QUARANTINE READS

Posted on Posted in All Posts, Take Control of Your Health

Many of us find ourselves at home in efforts to flatten the curve and save lives. Instead of diving head first into the next binge-worthy streaming show, there are tons of amazing books waiting to be discovered. Here are a few of our favorite reads that you may find enjoyable as you stay at home.

1609612345.1.zoomThe Athlete’s Book of Home Remedies: 1,001 Doctor-Approved Health Fixes and Injury-Prevention Secrets for a Leaner, Fitter, More Athletic Body! by Jordan D. Metzl, M.D. and Mike Zimmerman

You may know Dr. Jordan Metzl as one of the leading Sports Medicine physicians at The Hospital for Special Surgery. He is also an author and has provided a great resource for dealing with many common injuries in this book. What makes this book so valuable is that it explores many ailments that a patient may succumb to and breaks them down into easily understandable components and treatment methods. This creates a straightforward path for the reader to follow on the road to recovery. The book is sectioned by body region which helps you quickly hone in on your injured area. The book even has illustrations and pictures of specific exercises linked to each diagnosis. Another great feature is that each section has guidance on when home treatment is no longer appropriate and when its time to call your doctor. Readers can use this book to help manage aches and pains when they occur as well as a source of information on preventative measures to avoid these injuries in the first place.

51eV9DTSjGL._SY355_BO1,204,203,200_Explain Pain by David Butler and Dr. Lorimer Moseley

Explain Pain is a great resource for patients of all ages. This book wonderfully explores the concept of pain and how our minds are so intricately connected to the experience of pain. The book is based on evidence and pain research focused on our current understanding of the subject. Butler and Moseley take difficult medical topics and use simple explanations and illustrations, making it easily accessible. This book goes over topics like the anatomy of the nervous system, current practices on pain management, how to reframe our approach to pain, and dives deeper into understanding our intimate relationships to pain. With this book, knowledge is power: the more we understand what contributes to our perceptions of pain, the better we can address it. This book is especially relevant during our current opioid epidemic and over-reliance on “quick fixes.” It helps to set a framework for a more holistic approach to pain and a pathway to recovery.

41csVfG7xxL._SX337_BO1,204,203,200_When Breath Becomes Air by Paul Kalanithi

This non-fiction autobiographical book takes us through Dr. Kalanithi’s  medical journey from being a young neurosurgery resident to becoming a patient with end-stage lung cancer. Dr. Kalanithi’s love of the literary arts (even had a Master of Arts in English Literature) is clearly appreciated in his ability to eloquently link the worlds of literacy, philosophy, and medicine. He also expresses a refreshing take on the doctor-patient relationship as he experiences it from both sides. He takes us on the path of understanding how our purpose in life and sense of identity may be challenged and called into question when an illness strikes. Another great feature of this book, is that it connects with both patient and health care practitioner alike.

All of these books are available via online platforms so that you can continue to safely practice Stay at Home orders. Take a peek in to these great reads and let us know what you think!


Jari Haile, DPT, OCS, ATC, PES, is able to pinpoint faulty mechanics and movement patterns that contribute to pain. She incorporates skilled manual therapy to elongate shortened tissues, stretch tightened muscles, align the spine and decrease compression on the body’s joints. She then taps into the body’s neural pathways to “retrain the brain” how to move properly and finally break the pain-producing cycle. 

 

     

RESOURCES FOR MANAGING STRESS

Posted on Posted in All Posts, Take Control of Your Health

The COVID-19 pandemic has created a tremendous amount of stress and anxiety for all of us and now, more than ever, it’s important to take some time to check in with your mind body connection. Your mindset is the most powerful thing that you CAN control during uncertain times, and a healthy perspective will help cleanse negative thinking and strengthen your immune system. Stay safe, be well and we hope that you find these websites and apps helpful.

Below is a list of various apps and websites to help mitigate the stress caused by COVID-19

CALM: A free App for Sleep, Meditation and relaxation. Guided meditations, soothing music, mindful movement and stretching videos for better sleep, lower stress and less anxiety

HEADSPACE: Meditation has been shown to help people stress less, focus more and even sleep better. Headspace is a free app that proposes to make meditation and mindfulness simple. Their premise is to take ten minutes a day to listen in and clear your mind.

MEDITOPIA: Meditopia’s library offers over 1000+ guided meditations on topics including stress, anxiety, acceptance, happiness, motivation, focus, and breath. Free 7 day trial

MY POSSIBLE SELF: A mental health app that claims to reduce stress, anxiety and low mood. It contains self-help modules to tackle issues such as stress, anxiety, loss or major life changes. Free for the duration of the COVID-19 crisis.

Children, too, may worry about themselves, their family and friends. Children pick up cues from both parents and their caretakers. After trying some of the apps above here are a few free websites to help entertain your children during the day.

AUDIBLE: Amazon canceled the subscription costs of books and audio stories for children and students of all ages, kids everywhere can instantly stream an incredible collection of stories, including titles across six different languages, that will help them continue dreaming, learning, and just being kids. All stories are free to stream on your desktop, laptop, phone or tablet.

GO NOODLE: This free website features ways to stay active and mindful during study breaks. Utilize this website throughout the day to allow your child to have a break and move their bodies so they are able to focus better. Remember, breaks are important for little minds and bodies too.

ACTIVE KIDS DO BETTER: Active Kids Do Better equips parents with tools to get primary school children moving through play. It features a suite of free resources, for use in the classroom and at home – including videos, activity cards, and games.

     

MYOFASCIAL DECOMPRESSION: CUP THERAPY BY A PHYSICAL THERAPIST

Posted on Posted in All Posts, Let's Get Technical

You may have never heard of Myofascial Decompression (MFD), but you have probably seen it. You might recall seeing Olympic Gold Medalist Michael Phelps with bruises in perfect circles around his back and shoulders during the 2016 Olympic Games in Rio De Janeiro. Even though the art of cupping has been traced as far back as ancient Egypt, it was popularized in athletics after Michael Phelps displayed it on the world’s stage (similar to Olympic Gold medalist in Volleyball, Kerry Walsh and Kinesiotape). Oftentimes, people do not understand the difference between “Cupping” and “Myofascial Decompression” so let’s dive deeper.

 

Cupping Myofascial Decompression 
Who does it? Traditionally performed by acupuncturists Traditionally performed by physical therapists and other rehab professionals
Goal of Treatment Targets stagnation of blood and Qi Targets connective tissue, trigger points, fascial adhesions, mechanoreceptors, and tight muscles
Background Traditional Chinese Medicine : meridians, balance between Yin and Yang, Flow of Energy (Qi) Anatomy, Physiology, Biokinesiology
Tools Used Small glass cups with a flame Small plastic cups with a suction pump
Treatment Usually passive in nature: patient lays on the table for a period of time with the cups on Active treatment: the patient is performing neuromuscular reeducation exercises, stretching, and other active movements while the cups are on

 

As you can see, there are differences from the traditional cupping by an acupuncturist and myofascial decompression by a Physical Therapist. Both can be effective, but have different ideologies and methodologies of its use.

One of the questions often asked is, “How does it work?”  The analogy I usually give is that most massages are compressive in nature. A clinician’s hands are pressing downward into the tissue to relieve the tension. MFD is the opposite. Instead, it takes the different layers (skin, fat, muscle, bone) and separates them from each other (traction). This traction of the tissues can lead to release of tight muscles and trigger points, decrease the viscosity of the ground substance (the gel like substance that surround our cells), bring blood to the area, release endorphins and act as a distraction to assist in improved pain and function.

cupping myofascial decompression

In physical  therapy since the treatment is also active we incorporate neuromuscular retraining and exercises that help to capitalize on the benefits of the cups.

I have found that this therapy has been extremely helpful for patients who have had stubborn tension/knots that are “always tight,” post surgically when scar tissue is tougher to break up, and especially with addressing areas of pain and tension that have not responded to traditional therapy.

Have more questions? Come in to Thrive Integrated Physical Therapy for a consult to see if this would be a good treatment option for you.  

Currently Jari Haile DPT, OCS, ATC, PES and Tamar Amitay, MS, PT both utilize Myofascial Decompression as a form of therapy at Thrive. Schedule an appointment and find out more about this efficacious therapy. 

Photograph by Alexander Mazen


Jari Haile, DPT, OCS, ATC, PES, is able to pinpoint faulty mechanics and movement patterns that contribute to pain. She incorporates skilled manual therapy to elongate shortened tissues, stretch tightened muscles, align the spine and decrease compression on the body’s joints. She then taps into the body’s neural pathways to “retrain the brain” how to move properly and finally break the pain-producing cycle. 

 


     

IN CONVERSATION: BREATH & THE MIND BODY CONNECTION

Posted on Posted in All Posts, Fitness, Stay in the Game, Take Control of Your Health

We at Thrive are so fortune to collaborate with many types of rehabilitation, exercise, and movement specialists in the New York City area.  Pilates has long been one of our staff’s preferred exercise tools, and we dearly love and appreciate the expertise of the staff at Mongoose Bodyworks, a Pilates studio that is neighbor to our clinic here in Soho.

Over the years we have found our mutual clients achieve more success in movement, return to activity, and engagement in life when we collaborate, and the conversation below is an edited version of a dialogue between Mongoose Bodyworks owner Halle Clarke and Thrive PT staffer Elizabeth D’Annunzio Shah.

breathing3

 

Halle: Hi!  When we decided to have a conversation, we talked about many areas of professional overlap.  There’s lots of crossover between what you and I do!

Elizabeth: That’s right.  Ultimately, both PTs and Pilates instructors spend a fair amount of time doing movement analysis.  We’re both trying to enable multi-dimensional, pain free movement.

Halle: In the spirit of that crossover, I have some questions for you that I thought might relate to both of our client populations.   Specifically, let’s talk about breathing.  How do you think about breathing as it relates to your patients?  It’s a natural and automatic process, so is it something that you have to instruct?

Elizabeth: Good question!  The short answer is “YES,” I do talk to my patients about how they breathe.  There are two lenses from which I frame the discussion.  The first is straight up mechanical.  Breathing effects the how we engage the abdominal and pelvic muscles, and understanding the relationship between the muscles and breath is helpful in the initial stages of core training.

Halle: Can you expand on that?

Elizabeth:  Absolutely.  When we inhale, the diaphragm shortens and moves down into the abdominal cavity.  The pelvic floor and the abdominal muscles would tend to relax and descend at this time too.  Exhalation is opposite.  As we blow out, the diaphragm ascends and the pelvic floor muscles lift and shorten.  So, from a practical perspective, it’s easier to teach someone how to lift and contract their pelvic floor on an exhalation.  I use this mechanical paradigm all the time with my post-partum moms, persons with diastasis recti, persons with back pain, etc.  Basically, people who I’m teaching to re-engage their “core.”  I’d imagine you have clients that fit that bill, too.

 breathing1

 

Halle: Of course.  Do you always coordinate your client’s abdominal or pelvic floor contraction with the exhalation?

Elizabeth:  Not necessarily.  I find it to be a great learning tool and I often start there, and then as therapy progresses we move and breathe in all different patterns.

Halle: That’s true for Pilates as well. I also find that once the client has mastered the engagement on the exhalation they can then use the breath in a variety of ways throughout the session. You mentioned that you look at breathing from two lenses.  What’s the other one?

Elizabeth: I use breathing as a tool to help my patient’s quiet their nervous system down.  It is common, at least in the PT world, to see patients who are in chronic pain.  With that often comes anxiety and fear around making the pain worse.  How do we breathe when we’re afraid?

Halle: We take short, shallow breaths.

Elizabeth:  Right.  We don’t breathe fully into our lungs, our respiratory rate gets faster, and we sometimes even use our neck muscles as we breathe.  This type of breathing pattern signals to the body that we’re under threat, and our musculature responds to that signal.  It’s flight or fight!  This heightened state of arousal, sometimes called upregulation, makes sense when we are trying to score a goal or run from a bear but is not so helpful when trying to relax and rehabilitate sore and overworked musculature.  This is, in part, how fear or anxiety can actually make pain worse.

Halle:  Are there certain patient groups where you see this systemic upregulation?

Elizabeth: Yes…my mind starts churning in this direction any time a patient has had chronic pain (especially in the neck, pelvis, or jaw) or a lot a fear associated with movement.   I cue in to people who describe their pain as worse when they’re stressed, who grind their teeth, and who use language like “clenching” to describe their muscles.  In the pelvic floor world we also see this with patients with urinary urgency.

Halle: Those are great tips! I’ll keep an eye out for those symptoms. Sometimes stress isn’t on the surface and it’s good to know some signs when my clients might be internalizing their emotions.

Elizabeth: And as for Pilates clients, this is New York City!  I’d imagine a lot of your clients are generally high functioning, striving, and stressed out people.

Halle: That’s true!  Are you saying we should all move to the beach?

Elizabeth:  (Laughs) No, but I do think there’s incredible therapeutic value to working towards nervous system downregulation.  In other words, the act of quieting our bodies, slowing our exhalations, and breathing into the whole of the rib cage (instead of just into the upper ribs) dampens the flight or fight response and is a tool for muscle and mind relaxation!  From a pain perspective, this is really helpful.  From a movement and exercise perspective, muscles that move (as opposed to muscles held in shortened or “tensed” position) tend to be stronger and more efficient.  It allows people to move with more freedom.

Halle: Mindful breathing as a mechanism to enable quality movement.

Elizabeth: Exactly.

 

References: Barker, V. 2016, The ‘Core Breath,’ accessed July 2019, vanessabarker.com.
Special thanks to Vanessa Barker for for allowing us to use her image “The Core Breath” in our post.

 


Elizabeth D'Annunzio Shah Physical Therapist New York CityElizabeth D’Annunzio Shah, PT, DPT, OCS, MTC works with patients of all ages and abilities including recreational athletes, professional dancers and performing artists. She has a special interest in vestibular and balance disorders, movement theory and creative solutions for both neurologically and musculoskeletally impaired persons. Elizabeth is passionate about exercise as a means to maintain health, manage stress and enjoy life! She practices yoga in the Iyengar tradition, is an avid surfer, and participates in distance running events whenever possible. (more)

 

     

ATTN PT’S: NEW COURSE ALERT

Posted on Posted in All Posts, Classes & Courses

Thrive! is hosting a University of St. Augustine continuing education course September 28-29, 2019.

Interested in learning more about cranio facial techniques?  Physical Therapists please join us for CF2 – Intermediate Cranio Facial (prerequisite CF1- Basic Cranio Facial available online).

 

CPE CF

Tuition: $495

Hours: 15 Hours, 1.5 CEUs

Prerequisite: Basic Cranio Facial (available online)

Who Attends: Physical Therapists

This seminar will primarily be focused on displacement of the intra-articular disc of the TMJ, but will also cover the role of the subcranial spine in the causation of craniofacial pain and the association between detrimental oral habits (parafunctions) and craniofacial pain. Medial and lateral disc subluxations will be carefully examined, as will disc-condyle and disc-eminence subluxations. The progression of disc subluxation and other intra-articular pathology will be demonstrated by the use of clinical examples and all disorders will be illustrated by imaging. The imaging methods used in the diagnosis and management of the TMJ will be explained; this includes transcranial radiographs and tomography, as well as MRI, used for diagnosis and clinical management of intra-articular disc displacements. The lab sessions will focus on assessment of intra-articular pathology, as well as preparations of the TMJ and subcranial spine for reduction of the intra-articular disc.  Finally, participants will have the chance to practice disc reduction and subsequent stabilization of the disc in the reduced  position.

Learning Objectives:

At the completion of this seminar the attendee should be able  to:

  • Explain the concept of progression of intracapsular temporomandibular joint (TMJ) disc pathology as an initial stage of  dysfunction.
  • Discuss how a medial or lateral disc can progress to an anterior disc subluxation.
  • Predict the effect of oral bad habits in children and adults.
  • Describe the process of craniomandibular parafunction (teeth grinding) as a cause of micro repetitive  trauma.
  • Explain the loaded gliding of the TMJ with systemic joint laxity as a cause of progressive joint disc pathology and degenerative joint  disease.
  • Apply examination and treatment techniques to soft and hard tissues of the maxillofacial region with special emphasis on proper force and direction to avoid injury.
  • Explain the major cause of condylar height loss and consequential facial assymmetry.
  • Identify the signs and symptoms of vascular irritation for the TMJ.
  • Apply manual and muscular techniques for disc subluxations.
  • Discuss the use of removable interoclusal appliances for joint stabilization

Register today and save 10% with coupon code Thrive10 at checkout!  Offer valid through Monday, September 2, 2019.

CLICK HERE for full course information and to register.

     

PERSONALIZED BLOOD FLOW RESTRICTION REHABILITATION

Posted on Posted in All Posts, Let's Get Technical, Stay in the Game

Personalized Blood Flow Restriction (BFR) Rehabilitation is a type of Physical Therapy treatment that integrates the use of a personalized tourniquet system to restrict blood flow to an injured limb during active recovery training.

Often, after an injury or surgery, a patient does not have the ability to lift heavy weights/loads thereby slowing down their overall recovery.  Studies find BFR rehabilitation allows the patient to begin strength training using lesser weights/loads that won’t stress their joints or soft tissues, while still being able to gain the muscle strength, hypertrophy and endurance comparable to that of a heavy load lifting program. (Slysz et al 2015)

While initially used in the treatment and recovery of service members who were wounded in Iraq and Afghanistan, it is now being used with the training and rehabilitation of elite athletes and in orthopedic clinical settings. Clinical trials have shown advancement in the rehabilitation of total knee replacements, wrist fractures, tendinopathies, cartilage injuries and chronic weakness after surgery.

This technique is particularly successful in assisting injured and/or post-surgical patients who are struggling with muscle mass loss and weakness. When a limb is injured, it cannot tolerate the heavy lifting necessary to prevent and reverse the loss process. BFR rehabilitation training, however, allows the patient to achieve the same benefits of heavy lifting while using light weights. BFR has also been demonstrated in the research to significantly reduce pain in the early stages of rehabilitation. (Giles 2017)BFR - blood flow restriction therapy

The basic process involves application of a tourniquet to the injured limb, that is then inflated (similar to a blood pressure cuff) to occlude blood flow to a limb, blocking veins but not arteries, while performing light load exercises.

While exercising with the tourniquet, the patient feels as if they are exerting a lot more force to perform what is typically considered an “easy exercise;” although it is anything but easy. During exercise with the tourniquet, the muscle fatigues and swelling occurs as fluid accumulates and lactic acid builds up. This reaction is what helps stimulate protein synthesis, stem cell proliferation and triggers hormonal responses in the body including increased growth hormone.

It is important to let your health care practitioner know your medical history prior to beginning this exercise program and discuss with your physician if you are a candidate for this rehabilitation.

If you are curious is this type of rehabilitation would be good for you, schedule an appointment and speak with your physical therapist. A thorough evaluation and medical review will be necessary before a determination can be made.

For appointments please call (212) 254-7750 or email info@thrivept.com.

Citations:

1. Sylsz, Joshua et al “Efficacy of blood flow restricted exercise: A systematic review and meta analysis,” The Journal of Science and Medicine in Sport (2015)
2. Giles L, Webster K, McClelland J, Cook J., “Quadriceps strengthening with and without blood flow restriction in the treatment of patellofemoral pain. A double blind randomized trial,” Journal of Science and Medicine in Sport 20S (2017 e67-e105)
3. owensrecoveryscience.com

 

 

     

THE TAPING SOLUTION: SUPPORTING, ENHANCING & ACCELERATING TRAINING OUTCOMES

Posted on Posted in All Posts, Classes & Courses

Thrive Integrated Physical Therapy, in partnership with Dominican College, is proud to announce that Mark Comerford, author of Kinetic Control: The Management of Uncontrolled Movement and a highly regarded international educator is going to teach a course at our facility this fall.  This will be a course open to physicians, physical therapists and athletic trainers.

Dynamic taping was originally developed for Sports Physiotherapy, Dynamic Tape is proving extremely effective for both orthopedic , sports medicine, dance and neurologic conditions.

Dynamic Tape is highly specialized and designed to contribute genuine mechanical force into the kinetic chain. Working like a bungee cord, the unique, strongly elastic Dynamic Tape aims to absorb load, contribute to force generation, improve biomechanical efficiency and modify faulty movement patterns. Load reduction combined with powerful neurophysiological effects may provide prompt pain relief, reduce metabolic demand, facilitate recovery and improve function.

Please see below for full course description and registration information:

  • Dates: October 12-13, 2019
  • Time: 9:00am-5:00pm
  • Instructor: Mark Comerford
  • Location: Thrive Integrated Physical Therapy. 611 Broadway, Suite 503. New York, NY 10012.
  • Cost: $600 per person ($50 discount offered to HSS Rehabilitation Network Members & Dominican College Students)
  • Contact: courses@thrivept.com or call (212) 254-7750 to register or for additional information
  • CEU’s:  Dominican College  is a New York State Education Department approved provider for physical therapy continuing education. This course has been approved for 1.4 CEU’s.

 


 

MASTERCLASS

THE TAPING SOLUTION: SUPPORTING, ENHANCING & ACCELERATING TRAINING OUTCOMES

MASTERCLASS THE TAPING SOLUTION: SUPPORTING, ENHANCING & ACCELERATING TRAINING OUTCOMES

 

COURSE INTRODUCTION:  This two-day masterclass builds both clinical and performance practitioners’ skillsets in contemporary techniques of taping alongside developing a strong rationale for the use of these strategies in the management of uncontrolled movement (UCM). Innovative taping strategies are delivered that assist in the management a wide range of presentations. The taping interventions covered are used in conjunction with movement retraining strategies that target UCM as identified by its site, direction and threshold of uncontrolled movement®.

COURSE OUTLINE: These 2 days will explore the value and potential of taping to optimize the management of uncontrolled movement based on ‘Site & Direction and Threshold®’. It will supply the rationale behind the application of techniques of taping for a biomechanical and/or a neurophysiological effect and identifies the differences (and therefore the advantages and disadvantages) between Rigid tape, Kinesio tape and Dynamic tape. It helps develop a reasoning framework to support clinicians’ and movement practitioners’ decision making of when to use Rigid tape versus Dynamic taping options.

Ultimately, the course supplies innovative taping techniques specifically matched to a classification of UCM and develops the skill of application of Rigid tape or Dynamic tape. To achieve this outcome, the course considers the value of taping to provide mechanical control of the site and direction of UCM, enhancing sensory feedback for cognitive motor control training, facilitating the efficiency of global stabiliser role synergists, inhibiting global mobiliser role synergists and helping optimize the efficiency of recruitment between stabiliser and mobiliser role synergists.

 

kinetic control


 

KEY FEATURES:

The course will present a variety of Rigid and Dynamic taping strategies, including:

  • Providing passive, biomechanical control of provocative uncontrolled movements
  • Increasing proprioceptive feedback for cognitive movement control training
  • Improving sensory-motor recruitment of inefficient stabiliser role synergists
  • Unloading stretch-strained synergists to decrease strain and reduce trigger point symptoms
  • Positively the length-recruitment relationship of synergists possessing a stabiliser role throughout their range of motion and enhance their eccentric deceleration properties
  • Assisting restore efficient recruitment of global mobiliser role synergists

LEARNING OUTCOMES:

At the end of this course the participants should be able to:

  • Display the ability to apply a range of taping approaches to a high standard
  • Demonstrate an understanding of the rationale for the application of differing styles of tape with respect to their influence upon aspects of biomechanics and neurophysiology
  • Demonstrate an understanding of the clinical advantages and disadvantages of a range of taping interventions with respect to a clinical presentations or performance deficits
  • Demonstrate an ability to utilize taping as an intervention strategy alongside the management of uncontrolled movement to meet a clinical or performance outcome

PROGRAMME:

  • Examines the principles of taping techniques, including the biomechanical and neuro-sensory uses of taping
  • Explores the differences between rigid tapes, dynamic tape and kinesio tapes and discusses the advantages and disadvantages of different tapes.
  • Identifies the goals of applying taping, including: the biomechanical control of movement for movement protection and to manage pain and issues associated to what is traditionally described as ‘joint instability,’ neuro sensory stimulation to manage pain and enhance proprioceptive feedback for movement protection and motor control retraining, facilitation of global stabiliser role synergist recruitment and inhibitory strategies for global mobiliser role synergists to recover recruitment efficiency altered in the presence of recurrent pain and injury
  • Develops clinical/performance reasoning processes to best match taping options to the goals of management
  • Practical workshops demonstrating and applying taping solutions using both rigid and dynamic taping options for a large variety of uncontrolled movements
  • Practical workshops using taping solutions to manage the site and direction of uncontrolled movements in the lumbar spine, thoracic spine (including specific rib impairments), sacro-iliac joint, hip, knee and foot, shoulder girdle, and cervical spine

This course offers all movement clinicians another effective tool to fast track the path to optimal Movement Health. It provides additional skills to better manage a large range of clinical presentations of uncontrolled movement. These range from acute presentations of musculo-skeletal pain, through to recurrent pain and injury, and compromised function performance deficiencies.

 

the taping solution with Mark Comerford


 

PROGRAMME:
DAY ONE
AM:
Introduction to Movement Control & Movement Health:
o   Diagnosis of Site & Direction and Threshold® of uncontrolled movement (UCM)
o   Global stabiliser & mobiliser recruitment synergies
o   Value of taping to accelerate movement control retraining
o   Taping augmented exercise therapy
o   Goals of Taping: taping for Rehab vs taping for Performance vs taping for Prevention (risk management)

Advantages and disadvantages of different tapes:
o   Rigid tapes
o   Dynamic tape
o   Kinesio tapes

Taping principles:
o   Biomechanical taping
o   Neuro-sensory taping
o   Mechanisms & Influences: mechanical, recruitment physiology, pain physiology, proprioception

Taping application – the basic ‘rules’

PM:
Taping for Uncontrolled Movement Workshop (practical & demonstration) using rigid & dynamic tape solutions:
o   Lumbar Uncontrolled Movements (Lumbar: flexion, extension, rotation)
o   Sacro-iliac Uncontrolled Movements
o   Thoracic Uncontrolled Movements (Thoracic: flexion, rotation)
o   Rib Uncontrolled Movements (anterior-posterior shears & upward-downward rotations)
o   Cervical Uncontrolled Movements (Low Cervical: flexion)


 

DAY TWO
AM:

Taping for Uncontrolled Movement Workshop (practical & demonstration) using rigid & dynamic tape solutions:
o   Scapular Uncontrolled Movements (Scapular: downward rotation, forward tilt, + Cervical: rotation / sidebend)
o Gleno-humeral Uncontrolled Movements (G-H anterior glide, G-H rotation)
Hip Uncontrolled Movements (Hip: flexion, medial rotation / addiction, extension)

PM:
Taping for Uncontrolled Movement Workshop (practical & demonstration) using rigid & dynamic tape solutions:
o   Knee Uncontrolled Movements (Knee: ‘valgus’ & ITB issues; Tibial: lateral rotation)
o   Patello-femoral Uncontrolled Movements (Patellar: lateral glide / tilt, inferior glide)
o   Foot Uncontrolled Movements (Foot: pronation, inversion, dorsiflexion; Hallux: valgus) including: tendinopathy issues; ankle instabilities; plantar fascia)
Taping to facilitate global stabiliser recruitment

Taping to inhibit global mobiliser overactivity

Summary

 

For additional information, or to register, please contact: courses@thrivept.com or call (212) 254-7750

 


 

     

CNN Staying Well: Thrive PT Segment on Manual Therapy

Posted on Posted in All Posts, Let's Get Technical, Stay in the Game, Take Control of Your Health

The CNN segment that we filmed at Thrive a few months back is now online. Have a watch as practice owner Tamar Amitay, PT, MS and physical therapist Amy McGorry, PT, DPT, MTC, talk about and demonstrate manual therapy techniques on a patient.

Here at Thrive Integrated Physical Therapy, PC, our physical therapists identify the faulty mechanics and movement patterns that contribute to and drive one’s pain. We’ve found that manual therapy coupled with an appropriate therapeutic exercise program really makes a difference. At Thrive we look for the root cause as well as underlying movement dysfunctions to base our interventions. We are dedicated to getting our patients back quickly in the game of life!

     

POSTPARTUM SERVICES AT THRIVE

Posted on Posted in All Posts, Reproductive Health, Stay in the Game

THRIVE INTEGRATED PHYSICAL THERAPY POSTPARTUM SERVICES

Seeking to Become Your Women’s Health and Wellness Destination at All Stages of Life

Thrive Integrated Physical Therapy has, for many years, been serving with diligence and passion our friends and neighbors in lower Manhattan.  We pride ourselves on being a comprehensive center for the orthopedic management of nearly all musculoskeletal injury.  Over the past few years, consumers have been vocal about wanting more directed care in one specific area: services targeted around maintaining health while pregnant and returning to safe activity after child birth.  This movement in patient awareness is well timed and is consistent with a shift in our collective understanding of child birth recovery.  In the spring of 2018, The American College of Obstetricians and Gynecologist revised its postpartum care guidelines to suggest that women should be followed for an extended period of time after giving birth.  The guidelines state that mothers need ongoing support beyond the initial healing stage and well into the “fourth trimester,” ultimately concluding with visits around the 12 week mark post-birth.   The intent is to more fully help women re-integrate into their lives, including their roles as mothers, earners, partners, and hobbyists.  It also reflects that the medical community is becoming more aware of what persons with children implicitly know…having a baby is physically radical and rehabilitating afterwards is often more in depth and complicated than many are led to believe.

We at Thrive are ready to help meet the needs of pre and postpartum women and are launching a comprehensive rehabilitation and wellness program.  We are looking forward to helping women stay strong and pain free during pregnancy, maintain safe exercise practices pre and post birth, and rehabilitate from injury.  Our services will include a full musculoskeletal evaluation and examination for a wide variety of issues relevant to women, including:

physical therapy for pre and postpartum care

  • Pelvic muscle function screen, including internal and external muscle assessment
  • Urinary continence management and education
  • Scar management
  • Diastasis recti screen and care
  • Orthopedic care for pain and dysfunction related to physical demands of pregnancy
  • Orthopedic care for pain and dysfunction related to physical demands of child care
  • Return to exercise goal setting and planning post delivery

We are thrilled to be expanding our services, and so looking forward to partnering with other hard working medical and fitness professionals in this space to bring to the downtown community the best possible care.  So, whether your baby is 3 months or 3 years old, consider us as a place for healing, recovery, and return to dynamic activity!

 


Elizabeth D'Annunzio Shah Physical Therapist New York CityElizabeth D’Annunzio Shah, PT, DPT, OCS, MTC works with patients of all ages and abilities including recreational athletes, professional dancers and performing artists. She has a special interest in vestibular and balance disorders, movement theory and creative solutions for both neurologically and musculoskeletally impaired persons. Elizabeth is passionate about exercise as a means to maintain health, manage stress and enjoy life! She practices yoga in the Iyengar tradition, is an avid surfer, and participates in distance running events whenever possible. (more)

 

     

Thrive! is Hosting and Participating in Threes Physiyoga Method for Physical Therapists

Posted on Posted in All Posts, Classes & Courses

If you’ve been following along with our Instagram, you may have noticed that Thrive has had a few in-services with the amazingly smart and talented Giulia Pline. Giulia introduced our entire staff to the Threes Physioyoga Method, which merges physical therapy principles with yoga. What more could we ask for? We were so impressed that we wanted to know more, so we decided to host, and have our staff participate, in their Intro Course for Physical Therapists which will take place right here at Thrive on February 23rd and 24th. We can’t wait to bring all of this new knowledge to our patients!

Threes Physioyoga Method Workshop

About Threes Physiyoga Method for Physical Therapists

This introductory weekend consists of foundational knowledge regarding the teaching of yoga as a mind-body-spirit wellness modality and how this modality can be integrated into traditional physical therapy for the benefit of the patient and the clinician.

Yoga is a multi-limbed practice that unites movement with breath. Having an understanding of the influence and benefits of this practice on the body is a powerful, efficient tool for physiotherapists.

Physiotherapists will be introduced to the Threes Physiyoga Method of assessing suboptimal and dysfunctional movement. They will understand the mechanics of breath, the neurological considerations of re-training the musculoskeletal system, and how the deep integration of fascia and connective tissue impacts the body.

We will illustrate how to integrate a yoga movement based assessment tool and yoga movement/posture prescription including specific cueing, modifications, and pose transitions into a traditional physical therapy treatment regimen. This knowledge will provide physiotherapists the foundation to integrate mindfulness, breath work and yoga postures as a therapeutic modality.

The course will give you 13.5 hours of practical learning including case studies, a comprehensive movement assessment tool, therapeutic techniques and yoga sequencing.

Foundational topics to be discussed include:

exploring how multiple systems may impact dysfunction and how to address them

understanding the influences of the breath and thorax on the body

how mindful awareness facilitates neuromuscular re-education for optimal, safe, and efficient movement.

For more information or to register CLICK HERE!
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