From The Blog
- Ashley's Story
- Three Stages of Subacromial Impingement
- Recovering from a Workout
April is Occupational Therapy Month, and while most have heard of this profession, many do not understand what it is or how it differs from physical therapy. To get a better idea of what occupational therapy is and its benefits, we spoke with one of our occupational therapists, Brad Thomas, and his patient, Ashley Peterson, about her amazing story.
Ashley’s Story- A Look into Occupational Therapy
On March 5, 2013, sixteen year old Ashley Peterson was involved in a horrific car accident- hit by a hydroplaning vehicle which could have taken her life. What saved her was the airbag, though it broke multiple bones in her elbow in the process, including the ulna, radius, and humerus, and severely damaging her ulna and median nerves. Surgeons refer to an injury like hers as the “Terrible Triad” and warned Ashley that she may never return to 100% range of motion. Unable to move her right forearm, hand, or fingers at all, Ashley found herself at the beginning of a very long road to recovery. Ashley first came to see Brad Thomas, OT, CHT, at BenchMark Physical Therapy’s Cleveland, TN clinic a few days after her first surgery. Her elbow was now held together with 2 plates and over 20 screws allowing her a total range of motion of only 20 degrees. Being right handed, she found herself unable to perform the most basic activities including bathing, writing, or feeding herself. “Ashley is very independent and really wanted to get back to doing…Read More+
Three Stages of Subacromial Impingement
By Matt Carbone, PT, DPT, OCS, CIMT Shoulder pain is a common complaint that physicians will see in their medical clinics, upwards of 33%.1 The most common cause for shoulder pain is subacromial impingement syndrome (SIS) but there has been limited consensus about diagnostic criteria.1 The term “impingement syndrome” was popularized by Neer in 1972 as a clinical diagnosis where the rotator cuff was pathologically compressed against the anterior structures of the coracoacromial arch, the anterior third of the acromion, the coracoacromial ligament, and the AC joint. Irritation of the rotator cuff compromises its function during overhead activities. This can further exacerbate the impingement process. Neer described three stages of subacromial impingement: Stage 1 – inflammation, edema, and hemorrhage. Stage 2 – cuff fibrosis, partial rotator cuff tear. Stage 3 – full thickness tear, osteophytes, and tendon rupture.2 Common complaints with SIS include shoulder pain, weakness, and possible paresthesias in the upper arm. It is very important to rule out other causes of these symptoms, such as cervical spine pathology. When subacromial impingement is suspected, it is necessary to differentiate primary from secondary impingement. Correct identification of the etiology of the problem is essential for successful treatment outcomes. Primary subacromial impingement is the result of an abnormal mechanical relationship between the rotator cuff and the coracoacromial arch. Presentation includes patients usually older than 40 years, complaint of anterior shoulder and upper lateral arm pain, an inability to sleep on the affected side and complaints of shoulder weakness. Overhead…Read More+
Expert Tips For Recovering From A Workout
We all have heard about the importance of stretching, resting, and refueling after a workout, but correctly performing these tasks can be a challenge. Often, preparation and recovery are overlooked in the midst of just getting a workout in, and we are left wondering why we hurt so bad or aren’t getting the results we desire. Allowing your body to properly recover from a workout is essential and relatively simple if you know how. Not recovering properly can lead to overtraining which symptoms including decreased athletic performance and an increased risk of injury.
We’ve spoken to Kimberly Humphries, DPT, OCS, CIMT, physical therapist and triathlete, to find out what she does to keep her body training-ready.
How Can You Recover Safely and Effectively?
Stretch : This is a simple and fast way to help your muscles recover. Don't skip the stretch session because you're short on time. Not only will it prevent soreness, but supple muscles are also less prone to injury. Hold stretches for at least 15 seconds and push to the point of a good stretch, not to the point of pain. Foam rollers can massage the muscles more effectively than static stretches and simultaneously give you an ab workout, as many stretches require you to support yourself. Warm-Up : As opposed to static stretching, studies show an active warm-up can be more effective. Go for a light jog or brisk walk for a few minutes, and then stretch if you prefer. Stretching…Read More+