Staff

Elisheva Chamblin, PT

Mark F. Schwall, PT

Rudolph Vidi, PT

Services

Advanced Care for:

 Acute & chronic tendonitis

 Adhesive capsulitis

 Ankle sprains

 Arthritis and joint pain

  Auto accidents

  Back & Neck

  Carpal tunnel syndrome

 de Quervain’s disease

 Difficulty walking/balance

 Headaches & TMJ

  Hip pain

  Knee, elbow pain

 Lat. & medial epicondylitis

  Leg pain/sciatica

Lymphedema

Morton’s neuroma

Patellofemoral pain

Plantar fasciitis

Postsurgical rehabilitation

Postural syndromes

Rotator cuff tendonitis/bursitis

Shoulder pain

Spinal dysfunction

Sports injuries

Workers’ compensation

Woman’s health Vertigo/BPPV

Bicycle Ergometer

Electrical Stimulation

Joint replacement rehab

Lymphedema massage

McKenzie spinal program

Neuromuscular Re-education

Paraffin/Iontophoresis

Skilled joint mobilization

Soft-tissue mobilization

State of the Art Cold Laser

SportsArt Treadmill

SportsArt UBE

Sports Rehabilitation

Therapeutic Exercise

Ultrasound

Compassionate Care with Proven Results:

Two convenient locations:

Manahawkin

1322 Route 72 W., Suite 1

Manahawkin, NJ 08050

(609) 489-0230

fax: (609) 489-0232

Toms River

1594 Route 9, Unit 2

Toms River, NJ 08755

(732) 557-9319

fax: (732) 557-9519

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Monday
Feb012010

Knee Ligament Rehabilitation

Mark Schwall, PT of Future Physical Therapy, PC attended the continuing rehabilitation course “Knee Ligament Rehabilitation, Evidence-Based Comprehensive Evaluation and Treatment of the Unstable Knee” presented by Dino Pinciotti, PT this past Saturday and Sunday, January 30th and 31st, 2010.

While much of the course was devoted to rehabilitation of the post-surgical Anterior Cruciate Ligament Reconstructed knee the information also had significant relevance to many of the other knee conditions that we see for rehabilitation.  Some of these conditions include the patellofemoral or anterior knee pain patient, menisectomy and meniscus repairs, total knee replacements or the arthritic or unstable knee.  If you have any of these conditions, you can be certain that the care you will be provided is based on the most current and effective information available so that you can return to your normal active lifestyle.

As always, the therapists at Future Physical Therapy are always available to answer any questions you may have regarding your rehabilitation needs.

Wednesday
Jan272010

Congress Urged to Take Immediate Action to Ensure Frail Patients Continue to Receive Critical Therapy Services

30 Groups Emphasize The Urgency Of Repealing Medicare Part B Therapy Caps Exceptions Process For Thousands of Americans

WASHINGTON, Jan. 27 /PRNewswire-USNewswire/ -- A coalition of organizations representing consumers, health professionals and providers recently sent a letter to Congressional Leadership, calling for the immediate reinstatement of the exceptions process for Medicare Part B outpatient therapy services. Without such efforts, thousands of Medicare beneficiaries will exceed arbitrary limitations on physical therapy, occupational therapy, and speech-language pathology services.

"There is a critical need for uninterrupted Medicare therapy benefits, and we urge Congress to protect America's vulnerable populations from the adverse effects of arbitrary financial caps on medically-necessary rehabilitation services for Medicare beneficiaries," stated R. Scott Ward, PT, PhD, President of the American Physical Therapy Association (APTA).

"The long term care profession is deeply committed to enhancing the quality of care and services provided to high-acuity patients in our facilities, such as those patients recovering from strokes and joint replacements, and access to therapy services plays an integral role," stated Bruce Yarwood, President and CEO of the American Health Care Association (AHCA).

The letter from industry leaders indicates that 14.5 percent of Medicare beneficiaries who receive rehabilitation services per year are estimated to exceed the cap, and once the arbitrary limit on coverage is reached, many individuals with disabilities and senior citizens may have to forego necessary care.

"Patient needs are not arbitrary – and monetary caps on therapy do not take into account the importance of rehabilitation when it comes to returning Medicare beneficiaries to good health," stated Tommie L. Robinson, Jr. PhD, CCC-SLP, President of the American Speech-Language Hearing Association (ASHA). "Current law and its arbitrary ceiling for therapies limits access to care, and hinders Medicare beneficiaries' ability to recuperate."

According to the letter, Congress has repeatedly responded six times in the past to prevent Medicare beneficiaries from being negatively impacted by the therapy cap policy. This is a redundant task, organizational leaders said, that only temporarily resolves the issue, and ignores the need to permanently fix this problem for Medicare beneficiaries. While both the House and Senate versions of health care reform legislation addressed the therapy cap by expending the exceptions process for a short period of time, failure to enact reform has put beneficiaries who require rehabilitation after an illness or injury at considerable risk.

The letter also urges Congress to review options for repeal of the therapy caps as it prepares to modify its health care reform legislative proposal. Currently, Representatives Xavier Becerra (D-CA) and Roy Blunt (R-MO) have authored legislation to repeal the therapy caps, Medicare Access to Rehabilitation Services Act of 2009 (HR 43), which currently has one hundred and thirty cosponsors. A companion bill (S 46), introduced by Senators John Ensign (R-NV), Ben Cardin (D-MD) and Blanche Lincoln (D-AR), has twenty six cosponsors.

"We thank these Congressional champions for leading the fight in Congress to protect Medicare beneficiaries' access to critical rehabilitative services they need and deserve," stated Penelope Moyers Cleveland, EdD, OTR/L, BCMH, FAOTA, President of the American Occupational Therapy Association (AOTA).

To obtain a copy of the letter, please contact Katherine Lehman at 202-898-2816.

Organizations signing the letter:

American Assoc. of Homes & Services for the Aging

American Association of People with Disabilities

American Health Care Association

American Heart Association/American Stroke Association

American Medical Rehabilitation Providers Association

American Music Therapy Association

American Occupational Therapy Association

American Physical Therapy Association

American Speech-Language Hearing Association

Amputee Coalition of America

Autism Society

Brain Injury Association of America

Council for Learning Disabilities

Disability Rights Education and Defense Fund

Easter Seals

Family Voices

National Association of County Behavioral Health and Developmental Disability Directors

National Association of Social Workers

National Association of State Head Injury Administrators

National Association for the Support of Long-Term Care

National Disability Rights Network

National Multiple Sclerosis Society

National Spinal Cord Injury Association

Private Practice Section of the American Physical Therapy Association

PTPN (National network of independent rehab practices)

The Arc of the United States

The Association of Assistive Technology Act Programs

United Cerebral Palsy

United Spinal Association

World Institute on Disability

SOURCE American Health Care Association

Sunday
Jan242010

Core Strengthening Versus Sit-Ups – The Evidence is Building

This article I ran across today based on a study by my colleague John Childs, PT is beginning to show that the benefit of core strengthening may very well make the sit-up obsolete or at least less of a focus in the prevention and management of Lower Back Pain.

Thursday
Dec102009

Orthopedic Injuries and Brain Function

Right knee-joint, from the front, showing inte...

Image via Wikipedia

The article ACL Rupture Leads to Changes in Brain Function recently published on Medscape points out how what might seem like a simple orthopedic injury can  have far reaching consequences and more importantly how it can impact the rehabilitation process.

According to the article based on research by Dr. Eleni Kapreli, when performing activities when undergoing functional magnetic resonance imaging (FMRI) it becomes readily apparent that this particular injury requires attention to more than just the local joint and muscle function but also requires that attention is paid to the patient’s ability to adapt to changes in their own kinesthetic senses or in other words their ability to tell what position their joints are in.

To fully appreciate how important the rehabilitative process is to orthopedic injuries I invite you to read the whole article linked above.  The physical therapists at Future Physical Therapy, PC will certainly keep this in mind as we add this additional information to our evidence based approach to rehabilitation.

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Wednesday
Dec022009

Study Explains How Exercise Helps Patients With Peripheral Artery Disease

 

Study Explains How Exercise Helps Patients With Peripheral Artery Disease

Released: 12/2/2009 9:45 AM EST
Source: Beth Israel Deaconess Medical Center

Newswise — Peripheral artery disease (PAD) affects 5 million individuals in the U.S. and is the leading cause of limb amputations. Doctors have long considered exercise to be the single best therapy for PAD, and now a new study helps explain why. Led by researchers at Beth Israel Deaconess Medical Center and published in this week’s Online Early Edition of the Proceedings of the National Academy of Sciences (PNAS), the findings demonstrate that a protein called PGC-1alpha plays a key role in the process.

“Exercise is a staple of healthy living,” notes senior author Zoltan Arany, MD, PhD, an investigator in BIDMC’s Cardiovascular Institute and Assistant Professor of Medicine at Harvard Medical School. “One of the many benefits of exercise, endurance exercise in particular, is the generation of new blood vessels in leg muscles.” Known as angiogenesis, this naturally occurring process comes to the rescue when an injury or artery blockage leaves normal tissue starved for blood.

PAD is a common circulatory problem in which narrowed arteries reduce blood flow to the limbs. The end result is leg pain primarily encountered while walking. More seriously, PAD is also likely to be a sign of widespread accumulation of fatty deposits in the arteries, which may be reducing blood flow to the heart and brain as well as to the legs.

The PGC-1alpha molecule was first identified more than 10 years ago. Last year, Arany was part of a research team that discovered that when body parts are jeopardized by poor circulation, PCG-1alpha senses dangerously low levels of oxygen and nutrients and, in response, spurs the growth of new blood vessels. Knowing that muscle adapts to endurance-type exercise by triggering angiogenesis, Arany and his coauthors set out to better understand the mechanisms behind this orchestrated process, and to determine if PGC-1alpha had a hand in the outcome.

The researchers studied mice in cages equipped with electronically monitored running wheels. As predicted, voluntary exercise was found to lead to robust angiogenesis in mouse skeletal muscle. The investigators also found that the mice that were lacking PGC-1alpha failed to grow new blood vessels in response to exercise. Ultimately, their experiments demonstrated that exercise activates beta-adrenergic signaling, which leads to a robust induction of PGC-1alpha.

“Our data strongly suggest a new paradigm for the process of angiogenesis in response to exercise, demonstrating that upstream beta-adrenergic signaling, likely stemming from increased nerve activity, triggers angiogenesis,” the authors write. (Interestingly, they add, this suggests that the use of beta blockers in patients with PAD might block some of the benefits of exercise. These medications are widely used to treat patients with coronary artery disease, and patients with PAD often have concurrent CAD.)

“With this study, we have found that the protein PGC-1 alpha can single-handedly transform muscle to be capable of greater endurance and increase the blood content of that muscle. Being able to increase blood vessel density could help wound healing and even prevent amputations in millions of patients with diabetes and vascular disease of the limbs,” notes Arany. “Exercise remains one of the most effective interventions for a number of chronic diseases, including obesity, diabetes, atherosclerosis and neurodegenerative diseases. PAD is a leading cause of morbidity and the most common cause of limb amputation in the U.S. and yet even the best medical therapy available is less effective than simply walking daily.”

This study was supported by funding from the National Heart, Lung, and Blood Institute and by the Smith Family Foundation.

Study coauthors include BIDMC investigators Jessica Chinsomboon (first author), Robyn Thom, Jonathan Shoag, Glenn Rowe, Naoki Sawada and Srilatha Raghuram; and Dana-Farber Cancer Institute investigators Jorge Ruas and Rana Gupta.

Beth Israel Deaconess Medical Center is a patient care, teaching and research affiliate of Harvard Medical School and consistently ranks in the top four in National Institutes of Health funding among independent hospitals nationwide. BIDMC is a clinical partner of the Joslin Diabetes Center and is a research partner of the Dana-Farber/Harvard Cancer Center. BIDMC is the official hospital of the Boston Red Sox. For more information, visit www.bidmc.org.

Study Explains How Exercise Helps Patients With Peripheral Artery Disease