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July 14, 2008 - Volume 19 - Number 15

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Cover Story
Beyond Boundaries
Planet Granite, a world-class, 25,000 square foot climbing, yoga and fitness facility, and San Francisco Sport and Spine Physical Therapy, an established provider of physical therapy in San Francisco, have combined to offer physical therapy services at Planet Granite's Sunnyvale, CA, location. Down the road, owner Jerry Durham, MPT, hopes these same people will remember how physical therapy helped them recover from an injury and actively seek out treatment from a PT when they are injured-whether it's from climbing or not. (Kyle Kielinski)

Featured Articles
Aquatics: The Wonder of Water
Bess D. Maxwell, PhD, PT, became president of the Aquatic Section of the American Physical Therapy Association last month. In 1999, she co-founded Show Me Aquatics and Fitness, St. Charles, MO, and would work there for nine years before recently moving to Arizona. Dr. Maxwell is now a staff physical therapist at La Posada Outpatient Therapies in Green Valley. She recently spoke to ADVANCE about the current state of aquatic therapy and what the future may hold.

Stability to the Core
Low-back pain (LBP) remains one of the most common ailments treated in physical therapy, even though 90 percent of the initial episodes resolve spontaneously in two to four weeks. It is estimated that 30 percent of these cases are the result of "spinal instability." Lumbar stabilization encompasses core training, body awareness, movement education and creativity. The challenge lies in finding a way to motivate clients to embrace this concept and help them understand they possess the ability to treat their instability and resume function at their highest level.

Lymphedema Intervention
An estimated 10.5 million Americans have been identified as having a past history of cancer, according to ACS figures. Many of these survivors have developed lifelong physical impairments secondary to the effects of a primary medical treatment that are designed to ablate local, regional and systemic disease. One common impairment is secondary lymphedema, which is seen in patients with breast, colorectal, pelvic and skin (melanoma) cancers.

Modality Study: Iontophoresis
A case study shows the pain-reducing potential of iontophoresis, as well as the importance of adhering to strict administration protocols.

An Olympian Combination
What do you get when world-class athletes team up with a high-quality medical center? An alliance fit for the 2008 Olympics.

Joint Attention
There was nothing wrong with the joint replacement program at Baylor University Medical Center. But the hospital decided that a coordinated approach to care was worth a try.

Vibration Therapy Shakes Things Up
Recently, many rehab clinicians have started investigating the secrets of whole body vibration (WBV).

Easing Burn Patients' Rehab
Loyola University Medical Center, Maywood, IL, recently acquired a new tool that they hope can curtail some of the agony of burn rehab.

Coping With Multiple Sclerosis
Diane Madras, PhD, PT, knows a thing or two about multiple sclerosis (MS). After 13 years of living with MS, Dr. Madras has a great deal of real-life information she shares with patients.

Hiring PTs Abroad
Many employers are exploring creative ways to find qualified physical therapists to fill open positions. One option is to hire foreign physical therapists. But hiring a foreign PT requires knowledge of licensure requirements as well as immigration and employment authorization issues.

Service Dogs are Helping Hounds
Founded by Jennifer Arnold, a woman with multiple sclerosis, Canine Assistants trains and provides service dogs to children and adults with physical disabilities or other special needs.

Departments
In the News
State By State
Military Matters
College Corner
Facility Focus
Products at Work
Class Notes
Subacute and Long-Term Care
PT at Work
Home Health Forum
Book Review
Where We Work
Sneak Peek
Classified Marketplace
Calendar/CE
Classified Employment Opportunities
ADVANCE Healthcare Shop
Advertiser Index
Rehab Roundtable

Coming Soon
Bryn Mawr Hospital has a service dog named Sanborn that comes to the hospital with PT Angelo Collona every day. The Yellow Labrador was trained through an organization called Canine Companions and is active member of the PT team.




     

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