physical therapy (PT)
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Introduction
- exercise is a component of physical therapy (GRS11)[4]
- also see exercise for seniors
- deconditioning, muscle weakness, muscle atrophy, sarcopenia
Indications
- musculoskeletal pain
- early physical therapy for musculoskeletal pain, including knee pain, shoulder pain, or low back pain is associated with reduced risk for long-term opioid use[3]
- physical therapy for neck pain does not seem to reduce long-term opioid use[3]
Management
- goals:
- improve range of motion & functional status of inflamed or deformed joints
- decrease muscle spasm
- reduce pain & inflammation & improve the mechanics of motion in overuse syndromes, tendonitis & bursitis
- correct posture & general body mechanics
- improve musculoskeletal mechanics, strength & function
- techniques:
Notes
- occupational therapists & physical therapists can predict which patients can have successful skilled nursing facility (SNF) to home discharges
- medical providers & social workers can not[4][5][6]
More general terms
More specific terms
- aerotherapy
- cold therapy
- exercise
- forced use
- heat therapy
- hydrotherapy
- infared therapy
- massage
- mechanical chest wall oscillation
- microwave therapy
- paraffin bath
- range of motion exercises
- whirlpool therapy
- work hardenging/work conditioning
References
- ↑ Diagnostic History & Physical Examination in Medicine, Chan & Winkle, Current Clinical Strategies, Laguna Hills, CA 1996
- ↑ Medical Knowledge Self Assessment Program (MKSAP) 11, 18. American College of Physicians, Philadelphia 1998, 2018.
- ↑ Jump up to: 3.0 3.1 3.2 Sun E, Moshfegh J, Rishel CA et al Association of Early Physical Therapy With Long-term Opioid Use Among Opioid-Naive Patients With Musculoskeletal Pain. JAMA Netw Open. 2018;1(8):e185909. Not indexed in PubMed https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2718095
- ↑ Jump up to: 4.0 4.1 4.2 Geriatric Review Syllabus, 11th edition (GRS11) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2022
- ↑ Jump up to: 5.0 5.1 Simning A, Caprio T, Seplaki CL et al. Rehabilitation providers'prediction of the likely success of the SNF-to-home transition differs by discipline. J Am Med Dir Assoc. 2019;20(4):492-496 PMID: https://www.ncbi.nlm.nih.gov/pubmed/30630726 PMCID: PMC6451879 Free PMC article https://www.jamda.com/article/S1525-8610(18)30664-9/fulltext
- ↑ Jump up to: 6.0 6.1 Gardner RL, Pelland K, Youssef R et al. Reducing hospital readmissions through a skilled nursing facility discharge intervention: a pragmatic trial. J Am Med Dir Assoc. 2020;21(4):508-512 PMID: https://www.ncbi.nlm.nih.gov/pubmed/31812334 https://www.jamda.com/article/S1525-8610(19)30704-2/fulltext