As she pulls the ruler from under her arm and places it in the patients mouth! WOW
@hanasiyali202910 күн бұрын
End feel?
@physicaltherapyeducationso45856 күн бұрын
When assessing a motion like thoracolumbar rotation that involves multiple joints and soft tissue structures we don't document end feel. If motion is limited, then a further assessment of the mobility of individual spinal segments may identify a particular segment or segments that have abnormal mobility with a specific end feel. We hope that is helpful and thanks for watching our videos.
@dastreetz154612 күн бұрын
Thank you for these videos!
@physicaltherapyeducationso45856 күн бұрын
Thanks for your comment, we are glad you found them helpful.
@yowyare228215 күн бұрын
Thanks sir
@physicaltherapyeducationso458514 күн бұрын
We ae glad you found it helpful, thanks for watching.
@CJ-dj3cx17 күн бұрын
Interesting but it is my thumb that has the problem.
@SHALINIKARUPPIAH17 күн бұрын
However in order to know whether the patient with limited ROM ,what are the measurements to get to know, including normal motion for this movement using measuring tape. There should be a readings to differentiate. Thank you..
@physicaltherapyeducationso458514 күн бұрын
There are no normative values for this method of measuring lumbar extension. There are normal values using other methods including goniometry and inclinometers. If you choose this method you would be using your measurement to document changes for a specific patient, but would be unable to compare this patient to others. We hope that is helpful and thanks for watching.
@HH-gn9qt18 күн бұрын
How do you get a foot to flatten out ? Does a stiff big toe contribute to the arch not flattening out? Or do the go hand in hand? I have insertional Achilles problem on one foot and my chiropractor says its a stiff midfoot. Any suggestions?
@physicaltherapyeducationso458514 күн бұрын
It is impossible to provide any specific guidance without a full evaluation, so we would recommend finding a local PT that has experience treating feet. In general terms it is common if you have a high arch to also have some involvement of the big toe, usually the big toe is not the cause of the arch problem. Good luck.
@inga885321 күн бұрын
One of the most comprehensive videos on wounds assessment on KZfaq.
@physicaltherapyeducationso458520 күн бұрын
Thanks for supporting our channel and for the nice complement. We are glad you found it helpful.
@ukik031822 күн бұрын
Couldn't you zoom in and actually show how you read the degrees
@physicaltherapyeducationso458520 күн бұрын
Thanks for watching and for the constructive feedback, perhaps we can add a video specific to reading the goniometer dial.
@user-hn1ts9tg7b23 күн бұрын
Love you guys for making mmt easier for me ❤❤❤
@physicaltherapyeducationso458520 күн бұрын
Thanks for watching and glad we could be helpful.
@manishajoan756524 күн бұрын
honestly I learnt better watching this video than I learned in class
@physicaltherapyeducationso458520 күн бұрын
Thanks for the kind words and for supporting our channel.
@NepeAomeshuАй бұрын
Hello sir... When can any exercise( like hip abduction) can be performed after MMT? IN WHICH GRADE?
@physicaltherapyeducationso458527 күн бұрын
As a general principle you perform manual muscle testing to identify muscle groups that are impaired. That information must then be used in the context of the overall status of the person and their injury/illness to identify a level of exercise that is appropriate. The manual test results should not be the only factor considered when choosing the proper exercise. Once all information has been gathered then appropriate exercises are identified. We hope that is helpful and thanks for watching our videos.
@belindaalderson7209Ай бұрын
Helpful thanks
@physicaltherapyeducationso458527 күн бұрын
Thanks for the comment and for supporting our channel.
@keshavamurthy2585Ай бұрын
Sir/madam awesome videos,am a stroke survivor had thalamus right bleed impacting left limbs.now it is 9months,am able to walk but not fully recovered.possible to help me analyse my gait n suggest exercise to improve?
@physicaltherapyeducationso458527 күн бұрын
Sorry to hear about your health challenges. We would recommend finding a licensed and qualified physical therapist near you and make an appointment for assistance with your gait and recovery.
@N1TROАй бұрын
So... what if you cant kick your legs out to the side at all on one side and maybe 10 degrees max on the other? I can fake create internal rotation and in fact did it during testing to force more movement by essentially rolling my weight off to the side of the hip rather than centrally.
@physicaltherapyeducationso458527 күн бұрын
One of the principles of all manual muscle testing requires that the physical therapist watches the person for any substitutions during testing and corrects it. Eliminating compensatory movements helps to ensure the manual muscle testing is as accurate as possible. Thanks for watching.
@usrLSIАй бұрын
Is there US treatment to regrow lost tooth ? Thank you.
@physicaltherapyeducationso458527 күн бұрын
That is not a documented use for Ultrasound.
@JyotiKumari-ow7vsАй бұрын
Is this help in Losse in coughing?
@physicaltherapyeducationso4585Ай бұрын
This technique can be helpful to loosen congestion, which then must be expelled with a cough. We hope that answers your question. Thanks for watching our videos.
@marzansamanthaaАй бұрын
Thank you!!
@physicaltherapyeducationso4585Ай бұрын
Glad you found it helpful.
@marzansamanthaaАй бұрын
Very helpful!
@physicaltherapyeducationso4585Ай бұрын
Thank you for your kind words and for supporting our channel.
@user-od8nw8wo8wАй бұрын
Where's a grade 2
@physicaltherapyeducationso4585Ай бұрын
Grade 2 would be only moving through part of the range of motion instead of moving through full range of motion. If the ankle only moved half-way, it would be a grade 2. We hope that is helpful and thank you for watching our videos.
@Elitbeyinkanali2 ай бұрын
I want to thank you for considering the topic from the students’ perspective and answering all possible concerns. Unfortunately KZfaq is full of content creators who just pretend like they know what to do. I appreciate your hard work for the whole field.
@physicaltherapyeducationso45852 ай бұрын
Thank you for the kind words and for supporting our channel.
@martinchan22 ай бұрын
Always check AROM before PROM, you might harm the patient
@physicaltherapyeducationso45852 ай бұрын
Thanks for watching and we agree that patient safety and comfort is a priority. Based on the reference text used for goniometry, their protocol is to check passive range of motion prior to measuring active. Different resources may choose to follow different protocols.
@sags_lifestyle31652 ай бұрын
thnk
@physicaltherapyeducationso45852 ай бұрын
Thank you for watching.
@erenkruger69862 ай бұрын
I did 82.5 kg at my right at 16 y/o
@petrochvat2 ай бұрын
Yes phenomenal. One question please. Does it mean that midstance or a transition to midstance is a combination of lateral rotation of the hip joint and internal rotation of the ankle (pronation)?
@physicaltherapyeducationso45852 ай бұрын
Thank you for the kind words and for supporting our channel. Your observation would be correct. At midstance the hip is transitioning from internal rotation to lateral rotation as the opposite side of the pelvis moves past neutral and backwards. As the foot approaches midstance it transitions to a pronated position to unlock and adapt to the ground. As we near terminal stance the foot returns to a supinated position to create a rigid lever to propel with.
@cherimming2 ай бұрын
grade 3 is complete rom against gravity
@physicaltherapyeducationso45852 ай бұрын
That is correct. Thank you for supporting our channel.
@SyedaMalahatPT252 ай бұрын
Very well explained everything!!
@physicaltherapyeducationso45852 ай бұрын
Thank you for watching and for your kind words.
@SarkisKlinik2 ай бұрын
Can we apply electrotherapy on varicose veins on legs to relieve the pain ? is it contraindicated? some are afraid ,they think if increase the blood circulation they can get thrombus.
@SarkisKlinik2 ай бұрын
Regarding Malignancy is contraindication . is it also contraindicated if the malignancy place far from the treated body part? like you have malignancy on back but you treat the legs with electrotherapy
@SarkisKlinik2 ай бұрын
which medication and which current is used in electrotherapy for iontophoresis and for which disease?
@physicaltherapyeducationso45852 ай бұрын
Thank you for your questions. We provide the videos for educational purposes, however it is not possible to comment on any specific treatment protocol because each individual person has different circumstances that would affect any clinical decisions.
@zgrozazmoraable2 ай бұрын
Thank You so much
@physicaltherapyeducationso45852 ай бұрын
You're most welcome.
@user-vz8vo5rf3u2 ай бұрын
3:43 - Physiologic effects of US
@drawingwithritesh36602 ай бұрын
pillow ristrict
@princesssmily12062 ай бұрын
Outstanding
@physicaltherapyeducationso45852 ай бұрын
Thanks for supporting our channel.
@princesssmily12062 ай бұрын
Thanku amazing
@physicaltherapyeducationso45852 ай бұрын
Thank you.
@princesssmily12062 ай бұрын
First we hv to do grade 3 then 4,5 nd at last 2, 1 isn't it? It is compulsory
@physicaltherapyeducationso45852 ай бұрын
It is common in a clinical situation to assess range of motion before strength. So as a general rule we have already observed if a patient can move through full active range of motion which would mean at least a 3/5. So it is appropriate to move on to grades 4 and 5 testing. For the purposes of the video, we demonstrated only the actual muscle test starting at grade 5 and working backwards, not necessarily how things would proceed during an actual patient evaluation. We hope that is helpful and thank you for watching.
@princesssmily12062 ай бұрын
Excellent work thanku u muchhhh
@physicaltherapyeducationso45852 ай бұрын
Thank you for the kind words and for watching our videos.
@SarkisKlinik2 ай бұрын
How many procedures in general it is required ? should all these patients at least get 10 procedures (1 course) and after that when about do they see the result?when could we repeat the course?Thanks
@physicaltherapyeducationso45852 ай бұрын
As with any physical therapy procedure, there is a constant assessment as to the effectiveness of treatment. In general if the patient hasn't responded within 3-4 treatments it is probably time to re-assess and consider other alternatives.
@SarkisKlinik2 ай бұрын
Can ultrasound therapy or electrotherapy be applied on partial tear of tendons/ligaments of shoulder of knee? Does it cause any exacerbation? if yes, which type of electric current and ultrasound therapy mode to be used?
@physicaltherapyeducationso45852 ай бұрын
There are no general rules that apply to a broad group of patients. The clinical goal for treating a particular diagnosis should be established and then you identify if US or electrotherapy can help the patient achieve that goal.
@SarkisKlinik2 ай бұрын
Do you send all patients the spinal MRI , to exclude cancer, before starting therapeutic physiotherapy like ultrasound or electrotherapy ect..on those areas?
@SarkisKlinik2 ай бұрын
So the thermal ultrasound is good for joint extendibility and pain decrease. when do you mainly use the pulsed form ?
@SarkisKlinik2 ай бұрын
how to know the acute inflammatory state in general in every patient that come to outpatient clinic with joint pain due to osteoarthritis , spinal disc herniation, or cervical spondylosis ?
@physicaltherapyeducationso45852 ай бұрын
A thorough patient interview and objective evaluation for the cardinal signs of inflammation should help guide you.
@SarkisKlinik2 ай бұрын
if adhesive capsulitis a inflammatory case , isn`t ultrasound use not contraindicated in such acute inflammatory case?Thanks
@physicaltherapyeducationso45852 ай бұрын
The early stages of adhesive capsulitis are associated with some acute inflammation, but the frozen and thawing stages generally do not.
@SarkisKlinik2 ай бұрын
Hi, do you use thermal mode and pulse mode both at the same procedure? if yes, when for example? why ultrasound is not indicated in acute inflammation cases and how to know if knee pain or hip pain or shoulder pain which is related to osteoarthritis is indeed acute inflammatory case or not?Thanks
@physicaltherapyeducationso45852 ай бұрын
Generally you don't use thermal and pulsed ultrasound during the same treatment. As far as acute inflammation, you would want to identify certain parameters consistent with acute inflammation such as pain, redness, heat, swelling and loss of function. In the case of an injury that just occurred there will always be an initial period of acute inflammation. With osteoarthritis, it could be either acute or chronic. That is when you use your clinical judgement and patient history to determine which one is more likely.
@SarkisKlinik2 ай бұрын
@@physicaltherapyeducationso4585 which mode ultrasound do you use when you have chronic knee osteoarthritis? How many sessions do you do?
@SarkisKlinik2 ай бұрын
Is acute inflammation case contraindication for electrotherapy? For knee bursitis, which electrotherapy current do you use?
@physicaltherapyeducationso45852 ай бұрын
There are different electrotherapy protocols depending on what your clinical goal is. Some are for pain control, some for edema and some for neuromuscular reeducation. Which you choose will vary quite a bit based on the specifics of particular person and diagnosis. Generally acute inflammation is not necessarily a contraindication for certain electrotherapy protocols. We hope that is helpful.
@SarkisKlinik2 ай бұрын
@@physicaltherapyeducationso4585 Thanks. which tissue damage do we get if we apply more current? Which diseases can we treat by making tissue healing using electrotherapy? does electrotherapy has side effect of edema? can we apply electrotherapy for pain management or as you said for healing on partial or full thickness tendon tears? can we apply electrotherapy on damaged or torn knee meniscus? can the electrotherapy itself cause tendon /meniscus /ligament tears? Thanks
@areebamehmood55392 ай бұрын
Informative and helpful 😃
@physicaltherapyeducationso45852 ай бұрын
Glad it was helpful.
@theoriginalbrian1403 ай бұрын
where is the video resource library, at the end of the this video it mentioned if you wanted specific details on said modalitiies to look there
@physicaltherapyeducationso45852 ай бұрын
Our main KZfaq page has the list of all the videos in our library. Thanks for supporting our channel.
@SarkisKlinik3 ай бұрын
Hi, Why it is contraindicated in acute inflammation? Thanks
@physicaltherapyeducationso45853 ай бұрын
Thermal ultrasound is contraindicated with acute inflammation because increased temperatures will lead to a greater inflammatory response which in turn leads to more swelling and pain. Therefore we only do non-thermal ultrasound in acute situations. We hope that is helpful.
@SarkisKlinik3 ай бұрын
@@physicaltherapyeducationso4585 Thanks a lot. But all other modalities like electrotherapy, laser therapy, magnetic therapy, shock wave, ect they also basically increase the blood circulation, so why they are not contraindicated in acute inflamation?
@SarkisKlinik3 ай бұрын
@@physicaltherapyeducationso4585 How to know if the knee osteoarthritis pain is considered acute inflammation or not? Or if we have back pain due to spinal disc herniation, how to know wheter it is acute inflamation? In cervical spondylosis neck pain, how to know if there is acute inflamation?
@tr0ubled4now3 ай бұрын
Thank you for creating this video. It was really helpful for me to get one more rep in, with a good explaination.
@physicaltherapyeducationso45853 ай бұрын
We are glad you found it helpful, thanks for watching.
@tabithabaptista85013 ай бұрын
Book reference please🙏
@physicaltherapyeducationso45853 ай бұрын
Comprehensive Wound Management by Glenn L. Irion. Published by Slack Incorporated. Thanks for supporting our channel and we hope that is helpful.