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.
Shoulder pathology is common in the general population and even more frequent with overhead athletes. The rehabilitation professional must understand the biomechanics of the shoulder complex as it relates to overhead activity. In order to be successful in this specialized population it is important to understand the common form errors associated with pathology as well as the rehabilitation progression for a safe return to the demands of overhead activity. The purpose of this presentation is to present an evidence based review of current physical therapy practice for the management and treatment of shoulder pathology in the overhead athlete. The principles of dynamic stabilization as it relates to an overhead athlete population will be discussed. Criteria for a safe progression to overhead sport following injury will also be included.
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 6/03/14-12/31/16.
Running related injuries are common in physical therapy practice. Overuse injuries are often a result of abnormal foot mechanics or due to imbalances higher in the kinetic chain. This course will review the epidemiology of selected running related injuries impacting patients across the adult lifespan. In addition, participants will gain an understanding of various evidence-based treatment interventions to maximize function.
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 5/20/15-12/31/16.
This presentation will serve as an overview in a systems based format for medical screening of patients presenting to physical therapy through referral or direct access. Clinicians will be exposed to the usage of medical screening questionnaires and region checklists to rule out red flag conditions with high levels of confidence and effectiveness.
Gain a better understanding of the complexity of the forearm and how distal radius fractures can have a profoundly negative effect on forearm rotation. This presentation gives an overview of the bony and ligamentous support of the proximal and distal radioulnar joints, including an in-depth look at the role of the interosseous membrane. Therapists will be presented with a systematic approach to addressing forearm rotation issues, including expected outcomes.
Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 1 hour of General CE Credit, from 6/03/14-12/31/14.
This course is intended for rehabilitation professionals who have recreational or competitive middle or long distance runners as part of their practice population. It will provide them with therapeutic exercise interventions to treat common problems among these runners.