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ATM2

80% of the normal population has experienced back pain that has altered their life in some manner. Managing back pain is probably the biggest challenge facing clinicians worldwide. With the ATM2, most patients are feeling immediate improvements within the same day of treatment.

Sports teams, including NFL teams around the country, are using this device. The results have excited both clinicians and patients.

Colorado Physical Therapy Institute, P.C. in Broomfield and the Olympic Training Center are the only facilities in Colorado that have the ATM2.

The ATM2 is a new functional concept in treating musculoskeletal disorders. This new treatment is performed in a pain free position. The ATM2 restraining belts can change an impaired movement to become pain free.

New research demonstrates both the effectiveness of ATMs to immediately affect back pain and impaired movement, and also the ability to resolve various back disorders faster. Studies have shown to improve pain when incorporated into their rehabilitation program.

The ATM2 has proven itself to be a valuable tool for the treatment of both acute and chronic spinal conditions at Stanford University. The ATM2 has been used at top spinal clinics around the world.

How Does the ATM2 Work?
1. By having the patient in a full weight-bearing position and using the stabilization belts, the ATM2 can repostition and stabilize many different body areas sp that specific movements are painful and will immediatly become pain-free. 2. According to the ATM (Active Therapeutic Movements)theory, when painful movementsbecome pain-free by usinf the ATM stabilization belts, the CNS immediately transitions back to a normal muscle activation strategy. 3. Now that the impaired movement is pain-free, the patietn does 10 movements towards what was previously painful, but now pain-free, durign which time the CNS memorizes the correct muscle activation pattern. 4. After releasing the patient, expect immediate, and long lasting results.

Primal Reflex Release Technique

John Iams, M.A., P.T. is the originator of PRRT, a technique which quickly and effectively helps relieve pain by releasing chronically contracted muscles. Accelerated healing and normalized blood flow and motion are some of the resulting responses. The key is to understanding the anatomy and its complex circuitry well enough to pinpoint and effectively treat the source of pain. More than 100 professionals in the USA are trained to perform this technique, 3 of which are Physical Therapists at Colorado Physical Therapy in Broomfield. PRRT works well for fibromialgia and other chronic, previously - unresponsive musculoskeletal problems. It can easily be incorporated with other manual techniques and exercise. If results from PRRT are not seen within 4 visits, treatment will be discontinued.

The Feldenkrais Method

The Feldenkrais Method helps you re-connect with your natural ability to move, using an exploratory process of learning. The emphasis is on learning which movements work better and noticing the quality of these changes in your body. You learn to relax. You learn to abandon habitual patterns and develop new alternatives. This method shows you how to learn from your body and you begin a continuing process of change - shifting out of old habits and into useful new ones. In almost half a century, the Feldenkrais Method has been used successfully with tens of thousands of people worldwide. It helps you learn to move with minimum effort and maximum efficiency - not through muscular strength, but through becoming aware of how your body works most efficiently. The Feldenkrais Method helps you improve posture and breathing. You learn to reduce stress, tension, and fatigue. You learn to ease pain and stiffness. And you learn to develop efficient and flexible movement. Free from habitual patterns that constrain you, you feel better, and more able to enjoy the quality of your life. Tammy Wolfe PT, CFP, CCRP, a therapist at Colorado Physical Therapy, is certified in The Feldenkrais Method.

Ionophoresis

Definition:
Iontophoresis is a method of delivery of medication through the skin using an electrical current.

Discussion:
When table salt (sodium chloride or NaCl) is dissolved in water, it dissociates, that is, it breaks up into smaller molecular components or ions (sodium or Na+ and chloride or Cl-). Not all the molecules "break apart" but there remains in the solution an equilibrium between the dissociated and "bounded" molecules.

When we apply a direct electrical current to the solution by putting the electrodes of an electrical stimulation machine into salt water, for example, the negative electrode will repel the negative ions (Cl-) and the positive electrode will repel the positive ions (Na+). If we put salt water under the negative electrode that we apply to a patient we can theoretically "drive in" negative ions (Cl-) through the skin. Conversely, we can "drive in" the positive ions (Na+) by putting salt water under the positive electrode.

Under most circumstances we wouldn't really want to do this (Cl- is an irritant to tissues). There are many molecules that will dissociate in water and many different ions have medicinal properties. Some common medications will dissociate when in water.

Being "dissolvable" is not the only criteria considered when choosing a compound for iontophoresis. The actual size of the molecule and the strength of its molecular bounds will also determine how "useable" a compound is. While many different solutions could be candidates for use in iontophoresis, few are usable.

AT CPTI, the most commonly used compound is a 0.2% aqueous dexamethasone sodium phosphate solution (meaning that 2mg of dexamethasone is dissolved in a liter of water). Dexamethasone is a steroidal anti-inflammatory that is useful in the treatment of many different musculoskeletal pains. Dexamethasone is a controlled substance and this requires that we have a specific prescription from a patient's doctor before it is applied.

Dexamethasone dissociates in water like this: P--CO2-+OH- +Na+

The P--CO2- is the actual "medication" part of the molecule. This is the ion that we want to drive into the patient's skin.

Orthotics

What are Orthotics?
Orthotics are devices which fit into your shoes to help with proper alignment of feet, ankles, and knees. Through motion control and stabilization, they allow proper biomechanics of the lower extremities.

Types of Orthotics

Off the Shelf
Typically an arch support to help correct "fallen arches" or special insert for plantar fasciitis, both based on shoe size, improve cushioning and shock absorption. CPTI carries Superfeet Shoe inserts and ProThotics shoe inserts

Semi-Custom
An evaluation is made of the way you walk and if "fallen arches/flat feet" or as it is formally known as overpronation is your major problem these orthotics will suit your needs. Different types of arch supports individually sized are then covered with a top cover with minor posting or alterations.

Sole Supports
These custom molded orthotics are beneficial in treating moderate overpronation with low back pain, hip pain, knee pain, or plantar fasciitis. They are most effective in correcting rear foot dysfunctions.

Full-Custom
A thorough evaluation is made again of the way you walk, rear and forefoot "neutral" are found and a person is then casted. Casts are sent out and the finished product arrives back in 2-3 weeks. Full custom orthotics are most beneficial for severe overpronation and knock kneedness.

Full Custom Birkenstock Sandels
Allows the benefit of orthotic foot correction with sandals

The Power Plate...As seen on "Good Morning America"

What is the Power Plate
A piece of conditioning equipment that actiovates involuntary muscle responce.
  • Just as the leg kicks forward involuntarily when the doctor strikes the lower knee to test reflexes, the body's muscles engage in an involuntary reflexive contraction in response to vibration's disruption in stability. The body's reaction to this mechanical stimulus is all natural and occurs involuntary at the neutral level.
      • How does it work?
    • Developed around the turn of the century, refined by Russian scientists in the 70s to reverse muscle atrophy in cosmonauts.
    • Advanced Vibration Technology exploits the body's innate reflexive reponse to disruptions in stability in order to stimulate enhanced muscle strength and performance.
    • Produces a vibration through which energy is transferred to the body.
    • This mechanical stimulus produces a stretch reflex
    • This results in rapid and intense muscle contractions 30-50 times per second.
    • This movement of the Powerplate can increase the gravity effect up to 6 times its normal value.
        • What does this mean?
      • Increased intensity to the conditioning session without added time or additional equipment.

        • Other services available at CPTI includes:

        • Anodyne Light Therapy
        • Arthritis Rehabilitation
        • Athletic Training Services
        • ATM2
        • Balance Training and Fall Prevention
        • Biofeedback
        • Complete Rehabilitation Services
        • Custom Injury Prevention Consultants
        • Custom Orthotics
        • Custom Splinting & Bracing
        • Customized Exercise Programs
        • Diabetic Neuropathy Treatment
        • Early Return to Work Programs
        • Employer Health Fair & Wellness Promotion
        • Ergonomic Consultants & Training Specialists
        • Fall Prevention
        • Functional Job Description
        • Functional Manual Therapy
        • Hand Therapy
        • Home Therapy
        • Iontophoresis
        • Job Analysis
        • Joint Mobilizations
        • Joint Replacement Rehabilitation
        • Manual Therapy
        • Massage Therapy
        • Medical Exercise Therapy
        • Medicare Certified Rehabilitation Facility
        • Myofascial Release
        • Neuropathy Re-education
        • Occupational Rehabilitation
        • Osteoporosis Therapy Program
        • Patient Education Philosophy
        • Pediatric Orthopaedics
        • Personalized Video Tape Exercise Programs
        • Physical Therapy
        • Pilates Reformer and Mat Instructors
        • Primal Reflex Release Techniques (PRRT)
        • Repetitive Motion Rehabilitation
        • Self Treatment Education
        • Soft Tissue Mobilization
        • Spine Rehabilitation Specialists
        • Surface EMG Evaluations
        • Taping Techniques
        • Traction
        • Ultra Sound
        • Vestibular Rehabilitation
        • Work Site Evaluations
        • Wound Care with Anodyne
        • Wellness Program

        Other equipment available at CPTI includes:

        • Balance Equipment
        • Body Blades
        • Bongo Board
        • Cybex Weight Machine
        • Fitter
        • Gravitron
        • Gymnastic Balls
        • NuStep
        • Pilates Reformer Tables
        • Power Plate
        • Recumbent Bike
        • SABE Pulleys
        • Schwinn Airdyne
        • Shuttle Balance
        • SRF Board
        • Stairmaster
        • Step Stretch
        • Treadmill
        • Versaclimber
        • Theracane