Challenge: A PT is working in a SNF for some years. A new managing agency takes over. They cut the benefits, cut vacation time and require therapists to take work home to complete the extensive documentation required by Medicare. (of course, they are not paid for the time they spend documenting at home.) Everyone in […]
What to do if a new managing agency takes over Read More »
Challenge: Your office is booked with patients. A thunderstorm strikes and the lights go out. There is plenty of ambient light coming through the windows. Should you close and reschedule?
Should you close and reschedule if the lights go out? Read More »
Challenge: You are unable to improve mobility in a client with a total knee replacement, despite doing ROM and exercises. They say they are doing their home program, but it is still painfully tight. What do you do?
Question: Is massage therapy effective in reducing symptoms of cervicogenic headache in adults? History of the Case: “DJ” is a 47 year old female with a medical diagnosis of cervicogenic headache post-whiplash injury to her neck, sustained in a MVA on 3/1/07. In the accident, DJ was driving her car at 65mph in highway traffic
Bibliographic Citation: McClure, PW, Flowers, KR. Treatment of Limited Shoulder Motion: A Case Study Based on Biomechanical Considerations. Physical Therapy. 1992(72):929-936 McClure and Flowers presented a case study of a 57 year old woman who sustained a fracture-dislocation of the humeral head (1) They described the patient’s examination, PT interventions used and outcomes to restore
Classroom – PT Journal Case Study Review of the Clinical Reasoning Process Read More »
Trendsetters: Chat with PT Leaders in the Field Physical Therapists are exploring unique opportunities in the field both within and outside of traditional clinical practice. In this interview series, we will meet with leaders in PT who are making a difference. We will explore what they do to create that satisfying, successful and prosperous career
Classroom – Trendsetters: Chat with PT Leaders in the Field Read More »
Manual therapists frequently employ soft tissue mobilization interventions such as massage or myofascial release to reduce symptoms of pain, muscle spasm and trigger points in their clients. There is substantial evidence to support the use of such interventions. In this age of rapidly changing health care policies and managed care limitations on therapy reimbursement, it
Muscle Energy Makes Stretching Easy As the population ages, more people present stiffness as a key component of their physical limitations. How do we meet the demand for improved functional mobility with these patients? To accomplish this goal, therapists must enhance their skills for improving mobility using evidence-based techniques. Muscle energy techniques (MET) are advocated
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Challenge: The insurance company just sent you an explanation of benefits for a client with a refusal to pay. What do you do? 1. Send the client a bill for the complete amount. 2. Bill the client at your usual customary rate. 3. Submit an insurance appeal for the client. 4. Write the bill off.
Insurance Companies and Clients Read More »
Challenge: The client with the frozen shoulder presents with the same stiffness as the last two visits. You ask her about her home program. She does not even remember what exercises you taught her. Apparently, she is not complying with the home program. What do you say or do to encourage compliance? This is one
How to encourage your clients to comply with Home Programs Read More »
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