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How to Boost Your Brain Power: The Effects of Physical Therapy in Improving Cognitive Function in Older Adults

 

 

 

 

As the global population ages, maintaining cognitive health has become a pressing concern. Increasing evidence suggests that physical therapy, traditionally focused on improving physical function, may also positively impact cognitive function in older adults, resulting in a better quality of life. Physical activity has long been associated with various health benefits, including but not limited to cardiovascular health, weight management, and musculoskeletal strength. However, recent research has increasingly highlighted its role in cognitive health. Regular physical activity is known to improve blood flow to the brain as well as reduce inflammation. These physiological changes can help maintain or even improve cognitive function. Physical therapy encompasses a range of treatments, all aimed at restoring and improving mobility. It often includes exercises, manual therapy, and modalities like balance training and gait training. While these interventions are primarily designed to address physical impairments, they can also have significant cognitive benefits. Physical therapy also involves tasks that require cognitive engagement, such as following complex exercise instructions or performing exercises that challenge coordination and balance. This cognitive engagement can stimulate brain areas involved in executive function and memory. Improved physical function can lead to greater independence and reduced risk of falls, which is usually associated with reduced anxiety and stress. Lower levels of anxiety and stress are associated with better cognitive health, suggesting an indirect benefit of physical therapy on cognitive function. Given the potential cognitive benefits of physical therapy, it is essential for healthcare providers to consider integrating cognitive elements into physical therapy programs for older adults. This approach not only addresses physical impairments but also supports cognitive health, offering a holistic strategy for managing aging-related challenges. Moreover, older adults themselves should be encouraged to engage in regular physical activity and seek physical therapy when needed. This proactive approach can help maintain both physical and cognitive function. Physical therapy offers significant benefits beyond improving physical function and can also positively impact cognitive health. By incorporating cognitive challenges into physical therapy and encouraging regular physical activity, it is possible to enhance both physical and cognitive well-being in aging populations. As research continues to evolve, the integration of physical and cognitive health strategies will likely become an increasingly important aspect of geriatric care. At Kinesioworks Physical Therapy, we empower your mind with the right dose of physical activity and therapeutic exercises. We combine PT intervention with activities that harness the body’s natural brain boosters that help improve cognitive function.

 

 

 

References:

Di-Bonaventura, S., Fernández-Carnero, J., Matesanz-García, L., Arribas-Romano, A., Polli, A., & Ferrer-Peña, R. (2023). Effect of Different Physical Therapy Interventions on Brain-Derived Neurotrophic Factor Levels in Chronic Musculoskeletal Pain Patients: A Systematic Review. Life (Basel, Switzerland), 13(1), 163.

 

Kaagman, D. G. M., van Wegen, E. E. H., Cignetti, N., Rothermel, E., Vanbellingen, T., & Hirsch, M. A. (2024). Effects and Mechanisms of Exercise on Brain-Derived Neurotrophic Factor (BDNF) Levels and Clinical Outcomes in People with Parkinson's Disease: A Systematic Review and Meta-Analysis. Brain sciences, 14(3), 194.

 

Lin, H., Liu, H., Dai, Y., Yin, X., Li, Z., Yang, L., Tao, J., Liu, W., & Chen, L. (2022). Effect of Physical Activity on Cognitive Impairment in Patients With Cerebrovascular Diseases: A Systematic Review and Meta-Analysis. Frontiers in neurology, 13, 854158 Mandolesi, L., Polverino, A., Montuori, S., Foti, F., Ferraioli, G., Sorrentino, P., & Sorrentino, G. (2018). Effects of Physical Exercise on Cognitive Functioning and Wellbeing: Biological and Psychological Benefits. Frontiers in psychology, 9, 509. Xu, L., Gu, H., Cai, X., Zhang, Y., Hou, X., Yu, J., & Sun, T. (2023). The Effects of Exercise for Cognitive Function in Older Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. International journal of environmental research and public health, 20(2), 1088

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The Role of Physical Therapy in Cardiac Rehabilitation

Cardiac rehabilitation is a comprehensive program designed to support individuals in their recovery from various heart conditions. These conditions may include coronary artery disease, heart attack, heart failure, or undergoing cardiac procedures like angioplasty or heart surgery.

The goals of cardiac rehabilitation are multifold. Firstly, it aims to optimize physical fitness, improving cardiovascular endurance, strength, and flexibility. Secondly, it emphasizes education and lifestyle modification, equipping patients with the knowledge and skills to manage risk factors such as high blood pressure, high cholesterol, diabetes, and obesity. Thirdly, it addresses psychological well-being, providing emotional support and coping strategies to navigate the mental and emotional challenges often associated with heart disease. 

There are four phases of cardiac rehabilitation. In the acute phase, the patient works with an acute physical therapist to regain mobility, prescribe any exercises or aids, as well as address any risk factors. The patient is then discharged after a certain amount of recovery to move to phase two. Phase two is the subacute phase, which occurs at an outpatient facility, where the patient is taught to self-monitor things such as heart rate which is necessary for a healthy return to complete functionality. Phase three is intensive outpatient therapy, where the physical therapist works with the patient to increase flexibility and strength. Phase four is mostly independent recovery using exercise programs from phase three.

Participating in cardiac rehabilitation offers a multitude of benefits. Regular exercise and lifestyle modifications promoted in cardiac rehabilitation contribute to better heart function, reduced blood pressure, improved cholesterol levels, and enhanced overall cardiovascular health. Education and counseling empower patients to take control of their health by managing risk factors such as hypertension, high cholesterol, diabetes, obesity, and smoking, thereby reducing the likelihood of future heart problems. Studies have shown that participation in cardiac rehabilitation significantly reduces the risk of subsequent hospitalizations and mortality rates among individuals with heart disease.

 Cardiac rehabilitation serves as a vital component in the continuum of care for individuals recovering from heart-related conditions. By integrating exercise training, education, counseling, and lifestyle modification, these programs empower patients to take proactive steps towards improving their cardiovascular health, enhancing physical fitness, and fostering emotional well-being. As a result, cardiac rehabilitation not only aids in recovery but also plays a pivotal role in preventing future cardiac events, ultimately contributing to a healthier and more fulfilling life for individuals with heart disease.

 

References:

 

Bracewell, N. J., Plasschaert, J., Conti, C. R., Keeley, E. C., & Conti, J. B. (2022). Cardiac rehabilitation: Effective yet underutilized in patients with cardiovascular disease. Clinical cardiology, 45(11), 1128–1134. https://doi.org/10.1002/clc.23911

 

Passantino, A., Dalla Vecchia, L. A., Corrà, U., Scalvini, S., Pistono, M., Bussotti, M., Gambarin, F. I., Scrutinio, D., & La Rovere, M. T. (2021). The future of exercise-based cardiac rehabilitation for patients with heart failure. Frontiers in cardiovascular medicine, 8, 709898. https://doi.org/10.3389/fcvm.2021.709898

 

Taylor, R. S., Dalal, H. M., & Zwisler, A. D. (2023). Cardiac rehabilitation for heart failure: 'Cinderella' or evidence-based pillar of care?. European heart journal, 44(17), 1511–1518. https://doi.org/10.1093/eurheartj/ehad118

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Título Elegante

Melhor movimento para melhor saúde

           In a world characterized by lives mostly carried out sitting at a desk facing a computer, the importance of physical activity cannot be overstated. Regular exercise is not just a matter of staying fit; it is a fundamental pillar of overall health and well-being. Research consistently demonstrates the myriad benefits of physical activity, from enhancing cardiovascular health to boosting mental well-being. In this article, we explore the ways in which physical activity contributes to overall health, why incorporating it into our daily lives is crucial and how physical therapists can help.

 

           Physical activity plays a pivotal role in weight management and obesity prevention. Regular exercise provides a variety of benefits including but not limited to burning calories, building lean muscle mass, and regulating metabolism. Physical therapists can help by developing an exercise plan and/or appropriate alternative physical activities depending on the patient’s health status. Combining physical activity with a balanced diet is an effective strategy for achieving and maintaining a healthy weight. Moreover, maintaining a healthy weight is linked to a lower risk of chronic conditions such as diabetes and certain types of cancer.

            The connection between physical activity and mental well-being is well-established. Exercise releases endorphins, the body's natural mood lifters, which can help alleviate symptoms of depression and anxiety. Additionally, regular physical activity improves cognitive function and reduces the risk of neurodegenerative diseases, enhancing overall brain health. The release of endorphins also contributes to pain relief in the body, allowing patients to feel better as well.

              Aside from therapeutic exercises, physical therapists utilize breathing techniques that can improve body wellness. Incorporating mindful breathing techniques, such as deep diaphragmatic breathing or meditation, alongside physical activity, can significantly reduce stress levels. Stress has profound implications for overall health, contributing to various chronic conditions. Mindful breathing fosters relaxation, activates the parasympathetic nervous system, and mitigates the detrimental effects of chronic stress.

              Weight-bearing exercises, such as running and resistance training, contribute to the development of strong bones and muscles. This is particularly important in preventing conditions like osteoporosis and frailty, especially as individuals age. Strength training exercises also support joint health and flexibility.

                Incorporating regular physical activity into our lives is an investment in our health that pays off in numerous ways. Whether through structured workouts, recreational activities, or simply incorporating more movement into daily routines, everyone can find a way to enjoy the transformative power of physical activity and unlock the full potential of a healthy and fulfilling life. Physical therapists have a duty to not only administer physical exercise but promote physical activity and wellness in their patients’ lives.

 

Works Cited: Mercer, Lily. The Role of Breathing in Physical Therapy. CoreMedical Group. https://www.coremedicalgroup.com/blog/role-breathing-physical-therapy Panchbudhe, Shweta & Kumar, Y & Choudhary, Sachin & Chiwhane, Anjalee. (2020). Role of Physiotherapist to Promote Physical Activity in Physical Therapy Settings: Questionnaire Study. International Journal of Current Research and Review. 50-55. 10.31782/IJCRR.2020.5055.

Outubro é o mês nacional da fisioterapia

Todos os anos, no mês de outubro, fisioterapeutas de diferentes ambientes de prática ao redor do país celebram o Mês Nacional da Fisioterapia. O tema deste ano foca no valor da fisioterapia. A fisioterapia oferece muitos benefícios para pacientes de todas as idades. Ela ajuda a melhorar a mobilidade e a função do paciente e desempenha um papel na melhoria do condicionamento físico, bem-estar e qualidade de vida. Fisioterapeutas são especialistas em movimento altamente treinados na avaliação e análise de várias condições musculoesqueléticas, neurológicas e geriátricas. Em parceria com os pacientes, os fisioterapeutas desenvolvem metas, plano de cuidados e, com assistentes de fisioterapia, fornecem programa de tratamento de fisioterapia individualizado para os pacientes. A American Physical Therapy Association lançou um artigo com o objetivo de aumentar a conscientização sobre os benefícios da fisioterapia:

1. Melhore a mobilidade Os fisioterapeutas podem ajudar a melhorar a mobilidade identificando, avaliando e tratando problemas de movimento e melhorando a função.

2. Melhore a atividade física e promova o bem-estar Estudos mostram que a atividade física regular melhora o bem-estar físico, mental e emocional. Ela também previne problemas médicos crônicos, como doenças cardíacas, diabetes e hipertensão. O conhecimento e a experiência dos fisioterapeutas em movimento e exercício podem ajudar a superar barreiras à atividade física regular e promover o bem-estar.

3. Ajude a controlar a dor Os fisioterapeutas usam diferentes modalidades para ajudar a diminuir a dor musculoesquelética e podem reduzir o uso de analgésicos de risco.

4. Recupere-se após a cirurgia Após a cirurgia, os fisioterapeutas podem ajudá-lo a recuperar e restaurar a função e a mobilidade.

5. Prevenir e/ou recuperar-se de lesões Após uma lesão, os fisioterapeutas podem ajudar abordando os sintomas de dor, limitações de mobilidade e fornecer cuidados de fisioterapia e educação ao paciente sobre como prevenir novas lesões.

O Healthy People 2030 continua monitorando como as comunidades abordam o acesso equitativo aos cuidados básicos para melhorar a saúde e o bem-estar. Na Kinesioworks Physical Therapy, continuamos nos esforçando e encontrando maneiras de servir e fornecer o melhor atendimento baseado em evidências para nossos pacientes em Heights e comunidades vizinhas da cidade de Nova York, colaborando com instalações de saúde locais na comunidade.

4 de julho de 2023

Desejando a todos um

Nós honramos

Dia da Memória

29 de maio de 2023

Hoje honramos e agradecemos aqueles que deram, a serviço do nosso país. Nós os saudamos!

Homenagem ao Dr. Martin Luther King Jr.

16 de janeiro de 2023

Hoje, homenageamos a vida e o legado do Dr. Martin Luther King Jr.!



What A Race!

12 de novembro de 2022

Parabéns ao nosso próprio Dr. Vincent Sto Tomas, PT, DPT por completar a Maratona de Nova York de 2022! Como um corredor ávido, o Dr. Vincent completou 3 Maratonas de Nova York e 4 maratonas de longe!


Inspirado para correr para se exercitar ou para beneficiar uma causa? A Kinesioworks Physical Therapy pode ajudar você a começar! Já é um corredor competitivo e experiente? Podemos ajudar você a melhorar a mecânica e o desempenho da corrida! Agora oferecemos a Análise de Marcha de Corrida 3D com tecnologia RunDNA! Com o poder da tecnologia 3D, podemos avaliar sua biomecânica de corrida, analisar padrões e recomendar estratégias e programas de corrida para melhorar seu desempenho na corrida. Ligue para nós agora para agendar sua consulta!



Nossa Sincera Gratidão

11 de novembro de 2022

Nossa sincera gratidão aos nossos homens e mulheres uniformizados e suas famílias por seu serviço e sacrifício.

Nós agradecemos!



Bed-Stuy Patrimônio 5K

24 de julho de 2022

Congratulations to one of our clients for successfully completing the First Bed-Stuy Heritage 5K Run organized by RunSignUp along with our very own Dr. Vincent Sto Tomas. The event was held in Stuyvesant Heights section of Brooklyn on July 24, 2024.


Inspired to run for fitness or to benefit a cause? Kinesioworks Physical Therapy can help you get started! Already a competitive and seasoned runner?  We can help you improve running mechanics and performance! Our 3D Running Gait Analysis is coming soon! Stay tuned for more details!




Feliz Dia da Independência!

4 de julho de 2022

Desejamos a todos um feliz 4 de julho!




Comemorando o Juneteenth!

19 de junho de 2022

Feliz Juneteenth!


Crédito da foto: Imagem de khema sok de https://pixabay.com/illustrations/juneteenth-racism-slavery-freedom-7264956/


Feliz Dia dos Pais!

19 de junho de 2022

Desejamos a todos os pais um Feliz e Abençoado Dia dos Pais!


Crédito da foto: Imagem de alexandra koch de https://pixabay.com/illustrations/father-s-day-father-tie-dad-map-5264164/


Lembrando Aqueles Que Serviram

30 de maio de 2022

Neste Memorial Day, guardamos em nossos corações os homens e mulheres uniformizados que se sacrificaram para defender nossa liberdade. Nossos pensamentos estão com suas famílias e oramos pelo retorno seguro daqueles que estão servindo atualmente.



Ótima temporada para andar de bicicleta!

14 de maio de 2022

Parabéns ao nosso Dr. Vincent por concluir o recém-concluído TD NYC 5 Boro Bike Tour!

Agora que o NYC 5-Boro Bike Tour acabou de terminar e o GFNY Cycling está chegando, é hora de falar sobre ciclismo. Seja ao ar livre ou em ambientes fechados, o ciclismo é um ótimo esporte e atividade física. Ao longo dos anos, os benefícios do ciclismo para a saúde e a sociedade foram bem documentados em pesquisas (Kotler, Babu e Robidoux, 2016). Foi demonstrado que ele melhora o condicionamento físico geral, diminui o risco de doenças cardiovasculares, obesidade e câncer (Chavarrias et al, 2019). Os benefícios sociais do ciclismo incluem redução da poluição do ar e diminuição de acidentes de trânsito (Kotler, Babu e Robidoux, 2016). Dados seus benefícios, o ciclismo também apresenta risco de lesões. Para prevenir e/ou minimizar o risco de lesões físicas causadas pelo ciclismo, há alguns fatores importantes a serem considerados: tipo de ciclismo (recreativo, transporte, competitivo) que determina o equipamento certo, o equipamento a ser usado e as habilidades necessárias; nutrição e hidratação; treinamento adequado; e equipamento adequado.

O ajuste da bicicleta é outro fator importante a ser considerado no ciclismo. O ajuste da bicicleta é a interface entre a bicicleta e o ciclista que afeta a biomecânica do ciclista (Kotler, Babu e Robidoux, 2016). Inclui a seleção da geometria do quadro da bicicleta, sistema de pedal do selim e formato do guidão com base na posição e função desejadas do corpo (Kotler, Babu e Robidoux, 2016). O ajuste adequado da bicicleta permite conforto, eficiência e geração de energia (Kotler, Babu e Robidoux, 2016).



Feliz Dia de Martin Luther King!

17 de janeiro de 2022




Feliz Dia de Ação de Graças!

25 de novembro de 2021

Desejamos a todos um Dia de Ação de Graças saudável, seguro e feliz!

 


Homenageando nossos veteranos!

11 de novembro de 2021

A todos os nossos veteranos, obrigado pelo seu sacrifício e bravura.

 


Obrigado!

31 de maio de 2021

Reservamos um momento para lembrar, homenagear e agradecer aos homens e mulheres uniformizados e suas famílias que servem abnegadamente ao nosso país.

 


Homenagem ao Dr. Martin Luther King Jr.

18 de janeiro de 2021

Today, we honor and remember the legacy of Dr. Martin Luther King Jr. as we set our mission to serve the community of the Heights. 

 


Feliz e saudável Ano Novo para todos!

26 de novembro de 2020

Com o ano de 2020 todo para trás, olhamos para 2021 com a esperança de novos começos. Da KinesioWorks Physical Therapy, PC, um Feliz e Abençoado Ano Novo para você e sua família!

 


Feliz Dia de Ação de Graças!

26 de novembro de 2020

Desejamos a todos um Dia de Ação de Graças seguro e saudável!

Salute to All Veter

11 de novembro de 2020

Agradecemos por seu serviço ao nosso país. Deus abençoe!

Feliz 244º aniversário, EUA!

4 de julho de 2020

Desejamos a todos uma celebração saudável, segura e feliz do 4 de julho!



Práticas de mitigação que ajudam a prevenir a propagação da COVID-19

3 de julho de 2020

Based from current news we read, hear and see everyday, it seems that the COVID-19 pandemic will not be over anytime soon. However, the spread of infection may be reduced and or prevented by observing and following mitigation practices recommended by the Centers for Disease Control and health agencies' guidelines. 

A systematic review of 172 studies in health-care and non health-care settings in 16 countries and a meta-analysis of 44 comparative studies were conducted by Chu et. al. (2020). Results of the systematic review and meta-analysis suggest that physical distancing of 1 to 2 meters (3 to 6 feet); use of face masks (N95, 12-16 layer cotton or gauze masks); and use of eye protection devices (goggles, face shields) are the three simple and common practices that help mitigate the spread of infection based on the best available evidence and global collaborative efforts (Chu et. al., 2020).


Reference:

Chu, D. K., Akl, E. A., Duda, S., Solo, K., Yaacoub, S., Schünemann, H. J., & COVID-19 Systematic Urgent Review Group Effort (SURGE) study authors (2020). Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: A systematic review and meta-analysis. Lancet (London, England), 395(10242), 1973–1987. https://doi.org/10.1016/S0140-6736(20)31142-9


Nós honramos aqueles que servem

25 de maio de 2020

Ao celebrarmos o Memorial Day, agradecemos e homenageamos os homens e mulheres uniformizados e suas famílias que serviram abnegadamente ao nosso país.

Nova recomendação do CDC sobre o uso de cobertura facial de pano

4 de abril de 2020

Os Centros de Controle e Prevenção de Doenças divulgaram uma declaração em 3 de abril de 2020 recomendando o uso de coberturas faciais de tecido que podem ajudar a prevenir ou retardar a disseminação do coronavírus. Para mais informações sobre a recomendação do CDC, clique no link abaixo.

O link a seguir do CDC fornece instruções sobre como criar sua própria cobertura facial de tecido:

https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/diy-cloth-face-coverings.html

Uma atualização para provedores de saúde no estado de Nova York

2 de abril de 2020

Como um provedor de serviços físicos no estado de Nova York e como cumprimento do nosso compromisso com nossos pacientes e equipe, nós da KinesioWorks Physical Therapy continuamos nos atualizando com as últimas informações e diretrizes sobre a pandemia do Coronavírus 19 (Covid-19) fornecidas pelo Departamento de Saúde do Estado de Nova York e outras agências municipais, estaduais e federais de saúde e governo. Clique no link abaixo: Uma atualização para provedores de saúde do estado de Nova York sobre a Covid-19 https://youtu.be/vwGsmiNcvPw


Uma mensagem para nossos pacientes e familiares

Março de 2020

Dear Patients and Families,

We at KinesioWorks Physical Therapy, PC highly prioritize and are committed to the health and wellness of our patients and staff. We continue to monitor the events related to the spread of the novel coronavirus-19 (COVID-19) and update ourselves with the most recent guidelines issued by the Centers for Disease Control and Prevention (CDC), New York Department of Health and Mental Hygiene, and the state and federal government agencies.

Due to the manner the coronavirus spreads, we continue to adhere and implement the best health and hygiene practices to prevent the spread of the virus and most contagious diseases. In addition to regularly cleaning and disinfecting all equipment and surfaces after every use, hand sanitizers and/or disinfecting hand wipes will be made available for patient use.

As per the CDC guidelines, having a healthy and hygiene practices may help prevent or reduce the risk of getting infected. Some of these practices include, but not limited to:

1.Washing your hands frequently especially before meals, after using the bathroom, after you sneeze or cough (Mineo, 2020).

2.Avoid touching your face with unclean hands.

3.Cleaning frequently touched surfaces or objects daily such as tables, countertops, doorknobs and handles, and cabinet handles.

4.Covering your cough or sneeze with your elbow or tissue and then promptly throwing the tissue into the garbage receptacle.

 

Please visit the link below for a more detailed and complete guidelines from the CDC on how to protect yourself at home, at work, and in the community.

https://www.cdc.gov/coronavirus/2019-ncov/community/index.html

 

We all play an important role in the prevention of coronavirus disease. Together, we will get through this global pandemic.

 

From your family at KinesioWorks Physical Therapy, P.C.

 

Resources:

Centers for Disease Control and Prevention. (2020). Get Your Household Ready for Coronavirus Disease 2019. Available at:

https://www.cdc.gov/coronavirus/2019-ncov/community/index.html

Mineo, L. How to reduce the spread of coronavirus. (2020). The Harvard Gazette. Available at: https://harvard.edu/gazette/story/2020/03/preventing-the-spread-of-coronavirus-starts-with-basic-hygiene/

 

 

Sucesso na Maratona de Nova York de 2019!

Janeiro de 2020

It was a great run on a great day at the 2019 New York City Marathon held last November 4, 2019. Our very own, Dr. Vincent Sto Tomas, ran the famous NYC marathon for the time with a great finish! A total of 26.2 miles that stretches along all NYC five boroughs were tracked by runners from all over the world! A big shout out to all the participants in the NYC marathon!


How to Prevent Injuries When Running During the Winter Months


The cold winter days are inevitably upon us and it’s sure to pose challenges with your training and races. The good news is we can prevent injuries and have a successful run by following some simple preventive tips and common sense:

1.Check the weather. While running outdoors in cold temperatures are generally considered safe, it is important to know that at any temperature below 60 degrees Fahrenheit, there is the potential for runners to sustain non-freezing injuries such as chilblains hypothermia and freezing injuries such as frostbite especially when the temperature hits below 32 degrees Fahrenheit. Always check the weather and outdoor temperature before heading out to train or to your race. Be sure to know the “feels like” temperature considering the wind chill factor. It is best to monitor the weather forecast at least a week to a few days before and on the day of your run or training. Knowing the weather ahead will help you prepare for your gear.

2.Consider an indoor activity as an alternative to running outdoors. This is strongly encouraged especially when outside temperature is below 32 degrees Fahrenheit. If you have a subscription to a local gym, by all means, take advantage of your membership for your training.

3.Gear up. Running hats, gloves, neck warmer, proper running footwear, and hand warmers are just some of the common items you may need to have when you plan to run outdoors. Choosing the right running footwear with good traction is especially important when running on snow-covered ground to prevent slipping.

4.Stay Hydrated. Keeping yourself hydrated and maintaining an appropriate energy balance are very important to keep you running and can help regulate body temperature and may prevent hypothermia. It is recommended to take 17-20 oz. of fluid (such as water or sports drink) 2-3 hours before the physical activity or exercise and 7-10 fl.oz every 10-20 mins during exercise or physical activity (Casa et. al., 2000)

Source:

Casa, D., Armstrong, L.E., Hillman, S.K., Montain S.J., Reiff, R.V., Rich, B.S.,...Stone, J.A. (2000). National Athletic Trainer's Association position statemet: Fluid replacement for athletes. Journal of Athletic Training, 35(2), pp. 212-224.

University of Wisconsin-Madison (2019). Training tips for runners: Weather conditions and winter running. Available at: https://www.uwhealth.org/sports-medicine/physical-therapy-athletic-training/runners-education-marathon-training-in-cold-weather-weather-considerations/35986




Por que seu fisioterapeuta pergunta sobre sua dieta?

Janeiro de 2020

Feliz Ano Novo!


Com as festas de fim de ano para trás, o ano novo oferece novas esperanças e oportunidades, especialmente em fazer mudanças positivas sobre nossa saúde e bem-estar pessoal. Certamente, dieta e nutrição são apenas algumas das chaves para a saúde e o bem-estar.

Não é incomum que a maioria dos pacientes se pergunte por que um fisioterapeuta (PTs) pede a dieta de um paciente. Embora seja geralmente sabido que os PTs trabalham em distúrbios ósseos, articulares e musculares, os PTs fornecem avaliação e tratamento aos seus pacientes em uma abordagem holística (Phadke, 2017). A abordagem holística para avaliação e tratamento de fisioterapia vê o paciente como um todo, abrangendo todos os sistemas do corpo humano que trabalham juntos e afetam uns aos outros de uma forma ou de outra. Dito isto, a dieta de um paciente afeta muitos sistemas do corpo, o que por sua vez tem um impacto no funcionamento físico, mental, social e emocional do paciente, bem como na resposta ao tratamento. Por exemplo, uma dieta pobre e pouco saudável é considerada um dos principais fatores de risco modificáveis para o desenvolvimento de distúrbios cardiovasculares e cerebrovasculares, como doenças cardíacas e diabetes. Seu fisioterapeuta precisa saber e considerar esses fatores que podem afetar os resultados do tratamento (Phadke, 2017).

Ref: Phadke CP (2017). Por que os fisioterapeutas devem se importar com a dieta de seus pacientes?. Fisioterapia Canadá. Physiotherapie Canadá, 69(2), 99–103. doi:10.3138/ptc.69.2.GEE



Happy Holidays!

Dezembro de 2019

We wish you all a Blessed and Happy Holidays!



Aproveite as férias!

28 de novembro de 2019

Da nossa família KinesioWorks Physical Therapy para a sua, um Feliz Dia de Ação de Graças!



Ultrassonografia musculoesquelética (MSKUS) e pontos-gatilho miofasciais (PGM)

11 de junho de 2019


MSKUS is a diagnostic tool used specifically to assess integrity and diagnose injuries or pathologies that affect musculoskeletal tissues. MSKUS technology has been used to assess MTrP and describe its characteristics as well as the characteristics of the surrounding muscle tissue.2 MSKUS is considered as one of the most safe, convenient, practical, and inexpensive imaging technique to assess MTrP. MSKUS has been shown to demonstrate the difference between a normal myosfascial tissue and that of mysofascial tissue with MTrP.2 As seen in the image above, MSKUS imaging revealed MTrP as hypoechoic palpable nodules in the myofascial tissue.2 The upper trapezius muscle is the most commonly affected muscle for MTrPs and is most commonly located at a site midway from C7 and the acromion process.2 Physical therapists may consider this finding as a precise target treatment area and monitoring of treatment outcomes.2


References:

1) Shah JP, Thaker N, Heimur J, Aredo JV, Sikdar S, Gerber L. Myofascial Trigger Points Then and Now: A Historical and Scientific Perspective. PM R. 2015;7(7):746-761.

2) Sikdar S, Shah JP, Gebreab T, et al. Novel applications of ultrasound technology to visualize and characterize myofascial trigger points and surrounding soft tissue. Arch Phys Med Rehabil.

2009;90(11):1829-38.


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