What anode or cathode do you use to reset the polarization of a neuron at a active myofascial trigger point
@LorettaSandovalАй бұрын
I am not familiar with that procedure, so I am unable to advise you.
@johnathanabrams8434Ай бұрын
@@LorettaSandoval www.ncbi.nlm.nih.gov/pmc/articles/PMC9605351/ Published online 2022 Oct 13 Intramuscular Electrical Stimulation to Trigger Points: Insights into Mechanisms and Clinical Applications-A Scoping Review Thomas Perreault,1,* Andrew Ball,2,3 Jan Dommerholt,3,4 Robert Theiss,5 César Fernández-de-las-Peñas,6,7 and Raymond Butts8 Depending on the stimulation intensity, nerve depolarization, and production of compound action potentials will occur along motor and sensory nerve fibers. Local muscle contractions elicited by activation of motor fibers, or other reflex mechanisms, lead to vasodilation of blood vessels near or within the TrP. B: The increased microcirculation, and the prolonged depolarization of axon terminals combined with the production of LTRs elicited by IMES leads to depletion of acetylcholine (ACh) levels and reduction of EPN at the TrP.
@dr.abhishekbundela6834Ай бұрын
Very helpful ❤
@KittyGamer0615Ай бұрын
Do you have to do 15 minutes of TE in order to bill for it? For example, I have a 30 minute appointment. I do TE for 10 minutes, and ME for 20 minutes. Can I bill 1 TE and 1 MT or do I need to do 15 minutes of TE and then 8-10 minutes of MT?
@LorettaSandovalАй бұрын
It has to be between 8-22 minutes. So you should charge one unit for each.
@KittyGamer0615Ай бұрын
@@LorettaSandoval Thank you for responding. I think the reason for my confusion is that the clinic I work at requires us to do 15 minutes of exercise before billing 1 TE then we follow the 8 minute rule after that. The only reason I can think they do that is because some payers will deny if TE is less than 15 minutes. Or they have a misunderstanding.
@LorettaSandovalАй бұрын
Different clinics might have different policies for how they do things.
@Dany-qc2nn2 ай бұрын
Who come up with those names?
@judyadewuyi72402 ай бұрын
Hi, thank you for the power point, it there a PDF version available?
@Dr.sid282 ай бұрын
I need your lectures ppt
@Dr.sid282 ай бұрын
Just love your lectures ma'am can I have your contact I need to ask about some lectures I'm medical students I need your some lectures can you guide me
@SarkisKlinik2 ай бұрын
if we have acute odema ,like some one comes to you with knee swelling like acute bursitis or acute inflammatory process, is using of heat on that swollen area contraindicated in physiotherapy ? if yes, why ?
@LorettaSandoval2 ай бұрын
In general, heat is contraindicated for acute edema.
@SarkisKlinik2 ай бұрын
@@LorettaSandoval why?
@SarkisKlinik2 ай бұрын
Hi, in knee osteoarthritis with acute pain and in disc herniation with acute back pain or acute inflammatory process, is electrotherapy or ultrasound therapy contraindicated? if yes why ?thanks
@Kitfitnesssolution3 ай бұрын
This great information every one needs this information
@AbdullahAmmari4 ай бұрын
Pls may I have your presentation , I want to study it pls
@LorettaSandoval4 ай бұрын
I'm only able to supply presentations to students in my classes.
@HananGrow5 ай бұрын
You gave an excellent presentation better than my PT instructors in a short period. Thank you!
@mrnerd735 ай бұрын
The video u posted 8 years back is helping me now.... Thank you ❤
@LorettaSandoval5 ай бұрын
That is why I have left it up for so long. It's one of my most watched lectures. I'm pleased it was helpful for you.
@mrnerd735 ай бұрын
@@LorettaSandoval loads of love from india mam ❤
@milesthirty6 ай бұрын
thx... I have been searching for "neuroscience: exploring the brain" teaching videos, your videos really help me a lot
@user-kb6hl4kg6h7 ай бұрын
Keep teaching online there something that we didn't learning from someteaching process but any one listening on your channel it's brilliance to cover the some
@antikolonial8 ай бұрын
How come the stupid slides is so blurr ? This is annoying 🤮
@jacksonh41429 ай бұрын
This is really nice and clear!
@LorettaSandoval9 ай бұрын
Thanks, I strive for clarity
@user-hy6xw4zi5k10 ай бұрын
thank you! so well explained
@LorettaSandoval8 ай бұрын
Glad it was helpful!
@nct127lol10 ай бұрын
thank u for these lectures i made a good grade on my exam bec of them
@MuhammadSaleem-gx8hk10 ай бұрын
Hi,hope your doing well, could we send two claim for same patient, with same date of service under two different physical therapist. Please explain.
@LorettaSandoval10 ай бұрын
You should really check with your billing department or finance group. Different organizations have different policies.
@MuhammadSaleem-gx8hk10 ай бұрын
@@LorettaSandoval could you guide me about Medicare guidelines in this Regards.
@LorettaSandoval10 ай бұрын
@@MuhammadSaleem-gx8hk I really am not an expert on Medicare billing. I am unable to advise you in this.
@MuhammadSaleem-gx8hk10 ай бұрын
@@LorettaSandoval ok thanks
@diopinzon10 ай бұрын
Hi Loretta! What is the difference between Low Rate TENS and EMS?
@avacos2111 ай бұрын
sweet stuff thanks!
@LorettaSandoval8 ай бұрын
Thanks for watching!
@AnonYmouS-gn4gf11 ай бұрын
Awesome 🔥
@MuhammadSaleem-gx8hk Жыл бұрын
Hi,hope your doing well, could you please tell me the difference between therapeutic activity and therapeutic exercise.
@LorettaSandoval Жыл бұрын
Therapeutic exercise is used to develop strength and endurance, range of motion, and flexibility. Therapeutic activity is the use of dynamic activities to improve functional performance.
@Truerealism747 Жыл бұрын
Found out mine is because of Asperger's and most people who have these are hypomobile and in the spectrum
@joy1875 Жыл бұрын
I love you’re videos! You’re a wonderful teacher Can you make a video on the neuro system in patho?
@LorettaSandoval Жыл бұрын
I have a whole course on the nervous system, PTA 204
@joy1875 Жыл бұрын
@@LorettaSandoval Wonderful! I will use it for my final exam. Thanks to your lectures I did really well on my patho midterm last week!!
@bonniehanninen328 Жыл бұрын
Thank you for sharing this
@patrickcoin9457 Жыл бұрын
I use the same textbook (Gould's Pathophysiology, 7th ed.) to teach a health technologies pathophys. class in North Carolina. My students and I appreciate these lectures very much! You do not use it in this lecture, but in case you had not noticed it, you should make your students aware of a rather big error in fig. 16.11 (6th/7th ed. print, also 7th ed. e-book). That has a human figure comparing the effects of hypoparathyroidism (on left) and hyperparathyroidism (on right). However the figure is mislabeled, with both sets of effects labeled *hypo*-parathyroidism. The effects are not scrambled, it is just a mislabeled figure. Again, thanks for publishing these lectures.
@tooquick6 Жыл бұрын
Thanks for uploading these
@mostafaomar2366 Жыл бұрын
Such a helpful video ,and it have a great work on it thinks a lot Can i have the pdf that you are using in this video
@adamart3982 Жыл бұрын
Thank you very much! If someone can answer please: If macrophages display the antigens on their surfaces why then the lymphocytes do not attack them?
@LorettaSandoval8 ай бұрын
They also display self antigens on their surface
@tooquick6 Жыл бұрын
Thank you for this
@acousticalien Жыл бұрын
How to reverse the scar tissue caused by this?
@ruggerogabbrielli6831 Жыл бұрын
Thank you for this lecture. At 1:30 you say that "the autonomic nervous system is divided into sympathetic and parasympathetic and the somatic nervous system is divided into sensory and motor". Does that mean that all sensory information is somatic?
@LorettaSandoval Жыл бұрын
I guess I never really thought of it that way, but I suppose it is.
@ruggerogabbrielli6831 Жыл бұрын
@@LorettaSandoval 🤔
@discoveringdee4407 Жыл бұрын
Thank you so much!
@JocelynWhite-ui4ie Жыл бұрын
GREAT LECTURE !
@LorettaSandoval Жыл бұрын
Glad it was helpful!
@rdtx2049 Жыл бұрын
Thank you very much for making such amazing and fun educational videos and providing us. It’s a great help to us. I love to watch these lessons in order to revise and learn new things. Thank you again!❤
@LorettaSandoval Жыл бұрын
Glad you find them helpful
@Shootinwitmyles Жыл бұрын
Good info
@LorettaSandoval Жыл бұрын
Thanks
@sitizubaidahmirzaabdulmali8900 Жыл бұрын
How would you then grade a muscle which cant move fully in gravity eliminated? A 2 or a 1?
@LorettaSandoval Жыл бұрын
Full range of motion in gravity eliminated is a 2/5. 1/5 is just trace motion, the muscle twitches but doesn't produce appreciable movement of the joint.
@tracyyarbrough7559 Жыл бұрын
Thank you for sharing these lectures. I am taking this course online and hearing a real person talk about these concepts is a great help :)
@LorettaSandoval Жыл бұрын
Glad they are helpful. I'm posting new ones all the time for my online and face to face classes.
@RockStar-yg4bd Жыл бұрын
Is electrotherapy and diathermy are same
@LorettaSandoval Жыл бұрын
No they are two different things
@anzhelika7432 Жыл бұрын
Thank you! I wish my professors were able to give a course in such a clear and interesting way
@LorettaSandoval Жыл бұрын
Thank you
@313pookie313 Жыл бұрын
Loretta, that was a great review! Thank you.
@LorettaSandoval Жыл бұрын
Thanks, glad you liked it
@laurenspta5770 Жыл бұрын
Once you have the MMT grade, is there also a standard treatment that goes along with the muscle grades? IE: you should normally start with PROM for a grade 1, etc?
@LorettaSandoval Жыл бұрын
It depends on the reason for the weakness and the therapy goals
Пікірлер
What anode or cathode do you use to reset the polarization of a neuron at a active myofascial trigger point
I am not familiar with that procedure, so I am unable to advise you.
@@LorettaSandoval www.ncbi.nlm.nih.gov/pmc/articles/PMC9605351/ Published online 2022 Oct 13 Intramuscular Electrical Stimulation to Trigger Points: Insights into Mechanisms and Clinical Applications-A Scoping Review Thomas Perreault,1,* Andrew Ball,2,3 Jan Dommerholt,3,4 Robert Theiss,5 César Fernández-de-las-Peñas,6,7 and Raymond Butts8 Depending on the stimulation intensity, nerve depolarization, and production of compound action potentials will occur along motor and sensory nerve fibers. Local muscle contractions elicited by activation of motor fibers, or other reflex mechanisms, lead to vasodilation of blood vessels near or within the TrP. B: The increased microcirculation, and the prolonged depolarization of axon terminals combined with the production of LTRs elicited by IMES leads to depletion of acetylcholine (ACh) levels and reduction of EPN at the TrP.
Very helpful ❤
Do you have to do 15 minutes of TE in order to bill for it? For example, I have a 30 minute appointment. I do TE for 10 minutes, and ME for 20 minutes. Can I bill 1 TE and 1 MT or do I need to do 15 minutes of TE and then 8-10 minutes of MT?
It has to be between 8-22 minutes. So you should charge one unit for each.
@@LorettaSandoval Thank you for responding. I think the reason for my confusion is that the clinic I work at requires us to do 15 minutes of exercise before billing 1 TE then we follow the 8 minute rule after that. The only reason I can think they do that is because some payers will deny if TE is less than 15 minutes. Or they have a misunderstanding.
Different clinics might have different policies for how they do things.
Who come up with those names?
Hi, thank you for the power point, it there a PDF version available?
I need your lectures ppt
Just love your lectures ma'am can I have your contact I need to ask about some lectures I'm medical students I need your some lectures can you guide me
if we have acute odema ,like some one comes to you with knee swelling like acute bursitis or acute inflammatory process, is using of heat on that swollen area contraindicated in physiotherapy ? if yes, why ?
In general, heat is contraindicated for acute edema.
@@LorettaSandoval why?
Hi, in knee osteoarthritis with acute pain and in disc herniation with acute back pain or acute inflammatory process, is electrotherapy or ultrasound therapy contraindicated? if yes why ?thanks
This great information every one needs this information
Pls may I have your presentation , I want to study it pls
I'm only able to supply presentations to students in my classes.
You gave an excellent presentation better than my PT instructors in a short period. Thank you!
The video u posted 8 years back is helping me now.... Thank you ❤
That is why I have left it up for so long. It's one of my most watched lectures. I'm pleased it was helpful for you.
@@LorettaSandoval loads of love from india mam ❤
thx... I have been searching for "neuroscience: exploring the brain" teaching videos, your videos really help me a lot
Keep teaching online there something that we didn't learning from someteaching process but any one listening on your channel it's brilliance to cover the some
How come the stupid slides is so blurr ? This is annoying 🤮
This is really nice and clear!
Thanks, I strive for clarity
thank you! so well explained
Glad it was helpful!
thank u for these lectures i made a good grade on my exam bec of them
Hi,hope your doing well, could we send two claim for same patient, with same date of service under two different physical therapist. Please explain.
You should really check with your billing department or finance group. Different organizations have different policies.
@@LorettaSandoval could you guide me about Medicare guidelines in this Regards.
@@MuhammadSaleem-gx8hk I really am not an expert on Medicare billing. I am unable to advise you in this.
@@LorettaSandoval ok thanks
Hi Loretta! What is the difference between Low Rate TENS and EMS?
sweet stuff thanks!
Thanks for watching!
Awesome 🔥
Hi,hope your doing well, could you please tell me the difference between therapeutic activity and therapeutic exercise.
Therapeutic exercise is used to develop strength and endurance, range of motion, and flexibility. Therapeutic activity is the use of dynamic activities to improve functional performance.
Found out mine is because of Asperger's and most people who have these are hypomobile and in the spectrum
I love you’re videos! You’re a wonderful teacher Can you make a video on the neuro system in patho?
I have a whole course on the nervous system, PTA 204
@@LorettaSandoval Wonderful! I will use it for my final exam. Thanks to your lectures I did really well on my patho midterm last week!!
Thank you for sharing this
I use the same textbook (Gould's Pathophysiology, 7th ed.) to teach a health technologies pathophys. class in North Carolina. My students and I appreciate these lectures very much! You do not use it in this lecture, but in case you had not noticed it, you should make your students aware of a rather big error in fig. 16.11 (6th/7th ed. print, also 7th ed. e-book). That has a human figure comparing the effects of hypoparathyroidism (on left) and hyperparathyroidism (on right). However the figure is mislabeled, with both sets of effects labeled *hypo*-parathyroidism. The effects are not scrambled, it is just a mislabeled figure. Again, thanks for publishing these lectures.
Thanks for uploading these
Such a helpful video ,and it have a great work on it thinks a lot Can i have the pdf that you are using in this video
Thank you very much! If someone can answer please: If macrophages display the antigens on their surfaces why then the lymphocytes do not attack them?
They also display self antigens on their surface
Thank you for this
How to reverse the scar tissue caused by this?
Thank you for this lecture. At 1:30 you say that "the autonomic nervous system is divided into sympathetic and parasympathetic and the somatic nervous system is divided into sensory and motor". Does that mean that all sensory information is somatic?
I guess I never really thought of it that way, but I suppose it is.
@@LorettaSandoval 🤔
Thank you so much!
GREAT LECTURE !
Glad it was helpful!
Thank you very much for making such amazing and fun educational videos and providing us. It’s a great help to us. I love to watch these lessons in order to revise and learn new things. Thank you again!❤
Glad you find them helpful
Good info
Thanks
How would you then grade a muscle which cant move fully in gravity eliminated? A 2 or a 1?
Full range of motion in gravity eliminated is a 2/5. 1/5 is just trace motion, the muscle twitches but doesn't produce appreciable movement of the joint.
Thank you for sharing these lectures. I am taking this course online and hearing a real person talk about these concepts is a great help :)
Glad they are helpful. I'm posting new ones all the time for my online and face to face classes.
Is electrotherapy and diathermy are same
No they are two different things
Thank you! I wish my professors were able to give a course in such a clear and interesting way
Thank you
Loretta, that was a great review! Thank you.
Thanks, glad you liked it
Once you have the MMT grade, is there also a standard treatment that goes along with the muscle grades? IE: you should normally start with PROM for a grade 1, etc?
It depends on the reason for the weakness and the therapy goals
Thanks ❤
You are a lifesaver. Thank you.
Sauce