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Presentation Magic
Published in Ramesh Mehay, The Essential Handbook for GP Training and Education, 2021
Clare Wedderburn, John, Ramesh Mehay
There are two important components to stance: how to stand when you are standing stillhow and when to move.
Vascular surgery
Published in Kaji Sritharan, Jonathan Rohrer, Alexandra C Rankin, Sachi Sivananthan, Essential Notes for Medical and Surgical Finals, 2021
Kaji Sritharan, Jonathan Rohrer, Alexandra C Rankin, Sachi Sivananthan
Conservative. Graduated compression hosiery (exclude arterial disease before use). Weight loss, regular exercise, elevate legs and avoidance of prolonged periods of standing.
Malignant Neoplasms
Published in Amy J. Litterini, Christopher M. Wilson, Physical Activity and Rehabilitation in Life-threatening Illness, 2021
Amy J. Litterini, Christopher M. Wilson
For survivors with limited performance status, a homecare therapist can provide several options. Survivors with limited ambulatory endurance can be prescribed an interval walking program of short distances on level surfaces with or without an assistive device multiple times per day. Individuals with limited ambulatory tolerance can be prescribed standing exercises, while holding onto a secure surface for safety, in order to maintain functional lower extremity muscle strength. Advanced cancer survivors spending the majority of time either in a chair or bed should be prescribed exercises in sitting and/or supine for both range of motion and isometric strengthening. With multiple options, survivors still can maintain some degree of physical activity regardless of their capabilities on any given day. Meeting them where they are, and emphasizing and encouraging cancer survivors’ abilities in their current state while keeping safety in mind, will provide empowerment to the individual and yield the best outcomes.
Comparison of proprioceptive postural control strategies between prolonged standing induced low back pain developers and non-low back pain developers
Published in Physiotherapy Theory and Practice, 2023
Neda Orakifar, Reza Salehi, Mohammad Jafar Shaterzadeh Yazdi, Mohammad Mehravar, Zahra Najarzadeh
Prolonged standing is an essential component in many daily living activities such as speaking to someone, waiting for a bus, or standing in a work environment (Freitas, Wieczorek, Marchetti, and Duarte, 2005). Epidemiological studies have shown association between prolonged standing and musculoskeletal disorders including low back pain (LBP) (Coenen et al., 2018; Tissot, Messing, and Stock, 2009). Standing for more than 30 min is a strong predictor for LBP development (Andersen, Haahr, and Frost, 2007). Researchers found that 40–70% of asymptomatic individuals and individuals initially free of back pain can develop LBP and discomfort during a bout of prolonged standing (Fewster, Gallagher, Howarth, and Callaghan, 2020; Marshall, Patel, and Callaghan, 2011; Nelson-Wong et al., 2020; Nelson-Wong, Gregory, and Winter, 2008; Nelson-Wong, Howarth, and Callaghan, 2010). Importantly, they may be considered a “preclinical” group at greater risk for future LBP within 3 years (Nelson-Wong and Callaghan, 2014).
Older adults in skilled nursing facilities demonstrate low physical activity during and after discharge
Published in Disability and Rehabilitation, 2022
Julie A. Stutzbach, Allison M. Gustavson, Danielle L. Derlein, Jeri E. Forster, Rebecca S. Boxer, Jennifer E. Stevens-Lapsley
Patterns of physical activity at home indicated participants spent more time standing than in the SNF. While standing is associated with minimal exertion and low energy expenditure, it has benefits over sitting with higher muscle contractile and metabolic activity [31,32]. Still, participants spent the majority of their time sitting or lying (88% of their waking hours in the SNF and 83% at home), and while the change towards greater upright time did reach statistical significance, the clinical significance is unclear. Moreover, SNF residents in this study did not significantly increase walking activity during the transition home, suggesting that the demands of home living early after discharge do not necessitate more substantial levels of walking than in the SNF. This underscores the need for a prescribed walking program to receive the benefits of moderate physical activity. However, participants had fewer sitting bouts after the transition home, suggesting a decrease in sedentary behavior in the home environment. This finding is promising given that decreasing sedentary behavior can protect against adverse events [33,34].
Neurorehabilitation for an individual with bilateral thalamic stroke and preexisting visual impairment presenting with impaired use of sensory cues: a case report
Published in Physiotherapy Theory and Practice, 2021
Christina Kelly, Jen Meyer, Valery Hanks, Christy Barefield
Initial interventions were determined based on current literature related to stroke rehabilitation, however were modified to include extensive augmented auditory feedback secondary to the patient’s visual impairment (Harrison et al., 2019). Initial rehabilitation focused on improving tolerance to unsupported short sitting and improving postural awareness and perception of midline. Short sitting tasks included maintaining short siting for as long as tolerated and with progressively decreased upper extremity support. Initially, the patient was provided constant external feedback via verbal cues for trunk positioning due to the lack of visual feedback for correction; however, these verbal cues were faded with increased stability. To improve postural awareness in conjunction with verbal cues, proprioceptive input was provided through the use of a weighted vest (Choi and Kang, 2017). In one session, the patient improved his independent seated balance time from 2 min to 6 min with the addition of the weighted vest. Weights were distributed equally throughout the vest so as to provide proprioceptive input and awareness of center of mass in the seated position. Subsequently, this method was used again in the standing position to improve standing balance and postural awareness for the completion of standing tasks.