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    Sticky: vjls - I have never used the Second Step myself,...

    vjls - I have never used the Second Step myself, and actually had to look it up to know what you were asking about. Locomotor training is always a good exercise. One thing that I always caution...
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    Sticky: If you know me, you know I am a physical...

    If you know me, you know I am a physical therapist - and I am proud of my career and LOVE my profession! October is Physical Therapy month - help everyone know how much you love PT! Have you gone to...
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    Sticky: I offer an online exercise program with...

    I offer an online exercise program with videos-on-demand to get extra exercise in. It's a great adjust to any therapy or gym program, and also an option for people who have difficulty getting to...
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    Sticky: Keep up the good work, Martiniani! Sounds like...

    Keep up the good work, Martiniani! Sounds like you and your PT are learning together :)

    How to know when you're risking injury is tough to answer online and not knowing your body... six months...
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    Sticky: Generally, the concave side is the stronger side...

    Generally, the concave side is the stronger side because the muscles are pulling on the spine without the muscles on the other side activating to provide opposition. So the C would typically open to...
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    Sticky: That's interesting... I'm sorry that you're...

    That's interesting... I'm sorry that you're dealing with that. Have you kept up with the FES despite the pain?

    You say that you're sensory incomplete - can you feel your feet if someone touches...
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    Sticky: That is not a stupid question. But I have not...

    That is not a stupid question. But I have not heard of FES causing nerve damage. In fact, it is a treatment recommended for those with diabetic neuropathy because the electrical stimulation is...
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    Sticky: Hmm... the bulkiness is always an issue. I can't...

    Hmm... the bulkiness is always an issue. I can't say there's a great sleek option. The AFOs for sleeping need to be sufficiently padded so they don't cause skin breakdown (that would obviously lead...
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    Sticky: Oh no! We don't want any crashes or falls!! For...

    Oh no! We don't want any crashes or falls!!
    For transfers, you're using the muscles that push - your pecs (chest) and triceps (back arm), so doing chest press and tricep press exercises will help....
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    Sticky: Hi Lola! So sorry I didn't see this post sooner -...

    Hi Lola! So sorry I didn't see this post sooner - I am sure you have found a schedule that works for you...
    But in general, starting with 3 times per week is good. You want to be able to give your...
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    Sticky: Estim

    You're looking for an NMES unit - check out this site:
    http://www.chattmed.com/index.php?act=viewCat&catId=20
    You'll need a prescription. I have the Intellect NMES Digital.

    Here's another:...
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    Sticky: Wow Lee… what an unfortunate series of events!! ...

    Wow Lee… what an unfortunate series of events!!
    I do think trying the aquatic therapy can be beneficial. It will unweight you while you can stretch and strengthen.
    Why was the newer wheelchair...
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    Sticky: Good luck! Have you looked into different...

    Good luck!
    Have you looked into different options to help with the tone? I know that medications have their side effects… And it's great that baclofen has helped. What has the medical team said as...
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    Sticky: I'm here!

    I apologize for the delay! I also haven't "appeared" to visit since the site redesign because I apparently wasn't "logged in." That's my mistake - I didn't even realize. But I'm here! I promise :)
    ...
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    New blog about weight loss

    Meet Jayde, a wheelchair user who decided she needed to make some changes and lose weight. She has lost 43lbs already!! Awesome! But she has quite a way to go...

    When I first became disabled (In...
  16. SCG - I am the PT :) Thanks Truly! It...

    SCG - I am the PT :) Thanks Truly!

    It actually does not sound like a hamstring weakness to me... from the way you're describing it, I am thinking it may be more weakness in your calf or your...
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    Sticky: By muscle recovery, are you referring to a...

    By muscle recovery, are you referring to a strengthening program? You are looking to contract the muscle with the assist of the stimulation?
    If this is the case, you'll want a 300usec pulse and...
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    Different sensations travel up different paths in...

    Different sensations travel up different paths in the spinal cord to the brain. Pin prick is testing your pain sensation, which is on a different path than soft touch and different than...
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    Sticky: It's hard to make a blanket statement as to what...

    It's hard to make a blanket statement as to what you need to get upright... To walk in KAFOs, you would need good arms and core. Hip flexors and abductors are great but not required. Walking with...
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    Sticky: The home units are relatively inexpensive (about...

    The home units are relatively inexpensive (about $100 is right on flying), and I would just look for an NMES machine (neuromuscular electrical stimulation) Clearly, these inexpensive, hand-held,...
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    Sticky: Hmm.. what is the purpose of the triphasic estim?...

    Hmm.. what is the purpose of the triphasic estim? I've used biphasic waveforms for strengthening. Is there a goal that the PT is aiming for that cannot be achieved with biphasic stim?
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    Sticky: I don't think you have to work the muscle "at the...

    I don't think you have to work the muscle "at the sweet spot" necessarily. I would start challenging yourself in more difficult positions to improve your balance. Can you hold a squat while you bring...
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    Sticky: Liz - so sorry I never checked back! My site is...

    Liz - so sorry I never checked back! My site is my username. Check out - there is a free class available so you can get an idea of the exercises.
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    SCI-Nurse is right - that is not clonus and it...

    SCI-Nurse is right - that is not clonus and it does look like a reflex. There is another reflex that could be triggered by slamming your foot down. These reflexes are generally absent in injuries...
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    Sticky: Good question - I am sure many people with...

    Good question - I am sure many people with incomplete injuries have this issue.

    When the knee is completely locked straight, you are relying on your joint structures more than you muscle strength....
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