• pediatric e-learning ergonomics

    Posted on 2/17/2021

    Is your child’s e-learning set-up ergonomically correct? Poor ergonomics can lead to poor posture, resulting in neck pain, low back pain, tightness of muscles and weakening of other muscles. It can also cause headaches, tendonitis in the hands/wrists and carpal tunnel syndrome.

    With COVID-19 presenting new ways in which schools are conducting class, it is important to maintain proper sitting posture to prevent muscle straining and improve attention. Age does not discriminate against poor ergonomics, especially if long periods of time are spent sitting in front of a computer. Our physical and occupational therapists offer five simple tips that can help you ensure that your child is maintaining the proper sitting posture during e-learning.

    Tip 1: Ensure that your child’s feet are planted firmly on the ground. If their feet do not reach the ground, use a text book, plastic container or cardboard box for them to rest their feet on.

    Tip 2: Adjust the height of the chair to ensure that there is a 90 degree bend at the knees and hips while sitting. Changing the depth of the seat can alter the angle at the hips. Consider using a pillow or rolled towel to keep the hips bent.

    Tip 3: Elbows should rest gently at the side with forearms reaching just forward to the computer, allowing your child’s back to remain against the backing of the chair. If the elbows and shoulders are elevated, try lowering the height of the desk or increasing the height of the chair.

    Tip 4: Elevate the screen of the computer so that your child is looking straight forward. Place your device on textbooks, laundry baskets or couch cushions. When it comes time to type, lower the device back to the desk or table. Remember, there should be a 90 degree bend in the elbows to allow the arms to rest close to thigh height while typing.

    Tip 5: Kids are wired to play and move! Have your child get up and move around when given breaks during class. Encouraging these movement breaks will improve your child’s attention, regulation and body awareness to help maintain good posture during learning.

    If you have questions or concerns about your child’s posture or development, please contact our Kids pediatric therapy centers today to request an appointment.

    By: Courtney Engel, M.S., OTR/L, and Meredith Krifka, P.T., DPT, c/NDT. Courtney is an occupational therapist and Meredith is a physical therapist with RUSH Kids Pediatric Therapy in Fullerton, Illinois.

    RUSH and Rehab Associates are part of the Select Medical Outpatient Division family of brands. 

  • concussion - soccer players

    Posted on 1/22/2021

    While sports might continue to look a little differently this year due to the COVID-19 pandemic, the safety for our athletes remains a top priority. Our athletic trainers and physical therapists provide crucial education for the protection of our athletes while they are participating in their long-awaited sports seasons, as well as provide comprehensive therapy to aid in the recovery of any injuries sustained.

    One of the most prominent, but often less understood, sports injuries is the concussion. There are many myths and misconceptions about concussions, but they can occur from any impact to the head, neck or body. A concussion starts with a physical impact and can be a direct hit to the head or an indirect hit, such as the rebound of the head/neck in a football tackle. The obvious hits are the easiest to recognize; however, the less obvious hits are harder to catch and may lead to missed symptoms.

    While not all hits lead to a concussion, it is important that we are on the lookout concussion symptoms. Parents, coaches and teammates should be educated on common symptoms in order to prevent the athlete from playing through injury. Symptoms can include:

    • Headache
    • Dizziness
    • Fatigue
    • Feeling foggy
    • Difficulty thinking
    • Imbalance
    • Sensitivity to light or sound
    • Blurred or double vision

    The presentation of these symptoms may start showing immediately or be delayed up to 24 hours.

    It is also important that a thorough assessment be performed to rule out that an injury has not occurred before returning to play. Playing through a possible concussion or missing concussion symptoms overall is a safety concern and could delay return to sport. Always think, “When in doubt, sit them out.” This assures the athlete rests initially for 24-48 hours to allow the body and brain to rest and heal.

    During this resting period, to the athlete should avoid mental and visual strain as well as excessive activity. This includes anything that increases your symptoms, such as watching television, playing video games and being on the computer and/or phone.

    Most concussions will resolve themselves within 7-10 days, but approximately 15-20% of patients present with lasting symptoms – most notably headaches – which may be the result of delayed healing. Initially, resting the brain helps decrease prolonged symptoms and extended healing times. After the initial resting phase, best practice is to begin an active recovery. Physical therapy intervention can set athletes up with an appropriate exertion program that is safe for the brain.

    Our centers offer a variety of opportunities to work with therapists specializing in concussion rehabilitation who help to establish the underlying cause of prolonged symptoms. Each comprehensive examination focuses on the most common factors that may lead to delayed healing, including physiologic recovery (Is your brain healed enough to tolerate activity) and visual and vestibular involvement (Are your eyes or inner ears playing a role in your symptoms? Is the neck involved?).

    Our evaluation and treatments are backed by evidence that will help patients recover more quickly in order to safely return to symptom-free participation in their respective sports.

    By: Megan Brainerd, P.T., DPT, COMT. Megan is a physical therapist with Select Physical Therapy in Summerville, SC.

    Select Physical Therapy and Rehab Associates are part of the Select Medical Outpatient Division family of brands. 

  • Asian Dad pushes Daughter on Swings

    Posted on 1/20/2021

    Does your child suffer from bowel and bladder issues? If so, did you know that pediatric physical therapists can help to treat conditions including constipation, urinary incontinence, daytime and nighttime wetting, holding bowel movements and refusing to have a bowel movement?

    As a pediatric physical therapist, I believe in a family approach to care and assess muscle strength and muscle imbalances in the body, specifically the pelvic floor. I address body awareness and coordination of muscles so that children can urinate and have a full bowel movement effectively and efficiently. To do this, I use exercise, proper breathing techniques for fun and relaxation, books, videos, play and biofeedback (a way that kids can get “in tune” to their pelvic floor by watching their muscles in a mirror or using a machine) to help children understand their body and take control.

    Let’s talk a little bit about where this journey typically starts for a family – potty training. There is so much information on potty training methods, yet there is a relatively small amount of quality research to support or disprove most of the methods. The most successful method will be the one that both you and your child agree on. It is important that you both feel motivated and confident throughout the process.

    No matter what method you choose:

    • Be consistent.
    • Never scold or humiliate.
    • Never prohibit from toileting.
    • Make sure you know where toilets are when you are outside of the home.
    • Reward attempts and successes.
    • Incentives do not need to be store bought; spending time together is special enough.
    • Make it fun!

    Awareness of bladder sensation and control begins in the first and second year of life. Voluntary voiding control begins at two to three years of age. An adult pattern of urinary control should be developed by four or five years of age. It’s not about starting at a certain age, it’s about starting when your child is ready.

    According to the American Academy of Pediatrics (2006), your child should show the following signs when they are ready to potty train:

    • Is dry at least two hours at a time during the day or is dry after naps
    • Bowel movements become regular and predictable
    • Facial expressions, posture or words reveal that your child is about to urinate or have a bowel movement
    • Can follow simple instructions
    • Can walk to and from the bathroom and help undress
    • Seems uncomfortable with soiled diapers and wants to be changed
    • Asks to use the toilet or potty chair
    • Asks to wear “grown-up” underwear
    • Can sit on a potty, maintaining the physical position and attention, for a short time
    • Is able to communicate bodily sensations such as hunger or thirst
    • Demonstrates interest in watching and imitating others’ bathroom-related actions
    • Communicates the need to go before it happens

    Typically, we see children urinate six-to-eight times per day and have five-to-seven bowel movements per week.

    I, too, have been on the potty training adventure with my son Devin. It is not always an easy road, and having a professional to talk with is helpful. Devin was potty trained before I was trained in dysfunctional voiding, but it would have been useful to know about massaging the belly to promote a bowel movement, deep breathing for relaxation of the pelvic floor muscles, and the plethora of kids’ books about potty training.

    If you have questions or concerns, please contact your local pediatric therapy center to schedule a complimentary 15-minute consultation to assess the needs of your family’s potty training adventure.

    By: Dawn Meller, MPT. Dawn is a pediatric physical therapist and pelvic floor specialist with RUSH Kids Pediatric Therapy in North Aurora, Illinois.

    RUSH Kids and Rehab Associates are part of the Select Medical family of brands. 

  • top five injuries in basketball

    Posted on 1/6/2021

    Basketball is arguably one of the most popular sports in America, especially among children and young adults. From March Madness to the NBA finals, people love watching and playing basketball. The love for the game does not take away the risk that it carries for injury, though. Whether played recreationally or in an organized league, there are injuries that arise, and some are more common than others.

    Outside of head injuries, the most common basketball injuries typically involve the lower body. Some of the most common ones include:

    1. Ankle sprains – Nearly half of all basketball-related injuries involve the ankle and foot. From “rolling” an ankle, to landing awkwardly, to getting stepped on, playing basketball leaves athletes open to injury. Treatment for ankle injuries, specifically ankle sprains, involve ICE - ice, compression, elevation - and physical therapy, dependent on the seriousness. 

      Most injuries can be treated without a trip to the doctor’s office; however, if there is pain directly on top of the outside bone and you are unable to walk a couple steps, a trip to urgent care could be necessary. Typically, with the right exercise plan, an athlete can be back to their sport in two-to-six weeks.
    2. Thigh bruises – Getting a knee to the thigh can be one of the worst pains for a basketball player. Because of this, more and more athletes are beginning to wear compression garments with thigh padding. If hit hard enough in the thigh by an opposing player, the muscle can tighten up and bruise. 

      Typically, these injuries can be played through; however, some deep tissue massage by a licensed professional is often needed to help loosen up the muscle. Outside of massage, ICE is recommended.
    3. Knee injuries: ACL/Meniscus/Patella tendon – Knee injuries are very common in basketball. The three most common knee injuries include the anterior cruciate ligament (ACL), Meniscus and patella tendon. If you watch or play basketball, you have likely heard of these injuries. 

      An ACL tear is probably the most talked about. The ACL is one of the bands of ligaments that connect the thigh bone to the shin bone at the knee. If an ACL is torn, it generally requires surgery and months of physical therapy to return to play. 

      The meniscus is the little brother of the ACL. Every knee has two, and oftentimes they are injured along with the ACL. The meniscus is the cushioning of the knee joint. Without them, the thigh bone would sit directly on top of the lower leg bones, which would get uncomfortable quickly. Treatment for meniscus injuries can vary from ICE, to surgery and physical therapy, to just physical therapy. 

      Lastly, patella tendonitis, typically known as jumper’s knee, is the most common knee injury. It is a result of inflammation of the patella tendon which connects your kneecap to your shin bone.  Jumper’s knee can usually be healed with a personalized exercise plan from a physical therapist.
    4. Jammed fingers – Jammed fingers are exceptionally common in basketball. They normally occur when the tip of the finger hits the ball “head on” without bending. This motion can lead to swelling in the finger and immediate pain. 

      Although uncomfortable, this injury isn’t usually serious. Jammed fingers typically heal without medical interventions or trips to the emergency room. Buddy taping (taping the finger to the finger next to it) and ice can you heal in as little as a week. However, if pain or swelling persists, a trip to your doctor or a consultant with a physical therapist may be necessary.
    5. Concussion – Concussions make up about 15% of all sport-related injuries, not just basketball. Most of these injuries are typically managed either by an athletic trainer alone, an athletic train and physical therapy or by an athletic trainer in combination with a doctor or other health care professional. A concussion is brain injury that occurs after an impact to the head, neck or body. In basketball, a few examples of when concussions occur is when an athlete hits their head on the hard gym floor or when there is a head-to-head, head-to-elbow, head-to-shoulder, etc., collision. After a concussion is diagnosed, the athlete is unable to return to play for a minimum of five days. Some concussion recoveries can go slowly, with symptoms lingering. When this occurs, concussion and vestibular rehabilitation by a licensed physical therapist is a great option.

    Nearly all of these injuries can be resolved with the help of a licensed physical therapist. If you suspect that you have one of these injuries, please contact a center near you to request an appointment today. With a guided treatment and exercise plan provided by a licensed physical therapist, you can be back on the court in no time.

    References:

    By: Wyneisha Mason, MAT, ATC. ‘Neisha is an athletic trainer with RUSH Physical Therapy in Chicago, Illinois.

    RUSH and Rehab Associates are part of the Select Medical Outpatient Division family of brands.