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.
Participation in running as a fitness activity has increased dramatically over the past decade. Unfortunately, there is also a significant rate of injury, with greater than 60% of runners sustaining an injury within a given year. A sound understanding of the etiology of running injuries is critical not only for optimal injury recovery but also for effective injury prevention strategies. This session will address the scientific evidence related to the etiology of running injuries and will briefly propose a new approach to the care of running injuries
Considerations for the Adolescent Athlete will provide an overview of the anatomical and physiological differences between the adolescent and adult athlete. We will discuss growth plate locations throughout the body and pathologies specific to each area. This knowledge will be immediately useful in your clinical setting. The participant will gain awareness of problems specific to the adolescent athlete and a greater understanding of how to address the growing concern of overuse injuries in our young athletes.
Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 2 hours of General CE Credit, from 8/29/13-12/31/14.
This activity will provide an overview of ethical challenges that can present in the supervisory relationship including power differential, confidentiality, vicarious liability, dual relationship, and informed consent. Information will be provided on the importance of the supervisory relationship and the importance of individual differences. Strategies will be provided to address possible ethical issues.
This presentation will focus on the role of the physical therapist as it relates to examining and treating the patient with chief complaints of groin pain. Systems will be examined that cause local and referred groin pain with an emphasis on “sports hernia” and intra-articular pathology of the hip.
Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 2 hours of General CE Credit, from 6/03/14-12/31/14.
Physical therapists are becoming increasing involved in the full continuum of health - from injury recovery to fitness, and health education to performance. A seamless approach should be built upon sound, sport science-based training principles. These are oftentimes counter to traditional approaches to health, fitness and performance. This session will present a broad, integrated approach to health, fitness and performance utilizing both sports sciences and lessons learned from the application of these training principles in real-world examples.