Is there a difference in outcomes with Hybresis versus traditional iontophoresis?
Hybresis is a device that was actually developed by a company called iOMED. IOMED was bought out by Empi and Empi branded this device and called it Hybresis. Now here is what this device does. You apply your medication to an electrode. That electrode has a built in battery. You put the medication on the electrode and then you put that electrode on the patient. You then apply a little thing that looks like a guitar pick onto the electrode. That applies three minutes of high level stim. Then that "guitar pick" can be taken off after the three minutes of stim. So what happens during those three minutes of stim? What happens is called impedance enhancement. It hydrates the skin and induces electroporation. So by inducing electroporation, that seems to make the medication go in there a little bit better. Now is there evidence on this? No, the Hybresis unit is still pretty early in the evidence pipeline. There are studies ongoing - actually done by a few colleges of mine - and they are showing some promise. It makes sense that these Hybresis devices - you do the three minutes of higher level stimulation and then you take the Hybresis device off and it delivers three hours of low level stimulation. And that makes sense that that would deliver more medication, but then again the research studies are not out there as of yet, so keep your eyes and ears open.
Andrew Starsky, PT, PhD
Andrew Starsky earned a Bachelor of Science in Electrical Engineering Degree from Marquette University in 1992. After practicing in the engineering field for 3 years, he returned to Marquette and received a Masters of Physical Therapy degree in 1998. While working full time, he starting to pursue a terminal degree in Biomedical Engineering and received his Ph.D. in 2007. He has been part of the adjunct faculty since 1999 and became a full time Clinical Assistant Professor in 2005. Andrew teaches the didactic portion of the DPT program in the 5th and 6th years. He lives in Mequon with his wife and 4 kids and is an active participant in ultramarathons, Nordic ski races, and adventure races.
This course will review the application, physiology, and evidence behind the use of ultrasound as a therapeutic intervention. Indications, contraindications, and precautions will be examined as well as the evidence base that supports the appropriate use of ultrasound.
This two hour course will examine the theory and treatment techniques that use electrotherapy in more advanced clinical settings. The use of Neuromuscular Stimulation for the treatment of drop-foot, the use of TENS for treatment of CRPS, and the use of Electrical Stimulation to augment stretching will be explored.
Please note: This course is also offered in a series of recordings titled "The Injured Golfer", course 1415.
This presentation will instruct the participants in proper golf address posture, physical requirements and evaluation procedures for a thorough golf specific assessment. It will discuss improper address and its effect on injury and return to play. Interventions for improvement in address posture will also be provided.
Please note: This course is also offered in a series of recordings titled "Evidence-Based Practice", course 1438.
In this course the presenter will provide an overview of fundamental principles and concepts of evidence-based practice. Course participants will learn a structured approach to forming an answerable clinical question, finding & selecting best available evidence related to the question, determining the validity, strength, & relevance of that evidence, and integrating the evidence with clinical expertise and with patient values & expectations. Critical appraisal of evidence will be introduced, with the intent that details of critical appraisal for evidence relating to diagnosis, therapy, and prognosis will be presented in subsequent courses. This course is Part 1 of a five part series. Recommended course completion in order.
Please note: This course is also offered in a series of recordings titled "Beyond Bands", course 1404.
Elastic resistance is a poorly understood method of strengthening and modality for therapeutic exercise. In this course, the learner will be able to better understand the benefits of elastic resistance including dosing, patient positioning, and new exercises using elastic resistance.