas

#physicaltherapy #physicaltherapist #physicaltherapyassistant #getiatrics #oldnotweak #geriatricpt #geriatricphysicaltherapy #geriatricoccupationaltherapy #geriatricot #occupationaltherapy #occupationaltherapist #PT #OT #thenoteninjas #physicaltherapystudent ##physicaltherapistassistant #physicaltherapistlife #occupationaltherapists #occupationaltherapyassistant #occupationaltherapystudent #getpt1st #physicaltherapytreatment #dptstudent #dpt #physiotherapy #physiotherapist #physio #physiotherapie #physiolife #evidencebased
I came upon this ball when I was looking through the activity closet of the assisted living facility I work in. I asked if I could borrow the ball and have used it in many of my treatment sessions. Written on the ball are various talking points including “donut toppings, cities in California, and popular food combinations.” I like this activity for clients who have a mild cognitive deficit who I am also working on improving balance with. You can upgrade the activity by having your client stand on a balance pad or add wrist weights. You can easily make your own conversation ball by adding numbered stickers to the ball and then listing different topics numbered on a seperate sheet of paper to reference. Therapy equipment can be expensive, but there are also a lot of cheap tools out there to help you build your “tool box.” I love going to the dollar store, dollar section from @target , and @fivebelow to look for new ideas and supplies. If you haven’t already, check out our @kit that we put together to show you all of our favorite products. https://kit.com/thenoteninjas #physicaltherapy  #physicaltherapist  #physicaltherapyassistant  #getiatrics  #oldnotweak  #geriatricpt  #geriatricphysicaltherapy  #geriatricoccupationaltherapy  #geriatricot  #occupationaltherapy  #occupationaltherapist  #PT  #OT  #thenoteninjas  #physicaltherapystudent  ##physicaltherapistassistant  #physicaltherapistlife  #occupationaltherapists  #occupationaltherapyassistant  #occupationaltherapystudent  #getpt1st  #physicaltherapytreatment  #dptstudent  #dpt  #physiotherapy  #physiotherapist  #physio  #physiotherapie  #physiolife  #evidencebased 
DIFFERENT WAYS TO WORK ON SIT TO STANDS

This patient, like a lot of our patients, pushes back on his chair when performing sit to stands so to work on this we used a swiss ball.

In sitting the swiss ball was on the ground and as he stood he raised the ball overhead.

Not only did this get him to lean forward but it also helped with extension into better posture as well as raising his head and dual tasking.

Skilled therapy is not just verbally cueing your patient to lean forward. If that does not work we need to think of new ways….ways a caregiver is not trained to think.

What are some ways you get your patients to lean forward more when performing sit to stands?

Also make sure to click the link in our bio for skilled care documentation tips so you never have to DC a patient early again!

#physicaltherapy #physicaltherapist #physicaltherapyassistant #getiatrics #oldnotweak #geriatricpt #geriatricphysicaltherapy #geriatricoccupationaltherapy #geriatricot #occupationaltherapy #occupationaltherapist #PT #OT #thenoteninjas #physicaltherapystudent ##physicaltherapistassistant #physicaltherapistlife #occupationaltherapists #occupationaltherapyassistant #occupationaltherapystudent #getpt1st #physicaltherapytreatment #dptstudent #dpt #physiotherapy #physiotherapist #physio #physiotherapie #physiolife #evidencebased
DIFFERENT WAYS TO WORK ON SIT TO STANDS This patient, like a lot of our patients, pushes back on his chair when performing sit to stands so to work on this we used a swiss ball. In sitting the swiss ball was on the ground and as he stood he raised the ball overhead. Not only did this get him to lean forward but it also helped with extension into better posture as well as raising his head and dual tasking. Skilled therapy is not just verbally cueing your patient to lean forward. If that does not work we need to think of new ways….ways a caregiver is not trained to think. What are some ways you get your patients to lean forward more when performing sit to stands? Also make sure to click the link in our bio for skilled care documentation tips so you never have to DC a patient early again! #physicaltherapy  #physicaltherapist  #physicaltherapyassistant  #getiatrics  #oldnotweak  #geriatricpt  #geriatricphysicaltherapy  #geriatricoccupationaltherapy  #geriatricot  #occupationaltherapy  #occupationaltherapist  #PT  #OT  #thenoteninjas  #physicaltherapystudent  ##physicaltherapistassistant  #physicaltherapistlife  #occupationaltherapists  #occupationaltherapyassistant  #occupationaltherapystudent  #getpt1st  #physicaltherapytreatment  #dptstudent  #dpt  #physiotherapy  #physiotherapist  #physio  #physiotherapie  #physiolife  #evidencebased 
A lot of our treatment sessions are billed under therapeutic exercise and therapeutic activities.  In order to demonstrate skilled care, you must be able to justify that these activities/exercises could not be performed by a caregiver.  We have mentioned this before, but regardless of whether or not your client has a caregiver, you must always document skilled care. 
When making comments in a treatment note regarding TE/TA - try to focus the comment on: *What you as the clinician did to make the activity skilled -Facilitation techniques
-Inhibitory techniques
-Degree of perturbations
-A specific cue you provided *The client's response to the activity
-Reps prior to fatigue
-Borg/RPE
-Vital signs *How you progressed the activity -Increased step height -Decreased UE support
-Increased reaching distance
-Standing vs sitting 
There is no need to fear audits or discharge a client early as long as you are always showing skilled care.  Some clients need more time based on their diagnosis and co-morbidities.  And guess what? You CAN increase the duration of treatment as long as you are changing the way you treat your client and showing that change in your documentation. ⭐️Comment below if these tips are helping you!
A lot of our treatment sessions are billed under therapeutic exercise and therapeutic activities. In order to demonstrate skilled care, you must be able to justify that these activities/exercises could not be performed by a caregiver. We have mentioned this before, but regardless of whether or not your client has a caregiver, you must always document skilled care. When making comments in a treatment note regarding TE/TA - try to focus the comment on: *What you as the clinician did to make the activity skilled -Facilitation techniques -Inhibitory techniques -Degree of perturbations -A specific cue you provided *The client's response to the activity -Reps prior to fatigue -Borg/RPE -Vital signs *How you progressed the activity -Increased step height -Decreased UE support -Increased reaching distance -Standing vs sitting There is no need to fear audits or discharge a client early as long as you are always showing skilled care. Some clients need more time based on their diagnosis and co-morbidities. And guess what? You CAN increase the duration of treatment as long as you are changing the way you treat your client and showing that change in your documentation. ⭐️Comment below if these tips are helping you!
Did you know that owning a dog can actually improve your health? According to Harvard’s Medical School Health Publishing, “evidence suggests that having a dog may help improve heart health.” Lower blood pressure from exercise, lower cholesterol and triglyceride levels, AND the benefits of handling stress are all possible from being a responsible and loving dog owner.

Find out more at: https://www.health.harvard.edu/staying-healthy/having-a-dog-can-help-your-heart--literally

#physicaltherapy #dogs #dogsofinstagram #supportdog #guidedog #healtheducation #harvard #hearthealth #americanswithdisabilitiesact #pediatricphysicaltherapy #serviceanimal #physicaltherapyworks  #physicalexercise #geriatrics #geriatricphysicaltherapy #oldnotweak
Did you know that owning a dog can actually improve your health? According to Harvard’s Medical School Health Publishing, “evidence suggests that having a dog may help improve heart health.” Lower blood pressure from exercise, lower cholesterol and triglyceride levels, AND the benefits of handling stress are all possible from being a responsible and loving dog owner. Find out more at: https://www.health.harvard.edu/staying-healthy/having-a-dog-can-help-your-heart--literally #physicaltherapy  #dogs  #dogsofinstagram  #supportdog  #guidedog  #healtheducation  #harvard  #hearthealth  #americanswithdisabilitiesact  #pediatricphysicaltherapy  #serviceanimal  #physicaltherapyworks  #physicalexercise  #geriatrics  #geriatricphysicaltherapy  #oldnotweak 
Ikääntyvien fysioterapiaa. Äitini juuri 82v täyttänyt lähti ensimmäistä kertaa eläessään kuntosalille. Ohjelmassa oikeaa toiminnallista harjoittelua eli kauppakassin nosto (maastaveto 32kg kahvakuula), seisomaannousu (boksikyykky voimapallo 10kg), kuinka pääset kesällä moikkaamaan naapuria veneellä (soutu painopakkalaitteella, "ptruu ptruu hevosen selkään" kuulu vaan) ja miten laitat sen painavan vuoan hankalaan säilytyspaikkaan ylähyllylle tai täytät jääkaapin (pystypunnerrus painopakkalaitteella). Crosstrainer oli melkeinpä helppo, kävely juoksumatolla aiheutti eniten mutinaa (metsässä kuulemma helpompi kävellä). Oikeanlainen lihaskuntoharjoittelu mahdollistaa mukavamman kotona elämisen vuosien kertyessä. Rasitusta pitää olla riittävästi. 82v ei tarvitse vetää 100kg maasta levytangolla tai kyykätä polviproteeseja rikki, mutta painavimpaan kahvakuulaan voi moni huoletta tähdätä. Mun mutsi tarttee paivavamman kuin 32kg. Mitäs asuu vielä maalla ja tekee kaikenlaista fyysistä työtä vuoden ympäri. 
Allons-y, mutsi ja hyvää syntymäpäivää! Veä!

#fysioterapia
#ikääntyvienfysioterapia
#kunnossakaikenikää
#powermoosemom
#nothingwrongwithgettingstrong
#trustmeimaphysiotherapist
#physiotherapy
#oldNOTweak

#kuntokeskusenergy
#energyrantakylä
#energykeskusta

#allonsy
Ikääntyvien fysioterapiaa. Äitini juuri 82v täyttänyt lähti ensimmäistä kertaa eläessään kuntosalille. Ohjelmassa oikeaa toiminnallista harjoittelua eli kauppakassin nosto (maastaveto 32kg kahvakuula), seisomaannousu (boksikyykky voimapallo 10kg), kuinka pääset kesällä moikkaamaan naapuria veneellä (soutu painopakkalaitteella, "ptruu ptruu hevosen selkään" kuulu vaan) ja miten laitat sen painavan vuoan hankalaan säilytyspaikkaan ylähyllylle tai täytät jääkaapin (pystypunnerrus painopakkalaitteella). Crosstrainer oli melkeinpä helppo, kävely juoksumatolla aiheutti eniten mutinaa (metsässä kuulemma helpompi kävellä). Oikeanlainen lihaskuntoharjoittelu mahdollistaa mukavamman kotona elämisen vuosien kertyessä. Rasitusta pitää olla riittävästi. 82v ei tarvitse vetää 100kg maasta levytangolla tai kyykätä polviproteeseja rikki, mutta painavimpaan kahvakuulaan voi moni huoletta tähdätä. Mun mutsi tarttee paivavamman kuin 32kg. Mitäs asuu vielä maalla ja tekee kaikenlaista fyysistä työtä vuoden ympäri. Allons-y, mutsi ja hyvää syntymäpäivää! Veä! #fysioterapia  #ikääntyvienfysioterapia  #kunnossakaikenikää  #powermoosemom  #nothingwrongwithgettingstrong  #trustmeimaphysiotherapist  #physiotherapy  #oldNOTweak  #kuntokeskusenergy  #energyrantakylä  #energykeskusta  #allonsy