The holiday season is a busy and exciting time of year, but it can also be quite stressful.
Between shopping, parties, traveling, and visiting family, it’s easy for your regular exercise
routine to fall by the wayside. Research has shown that physical activity levels tend to
decrease the most after holidays.

That’s why it’s so important to make your health a priority this time of year. Regular exercise can
actually help reduce holiday stress and keep you feeling your best.

Here are some of the key benefits of maintaining your fitness routine:

Stress Management

The holidays bring a lot of added demands on your time and energy. Exercise is a proven way
to manage stress and improve your mood. When you work out, your body releases
endorphins that can lift your spirits and help you better cope with the pressures of the season.
Making time to be active, even just a little big each day, can go a long way in keeping you calm
and centered.

Immune System Support

Cold and flu season tends to ramp up during the winter months. Staying active can help
support your immune system and reduce your risk of getting sick. Keeping up with your
workouts makes you less susceptible to holiday illnesses that could derail your plans.

Weight Management

The holidays are full of rich, indulgent foods that can pack on extra pounds if you’re not careful.
Regular physical activity helps you maintain a healthy weight by burning calories and
boosting your metabolism. It also gives you an outlet for all the extra energy you may have from
eating richer foods.

If you’re having trouble sticking to your exercise routine, consider talking to your physical
therapist. They can create a customized fitness plan to help you stay on track, even with a busy
holiday schedule. Physical therapists can teach you exercises you can do at home and provide
tips for fitting activity into your day.

Here are a few quick tips to help you stay active this holiday season:

● Schedule your workouts like any other important appointment and don’t cancel them.
● Find ways to be active with friends and family, like going for a walk after a meal.
● Keep home exercise equipment (like weights or a yoga mat) accessible and ready to
use.
● Park further away from stores and buildings to get in extra steps.

Don’t let the hustle and bustle of the holidays derail your health and fitness goals. With a little
planning and creativity, you can maintain your exercise routine and enjoy a happier, healthier
holiday season.

References

Research:
1) Fredslund EK, Leppin. A Can the Easter break induce a long-term break of exercise routines? An
analysis of Danish gym data using a regression discontinuity design. BMJ Open 2019;9:e024043.
a) https://bmjopen.bmj.com/content/9/2/e024043.citation-tools
2) Henk Aarts, Theo Paulussen, Herman Schaalma, Physical exercise habit: on the
conceptualization and formation of habitual health behaviours, Health Education Research,
Volume 12, Issue 3, September 1997, Pages 363–374
a) https://doi.org/10.1093/her/12.3.363
3) Enjoyment as a Predictor of Exercise Habit, Intention to Continue Exercising, and Exercise
Frequency: The Intensity Traits Discrepancy Moderation Role
a) https://www.frontiersin.org/articles/10.3389/fpsyg.2022.780059/full
4) Marilyn Moffat, Stefan Hegenscheidt, Shamay Ng, Duncan Reid, Nirit Rotem-Lehrer & Mark
Tremblay (2012) Evidence-based exercise prescription: raising the standard of delivery,
International Musculoskeletal Medicine, 34:1, 21-36,
a) https://www.tandfonline.com/doi/abs/10.1179/1753615411Y.0000000016
Articles/Content
1) Physical Therapy for Exercise
a) https://www.choosept.com/health-centers/exercise
2) Exercise Videos from Physical Therapists
a) https://www.choosept.com/health-tips/exercise-videos-physical-therapists
3) Stressed during the Holidays
a) https://www.nytimes.com/2022/12/02/well/move/holiday-stress-exercise.htm

Fall is on the way, and so are school buses and students carrying…backpacks. You might not
think much about those bags full of books, pencils, crayons, and computers, but physical
therapists do.

Why Backpacks Matter

Students will always have things to carry between home and school. A backpack is a great way
to do that, but if they’re too heavy, they can cause problems.

Research has shown that carrying a heavy backpack changes students’ posture, walking speed,
step length, and more. Unsurprisingly, we also know that as students walk greater distances
and become more fatigued, these changes worsen.

These changes can lead to neck pain, back pain, or other musculoskeletal issues.

How Heavy Is Too Heavy?

How much weight a student can safely carry is directly affected by their weight.
Studies have shown that changes in posture and performance start to occur when the backpack
weighs 10% of the student’s body weight. Experts agree that students should not carry more
than 15% of their body weight in a backpack.

Unfortunately, most data show that more than half of students carry more than the
recommended load.

5 Tips for Parents and Students

To reduce backpack weight and help your student avoid pain, here are a few tips:

1. Plan ahead – Each night, go through the backpack and remove items not needed the
next day. Likewise, ensure your student doesn’t bring things home they won’t need that
night.

2. Use your locker – Planning ahead can help remove extra weight between home and
school. The locker can lighten the load during the school day. Students can avoid
carrying extra loads during the school day by making a few stops at their lockers.

3. Pack right – Heavier items should be placed close to the student’s back, and lighter
items should be placed further away.

4. Wear it right – Using both shoulder straps and front or hip straps, if you have them,
helps distribute the load evenly. The bottom of the pack should be even with the bottom
of the low back. Packs worn too high or low exaggerate postural changes and can
restrict movement.

5. Pick the right pack – If you’re shopping for a new backpack, look for one with two straps
rather than one. A chest strap and hip belt can help distribute the load. The pack should
also be sized appropriately – no longer than the student’s torso.

You can’t control what your student needs for school. However, you can use these tips to help
reduce your student’s load and ensure that they carry it correctly.

If your student is having pain in their back, neck, or anywhere else, call their physical therapist
today. They can help!

References

1) The Influence of the Weight of the Backpack on the Biomechanics of the Child and Adolescent: A
Systematic Review and Meta-analysis With a Meta-Regression
a. https://www.ingentaconnect.com/content/wk/pep/2023/00000035/00000002/art00007
2) Backpack use in children. Pediatric Physical Therapy : the Official Publication of the Section on
Pediatrics of the American Physical Therapy Association. 2002 ;14(3):122-131.
a. https://doi.org/10.1097/00001577-200214030-00002
3) Effects of Educational session on school backpack use among elementary school students
a. https://www.scielo.br/j/rbfis/a/Y8XW48pPRmSrZbYBrJKPtct/?lang=en&format=html#
4) Effect of Backpack Load Carriage on Cervical Posture in Primary Schoolchildren. 1 Jan. 2012 : 99 –
108.
a. https://content.iospress.com/articles/work/wor01289
Articles/Content:
1) 3 Tips for Backpack Safety
a. https://www.choosept.com/health-tips/3-tips-backpack-safety
2) Backpack Tips from a Pediatric Physical Therapist
a. https://www.highbarhealth.com/blog/backpack-tips-from-a-pediatric-physical-therapist
3) Is your child’s backpack making the grade?
a. https://www.alternatives4children.org/news/pdfs/PT%20RESOURCES%202020/Children
%20and%20Backpacks.pdf

Exercise is one of the best things you can do for your health. It can reduce your risk of chronic diseases like diabetes or cancer. It reduces your risk of stroke, dementia, osteoporosis, and obesity. Exercise also helps with your mood, sleep, and overall quality of life.

Despite all of these benefits, most Americans need more. According to the Department of
Health, 80% of Americans don’t meet the recommendations for physical activity. This is
impacting our health. About half of American adults have a preventable chronic disease.
The good news is that exercise positively impacts seven of the ten most common ones.

That leads to the question:

Are you getting enough activity?

Here are the current guidelines:

● Preschool-aged children (ages 3 – 5) at least 3 hours of physical activity daily
● Children and adolescents (ages 6 – 17) at least 60 minutes of activity a day
● Adults 150 minutes of moderate-intensity aerobic activity weekly and muscle strengthening activities on at least two days
● Older adults (ages 65 and older) Same as the adults above with additional
components added, such as balance training

If you’re falling short on physical activity, you may not think of your PT as someone who can help, but you should!

Physical therapists have extensive training in anatomy, physiology, and movement science. They can get anybody moving! Here are some great times to choose a PT to help with your fitness:

● You’re recovering from an injury or surgery.
● You have pain or limitations that affect your movement.
● You have a chronic condition that affects your fitness, like arthritis.
● You need help improving your balance or preventing falls.
● You want a personalized program that addresses specific weaknesses or imbalances.

Your PT can work with your physicians and medical team to ensure safe workouts. As you
progress, they can also work with professionals like strength coaches or personal trainers to take your fitness to the next level.

With your PT’s guidance, you can address limitations, prevent injuries, and design a
personalized program that keeps you motivated and moving towards a healthier you.

References:

1) Building motivation and sustainability into the prescription and recommendations for physical
activity and exercise therapy: The evidence, Physiotherapy Theory and Practice, 25:5-6, 424-441,
a. DOI: 10.1080/09593980902835344
2) The physical therapist’s role in physical activity promotion. British Journal of Sports Medicine
2009;43:99-101.
a. https://bjsm.bmj.com/content/43/2/99.citation-tools
3) Improving Adherence to Exercise: Do People With Knee Osteoarthritis and Physical Therapists Agree
on the Behavioral Approaches Likely to Succeed?.
a. Arthritis Care Res, 70: 388-397. https://doi.org/10.1002/acr.23297
4) Periodization and physical therapy: Bridging the gap between training and rehabilitation
a. https://www.sciencedirect.com/science/article/abs/pii/S1466853X1500067X
Articles/Content:
1) Physical Activity Improves Your Health and Quality of Life
a. https://www.choosept.com/video/physical-activity-improves-health-quality-life
2) Home Exercise From a Physical Therapist
a. https://www.choosept.com/video/home-exercises-floor-mat
3) Tips to Avoid Overtraining
a. https://www.choosept.com/health-tips/tips-avoid-overtraining-injurie

Dizziness is common in people over 20, and it can be a big problem in daily life. Feeling unsteady, lightheaded, or like the room is spinning is alarming and makes daily tasks difficult.

The good news is that dizziness often has treatable causes, and your physical therapist can be
the perfect person to help.

Understanding Dizziness

Dizziness isn’t a specific problem—it’s a symptom that can be caused by many different issues.
Feeling dizzy most commonly occurs due to issues with the inner ear, but it can also occur due
to vision, joint or muscle issues in the neck, migraines, changes in blood pressure, head
injuries, or other neurological problems.

How Physical Therapists Help

To understand dizziness and how a PT can help, you must know a little about how balance
works. Your brain uses information from your inner ears, your vision, and input from your joints
about their position and movement to keep you balanced and stable. Typically, all of this
information paints the same picture for your brain. If your brain gets conflicting information –
say, your inner ear sends different information than vision and your joints – that often results in a
feeling of dizziness, unsteadiness, or vertigo.

Your physical therapist will ask questions about your history and then test all of the systems that
help you stay balanced to determine the cause of your dizziness.

Your treatment plan will vary depending on what your PT finds. Some typical examples include:

● Exercises: Your PT may prescribe specific exercises to improve your balance, strengthen or
stretch specific muscles, or help retrain your brain to interpret sensory information. These can
include gaze stabilization exercises, which help your eyes and inner ears work better
together; habituation exercises, which help your brain get used to different types of input; and
balance training on various surfaces.

● Canalith repositioning maneuvers (CRM): If your dizziness is caused by benign
paroxysmal positional vertigo (BPPV), a specific type of inner ear problem, your therapist
may perform maneuvers to reposition tiny crystals within your ear canal, alleviating your
vertigo. They can also teach you how to do these at home.

● Education: Your therapist will educate you about your condition, how to manage dizziness,
and exercises you can perform at home. They may also help you modify activities that cause
dizziness or train you on ways to work through it.

Dizziness doesn’t have to interfere with life. Physical therapists can help reduce dizziness,
improve balance, lower the risk of falls, and increase confidence in daily activities.

References:
1. Cervicogenic Dizziness: A Review of Diagnosis and Treatment
a. https://www.jospt.org/doi/10.2519/jospt.2000.30.12.755
2. Physical therapy interventions for older people with vertigo, dizziness and balance disorders
addressing mobility and participation: a systematic review. BMC Geriatr 20, 494 (2020).
a. https://doi.org/10.1186/s12877-020-01899-9
3. Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Evidence-Based Clinical
Practice Guideline: FROM THE AMERICAN PHYSICAL THERAPY ASSOCIATION NEUROLOGY
SECTION. J Neurol Phys Ther. 2016 Apr;40(2):124-55. doi: 10.1097/NPT.0000000000000120.
PMID: 26913496; PMCID: PMC4795094
a. 10.1097/NPT.0000000000000120
4. Between Cognitive Assessment and Balance Measures in Adolescents Referred for Vestibular
Physical Therapy After Concussion. Clin J Sport Med. 2016 Jan;26(1):46-52.
a. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4856020/
5. Physical Therapy lowers falls by 68% after Dizziness
a. https://www.apta.org/article/2023/09/19/study-physical-therapy-after-dizzinessdiagnosis-lowers-fall-risk-by-86
6. Physical Therapy Guide to Dizziness
a. https://www.choosept.com/guide/physical-therapy-guide-vertigo
7. Vestibular Rehabilitation Therapy
a. https://my.clevelandclinic.org/health/treatments/15298-vestibular-rehabilitation

Physical Therapy for Chronic Pain

Chronic pain can be a debilitating condition, limiting your mobility and impacting your daily life.
The CDC estimates that around 50 million Americans experience chronic pain, and 17 million
have substantial reductions in activity because of pain. Beyond limiting activity or your ability to
work, chronic pain has been linked to depression, Alzheimer’s disease, and substance abuse.

Chronic pain is complex. There’s no single intervention to treat it, but physical therapy should be
part of the mix. Here’s why:

How PT Approaches Pain:

Physical therapy often provides relief that’s just as effective as medication but without the
potential side effects. Here’s a breakdown of how PT tackles pain and its effectiveness:
Identify the Root Cause: PT goes a step further than medication that masks pain. Therapists
assess your posture, muscle strength, flexibility, and joint mechanics to pinpoint the source of
your discomfort.

Address the Underlying Issues: Based on the evaluation, PT focuses on strengthening weak
muscles that support your joints, improving flexibility for a better range of motion, and correcting
any imbalances or postural problems that might contribute to pain.

Use A Multi-Faceted Approach: A PT treatment plan will be customized based on the
evaluation. In addition to therapeutic exercise, a PT might use various techniques. Examples
include:

• Manual Therapy: PTs use massage, joint mobilization, and trigger point therapy to
address muscle tension, improve circulation, and alleviate pain.
• Modalities: Techniques like ultrasound, heat therapy, or electrical stimulation can
reduce inflammation, promote healing, and manage pain.
• Aquatic Therapy: A warm, therapeutic pool supports your body and joints while offering
gentle resistance. This can often make it easier to start moving again after being in pain
for an extended time.

Educate and Empower Patients: PTs equip you with the knowledge and tools to manage your
pain independently. This might include learning a new exercise routine, how to modify activities,
or how to modify your daily schedule when you’re feeling better (or worse) than normal.

It’s also becoming increasingly likely that you’ll learn how pain works. Research shows that
combining pain education with physical therapy is an effective treatment.

If you’re struggling with chronic pain, call your physical therapist. They might have the key that
will unlock a pain-free life.

Physical therapy and nutrition are often seen as separate, but the truth is, they are deeply
intertwined. To get the most out of PT, especially after an injury or surgery, integrating both is
crucial. Here’s why:

Food Fuels The Body

During recovery from an injury or surgery, your body is working to heal itself. The activities and
exercises you’re doing in PT are designed to help it along. To take advantage of all the work
you and your body are putting in, proper nutrition is critical.

Protein provides the building blocks for tissue repair and muscle growth. Carbohydrates provide
energy and help support your immune system. Your body also needs healthy fats to regulate
inflammation and to build certain cells. Being short on any of these critical components will slow
your recovery down.

You also need enough micronutrients, like vitamins and minerals. For example, vitamin C is
needed to make collagen, which goes into bones, skin, and connective tissue. Vitamin D helps
your body absorb calcium, which is important for healing fractures, or surgeries involving bones.

Iron helps your blood cells carry oxygen throughout your body, which is needed for healing in
general. Again, being low on any of these micronutrients will affect your healing.

Your Weight Affects Your Health

Being overweight directly affects your health. It puts you at higher risk for cardiovascular
disease, stroke, osteoarthritis, back pain, diabetes, sleep apnea, and more. All of these are
conditions that you might see a PT directly for, or that will impact your healing. Eating a healthy
diet is the most effective way to reduce body weight. Combining a healthy diet with exercise is
even better for your health.

As an example, an 18-month study of 450 people with knee osteoarthritis showed that the group
that lost weight through a diet and exercise had less pain, better walking speed, and lower joint
forces in their knees than groups who either only lost weight, or only exercised.

How can a physical therapist help with nutrition?

While PTs are not authorized to provide individual diet plans or medical nutritional advice, they
can still help with your nutrition.

• PTs can screen for potential nutritional deficiencies or imbalances that may impact your
progress in PT or your overall health. This might involve screening for malnutrition,
sarcopenia (muscle loss), or assessing dietary habits affecting energy levels, healing, or
muscle building.

• Your PT can educate you on the importance of nutrition for various aspects of
rehabilitation and recovery. This includes explaining how specific nutrients like protein,
vitamins, and minerals contribute to tissue repair, muscle building, energy production,
and pain management.

• They can offer general guidance on healthy eating patterns, portion control, and
choosing nutrient-rich foods to support reaching your specific physical therapy goals.

• PTs recognize that overall health and well-being involve various factors, including proper
nutrition. They can encourage you to adopt healthy lifestyle habits that include a
balanced diet alongside regular exercise and proper sleep hygiene.

Finally, your PT can recognize when your nutrition needs exceed what they are able to provide.
In that case, they can refer you to and collaborate with a registered dietician or other qualified
healthcare professional for help in dealing with complex nutritional needs or recommending
specific dietary changes.

By combining the power of physical therapy and nutrition, you can achieve your
recovery goals faster and feel your best!

References:
1. Effects of Intensive Diet and Exercise on Knee Joint Loads, Inflammation, and
Clinical Outcomes Among Overweight and Obese Adults With Knee
Osteoarthritis: The IDEA Randomized Clinical Trial Effects of Intensive Diet and
Exercise on Knee Joint Loads, Inflammation, and Clinical Outcomes Among
Overweight and Obese Adults With Knee Osteoarthritis: The IDEA Randomized
Clinical Trial | Obesity | JAMA | JAMA Network
2. Ottawa Panel Evidence-Based Clinical Practice Guidelines for the Management
of Osteoarthritis in Adults Who Are Obese or Overweight Ottawa Panel
Evidence-Based Clinical Practice Guidelines for the Management of
Osteoarthritis in Adults Who Are Obese or Overweight | Physical Therapy |
Oxford Academic (oup.com)
3. Strategies for optimizing nutrition and weight reduction in physical therapy
practice: The evidence Strategies for optimizing nutrition and weight reduction in
physical therapy practice: The evidence: Physiotherapy Theory and Practice: Vol
25, No 5-6 (tandfonline.com)
4. Body mass index and risk of knee osteoarthritis: systematic review and metaanalysis of prospective studies Body mass index and risk of knee osteoarthritis:
systematic review and meta-analysis of prospective studies – PMC (nih.gov)
5. Nutrition: A Portion of PT’s Menu of Services Nutrition: A Portion of PTs’ Menu of
Services | APTA
6. Considerations for PT’s Role in Nutrition Considerations Related to the PT’s Role
in Nutrition and Diet | APTA
7. Nutrition and PT a Powerful Combination – Nutrition and Physical Therapy: A
Powerful Combination | APTA

Aquatic physical therapy involves performing exercises and activities in water, usually a heated
pool. Aquatic physical therapy can have lots of benefits for people with conditions like arthritis,
back pain, fibromyalgia, osteoporosis, neurological disorders, sports injuries, and more. Let’s
DIVE IN and explore some of the advantages of aquatic physical therapy.

Reduced Weight Bearing

One of the main benefits of aquatic physical therapy is that it reduces the impact and stress on
the joints and muscles, thanks to the buoyancy of water. When submerged, you feel lighter and
more supported, which allows you to move more easily and comfortably. Your therapist can use
different depths of water to change how much force you experience. For example, when the
water is up to your neck, you only bear about 10% of your body weight. This can be especially
helpful for people who have difficulty walking, standing, or exercising on land due to pain,
stiffness, or weakness.

Built-In Resistance

Another benefit of aquatic physical therapy is that water provides natural resistance. You’ve felt
this if you’ve ever tried to move your arm or leg quickly underwater, or run in a pool. Water
resistance can be adjusted by changing the speed, direction, or surface area of the movement.
There is also equipment like hand webs, water weights, and kickboards that can make
movements more challenging. Resistance training can help increase muscle strength and
endurance, as well as improve blood circulation and heart health.

Compression

A third benefit of aquatic therapy is the hydrostatic pressure. This is the force that water exerts
on an object, which increases with depth. If you’ve ever dove to the bottom of a deep pool and
felt pressure on your body or in your ears, this is what caused it. The pressure of the water can
be used to help reduce swelling in joints or tissues. The pressure of the water also gives your
brain more input about the position your body and limbs are in. This can help improve
proprioception, or the sense of where your body parts are in space. Improving proprioception
can help enhance balance, coordination, and stability.

Heat

Our last benefit of aquatic physical therapy is that it takes advantage of the warmth of the water,
which can help relax the muscles and relieve pain. Warm water stimulates nerve endings in
your skin, which can help block pain signals. It also dilates the blood vessels, which can
increase blood flow and oxygen delivery to the injured or affected areas. Lastly, warm water can
also have a calming effect on the mind and body, which can help you feel better.
Aquatic PT can reduce the impact and stress on the joints and muscles, provide resistance and
hydrostatic pressure, and use the warmth of the water to reduce pain while improving strength,
endurance, proprioception and function. Aquatic physical therapy can also be fun and
enjoyable. If you are interested in aquatic physical therapy, talk to your doctor or physical
therapist to see if it is suitable for you.

References:

• Research (peer-reviewed)
o Efficacy of aquatics for LBP – https://pubmed.ncbi.nlm.nih.gov/34994794/
o Aquatics for people with MS – https://pubmed.ncbi.nlm.nih.gov/32114368/
o Aquatics for people with stroke – https://pubmed.ncbi.nlm.nih.gov/32340581/
o Aquatics for Knee OA – https://pubmed.ncbi.nlm.nih.gov/35346294/
• Articles and Content
o Benefits of Aquatic Therapy – https://medical.texasneurorehab.com/therapyservices/aquatic-therapy/
o Who is a good candidate for aquatic PT –
https://www.upmc.com/services/rehab/crs/services/aquatic-therapy
o Aquatic exercises – Mayo Clinic

Physical therapy for dogs, also known as canine or veterinary rehabilitation, is a growing field of
treatment that can help dogs with various conditions. Whether your dog has suffered an injury,
undergone surgery, or has a chronic condition like arthritis, physical therapy can help!

What is physical therapy for dogs?

Physical therapy for dogs is similar to physical therapy for humans, just with more treats! It uses
techniques like exercise, massage, heat and cold therapy, hydrotherapy, laser, ultrasound, and
even treadmill therapy to improve your dog’s range of motion, strength, flexibility, and
endurance. Just like in humans, the goal is to decrease pain, speed up recovery, and improve
your dog’s quality of life.

Physical therapy for dogs is usually performed by a certified canine rehabilitation therapist.
These are veterinarians and physical therapists who have undergone extensive training and
certification. They will assess your dog’s condition, medical history, and goals, and design a
customized treatment plan for your dog.

What do dogs need physical therapy for?

Physical therapy for dogs can treat lots of conditions, including:

• Arthritis: Physical therapy can help reduce inflammation, stiffness, and pain in your
dog’s joints. It can also improve your dog’s mobility and prevent further deterioration of
the cartilage.
• Hip dysplasia: Physical therapy can help strengthen the muscles around your dog’s hip
joint and improve its stability. It can also reduce the risk of developing osteoarthritis in
the future.
• Torn cruciate ligament: Physical therapy can help your dog recover from surgery or
avoid surgery altogether. It can help restore your dog’s normal function and prevent
muscle atrophy and joint instability.
• Neurological conditions: Physical therapy can help your dog with conditions that affect
the nervous system, such as intervertebral disc disease (IVDD), degenerative
myelopathy (DM), or stroke. It can help stimulate nerve function, improve balance and
coordination, and prevent muscle wasting.
• Obesity: Physical therapy can help your dog lose weight and improve its overall health.
It can help your dog burn calories, increase metabolism, and reduce the strain on the
joints and organs.
• Sports injuries: Physical therapy can help your dog heal from injuries sustained during
activities like agility or flyball. It can help prevent scar tissue formation, enhance
performance, and increase body awareness.

Physical therapy for dogs is a great way to help your best friend heal from injuries, improve their
mobility and fitness, and enhance their quality of life. If you think your dog could benefit from
physical therapy, consult with your veterinarian first. They can refer you to a certified canine
rehabilitation therapist who can evaluate your dog and create a suitable treatment plan. With
physical therapy, you can help your dog live a happier and healthier life.

References:

(1) The Power of Canine Rehabilitation Therapy – American Kennel Club.
https://www.akc.org/expert-advice/health/the-power-of-canine-rehabilitation-therapy/.
(2) Physical Therapy For Dogs: How Can Canine Rehabilitation Benefit Your ….
https://www.caninejournal.com/physical-therapy-for-dogs/.
(3) Dog Rehabilitation – A Detailed Physiotherapy Guide. https://topdogtips.com/dogrehabilitation-a-detailed-physiotherapy-guide/.
(4) Dog Physical Therapy: Exercises, Modalities, Techniques – TopDog Health.
https://topdoghealth.com/what-are-dog-physical-therapy-exercises/.
(5) A Complete Guide to Physical Therapy for Dogs – RocketDog.
https://rocketanimalhealth.com/blogs/news/a-complete-guide-to-physical-therapy-for-dogs.
(6) Canine Pelvic Osteotomies Outcomes – https://pubmed.ncbi.nlm.nih.gov/34643966/
(7) Canine hip dysplasia study – https://pubmed.ncbi.nlm.nih.gov/20740258/
(8) Canine Rehabilitation Institute – https://www.caninerehabinstitute.com/
(9) Dog physical therapy exercises – https://www.lakecross.com/site/blog-huntersvillevet/2020/08/12/dogs-physical-therapy-exercises
(10) What can be included in rehab – https://www.aaha.org/your-pet/pet-owner-education/askaaha/what-is-veterinary-physical-rehabilitation/
(11) Evidence for canine PT – https://pubmed.ncbi.nlm.nih.gov/25432679/
(12) Select Technique for PT for dogs – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9312226/
(13) Dogs Physical Therapy Exercises | LakeCross Veterinary Hospital.
https://www.lakecross.com/site/blog-huntersville-vet/2020/08/12/dogs-physical-therapyexercises.
(14) Overview of the role of rehabilitation for arthritis. https://caninearthritis.org/article/role-ofrehabilitation-arthritis/.
(15) Pet Rehab. https://www.petrehab.net/.
(16) Advanced Canine Rehab Center – Home. https://www.dogpt.com/.

What Is Autism?

Autism, or autism spectrum disorder (ASD) describes a range of developmental conditions that
affect how a person communicates, interacts, and behaves. ASD is called a spectrum disorder
because the symptoms and severity can vary widely from one person to another.

Typical signs and symptoms of autism include:

• Having difficulty with communication and social interaction
• Restricted or repetitive patterns of behavior such as repeating words or phrases, lining
up objects, or having intense and narrow interests
• Sensory issues, such as being over- or under-sensitive to sounds, lights, or textures

How Can PT Help?

Children with autism also often have difficulties with motor skills, which affect their daily
functioning and quality of life. For example, they may have trouble with balance, coordination,
motor planning, and body control. They may also have low muscle tone, which can make them
appear floppy or weak. These challenges make it hard for them to participate in physical
activities like playing games or on playgrounds with peers, which are important for both their
physical and mental health.

Physical therapy can help children with autism overcome these difficulties and improve their
motor skills. Using individualized and structured interventions, pediatric physical therapists help
children with autism learn new skills and practice them in a fun and motivating way. Physical
therapy can also help children with autism develop a positive attitude toward physical activity
and enjoy the benefits of exercise, such as improved mood, energy, and sleep.

Improved gross motor skills and increased physical activity can also support the development of
other areas that are affected by autism, like social and emotional skills. Physical activities can
provide opportunities for children with autism to interact with their peers and family, express
their feelings, and follow rules and directions. Physical therapy can also help children with
autism cope with sensory issues, such as hypersensitivity or hyposensitivity to touch, sound, or
movement, by exposing them to different stimuli and helping them regulate their responses.

How Do I Find A Qualified PT For My child?

If you think your child with autism may benefit from physical therapy, you should consult with
your child’s pediatrician, who can refer you to a physical therapist who specializes in working
with children with autism. You can also search for a physical therapist near you using the
American Physical Therapy Association website.

References:
• Research (peer-reviewed)
o Physical Activities for Children with Autism –
https://pubmed.ncbi.nlm.nih.gov/32192008/
o Exercise for children with autism – https://pubmed.ncbi.nlm.nih.gov/31615098/
o Physical activity effects on sleep and executive function –
https://pubmed.ncbi.nlm.nih.gov/30663324/
• Articles and Content
o Recognizing Autism in Healthcare – https://pubmed.ncbi.nlm.nih.gov/34983217/
o Autism – diagnosis and management – https://www.nice.org.uk/guidance/cg142
Supporting people with autism 19 or under – https://pubmed.ncbi.nlm.nih.gov/34283415/

What is dry needling?

Dry needling is a procedure where a physical therapist inserts a fine needle into what is known as a trigger point. A trigger point is a tender palpable nodule in muscle that can cause pain locally or referred to other parts of the body. The term dry is used to describe the insertion of a needle without any medication.

What causes trigger points?
There are many potential causes but commonly trigger points are caused by overload of a weak muscle or prolonged muscle contraction such as with maintaining posture. These causes can turn into a self-sustaining cycle if not addressed.

How does dry needling help?

• Creation of a Local Twitch Response which is a spinal cord reflex in response to the insertion of the dry needle
• Decrease in inflammatory and pain causing chemicals
• Improvement in circulation
• Activation of pain relieving processes in the central nervous system

What areas of the body can dry needling be performed?

Dry needling can be performed throughout most of the body with our most commonly treated areas including the shoulder, neck, low back, and hip/glutes. Our therapists have extensive training in dry needling and are able to competently and safely perform dry needling on your area of pain or dysfunction.

How often is dry needling performed?

The typical trajectory is to dry needle more often early on with visits becoming spaced out over time as self-care techniques and exercise are implemented to create lasting changes. 

Call us today to find out more information or to schedule an initial evaluation!