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.
An ACL tear is the most prevalent knee injury in athletics. Improved understanding of anatomy and biomechanics of the knee as well as the impact of the entire lower kinetic chain on knee function and injury has led to advancements in rehabilitation programs. This course reviews the evidence related to effective, criterion-based management from injury through return to sport.
Knee injuries, especially anterior cruciate ligament injury and patellofemoral pain, are known to be more prevalent in female compared to male athletes. The purpose of this session is to identify risk factors associated with these knee injuries and screening tools. Identification of these risk factors will provide clinicians a systematic approach for the development and implementation of programs designed to reduce injury.
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 3-23-2015-12-31-2016.
Shoulder pathology is common in the general population and some patients will require surgical intervention. The rehabilitation professional must understand the biomechanics of the shoulder complex as well as tissues implicated in specific surgical procedures in order to facilitate a successful outcome for the patient. The purpose of this presentation is to present an evidence based review of current physical therapy practice for the post-operative management of selected shoulder conditions. Milestone criteria for a safe progression through return to work/sport following surgery will be discussed.
Ankle injury is the most common injury in sports. The highest proportion of these injuries occur in the popular sports of basketball or soccer, but nearly every athlete is susceptible to such an injury. Of the athletes who suffer an ankle sprain, 72 – 80% are susceptible to recurrent sprains or chronic instability. There is an approximate 15 times greater risk of re-injury to any athlete who has had a previous ankle injury. These statistics are alarming at best, so it is imperative that the sports physical therapist understand the functional anatomy, pathophysiology and the management of ankle dysfunction. This course aims to accomplish this important goal.
This course will be an interactive web-based course allowing the clinician to apply concepts and skills to effectively assess, treat and prepare the athlete/active patient with shoulders injuries to return to prior function. Course participants will gain an appreciation for typical and atypical referral patterns, streamline the examination, and consider the functional anatomy of the shoulder, trunk and extremities.