PEDIATRIC PHYSICAL THERAPY ACTIVITIES

Has your child experienced an injuries recently? Pediatric Physical therapy may be a good option for you and your child! Stephanie Romo from Livestrong shares how physical therapy is beneficial.

Physical therapy may help pediatric patients gain functional independence.

Pediatric physical therapy can be beneficial for children with injuries or other physical limitations. This type of therapy encourages children to engage in play and activities of daily living to promote balance, coordination, and fine and gross motor skills. The goal of these therapeutic activities is to encourage improvement in development and greater functional independence. Want to improve your health? Learn more about LIVESTRONG.COM’s nutrition and fitness program!

DEVELOPMENTAL ACTIVITIES
One important goal of pediatric physical therapy is to improve development, and there are a number of activities that encourage developmental milestones to occur. Children typically learn best through playing, and many pediatric physical therapists recommend therapeutic activities that involve play. Activities such as crawling, walking, skipping, running, and utilizing playground equipment are all examples of therapeutic activities involving play. These types of activities help to encourage children to coordinate the use of large muscle groups to move about independently.

BALANCE AND COORDINATION
Balance and coordination are two important components of physical independence that can be improved through physical therapy. Hand-eye coordination is something that children can learn by playing catch, rolling a ball or drawing a picture. For babies and young toddlers, learning to feed themselves with utensils is a great way to encourage hand-eye coordination. Balance can be improved through activities that involve the vestibular system, such as walking on a balance beam or learning to ride a bicycle.
FINE AND GROSS MOTOR SKILLS
Fine motor skills involve the usage of small muscles, particularly those in the hands, fingers, feet and toes. Activities that encourage these types of skills include sorting small objects, painting and molding clay. Gross motor skills include activities that encourage larger muscle groups, such as swimming, riding a bike and jumping on a trampoline. Range of motion is an important part of gross motor development, and pediatric physical therapy will usually include stretches to encourage joint and muscle mobility.
ACTIVITIES OF DAILY LIVING
When your child is participating in a physical therapy program, most of the activities and learning take place in the child’s natural environment, such as home or school. Encouraging your child to participate in normal daily activities can help her reach milestones, improve self-esteem and gain independence. Try involving your child in meal preparation, ask for her help with cleaning the house and let her assist at the grocery store. Each of these tasks involves physical and cognitive elements, which will help children improve both functional and mental ability.

REFERENCES
American Physical Therapy Association: The ABCs of Pediatric Physical Therapy
Article reviewed by Matt Olberding Last updated on: Sep 2, 2011

Read more: http://www.livestrong.com/article/532184-pediatric-physical-therapy-activities/#ixzz2g6z1APKA

KNEE OSTEOARTHRITIS PHYSICAL THERAPY

Our knees get a lot of wear and tear, so here are some exercises and information about osteoarthritis in the knee by Ashley Misitzis PT, DPT. If you have any questions, come to San Diego Sports Physical Therapy today for help!

Knee osteoarthritis is one of the leading causes of disability among adults.

Osteoarthritis, known as OA, is characterized by degeneration of cartilage and bone, which cases pain, stiffness, decreased motion and weakness that can lead to difficulty with daily activities. There is no cure for OA, but effective treatment involves managing symptoms and addressing functional limitations. Physical Therapists are licensed health care professionals who are experts in the way the human body moves. Physical therapy uses researched treatment techniques to improve mobility, reduce pain, restore function and prevent disability. Want to improve your health? Learn more about LIVESTRONG.COM’s nutrition and fitness program!

RANGE OF MOTION
According to the CDC, Approximately 80 percent of patients with OA have some degree of movement limitation. Normal knee range of motion is zero to 135 degrees, though there is some variation from person to person.

Your knee must get all the way straight for typical walking mechanics, and must bend normally to allow for sitting and going down stairs. A Physical Therapist will improve your range of motion through direct measures, such as bending and straightening your knee, and will give you home exercises to focus on movement. Indirectly, helping to decrease pain and restore normal joint mechanics also improve your range of motion.

STRENGTHENING
When your joint is damaged, your body needs as much support as it can get from muscle strength. The first step is making sure the muscles directly surrounding the affected knee joint are strong. If you only have arthritis in one knee, then it is also important to strengthen the muscles in the other leg to help support the injured side and to prevent excess force on the healthy knee.

Your hip and ankle strength is also important to provide support to the knee with OA. During your physical therapy evaluation, your physical therapist will determine what muscles need strengthening. The earlier you seek treatment, the less likely you will have muscle strength changes, which improves the outcome.
STRETCHING
Many muscles in the leg cross over the knee joint, so ensuring they are flexible is an important part of the physical therapy process. When pain causes a decrease in your range of motion, it is normal for your body to change how it moves in order to compensate for weak muscles or lessen the pain. This compensation can cause tightness in muscles surrounding the knee including the calves, hamstrings, and quadriceps.

Other muscles may also need stretching depending on what the physical therapist finds during her evaluation.
MANUAL THERAPY
Manual therapy is a physical therapy treatment that involves skilled, specific hands-on techniques that mobilize the joint. These can be used to decrease pain, increase range of motion, lessen soft tissue swelling and improve tissue extensibility. In recent studies, the addition of manual therapy to an exercise-based physical therapy program resulted in dramatically improved function and less pain.
MODALITIES
According to the Arthritis Foundation, both heat and cold treatments are effective for pain management. Heat is best before an activity or in the morning to increase blood flow and decrease stiffness. Use cold treatment after exercise or at the end of each day to lessen swelling and pain. Use each modality for 10 to 15 minutes at a time.

REFERENCES
Centers for Disease Control and Prevention: Osteoarthritis Arthritis Today: Osteoarthritis: Using Heat and Cold for Pain Relief Move Forward PT: Facts Annals of Internal Medicine: Article by Deyle, G. American Academy of Family Physicians: Physical Therapy and Exercise for Osteoarthritis of the Knee
Article reviewed by Helen Holzer Last updated on: Aug 16, 2013

Read more: http://www.livestrong.com/article/178813-knee-osteoarthritis-physical-therapy/#ixzz2e88YONSq

9 Tips to Perfect Your Walking Form

Perfect form is key to avoiding pain and injuries! Read this article from ACE Fitness by Michele Stanten about good walking form.

Good posture will make it easier to go the distance. Here are some posture pointers for stronger striding during your next walk.

Tip #1: Stand up tall. Imagine that a wire attached to the crown of your head is gently pulling you upward. Walking erect will keep you moving at a brisker pace.

Tip #2: Keep your eyes on the horizon. This will help you to stand taller and avoid stress on your neck and low back.

Tip #3: Lift your chest and tighten your abs. Using muscles in the front of your body to straighten up will take pressure off your back.

Tip #4: Bend your arms. You’ll be able to swing your arms faster, which helps increase your speed. It also prevents swelling caused from blood pooling in your hands as you walk longer distances.

Tip #5: Relax your shoulders. Your arms will swing more freely, and you’ll avoid upper back and neck tension.

Tip #6: Maintain a neutral pelvis. Don’t tuck your tailbone under or overarch your back.

Tip #7: Keep your front leg straight but not locked. You’ll have a smoother stride and be able to propel yourself forward more easily.

Tip #8: Aim your knees and toes forward. Proper alignment will reduce your chances of injury.

Tip #9: Land on your heel. This facilitates the heel-to-toe walking motion that will carry farther and faster than if your foot slaps down on the ground with each step.

That may seem like a lot to think about, but you don’t have to do it all at once. Start from the top of the list and focus on one tip at a time. Pay attention to this area of your body at the beginning of your walk, and then periodically check about every 15 to 20 minutes (don’t constantly focus on it) to see if you’re maintaining good posture. If not, simply get back in alignment. Do this for about a week and then move onto the next tip. Some changes may happen quickly while others may take some time to become habit.

Walking coach Michele Stanten is the author of Firm Up in 3 Weeks and Walk Off Weight, co-author of Walk Your Butt Off, and creator of mywalkingcoach.com. As the former Fitness Director of Prevention magazine, she created a marathon walking program and coached thousands of readers to walk full and half marathons. Michele has also created walking and fitness programs for leading brands and organizations such as Avon and Reader’s Digest. She is also an ACE board member, ACE-certified group fitness instructor, and member of the Every Body Walk Collaborative. Michele has also produced and appeared in more than a dozen exercise DVDs and created numerous walking audio workouts.