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environment can be further compromised by visitors, delivery people, service technicians and even clinicians who may carry unwelcome microbial guests with them as they move through the hospital. In such a scenario, the robust and consistent application of proper hand hygiene is a top priority. That said, healthcare workers and hospital management should also consider every available tool and approach to reducing bioburden on soft surfaces. The options are many, ranging from the use of hydrogen peroxide mists to intense exposure to ultraviolet light to fabrics and textiles that incorporate one or more antimicrobial elements. All have their positive qualities as well as their limitations. With budgets tight, how should institutions evaluate their options? Here are some questions hospital directors and administrators should ask themselves and potential vendors about their solutions: • Is there clinical evidence that the solution reduces bioburden specifically on soft surfaces? How true!! • Are there any harmful side effects or unintended consequences associated with the solution? • What are the incremental costs of implementing the solution? • Does the solution require additional staff training or education? • What impact does the approach have on bed or room availability? Does it increase “down time” between patients? Every institution will need to determine which approach, or group of approaches, is right for their particular situation. The above questions, however, may provide a useful analytical framework for those decisions. As with most subjects in healthcare, more published, peer-reviewed clinical data is needed on the transmission of pathogens from soft surfaces to patients in hospitals. While that research is underway, healthcare workers involved in patient care must continue their multi-pronged attack on HAIs by making the patient environment as clean and healthy as possible. n Reprinted with permission of King Features Using Glo Germ, it is possible to see “simulated” germs with an accuracy of over 90%. So, how well are YOU washing your hands?? Visit our website and select the kit best for you. And be sure and check out the new mini kits! No Hype. Just plain talk: We know Sore No More works for your client, so we offer a free 2oz. Sample and free shipping! (Discount code: NEW, please email us!) "Karen Hart" karen@sorenomore.com Use before and after therapy exercise for best results, professional strength. Do not get in eyes, open sores or cuts.. [INFECtIoN CoNtRol] references 1. Trillis, F., et al. (2008). Contamination of hospital curtains with healthcare-associated pathogens. Infection Control and Hospital Epidemiology, 29(11), 1074-1076. 2. Ohl, M., et al. (2011). Hospital privacy curtains are frequently and rapidly contaminated with potentially pathogenic bacteria. 51st Interscience Conference on Antimicrobial Agents and Chemotherapy, Poster #K-1463. 3. Boyce, J., et al. (2007). Environmental contamination makes an important contribution to hospital infection. Journal of Hospital Infection, 6(65), Supplement 2: 50-54. 4. Sepkowitz, K., et al. (2011). Copper surfaces (CuS) significantly lower rate of hospital infections (HAIs) in the medical intensive care unit (MICU). Annual Meeting of the Infectious Disease Society of America, Oral Abstract Session 163. Bill O’Neill is vice president of infection control applications for PurThread Technologies Inc., Princeton, NJ. Remember one thing: Washing your hands before and after a patient is YOUR first line of defense against infections for you, your practice and your clients! Glo Germ Company PO Box 189 Moab, Utah 84532 www.glogerm.com All natural, pain relief! Muscles, joints, and arthritis WWW.SORENOMORE.COM 800-842-6622 ADVANCE for Physical Therapy & Rehab Medicine 27
[AquAtIC tHERAPY] Confidence gain Water is a welcome sight for many patients with acquired brain injuries By Patty haddock, PTA, CBis, ATriC Aquatic therapy has a rich history with roots dating back to the days of the Grecian empire. In fact, the so-called father of medicine, Hippocrates, applied a variety of “water healing” techniques for patients, finding its unique properties ideal for physically constrained patients who had difficulty exercising on land. He understood that buoyancy makes individuals less weight bearing, reducing the amount of pressure placed on a knee or hip, for example. And he learned that water’s resistance qualities helped orthopedic patients improve flexibility, strength and muscle tone. These same principles apply to other areas of therapeutic rehabilitation, including programs focused specifically on treating patients with acquired brain injuries (ABIs). 28 ADVANCE for Physical Therapy & Rehab Medicine Aquatics for Individuals With ABIs Causes of an acquired brain injury include external forces applied to the head and/or neck (traumatic brain injury), anoxic/hypoxic injury (i.e., cardiac arrest, carbon monoxide poisoning, airway obstruction, hemorrhage, near drowning), intracranial surgery, infectious diseases, seizure disorders, toxic exposure (i.e., substance abuse, ingestion of lead and inhalation of volatile agents), aneurysms and vascular obstruction (stroke). An acquired brain injury can result in cognitive, physical, emotional or behavioral impairments that lead to permanent or temporary changes in functioning, often dramatically affecting an individual’s balance, gait, flexibility and strength and emotional stability. Enter aquatic therapy. Aquatic therapists have found that waterbased activities help patients with acquired brain injuries gain strength and stimulate the confidence that will encourage them to try similar activities on land, assisting in a quicker return to near-normal functionality. This is the end portion of a modified Ai Chi pose. The patient has moved her arms, rotated her trunk and pivoted her feet. At this time, she requires tactile cues from the therapist in order to maintain her balance and align her body. Throughout the activity, therapist Patty haddock, PTA, CBis, ATriC, works on deep breathing with the patient. The physics behind aquatic therapy is hydrostatic pressure, or the force exerted by a fluid, which increases or decreases in proportion to its depth to create buoyancy. In fact, individuals are up to 90 percent less weight-bearing in neck-deep water than on land, ensuring that weak muscles are well supported. Many patients with a brain injury will have muscle spasticity on the affected side. Aquatic therapists have found that warm water is conducive for dampening spastic movements and tremors. When heated to between 85 and 90 degrees, the water helps soothe muscle tone, providing for greater range of motion with less pain. Water also is a great medium for re-educating muscles—one of the most common physical therapies for individuals with neurological impairments. Its property of viscosity provides natural resistance, meaning that an individual must exert more effort in the water to accomplish the same exercise on land. Resistance activities in water build muscle tone, improve balance and even increase cardiovascular fitness. Varied levels of resistance—the speed at which an aquatic therapy pool’s treadmill moves, for instance—can be used to create progressions for patients recovering from an acquired brain injury. Take Scott, for example, a marathon runner who suffered a stroke that left him unable to maintain his standing balance without support. As part of his treatment program at Pate Rehabilitation, he runs on a treadmill in an aquatic therapy pool to improve his gait pattern and core stability. On land, this was prohibitively difficult, but in a buoyant environment—controlled by the therapist who can raise or lower the pool’s water level—Scott is achieving remarkable success. Running in the water has helped decrease his base of support during gait, allowing him the freedom of working on unsupported walking while in the water, a goal Scott wants to eventually carry over on land. Overall, aquatic therapy has not only helped Scott regain his strength and improve his gait, but it has also greatly boosted his confidence CouRtEsY PAttY HADDoCK
Page 1 and 2: Our digital editions give you two u
Page 3 and 4: Don’t win an iPad... Cross ss Cou
Page 5 and 6: contents ADVANCE FoR PHYsICAl tHERA
Page 7 and 8: [MORe ARTiCleS] 9 Management Focus:
Page 9 and 10: [EDiToR’S ViEw] 8National Rehabil
Page 11 and 12: [MANAgEMENt FoCus] sticky notes wit
Page 13 and 14: [CoVER stoRY] ruNNiNg righT how To
Page 15 and 16: [CoVER stoRY] that patients adhere
Page 17 and 18: [Foot DRoP] Positive steps Understa
Page 19 and 20: [Foot DRoP] for strengthening or us
Page 21 and 22: [lAsER tHERAPY] laser and living ti
Page 23 and 24: [lAsER tHERAPY] Therapeutic Laser S
Page 25 and 26: [BACK PAIN] Pain Epidemic Physical
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Page 33 and 34: [CoVER stoRY] running continued fro
Page 35 and 36: [CE DIRECTORY] • • Summer Webin
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Page 39 and 40: [CE DIRECTORY] Attention Therapists
Page 41 and 42: [CE DIRECTORY] AUG. 12, 2012 NEWPOR
Page 43 and 44: [CE DIRECTORY] group discounts. Con
Page 45 and 46: [CE DIRECTORY] with disabilities. T
Page 47 and 48: [CE DIRECTORY] program producing LA
Page 49 and 50: EMPLOYMENT OPPORTUNITIES New York,
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