MYOFASCIAL RELEASE

Posted on May 27, 2011 by admin

Image: Ambro / FreeDigitalPhotos.net

Even if you have received therapy previously without the hoped results the myofascial release treatment could help you.  Combined with other more traditional treatments such as strengthening exercises, hot packs or cold packs the techniques used in myofascial release can be very effective and help you return to a pain free active lifestyle.

John F. Barnes, the founder of the approach used at True Care Medical Therapy Center Inc. explains what myofascial release is on his website.

The following is an abbreviated explanation.

What is Myofascial Release?

Myofascial Release is a safe and very effective hands-on technique that involves applying gentle sustained pressure into the Myofascial connective tissue restrictions to eliminate pain and restore motion. There is an essential “time element” required to allow for the release of the tissues.

Trauma, inflammatory responses, and/or surgical procedures create Myofascial restrictions that can result in pain and loss of range of motion. These restrictions do not show up in many of the standard tests (x-rays, myelograms, CAT scans, electromyography, MRIs, etc.)

The use of Myofascial Release is very individualized, with one-on-one therapy sessions that are hands-on treatments.  Independence is promoted through education in proper body mechanics and movement, self treatment instruction, enhancement of strength, improved flexibility, and postural and movement awareness.

Hands-On Treatment

Each Myofascial Release Treatment session is performed directly on skin without oils, creams or machinery. This enables the therapist to accurately detect fascial restrictions and apply the appropriate amount of sustained pressure to facilitate release of the fascia.

PEOPLE WHO SUFFER FROM MANY CONDITIONS CAN BENEFIT FROM THIS TECHNIQUE

To name a few:

  • Fibromyalgia
  • Headaches
  • Whiplash
  • Pelvic Pain
  • Neck Pain
  • Sports Injuries
  • Chronic Pain
  • Disc Problems
  • Migraines
  • Pelvic Floor Dysfunction
  • Neurological Dysfunction
  • Back Pain
  • Chronic Fatigue Syndrome
  • Jaw Pain (TMJ)
  • Sciatica
  • Womens Health Issues

If you have questions or want to know more about Myofascial Release or how True Care can help you, Please call us at 218*666*2697
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“Back to Sleep” Program Decreased Infant Deaths; Contributed to Developmental difficulties for Children.

Posted on May 22, 2011 by Ida Haxton

In 1994 the American Academy of Pediatrics made a recommendation known as the “back to sleep” program, stating that it is safest for babies to sleep on their backs.  As a result of this, the incidence of Sudden Infant Death Syndrome (SIDS) has been reduced by up to 50%.

Pediatricians have noticed other things that are of concern being attributed to the “back to sleep” recommendation. One of these concerns is the increase in the number of infants developing positional plagiocephaly.

Tummy Time

Image: Clare Bloomfield / FreeDigitalPhotos.net

 Positional Plagiocephaly is the term used when a baby’s skull, that is still relatively soft, develops flat spots due to  frequent positioning of a baby on its back.   Other problems being seen include delays in achieving developmental milestones in the areas of gross and fine motor skills, and delays in speech progression. Some of the things we see often in our center can include: inability to sit still, poor handwriting skills, frustration and acting out during school, unclear speech and clumsiness. Often times parents and teachers feel children with these issues are merely problematic when in reality they are suffering from poor core strength due to the “back to sleep” campaign.

As a result of these findings a new recommendation that an infant spend some time while awake on his/her stomach was implemented. This recommendation is often called “Tummy Time.”  It is recommended that an infant spend at least 30 minutes a day on his/her tummy.

“Tummy Time” positions a baby so it relieves pressure on the back of the head. It also presents an opportunity for the infant to work the upper body and neck muscles by lifting and rotating the head, pushing through the hands, arms and shoulders and arching the back.

While this sounds like a simple request many parents are finding it difficult to incorporate this routine into their baby’s day. Babies who are used to sleeping on their backs frequently find it distressing and uncomfortable to be put into this unfamiliar position. As a result they may cry out.  As a parent of an infant the instant response is to comfort your child and take away their distress.

There are ways that you can make this important time comfortable and less stressful for your baby.  One great way to do this is to start small. The 30 minute recommendation doesn’t have to be done at one time. Short periods on the tummy can be done right after a diaper change.  Just remember safety precautions and securely hold your child if placing them on the tummy on a changing table or other elevated surface.  A great way to decrease a baby’s anxiety is to lie on your back and place the baby on your chest during tummy time.  If placing your baby on the floor stay close and use rattles and other infant toys as a distraction. As your baby’s head control improves you can prop him/her on a rolled towel or nursing pillow. This will allow your child to reach, grasp and play.

It is important for parents to incorporate tummy time not only during infancy and early childhood but throughout all developmental stages. Activities such as puzzles, coloring, drawing, reading, watching TV etc can easily all be done in the prone position on the tummy. This will help your child develop a solid foundation in which to better reach their developmental milestones and could prevent unnecessary struggling in school and recreation.

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A Note to Parents: Benefits of Physical and Occupational Therapy

Posted on May 22, 2011 by true.care.medical.therapy

Just imagine if you could worry about your child a little less, and play with them a little more. If you could figure out why your pride and joy has no awareness of danger, or seems to be hyper thru the majority of the day. If you could just help them to feel less aggression, be a little less clingy, be able to concentrate better in school, be less resistant to change. As parents we are built to be concerned for our children, but it doesn’t mean that we don’t sometimes need a little help. Many issues such as behaviors, hyperactivity, clumsiness, clinginess, difficulty expressing affection, anxiety and too much or too little personal space can affect everyone in the family. Often Physical and Occupational Therapy can be a huge help in reducing or eliminating many of these common issues and I can tell you why.

I recall a time when I was working with a child considered hyperactive. He had no problem with running or jumping. He could leap over the couch without missing a beat. Yet he struggled with sitting still long enough to work on a puzzle or draw a picture. During the assessment I asked him to walk up and down stairs. He ran full speed up and down the steps without difficulty. When I asked him to slow down and walk down them he struggled. Not only did he have to hold the railing he also had to hold my hand. He came near to completely missing a couple of the steps as he was walking down. This child’s hyperactivity was in part due to his poor muscle strength in the muscle fibers that are responsible for allowing you to hold your body still. After working with the child on core strength he was able to walk safely up and down steps without running. He could sit at a table and work on projects without having to be constantly in motion. You wouldn’t think looking at this child’s activity level he needed Physical Therapy. It is important to remember Physical Therapy can help children who are clumsy and seem to trip over themselves at every turn. It can also help children who are overly active and can’t sit still that you might not suspect have a need.

From the day that your child was born, there were certain things that seemed to really relax or calm your child and then there were other things that seemed to make him or her more alert, excited, or ready to play. What wakes you up or gives you an energy boost? Maybe it’s a shower or a cup of coffee. What relaxes you or calms you down? Maybe it’s a good book or a warm bath. Most of us automatically respond to our bodies needs. Not everyone knows what it is that their body needs or how to get it. Our brain is continually receiving information from our body and the world around us through our senses. Whether we are eating, playing, working or even sleeping we are interacting with our environment. Our sensory system helps us to figure out if something is threatening or safe. To someone with difficulties processing sensory information, a gentle pat on the back may feel like a punch.  The ticking of a clock may sound like a gun shot. What a horrible way to go through the day! Often times, these types of sensory problems can be the root of your child’s behaviors. Occupational Therapy can help your child learn ways to stay focused and organized during the day and to more appropriately interpret information from the world around them. Wouldn’t it be great if your child could more easily play with their peers and have quality family time?

Worrying about your child a little less and playing with them a little more is not something that you have to imagine anymore. It is something that with a little work and persistence can be a reality. There are people that care and want to help you and your family. With a combination of Counseling, Physical Therapy, and/or Occupational Therapy it is possible to make life easier. We are pleased to be working with Linda Albertson at Turning Point Counseling.  True Care Medical Therapy Center looks forward to helping you with your needs.  “Quality Care Because We Truly Care”

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Sensory Processing Disorder – What is it?

Posted on May 22, 2011 by Melanie L. Kiehm

What wakes you up or gives you an energy boost?  Maybe it’s a shower or a cup of coffee.  What relaxes you or calms you down?  Maybe it’s a good book or a warm bath.  Most of us automatically respond to our bodies needs.

Let’s start by defining Sensory Integration (SI).  SI is a process that takes information from our senses (vision, hearing, smell, taste, touch and more), interprets it and then has our body respond in some way.  Whether we are eating, playing, working or even sleeping we are interacting with our environment.  Most people think that we have 5 senses, however there are actually more.  Other senses that play a role in (SI) are the vestibular and proprioceptive senses.  Vestibular sense gives us information about how our head and body are positioned in relation to the surface of the earth.  Proprioceptive sense gives us information about where our body parts are and what they are doing.

Let’s pretend that you’re at the beach and see a child who refuses to leave the blanket that she is sitting on.  If she tries to step off of the blanket onto the sand, she pulls her foot back quickly as if the sand has cut her.  She begins to scream when she gets splashed by other children playing.  You would think she had just been sprayed with boiling hot water.  This type of overreaction is characteristic of a child with Sensory Processing Disorder (SPD), sometimes called Dysfunction in Sensory Integration (DSI).

The Sensory Processing Disorder (SPD) Foundation reports that as many as 1 in every 20 children experience symptoms of SPD.  These symptoms are significant enough to affect their ability to participate fully in everyday life.  SPD is a complex problem that can affect all areas of a child’s development such as behavior, learning, work, play, social skills and/or communication skills.  SPD affects the way that a person receives, interprets and responds to sensory information from the environment.  SPD can be a standalone diagnosis but it is often associated with many other diagnoses.

As with most disorders, symptoms range from mild to severe.  If a child is overreacting or does not seem to respond in a typical way, you may want to seek out further information.  The SPD Foundation website may be helpful.  If more than a few of the signs mentioned on the site seem to fit your child contact your child’s physician.  If a child is diagnosed with SPD an Occupational Therapy referral may be recommended.  Not everyone is able to figure out what their body needs without help.  An Occupational Therapist can evaluate your child and develop a plan of treatment to help them automatically respond to their bodies needs.

Carol Stock Kranowitz, MA has written The Out-of Sync Child and The Out-of-Sync Child Has Fun.  These books are recommended pieces of literature on the subject of SI.  The SPD Foundation is also a good resource.

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Christopher Reeve Revolutionized Neurological Rehabilitation

Posted on May 22, 2011 by Ida Haxton

American Actor, screen writer, director, and film producer Christopher Reeve is likely most famous for his role as Superman in the movie series by the same title. While entertainment is a great contribution, giving people a diversion from the stresses of life, I do not consider this his most significant contribution to society.

In May of 1995 Reeve was seriously injured in a horse riding accident. The incident left him paralyzed from the neck down (quadriplegia).  Following his accident Reeve became a true advocate for those people with spinal cord injuries. He along with his wife founded the Christopher and Dana Reeve Foundation to promote research and improve the quality of life for spinal cord injured persons.  His advocacy has led to benefits for others with neurological injuries as well.

Prior to Reeve’s accident and quest for recovery it was believed that most recovery would occur within the first six months following an injury and no more progress could be made after 2 years. Yet Reeve’s most significant recovery came five to seven years after his injury. While Reeve did not make a full recovery he did gain movement, experienced improved overall health, and was able to go for periods of time breathing on his own without the use of a ventilator.  Reeve’s attributed his recovery to his rigorous exercise program.

Some of the components of Reeve’s exercise regimen were aquatic therapy and Functional Electrical Stimulation (FES) activities. Another exciting component was treadmill training. This was done with the use of a system where his body weight was partially supported in a harness over a treadmill. He would then walk while therapists helped him move his legs in a normal gait pattern.  The theory behind treadmill training is that the nervous system is capable of recovery when repeatedly exposed to the desired movement pattern.

Since Reeve’s revolutionary use of treadmill training there have been many studies examining the use of the system with other people who have suffered a variety of neurological insults. Conditions that have been shown to benefit from treadmill training include: general Gross Motor Dysfunction, Cerebral Palsy, Cerebral Vascular Accident (Stroke), Multiple Sclerosis, and Orthopedic Injuries.  Children and adults have experienced success through the use of such a program. It is important to note that the degree of recovery is based on the extent of neural damage, the intensity of the program and individual differences.  Whether a person’s injury is recent or longstanding they may benefit from such a program.

Not all rehabilitation facilities have the required equipment to provide unweighted treadmill training. However, as research continues to confirm the benefits of the training more and more facilities are investing in the needed equipment.

Christopher Reeve passed away on October 10, 2004 from an adverse reaction to a medication he was receiving. His wife continued on with his work until her death on March 6, 2006. Through the Foundation they established, their contribution to spinal cord injured individuals and those with other neurological conditions continues.  Reeve’s legacy lives on.

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Spring Gardening Creates Risk for Injuries

Posted on May 22, 2011 by Ida Haxton

This year’s early snow melt has me thinking of all the green things that grow in my garden. Anticipating the smell of fresh turned dirt, I sift through seed catalogs picking my favorites.

Digging, hoeing, dividing plants, and making rows are all great exercise. However, gardening done incorrectly can lead to significant injuries.

For many people winter is typically a time where physical activity is decreased.  Transitioning from low activity to highly physical chores requires planning to ensure safety. Sedentary periods followed by long periods of rigorous activity can cause injuries as minor as blisters on the hands or feet, calluses, or minor cuts and bruises or more serious injury that can lead to loss of the ability to work in your garden or worse.

Back injuries can be due to a number of issues. Spending prolonged periods stooping or bending forward can lead to stress on the joints and disks of the spine, or cause muscle strains.

Prolonged kneeling can put undue stress on the knee joint causing pain and swelling. If the joint is arthritic kneeling can irritate the condition.

Shoulder, arm or hand injuries can occur from overuse or improper tools used to prune or dig.

There are preventative measures you can take as you head out the door to tackle the big jobs that come with gardening.  First, warm up. Move at a good pace around your yard to get your heart rate up. Do gentle stretches. Prepare your back, neck, hands, arms, shoulders, and leg muscles to work. Start small.  Spend a short amount of time in your garden the first day and gradually increase the amount of time you work each day. Switch things up. Work on your knees weeding or digging up plants for a short period of time, then stand up and work on raking or hoeing. Use the right equipment. Use a kneeling pad to protect your knees. Using a small pruner to cut a thick branch creates excessive stress to your body. A cart or wheelbarrow can be used to avoid heavy lifting and hauling. Sharp well maintained tools work the best. Watch your body mechanics. Be sure you squat or kneel rather than bending at the waist. Use your legs to lift heavy objects. When turning move your feet and avoid twisting at the waist. After bending forward take the time to extend your back. If you feel pain, stop working. Pushing through and working with pain can worsen an injury.

If you have a chronic condition such as arthritis, back or joint pain and find yourself unable to enjoy the garden, physical or occupational therapy can help relieve your pain and provide you with alternate methods to work that will allow you to get back to the garden and “dig in.”

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Asperger’s Syndrome and Autism Spectrum Disorder Diagnosis Numbers on the Rise

Posted on May 22, 2011 by Ida Haxton

Image: photostock / FreeDigitalPhotos.net

According to the definition provided by Wikipedia, “Autism is a disorder of neural development that is characterized by impaired social interaction and communication, and by restricted and repetitive behavior.”  Asperger’s syndrome is considered to be a form of Autism.  Children with Asperger’s are considered to be on the higher functioning end of the Autism Spectrum.  Autism Spectrum Disorder (ASD) is believed to be caused by a combination of environmental and genetic factors.

Last year the federal government officially changed the estimated rate of children with Autism from 1 in 150 to 1 in 100 American Children diagnosed with Autism.  This information is based on 2 separate government funded research studies. a telephone survey of 78,037 parents by the Health Resources and Services Administration (HRSA), and a rigorous national surveillance study conducted by the Centers for Disease Control and Prevention (CDC).

This statistical change does not necessarily mean that there is an increase in the number of children with Autism.  The revision is in part due to the following factors:  a broader definition, detection of milder forms, as well as earlier recognition and diagnosis.

Autism can result in a child displaying difficult behaviors.  Often times when you see a child acting out in public your initial reaction may be to assume that it is a result of bad parenting.  Please consider this may not always be the case.  The child with Autism may be “overloaded” due to the bright lights, loud noises, different smells, or being bumped into.  This is a result of the Autistic child’s sensory system being unable to correctly process this information.  Other behaviors that may be characteristic of Autism include but are not limited to lack of eye contact, avoidance of cuddling, self injury, repetitive movements, and insisting that routines be exactly the same.

Autism is now being identified in children as early as 18 months of age.  Boys are 4 times more likely than girls to have Autism.  One finding from the research studies was that a group of children (0.6%) were described by parents as having had an ASD diagnosis in the past, but no longer experienced symptoms.  Though Autism is considered incurable, with interventions, children can experience improvement in their symptoms and quality of life.

The first step in getting help for a child who may be displaying some of these symptoms would be to discuss your concerns with the child’s family physician or pediatrician.  They can help to determine if Autism is the right diagnosis for the child. Treatments for ASD can include Occupational and or Physical Therapy.  The area school system can provide Early Intervention resources for children from birth to 3 years and ongoing services throughout the course of your child’s schooling.

If you would like more information some resources to consider would be “The Out-of-Sync Child” and “The Out-of-Sync Child Has Fun” by Carol Stock Kranowitz, MA.  These books are informative and written in an easy to understand language.

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Learning Takes More Than Just Brain Power

Posted on May 6, 2011 by Ida Haxton

Have you been told your child is having trouble in school? Have you heard statements like he/she just doesn’t pay attention? Are you constantly getting calls from the school saying your child is once again in trouble, but he/she is usually a good kid at home? While every situation isn’t the same, there may be help for your child through therapy.
Within the public school systems today the learning environment has changed. More and more as districts struggle to meet State and Federal mandated standards the opportunities for physical activity have declined. Children are expected to sit for long periods of time without movement breaks. Somehow the concept of learning has been isolated to the mind. The role of the body in learning seems to be lost.
The mind body connection is very powerful. The mind is responsible for instructing the body in how to respond to your surroundings. This includes classroom instruction. The mind receives information from around you through your senses to help you determine if you are safe or in danger. The brain uses that same information to determine if what you are experiencing is pleasant or unpleasant. The body in turn as it holds still or moves and responds to the brains instructions refreshes or generates new experiences used by the mind or reinforces information already stored. In order for the mind to be ready to learn the body must be ready also.
If the information your mind is receiving through your senses are unusually strong or weakened learning can be impaired. For instance if the sound of a ticking clock sounds more like a loud cymbal crashing that can be very distracting. If it takes strong pressure to realize you have a pencil in your grasp writing can be difficult.
Your body’s ability to hold still during learning is also critical. If your body is unable to sit at a desk without leaning against something the mind may be distracted concentrating on staying in the desk. You may have no problem with running or jumping. You may be able leap over a couch without missing a beat. Yet struggle with sitting still long enough to work on a puzzle or draw a picture. The cause is poor muscle strength in the muscle fibers that are responsible for allowing you to hold your body still. A very active child may not look like they need Physical Therapy. Poor core strength can be contributing to that child’s inability to hold still and focus on learning.

Movement activities that also require the body to hold posture are very beneficial to learning. Helping around the house with work, such as carrying rocks to build a rock garden or digging with a shovel, require not only strength but postural control. Spending time on the floor lying on your stomach playing board games or reading strengthens the neck muscles and the shoulder muscles when you rest on your elbows.
Many things can contribute to problems your child may be having at school. Physical and Occupational Therapy can work with you and your child to help him/her be successful. Summer is a great time to get ready to learn next school year. At True Care Medical Therapy Center we enjoy working with children. Contact us to learn more.
~Ida Haxton, PT

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Fun Summer Activities

Posted on April 12, 2011 by admin

Summer is here. Kids are free to play and just have fun. Turn off the TV, unplug the video games and try out some of these fun ideas. Strength, balance, coordinated movement, sensory organization, and motor control are developed participating in these activities. In turn these skills will enhance learning once it is time to head back into the classroom.

Water Games:

Water is a great medium to use for getting in shape. Beyond swimming there are other activities that are great fun and good for you.

Why: Moving through water creates extra resistance making your muscles work harder. Water can also create buoyancy or make you feel lighter. This can take away some of gravity’s pull and make it easier to lift against gravity. These activities work on balance, coordination, and core strength.

Beach ball balance:

How: Hug a large beach ball and bring it up under your chest. Try to maintain your balance on the ball as you swim.

Bucket Relay:

Why: Heavy lifting and carrying promotes core strength and balance.

How: Race against an opponent or the clock to fill a kiddy pool carrying buckets of water.

Water Volleyball:

How: String a net over water and play the game as you would on land.

Organized Sports:

Why: Volleyball, Basketball, Tennis, Soccer, and baseball are all activities that require you to hold a position, move with accuracy and change directions quickly and accurately. This requires good core strength, coordination of movement, and balance.  It also teaches sportsmanship and team work.

Gardening/Yard work:

Why: Raking, Hoeing, Weeding, Digging, Carrying filled water cans, bags of dirt, or rocks for a rock garden all work to strengthen your core muscles, improve your balance and coordination. It also promotes pride in the accomplishment and it’s so fun to watch things grow.

Lawn Games:

Why: Many lawn games require you to hold a position, move with accuracy and change directions quickly and accurately. Some of these games have to be purchased. You can get inexpensive versions from Target or Wal-Mart.

Croquet:

Badminton:

Dodge ball:

Frisbee Games: Once you’ve mastered throwing you can look on the internet and find fun games to play.

Tug of war: All this game takes is a rope and a group of people.

Flying a Kite: If you’re really ambitious build your own kite then fly it.

Obstacle Course:  Use ropes, boxes, boards, and other found objects to make a course where you must climb over, under, through and run or walk across, around, and behind obstacles. Quick changes in direction and running backward or side step can all be incorporated.

Sidewalk Games:

Many of these games put a child in kneel, tall kneeling, or hands and knees position. These positions are great for strengthening neck, shoulder and trunk muscles.

Hopscotch: requires a great deal of core strength, balance and coordination. Especially when standing on one foot and retrieving the tossing object.

Sidewalk Chalk: You can get so creative with sidewalk chalk. Draw your dream home; make beautiful pieces of art work. Construct highways for trucks and cars to go on, rivers for boats, bridges to walk or ride bike over, draw out your original hopscotch grid. The options are endless.

Jump rope: Once you’ve mastered the basics you can add in some of the poems.

Hula Hoop: This can be challenging and require a great deal of patience to master, but what a workout.

Jacks: A great game when it’s time to slow down a little.

Roller Blading: Make sure you wear your safety gear!!

Bike Riding: Don’t forget the safety gear. If the training wheels that come with the bicycle are too tippy you can order Fat Wheels. They are bigger beefier training wheels.

Away From Home:

Hiking: There are some beautiful trails in the area. You can make it a learning hike, identifying birds, trees, butterflies, mushrooms, or wildflowers.

Biking on a Trail: Northern Minnesota has some awesome paved bike trails that run between the Cities. Take along a picnic and make a day of it.

Orienteering: You can learn this together. This is a game where you use a map and a compass to go to designated areas. You might have a prize stashed at each site. The area can be as small or large as you choose.

Kayak, Canoe Trips: The rowing action is a great full body workout and you can see some amazing sites. Not sure how to kayak or canoe? You can contact Spring Creek Outfitters or any other retail shop that sells kayaks and canoes and ask about lessons.

When It’s Time To Be Indoors:

Twister: A step above the standard board game. You have to have good balance and strength to hold some of those positions.

Jacks: Can be played indoors as well.

Time on the Tummy: The activities that can be done in this position are endless. Here are a few. Board games, Art projects, Reading, Writing in a journal or writing letters.

Why: This is a great position for working on neck and shoulder strength.

Build a Fort: Use blankets, chairs, cardboard boxes etc. to build an amazing fort.

Why: Being on hands and knees, kneeling and crawling all work on arm and core strength.

Butcher Paper Mural: Tape a large piece of butcher paper on a wall and let the artist create.

Why: Working on a vertical surface in tall kneel or standing works on arm strength and core strength.

A Few Hints:

  1. Your child benefits from a variety activities. Encourage choices that encourage movement and some that encourage prolonged good posture.
  2. Encourage your child to move into positions that strengthen their muscles.
  3. “W” sitting when sitting on the floor not only decreases the amount of strengthening that occurs it can also damage ligaments and tendons.
  4. When on your tummy prop up on elbows keep legs straight, and have both hips on the floor. Avoid resting head in hands, rolling to the side, widening legs, bending knees to bring feet into the air.
  5. Don’t be afraid to get dirty. That’s an important part of sensory learning.
  6. HAVE FUN!!!

 

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