Why your Rehab Sucks | Do you make these mistakes?

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Why your Rehab Sucks | Do you make these mistakes?

#physiotutors #rehab

🎶 Intro/Outro Track: Pharien - What You Say
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This is not medical advice! The content is intended to be educational only for health professionals and students. If you are a patient, seek care of a health care professional.

[Euftex]

I once had a patient at my internship as a Physio and assessed a 60 year old woman with problems going up and down stairs. During the exam I noticed a decrease especially in active ROM (especially external rotation and abduction) and let her walk stairs and noticed a Trendelenburg sign (pelvis dropping down on the other side of the standing leg) which indicates weak hip abductor muscles in close chain (especially M. Gluteus medius). The palpation showed a hypertension in almost all hip muscles. After the assessment I started by using a post isometric relaxation technique for the external rotators and abductors of the hip, which was effective, and then showed her close chain exercises for the weak muscles and wrote them down and gave her her home program (standing on one leg while trying to keep neutral pelvis, isometric side planks on knees and glute bridge). I told her to do 2 sets of those exercises every other day. After a few days on the second session the ROM in external Rotation and abduction increased by a mean of 5-10 degree and we followed the Programm that day. On the third session another Physio who usually is her Physio wanted to show me something important and had a couple of serious words with me: “the muscles are tight, so we want to loosen them up by Massage and stretching” “your exercises are too much (in like too intense)” and she then returned the paper with the program back to me. I tried to explain to her that she was improving, but she didn’t want to listen. Soo in conclusion: This patient will probably still have difficulty going up stairs, because of a lack of active therapy.

Passive treatments should really only be implemented as an extra, right before the actual active treatment to potentially lower stress levels and therefore shortly decrease pain sensitivity. In most cases active treatments have a higher probability for longterm success and therefore have a better chance in increasing the life quality of the patients

[MichelePiazzini]

i see Overcomplication incredibly true

[mrhmd]

Great video, I have made these same mistakes. Better evidence = Better outcomes

[nasrunbinshamsudin]

Perfectly summed up in what's wrong in our physio industry right now, great video !

[APTEI]

Excellent summary. Thank you for spreading the messages. In the end PTs & patients dream of quick fixes!

[splufford]

I am not a physio but a patient. I went to see four separate physios who all prescribed a similar ice/stretch/massage solution for my achilles tendon. None of it worked. It was only when I saw your videos about progressive loading of the achilles tendon with exercise that I began to see an improvement. This leads me to think that many physios don't keep up to date with current research. It also makes it really hard for us patients to know which physiotherapists are good and who to spend our money on. The fact there are so many lazy physios out there actively puts me off seeking out another professional because I don't want to risk wasting yet more time and money. Thanks for your content - it has helped me a lot 🙂

[mrhmd]

I always value the Holten (oddvar holten) Curve when designing a strengthening program to properly load my patients depending on if they are in the acute vs sub-acute vs chronic stage of an injury.

[nicogehring]

Nice Video - it‘s so important to go out of the „daily working bubble“ and reflect your language, assessments and used researches/evidence. Always try to make your work more effective for your patients and your own growth.

[ronaldchau]

your video are crazy, everything you siad is backed by articles. Loads of effort in here i can tell. Please keep going, future physio need your video.

[thephysiocoach]

Thanks a lot! The best Video about Physiotherapy I have watched until now!

[ondrejhouska]

Thanks a lot! It is so encouraging to see that you - after so much great work you already did - came to these particular conclusions!

[mansiyadav]

Great video and very helpful for Physiotherapist. Well said points which actually get missed during treating the patient. Thank you

[yeshuac]

Danke ihr seid einfach spitze! Wir machen dieses Fehler alle mal mehr oder mal weniger es ist auf jeden Fall gut mal wieder daran erinnert zu werden! 👌👍

[bardanation]

Thank you for sharing; definitely all things I could work on and improve.

[zyzzR]

Τhe biopsychosocial health model is a great resource for a smooth and correct treatment. Thanks for the daily, valid update.

[neuroxtrain]

Great vidéo and great content again !
Merci beaucoup pour tout ce contenu encore !

[aidanpyle]

Very good and considered advice. Thank you.

[ecm]

Another huge problem is not having a clear concept for communication. If you don't want to listen to everything a patient can tell, you must be sure to ask for anything you need to know. I've lost a lot of time with therapists who thought they knew it all, talked over me, only to notice something unusual after a lot of appointments and than blaming me for not telling.
You can base your therapy on assumptions but that doesn't always match reality. And not every "but..." a patient says is a "cheap excuse" you can go over without lowering your quality.

[carsandchrist]

Great video, very helpful to hear as a new grad.

[sivaranjanikankairaj]

Thankyou sir for physio of next generation we need polynominal approach that is many physio treat one patient that is m is to one patient