Milton Physiotherapy

Quentin and Ann are on a well deserved holiday and back in clinic in the first week of July - Caitlin will be in clinic for all your Physiotherapy needs.

Perfect timing for treats from to celebrate some milestones and who doesnt like a brownie with coffee??

Milton Physiotherapy International Edition!
Great to see our patients enjoying their holidays in Europe staying sunsafe with our Milton Physiotherapy hats.

Why is it important to understand the training your Physiotherapist has undertaken?

Ongoing professional development continues to challenge skillset, knowledge and application into clinical practice. Completion of university studies allows for external assessment and feedback - further helping clinicans understand and develop skills.

The Australian Physiotherapy Association has outlined a clear pathway for Physiotherapists - from Graduate (Tier 1), to Titled (Tier 2) and Specialists (Tier 3).

At Milton Physiotherapy, our staff have undertaken extensive training in Musculoskeletal and Sports and Exercise Physiotherapy - not just through external courses but also university postgraduate training.

Quentin is a Specialist Musculoskeletal Physiotherapist awarded in 2007 - Tier 3

Ann is an APA Tilted Muscloskeletal Physiotherapist -Tier 2

Caitlin is an APA Titled Musculoskeletal and Sports and Exercise Physiotherapist, and in 2024 became a Registrar on the Specialisation Training Program for Musculoskeletal Physiotherapy - Tier 2

You are in good hands at Milton Physiotherapy.

Call 33693740 for an appointment.

Ready to get started with a program?

At Milton Physiotherapy - we will conduct a thorough consult to identify risk factors, your current exercise levels and develop a personalised program.

This may include weights and pilates.

It may include a walking program and TaiChi.

For many patients, we will also refer onto an Exercise Physiologist for further development of a gym based program if that is one of your goals. We also know a number of group classes that are of benefit.

Call 33693740 for an appointment

So what might a program look like for you?

Whether it be to improve your bone health or maintain your bone heath - these are a few of the key loading considerations in development of your program

- high loading x2 per week
- moderate to high weightbearing impact loading
- impact exercises 5x10 - 3 x per week

Your program will be individualised based on your history - not everyone will get the same exercises, at the same load.

Some may use a barbell, others may use weights.

Some may stomp up stairs, others may use little jumps.

Need a program? Call 33693740 to book in

Ref: Beck et al 2017: ESSA position statement on exercise prescription for the prevention and management of osteoporosis

What about being steady and straight?

There are multicomponent ways we can challenge balance and spinal strengthening for osteoporosis management.

This may include:
- balancing on different objects
- use of resistance bands
- exploring different movements.

There are many ways we can challange and promote being steady and straight

Ref: Giangregorio et al 2015: Too fit to fracture: outcomes of a delphi consensus process on physical activity and exercise recommendations for adults with osteoporosis with or without vertebral fractures

When it comes to developing a program and where to start, these are some of the parameters we think about.

Why?

Because we know there are some risk factors linked to osteoporosis - and it is important that we consider them all in your program.

The ESSA position statement goes into depth regarding these considerations, but at Milton Physiotherapy we can talk you through each step of the way.

Save this slide for later!

This image represents the key information from the Uk consensus statement.

During your Physiotherapy consult - your therapist will be considering all of the things listed to develop a program that is appropriate for your based on your history.

For the health professionals - do you consider this?

Do you know there are Key principles we consider in management of Osteoporosis?

They include:
- Including physical activity and exercise to promote bone strength, reduce falls risk and manage vertebral fractures
- Consider lifestyle changes
- Encourage ways to do more, not less
- Minimal activity will provide SOME benefit
- Physical activity and exercise are NOT associated with harm
- Painful vertebral fractures require clear and prompt guidance on how to adapt movements.

Does you program consider these principles?

What happens when you have an appointment for osteoporosis management at Milton Physiotherapy?

- 60 minute initial appointment with an experienced Physiotherapists who is able to review your history and assess your functional fitness levels
- develop a structured and tailored program for you to commence safely at home
- provide modification of exercises as required
- review any current exercises for technique and appropriate loading
- introduce you to gym based exercises
- refer you to an Exercise Physiologist

Want to book in? Call 33693740 for an appointment.

These are the three key terms to come from the UK consensus statement. But what do they mean in context of osteoporosis management?

Strong: physical activity and exercise to benefit bone strength

Steady: physical activity and exercise to prevent falls

Straight: physical activity and exercise to reduce risk of vertebral fracture, improve posture and manage symptoms after vertebral fractures

Do YOU feel strong, steady and Straight with your exercise program?

2021 UK consensus statement on physical activity and exercise for Osteoporosis

How do we know the best ways to manage Osteoporosis?

Through publications and guidelines. There are two key ones we consider at present (knowing that the evidence is constantly evolving).

1. ESSA position statement on exercise prescription for the prevention and management of osteoporosis (2017)
2. UK consensus statement on physical activity and exercise for Osteoporosis (2021)

Over the next few weeks we will be reviewing key outcomes of these papers and what it means for you.

Beck et al 2017: ESSA position statement on exercise prescription for the prevention and management of osteoporosis

Brooke-wavell et al 2021: Strong, Steady and Straight - UK consensus statement on physical activity and exercise for Osteoporosis

Island Time has commenced! Quentin and Anne are having a well deserved break away for the long weekend.

And Lee is having an exciting month off traveling Europe!

Caitlin will be back in the office Tuesday at 7.30

Milton Physiotherapy will be closed 6 May 2024 for Queensland Public Holiday.

We will reopen 8am 7th May 2024.

holidays

How can you check your bone health for Osteoporosis?

The World Health Organisation (WHO) recommends a DEXA scan, which you GP can refer for you.

A DEXA scan will review the bone density in your femur (thigh bone) and lumbar spine (lower back). Two reference scores are then provided:

T - Score: comparison by standard deviation of young population, matched for s*x and ethnicity - used for post-menopausal women, men greater than 50 years old.

Z-score: compared by standard deviation to age, s*x, ethnicity population - premenopausal women, men younger than 50, children

At Milton Physiotherapy our Physiotherapists can discuss with you your DEXA results and help with development of a plan to help manage your osteoporosis.

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Spotted - Milton Physiotherapy hats in Dublin!

Geraldine and her parnter are having a fabulous holiday exploring all that Ireland has to offer - the green hats are fitting!

Milton Physiotherapy will be closed 25 April 2024.

To all the men and women who have served, and those continue to serve we thank you for your service, and remember those who have passed

Lest we forget

What does prevalence refer to?

How common something is. And we have data on osteoporosis world wide.

137 million women and 21 million men have high osteoporotic fracture risk worldwide

This is expected to double over the next 40 years.

Reference: Oden et al 2015, Burden of high fracture probability worldwide: secular increased 2010-2040

factors

Our Milton Physiotherapy hats are on another adventure! Our patient fell in love with then red one, but 98 year old Kev found a way to keep it 😁

Osteoporosis

'a skeletal disorder characterised by compromised bone strength predisposing a person to an increased risk of stress fracture'

Do you know how to be checked for Osteoporosis?

Do you know the best management?

Our next series of Instagram posts will be reviewing Osteoporosis, current guidelines for management and how Milton Physiotherapy can help you.

Do you know our Physiotherapists regularly attend professional activities outside of our clinic?

In mid February attended a Queensland Xray information evening about the use of EOS.

Easter has arrived!

Milton Physiotherapy will be closed 29 March - 1 April 2024.

Reception will reopen 8am on the 2nd April 2024.

Enjoy the mini break

Milton Physiotherapy is international! Geraldine sent us some great photos this morning of her adventures overseas - it may be overcast but the green hat stands out

Our pilates class in action this week.

How do you move your body?

5 years at Milton Physiotherapy!

How quickly time has flown – 5 years ago Caitlin started at Milton Physiotherapy after 11 years of service in the Australian Defence Force as a Physiotherapist.

Since starting at Milton Physiotherapy Caitlin has fully understood how passionate she about supporting the veteran community through her knowledge as a service member with multiple operational experiences (Afghanistan), as well as understanding transition into the civilian space, including navigating injury management and rehabilitation during this period.

Her background providing Physiotherapy support to a multitude of sports teams at a local, national, and international level, (including XXI Commonwealth Games in 2018) has fostered her love of different sports – with a particular interest in shooting disciplines and pole dancing/aerialists.

During her time at Milton Physiotherapy she has completed her double Masters ( Masters Sports and Exercise Physiotherapy in 2019, Masters Musculoskeletal Physiotherapy in 2021), and today will travel to Melbourne to commencing the Australian College of Physiotherapists Specialisation Training Program in 2024 (one of four Physiotherapists in Australia selected).

We can happily confirm Caitlin has firmly planted her roots at Milton Physiotherapy and we look forward to AT LEAST another 5 years.

Our exercise program has changed!

You may see your app change if you have downloaded your program - it is not a virus just a platform update. All patients exercise programs remain the same.

Yoga is back for 2024
Have you book in yet?
Wednesday 5.30-6.45pm with Ann

And just like that, Geraldine starts her extended holiday! Geraldine is taking a well deserved international trip over the next few months. We look forward to seeing her back in clinic mid 2024

Why were these concussion guidelines released?

To provide information on how to recognise and manage concussion from time of injury through to safe return to education, work and playing sport.

Targeted at individuals participating in underage and community sports (primary school age upwards).

Why?

- Often in community sport health care professionals are not available to diagnose and monitor individuals.
- Increasing knowledge around potential health ramification for repeated head trauma/sports related concussion.

At Milton Physiotherapy we understand the nature of concussion and the new guidelines, and can help answer your questions and develop a management plan.

Do you know what a concussion is?

Do you know the cause?

The new guidelines outline it in an easily understandable way:

What is a concussion?
- Brain injury resulting in disturbance of brain function.
- Affects the way a person thinks, feels and remembers things.

What causes a concussion?
- Collision with another person or object
- Not just associated with heat, can be anywhere on the body that results in force transmission to the head or brain
- This force results in transient neurological impairment
- Can occur with minor knocks.

How does it present?
- Symptoms can change over a few hours to days following injury
o Physical: headaches, dizziness, vision changes
o Cognitive: feeling foggy, slowed down
o Emotional: short tempered, sad, general change in personality
o Sleep: unable to sleep OR sleeping more than usual
o Fatigue: low energy
- Recovery times vary dependent on age, s*x, previous injuries.
- It is specific to an individual

Do you think you have had a concussion, or know someone playing youth sport who has?

Then book them in for an appointment for assessment and development of a personalised management plan