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 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.
Therapeutic exercise should be specific, creative, purposeful, and not redundant. Too often physical therapists have a limited “exercise bank” to draw from, or have poor rationale for the exercises we prescribe. “Therapeutic Exercise: Beyond the Norm” aims to add specificity to our exercise selection, as well as contribute to the bank of exercises we all draw from.
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 4/11/13 through 12/31/14.
Therapeutic exercise is a cornerstone of physical therapy practice and is integral to the effective treatment of both orthopedic and neurologic conditions. Review of the current scientific research on tissue repair and therapeutic exercise will provide a foundation for effective and optimal therapeutic exercise programs. This session will address the physiological mechanisms underlying therapeutic exercise programs and the optimal parameters and dosage of loading strategies to foster optimal tissue adaptations.
Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 1 hour of Direct Access CE credit and 1 hour of General CE Credit, from 4/11/13 through 12/31/14.
In this course the presenter will review principles of evidence-based practice relevant to providing a patient prognosis. 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 for evidence of prognosis will be addressed in detail, with emphasis on answering the questions: 1) Are the results valid? 2) What are the results? 3) How can I apply the results to patient care? This course is part 4 in a five part series. Recommend viewing in series.
Patellofemoral pain syndrome (PFPS) is often referred to as the “the black hole of orthopaedics” due to the complexity associated with managing this syndrome. The purpose of this session is to provide the most current update regarding the management of patients with PFPS. The session will summarize information gained from the 2011 Patellofemoral Pain Syndrome: Proximal, Local and Distal Factors: An International Research Retreat.
Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 1.5 hours of Direct Access CE, from 4/11/13 through 12/31/14.