Advantages of Progressive Strengthening After Your Knee Replacement

Many people after a total knee arthroplasty (TKA) never achieve the same level of function as a similarly aged person without knee problems.  However, a recent study published in Physiotherapy Theory and Function indicates that a progressive strengthening program will likely bring their function to higher levels than those who do not receive that type of care.

Progressive strengthening, in this case, means that the study participants received a number of physical therapy visits after surgery during which strengthening exercises were given. These were progressively increased to maintain maximum effort for 3 sets of 20 for all exercises.  The normal standard of care group focused primarily on range of motion, cycling and straight leg raising exercises without weight.

The study found that a larger portion of patients who received progressive strengthening exercises achieved normal clinical and functional scores.  This indicates that although all patients may not achieve normal function after a TKA, those receiving this type of treatment have a better chance of returning to normal function.

Injured in an accident? You may be able to come directly to physical therapy without needing a doctor’s referral.

What is Direct Access to physical therapy? Simply put, Direct Access is the opportunity to receive physical therapy services without a physician’s referral.  Ultimately this means you can get an immediate evaluation and treatment for your injury without the delay of needing to see another healthcare professional. Your physical therapist will determine if therapy is needed or if you should be examined by a doctor. In Pennsylvania, a physical therapist with a Direct Access license can evaluate and treat you for up to 30 days without a doctor’s prescription.

But what about insurance? Insurance is always changing and often confusing but most health insurance policies allow for coverage of P.T. services without a referral. Auto insurance is no different, in that it varies from one company to another. You can contact your insurance company directly and ask if physical therapy services are covered without a referral or phone us and we can help you to get started.

Ultimately, Direct Access may be a way for you to save time and money during your recovery.  Give us a call to get started.

 Stephany Primrose, P.T.

Have you had your annual PT check-up?

Written by Jennifer Buono, PT, DPT

Every year we make an appointment with our primary care doctor to have our yearly physical. At the appointment the doctor monitors such things as height, weight, blood pressure, current medications, provides necessary vaccinations and even performs blood tests to monitor our cholesterol levels. These measures are checked in an effort to catch specific medical conditions early so that treatment can be started quickly. Similarly, we go to the dentist twice a year for regular screenings and cleanings to prevent cavities and detect problems in our oral health. So why don’t we have an annual check-up with our physical therapist to assess our overall musculoskeletal health and wellness?

According to a recent report by the United States Bone and Joint Initiative an estimated 126.6 million Americans, or about 1 in 2 adults are affected by musculoskeletal conditions. That number is greater than the number of Americans living with chronic lung or heart conditions. Problems in our musculoskeletal system contribute to chronic pain and loss of function. Poor joint mobility can increase our risk of developing degenerative joint disease, osteoarthritis and tendinopathies.

Physical therapists specialize in the examination and treatment of the musculoskeletal system which consists of the bones, joints, muscles and connective tissues that help us move and perform all the activities that we enjoy with ease. An annual visit to a physical therapist could help to identify problems within the system such as weakness, immobility or faulty mechanics which may be contributing to pain or poor movement quality and function. Faulty movement patterns can lead to degenerative changes within the muscles, ligaments and joints. Getting a physical therapy “check-up” helps to identify these impairments early so that an effective treatment plan can be established to help correct the impairments before they become significant problems or lead to degenerative changes that impact your quality of life. During the physical therapy evaluation, the therapist can assess such things as balance, functional strength, aerobic capacity and endurance, pain, movement patterns for activities you regularly perform (lifting, sports, work station set-ups) and flexibility.

While physical therapy is important after an injury has already occured, being proactive and seeking the guidance of a physical therapist before a musculoskeletal issue occurs can help individuals stay more physically active and possibly prevent chronic painful conditions from impacting their quality of life.

If you are trying to start back into a fitness program, or trying to return to a physical activity such as golf, tennis, hiking, biking or running or you are experiencing pain or movement difficulties during your daily routine contact our office to schedule your physical therapy evaluation and get help before a potential injury occurs.



Become a Fan on Facebook Watch us on YouTube Join our mailing list

Copyright © 2018 Advanced Physical Therapy and Fitness. All Rights Reserved. | Privacy Notice |  feed-image Feed Entries

  Disclaimer:  The information in this medical library is intended for informational and educational purposes only and in no way should be taken to be the provision or practice of physical therapy, medical, or professional healthcare advice or services. The information should not be considered complete or exhaustive and should not be used for diagnostic or treatment purposes without first consulting with your physical therapist, physician or other healthcare provider. The owners of this website accept no responsibility for the misuse of information contained within this website.