FUNCTIONAL F1RST explores important topics with leading experts in the field of functional health. Functional health encompasses all streams of healthcare that help you function optimally in any task or activity you pursue.
Cardiovascular Screening in Musculoskeletal Practice
We speak with physiotherapist, Rich Severin [DPT, PhD(c), CCS] about the importance of screening for cardiovascular risk factors during musculoskeletal assessments. Rich discusses a case study demonstrating the impact that screening can have, how you can screen in your practice, and the #VitalsareVital campaign.
Find out more about Rich:
www.ptreviewer.com (http://www.ptreviewerc.om)
Twitter: @ptreviewer
Instagram: @pt_reviewer
00:56 Can you introduce yourself?
02:32 What made you interested in doing two specialties?
04:29 What got you started with the vitals campaign?
08:44 What is the education like in schools for cardiovascular screening in MSK?
11:24 Can you take us through a case study?
15:24 Were you screening regularly at that point or was it the history that prompted you to take blood pressure?
16:52 Do you take blood pressure in younger populations?
18:49 Is there anything that you include in your screen beyond heart rate and blood pressure?
19:35 Is there any pushback from clinicians about implementing this in an assessment?
24:50 What cutoff values do you use for blood pressure? When would you refer someone on?
27:53 Do you have a standardized method of screening that you use in your clinic?
31:35 How is high blood pressure diagnosed?
33:15 Guidelines are to measure blood pressure in both arms, what accounts for differences between arms?
34:06 How immediate are changes in blood pressure with exercise?
38:13 How long would it take to see long term changes in hypertension?
39:18 What equipment do you use for testing? With exercise?
43:49 Does hypertension have an effect on orthopedic conditions?
47:32 More on the Vitals are Vital campaign
52:38 Where can people find out more about you?
5 Apr 2020
Using Virtual Reality to Treat Pain
We speak with physiotherapist, Dr. Daniel Harvie [B Physio (hons), M Musc & Sports Physio, PhD, Postdoctoral Research Fellow] about the use of virtual reality in the treatment of pain. Dan discusses the current uses of VR in acute pain, potential uses for persistent pain, and where he sees the future of VR heading.
Learn more about us here. (https://kineticlabs.ca)
You can learn more about Dr. Daniel Harvie on Twitter or LinkedIn
00:25 Can you introduce yourself?
01:29 Can you tell us about what you were doing for your PhD?
02:56 Can you tell us about your interest in virtual reality?
04:23 What is the history of using VR therapeutically in pain management?
09:18 Do you find that cost will be a barrier for using this type of technology?
10:02 Do you envision VR being used clinically?
10:41 What is it about the visual part of VR that leads to such a powerful effect?
13:24 Where would you like to see the future of VR going?
14:24 Can you tell us about the VR you use in the Brain Bus and how you use this to explain persistent pain?
16:14 Has there been any research with augmented reality?
18:10 How frequently would you have to use VR for pain for someone to have a therapeutic effect?
19:21 Do you have other areas of interest with research?
23:59 Are there normative values for two-point discrimination?
25:47 Are there biomarkers for pain that you think will show promise in the future?
5 Jan 2020
Opioids and Musculoskeletal Pain
We speak with Pharmacist, Pene Wood (PhD, BPharm, Lecturer in Clinical Pharmacy at La Trobe University), about the growing issue of opioid dependence, appropriate uses for opioids, and alternative solutions.
Learn more about us here. (https://kineticlabs.ca)
00:27 Can you introduce yourself?
00:56 Can you give us an overview of what opioids are, what opioid dependence is, and why this is a big issue lately?
03:54 What are the appropriate uses for opioids?
04:40 What are the stats on opioid addiction?
05:30 Why has it taken so long to find out the dangers of opioids?
06:44 What are other medications or non-medicinal options for people?
08:03 How can physiotherapists and other HCP’s help people who have been taking opioids long term?
10:36 How much interaction do you have with patients about alternatives to opioids?
12:32 Are there any signs of opioid dependence?
13:39 Are there certain medications that are over prescribed? Nerve pain medications?
15:24 What is the process like for someone to wean off opioids?
16:16 Can you tell us about your pain experience with your fall off your bike and dislocated elbow?
18:52 Any new insights from this injury?
19:34 Any advice you have for people who have gone through an injury and then developed chronic pain?
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