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Rob Vining
United States
Приєднався 4 лип 2006
Physical Therapy via Telehealth #006 - (Shoulder) Educational Purposes
More at www.TelehealthPT.com/library and if you're a PT/PTA/Physio or DPT student, feel free to join over 12,000 professionals in the Physical Therapy profession at www.FB.com/groups/TelehealthPTs
Example of Physical Therapy being delivered via Telehealth. This mock case features an evaluation with a PTA/PT present on one side and the Telehealth PT on the other side.
From Total Therapy Solutions Tony Maritato, PT:
"Telehealth goes far beyond the typical “Treat a patient at the patient’s home or office.”
Telehealth for brick and mortar clinics could be an effective way to bring specialists into your clinic for evaluations and second opinions. I had the pleasure of inviting Rob Vining into my clinic here in Ohio from his home. Rob offered a new perspective on a patient I had not considered. I couldn’t be in the clinic but my PTA was in the clinic with my patient and I was able to participate from a computer offsite.
I also realized how powerful of an educational tool this can be. A 10-hour continuing education course could never hold a candle to the level of knowledge and insight I gained being part of another physical therapist’s live, real patient evaluation.
The technology is so cheap and scalable the only thing that could limit us is our lack of imagination."
A cervical screen and screening for a shoulder derangement/dysfunction was performed and patient found to have an increase of strength and 90% reduced symptom presentation by the end of this Telehealth session.
Example of Physical Therapy being delivered via Telehealth. This mock case features an evaluation with a PTA/PT present on one side and the Telehealth PT on the other side.
From Total Therapy Solutions Tony Maritato, PT:
"Telehealth goes far beyond the typical “Treat a patient at the patient’s home or office.”
Telehealth for brick and mortar clinics could be an effective way to bring specialists into your clinic for evaluations and second opinions. I had the pleasure of inviting Rob Vining into my clinic here in Ohio from his home. Rob offered a new perspective on a patient I had not considered. I couldn’t be in the clinic but my PTA was in the clinic with my patient and I was able to participate from a computer offsite.
I also realized how powerful of an educational tool this can be. A 10-hour continuing education course could never hold a candle to the level of knowledge and insight I gained being part of another physical therapist’s live, real patient evaluation.
The technology is so cheap and scalable the only thing that could limit us is our lack of imagination."
A cervical screen and screening for a shoulder derangement/dysfunction was performed and patient found to have an increase of strength and 90% reduced symptom presentation by the end of this Telehealth session.
Переглядів: 3 418
Відео
1 - Introduction - Tendinosis and Tissue Dysfunction
Переглядів 2,8 тис.12 років тому
Tendinosis and Tissue Dysfunction Video Series
9 - Knee Patellar Tendinosis Tendinopathy - Not Tendinitis
Переглядів 3,7 тис.12 років тому
Tendinosis and Tissue Dysfunction Video Series
6 - Lumbar Tissue dysfunction
Переглядів 1,4 тис.12 років тому
Tendinosis and Tissue Dysfunction Video Series
7 - ANR - Adherent Nerve Root
Переглядів 8 тис.12 років тому
Tendinosis and Tissue Dysfunction Video Series
8 - Entrapment in Spine
Переглядів 1,9 тис.12 років тому
Tendinosis and Tissue Dysfunction Video Series
10 - Astym McKenzie Combo
Переглядів 2,3 тис.12 років тому
Tendinosis and Tissue Dysfunction Video Series
Tendon Healing Tendinosis Tendinopathy - Not Tendinitis
Переглядів 80 тис.12 років тому
Tendinosis (Tendinopathy) and Tissue Dysfunction Video Series More video example of Physical Therapists solving problems at www.TelehealthPT.com/library
4 - Tendinosis Tendinopathy Explained - Not Tendinitis
Переглядів 22 тис.12 років тому
Tendinosis and Tissue Dysfunction Video Series More examples of Physical Therapists solving problems such as these located at www.TelehealthPT.com/library
2 - Dysfunction and Derangement Defined
Переглядів 4,8 тис.12 років тому
Tendinosis and Tissue Dysfunction Video Series
5 - Working Tendinosis Tendinopathy Model - Not Tendinitis
Переглядів 12 тис.12 років тому
Tendinosis Model going through the stages of healing with progressive forces added through daily exercises. Tendinosis and Tissue Dysfunction Video Series
Rob, would you like to show us some sample exersices instead of repeating the same thing over and over for 9 minutes?
Hey Rob,it would help if you tell us what specific exercises you are talking here in this video..
This information is a nugget of gold. Thank you. 👍👍
Wow, just thanks man..
FINALLY SOMEONE FUCKING EXPLAINED THIS SHIT IN A LEAR MANNER. I LOVE YOUUUUUUUUUUUUUUUUUU
Very useful
Amazing explanation (saying this as a doctor, but with not much info on tendinopathies - though I've looked all over the internet/pubmed for data these past days). You should make more informative youtube videos - you are clearly very well versed into the subject
Im so glad i found this video ive been guessing with how much exercises to do with golfers elbow and while it has improved a lot this gives me a rule of thumb to go by
Thanks alot for your great efforts So illustrative A real veteran
Physios have sort of explained this but this was fire information. That ouch gone system makes so much sense. Thank you!
Hi, hope you can help me with an advice since January 2021 i have a worsening problem with my high hamstring Tendinopathy i spend many hours with many different physiotherapist on rehab with no effect or even get issue worse could you recommend me some exercises to recover ? to describe my current tendon health: - cannot seat longer than 30 minutes (sometimes less) with no pain, after that i had to stand or lie in the bed - cannot do any squat with no pain day after - sometimes simple isometric with bands is to much bridges as well (with both legs) - yesterday i tried eccentric exercises with band (about 10 pounds weight) 1 set with 10 repetitions and i fill today inflammatory in my tendon (sitting is worse as usual) - tried to rehab 3 times per week (at least one day break to recover) could give some clues to exercises, sets, repetitions and recovery time please thanks in advice ps. if you need more data (or explanations) please fill free to ask
Suffering from 4 months (quad tendenosis) thanks
Great information
Thank you. Had I known this 1.5 years ago, it would have saved me so much frustration and almost hopelessness since then.
Is this how it actually is, or what you think it looks like? And how does the tissue get cross-linked in the first place? It's not like tissue gets loaded in random directions?
So to sum up: 1. Find a load which you can hold statically for a short time to create a painful response which does not linger. 2. Rinse repeat 8 times per day 3. Increase load progressively 4. 2-6 weeks lasting depending on age and regeneration abilities
наши врачи-идиоты ничего такого не обьясняют,а лечат консервативно по старинке.Старая методика лечения тендинита(тендиноза) просто не работает и убирает только воспаление.А сама суть болезни остается с человеком на долгие годы.Вы дали людям шанс на излечение .Спасибо вам за разъяснения ,я очень вам благодарен!
Thank you 🧡
I was just diagnosed with shoulder tendinosis in the supraspinatus and infraspinatus. I have popping in my shoulder. I have been told yes, popping is normal and no I need to get a second opinion
Does this apply to muscle tissue as well as tendons? Wondering if this would be a good idea for small muscle strains/tears.
Excellent explanation. It would be interesting to see some of your patients’ rehab and healing process.
At first, trying to treat my patellar "tendonitis" I tried just resting for 2-3 weeks until it went away. Came back right away when I started getting back up to those loads in a 2 week progression. I said, okay, lets try a 2 month progression out of frustration and just wanted to fix it. That did the trick. I guess it was patellar TENDONOSIS!
How many times and reps aday are recommended?
i needed this giving me hope from a very dark palce
hi , please talk about neck tondons sound and how to remove it,
Brilliant! I can do exercises 10 times a day to fix tendinopathy?
Lateral/medial Epicondylitis for 10 months. Conventional therapy as PT didn’t work.
What exercises are you referring to?
Thank you for this. I wasted so much time with physical therapists who do not know this and just had me do exercises through the pain, not helping at all only making things worse.
comback youtube plz....or see email
what is "more than 20min 30min max"...? , 3:57 Is it means 20min ~ 30min or more than 20min(or 30min) ?
is it work on ligament?(not tendon)
loading exercise work 'only' during proliferation phase and remodeling phase? if remodeling phase end, loading exercise doesn't have an beneficial effect on ligarment or tendon after end of remodeling phase? if patient dont have any loading exercise and just do immobilisation during proliferation phase~ remodeling phase, after the end of remodeling phase, patient's weak tendon remains weak forever?, patient tendon have never improvement?
For this diagnosis, are symptoms generally improved after physical activity and exercise?
Hi, is it possible for scar tissue to remodel itself? I've taken around 3 months of rest after getting tricep tendonitis and have barely loaded it. if i try following this tendon loading plan, will the scar tissue remodel itself into straight fibers (or is this only possible 6 weeks after the injury)?
I wonder this question too....
He said it will be if you workout consistently, and after 6 weeks it will be completely remodeled, no scar tissue anymore ! If you find out the appropriate load for your tendon, especially in the last step.
My 14 year old son is seriously considering amputation after years of significant pain in his ant tib tendon... he had a full rupture (due to chronic degradation) of the tendon and had a failed surgical repair 2 years ago. He is now in a permanent leg brace but they won't let him start loading it because they are trying to save it. The last MRI shows significant thickening, with a 12mm area of thinning... does a thinning area indicate a tear? I desperately want to know if there is hope of him being able to get through a day without pain.
A spinal cord stimulator kept me from amputation of a leg that has broken pain signaling. Idk if a (SCS) spinal cord stimulator could help him. It’s a big life event but not as big as amputation. They didn’t give me any pt though and now I’m dealing with many more unhealed injuries.
Great info thank you!
Do you recommend taking rest days? Or repeat your exercise(s) every single day? From what I've read, tendons have a shorter blood supply and take longer to respond to exercise (and thus recover). Thanks.
I don't understand the pain on and off. I have tendonitis of my TFL on MR imaging. But it's painful 24 to 48 hours after I over do it. It isn't painful in the moment or 20 minutes later. It's like a full day. And then I'm in trouble. If I pushed it to react slightly in the short term, I'd be crippled the next day..... So how do I apply the proper load to challenge but not destroy more tissue???
A little late but I've been watching a lot of videos on this and one guy explained it that if you're in pain the next day for most of the day you did too much but a pain here and there is okay. This advice worked for me but I had to start very low and work my way up because I had the same issue it would only hurt the next day.
Amazing video. Will put this into practice and hope that it sorts out my ongoing (18 months) issue. Thank you.
Hi, love from India, really really helpful video, certainly affected my life in a positive manner, please keep up the good work, you are highly appreciated. Thanks.
Is this going to work for full thickness tear of supraspinatus?
Thank you so much.
BEST video Ive seen that THOROUGHLY breaks this all down! Would this healing be the same for someone who was FLOXED by fluoroquinolone antibiotics?? Its been almost 2months post the extreme "injury" or flare in my knees that took me OUT and they are "better" but def I still cant walk without them feeling pains off and on and feeling like they will SNAP at any given step :(
Explanation is really good. I read all the comments everyone is asking for the exercises Rob is not replying. Could anybody share some exercise that help
I really like this analysis. As a runner, this helps me understand what is going on, and helps me understand the "zone" in which I need to be to speed healing.
Could this possibly help me with my hypermobility syndrom? Thanks for posting!
How many times/day? How many days/week?
Clear presentation 👍👍
I have hade repture in rectus femoris 2 years ago and now i probably have, tendonsosis... it good to use leg extension machine at gym(its eccentric and concentric) ??? Please answer me sir.