Proof Physical Therapy Performance - March 2025

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March 2025

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JOIN THE CAMPAIGN! Why We Need a Dog-Friendly Workplace

When I realized Make Up Your Own Holiday Day was approaching on March 26, my goal for this month became clear: This country needs a Bring Your Dog to Work Day!

Jasper isn’t unhappy when I’m at work. He mostly sleeps all day, waking only to greet me at lunch. But having him at work would make me happy, and I think patients would enjoy him, too. Hospitals and other centers of healing have therapy dogs. If Jasper were present at our clinic, he could encourage patients and improve their morale! The only hitch would be when he gets too excited and starts jumping around, barking, and trying to join the game.

In my mind, everybody loves dogs! And if you don’t like dogs, you haven’t met my dog.

My Yorkshire terrier, Jasper, would make a great addition to any workplace. Weighing in at a mighty 10 pounds, Jasper is basically my child. He hikes with me on weekends, accompanies me on out-of-town trips, and helps me run weekend errands, touring the pet store and following me around Home Depot. My life with Jasper has been a love story from the start. I had always wanted a dog. When I finally convinced my landlord to let me adopt one, she agreed as long as my pet weighed

less than 10 pounds! Fortunately, I found a local family with two Yorkie puppies. Jasper was adorable from the start — he was so tiny he fit easily in my hand. He has since become a beloved member of our family. Last Christmas, I think he received more gifts than I did. He kept sniffing them under the tree. My favorite gift was matching sweatshirts — for Jasper and me.

Jasper also learns quickly. He knows how to use talking dog buttons when he wants a treat, dinner, a walk, or a toy. He knows how to sit, lie down, roll over, spin, shake, and “high five” on command. When we say “bang bang,” he rolls over and drops “dead.” I am certain Jasper could help at work: “Here, start this timer,” or “Go get that exercise band.” As long as we gave him a treat afterward, he would do anything. Readers, what do you think? If you’d like to see Jasper visit our workplace, please email Dr. Jordan and suggest he launch a Bring Your Dog to Work Day! I promise you will not regret it!

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THE ROAD TO REMOTE RECOVERY Robotics Revitalize Physical Therapy

Whether by necessity or convenience, the past few years have seen the rise of remote work and virtual interactions. With the touch of a computer key, people can now connect with colleagues and loved ones from anywhere in the world. Remote technologies also have the potential to revolutionize the field of physical therapy, offering individuals with limited mobility more options than ever to receive treatment without leaving their homes. Thanks to an ambitious professor in the Midwest, robotics designed to provide stroke patients and other individuals with disabilities with a thorough workout may soon be widely used — all from the comfort of their computer desks. Mobility From Milwaukee The latest evolution in robotic rehabilitation technology, the iTbot, is a portable robotic arm used in tandem with virtual reality to assess and treat physical therapy patients who cannot attend in-person sessions. It is the brainchild of Habib Rahman, a professor of mechanical engineering at the University of Wisconsin-Milwaukee’s College of Engineering & Applied Science, who is currently testing it for public use. Similar to online games that allow players worldwide to interact with one another, the iTbot connects therapists and patients for remote sessions that track movement and collect data in real time. Using tablets or home computers, patients engage in various activities — such as moving the iTbot to touch “balls” that spread further apart on the screen — which test their mobility and generate information that appears on the therapist’s screen. Therapists can calibrate or adjust the iTbot’s arm remotely based on the patient’s needs and abilities as the session progresses.

the physical robotic arm as the patient uses it appears on the therapist’s screen,” Rahman explained in a university press release. “All that data the robotic arm collects in the real environment you can see on the digital twin.” Just as the iTbot may soon provide patients with a mobile means of treatment, it also has the potential to benefit therapists by reducing the burdens they experience when delivering continuous in-person care. “This kind of technological innovation is needed,” added Inga Wang, the university’s professor of occupational therapy, science and technology, in the release. “One- third of physical and occupational therapists themselves experience musculoskeletal injuries due to the physical demands of conventional therapy.”

Healing Through History While the iTbot represents the future of robotic

rehabilitation, the quest to incorporate machinery into physical therapy has spanned more than a century. In 1910, a patent was filed for an electric, motor-driven “movement cure apparatus” to help heart disease patients improve their walking abilities. Despite this early advancement, it would take another 70-plus years before the first robotic rehabilitation became commercially available. Called the MIT-Manus, it was developed to assist with limb movement, cognitive function, and motor relearning.

The creation of the iTbot has launched an exciting new era in robotics research. It offers hope to individuals whose physical ailments prevent them from

traveling to receive the therapy they need. Soon, all someone yearning to improve their quality of life will need is an internet connection and the will to succeed.

“We are essentially creating a digital twin of the patient’s evaluation — a virtual model of

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A Beginner’s Guide to Counting Macros Counting macronutrients (macros) is not just a fad diet — it’s a lifestyle change. Though the diet has grown in popularity, it’s one of the most effective and safest ways to support weight loss, gain muscle, and improve diet quality. Some people track their macros through various apps, and others prefer to keep a diet journal. Regardless of how you choose to track, everyone’s needs will vary based on factors such as activity level, age, weight, and medical condition. If you’re unsure what macronutrients are, this short guide will help. What are macronutrients? Our foods contain three main macronutrients: carbohydrates, proteins, and fats. Each plays a unique role in our bodies’ overall functioning. Macronutrients are needed in large quantities to sustain our activity levels, while their counterparts, micronutrients (vitamins and minerals), are necessary in smaller amounts. • Carbohydrates: Starches, fiber, and sugar are the primary fuel sources for your brain, muscles, and nervous system. Simple carbohydrates break down quickly into sugar energy, while complex carbs can help us feel fuller longer. • Proteins: Protein is vital to forming muscles, hair, skin, nails, bones, and enzymes. It’s primarily made of amino acids; however, we must get nine amino acids through food because our bodies don’t produce them independently. • Fats: Natural fats can be categorized as saturated or unsaturated. They are essential to hormone production, temperature regulation, cell function, organ protection, and vitamin absorption. Avoid trans fats in processed foods because they are linked to certain heart problems and cancers. Tracking What You Eat

Count macros mindfully. Your estimated calorie needs are based on age, weight, muscle mass, and activity level. The easiest way to calculate your calorie needs is to use the Mifflin-St. Jeor equation. The recommended breakdown of your macronutrients is as follows: Ingest 45%– 65% of calories from carbs, 10%–35% from protein, and 20%–35% from healthy fats. Before starting any diet, consult your physician or other health care professional about any changes you want. Also, because these numbers are general guidelines, it’s best to speak with a registered dietitian to determine your macronutrient needs within those ranges.

Not Your Mom’s Corned Beef and Cabbage Inspired by AllRecipes.com

TAKE A BREAK!

INGREDIENTS • 1 (4 lb) corned beef brisket with spice packet • 3 qts water • 1 onion, quartered • 3 carrots, cut into large chunks

• 3 celery stalks, cut into 2-inch pieces • 1 tsp salt

• 2 lbs red potatoes, halved • 1 small head of cabbage, cut into eighths

1. In a large pot or Dutch oven over medium-high heat, combine corned beef, spice packet contents, water, onions, carrots, celery, and salt. Bring to a simmer (skimming off any foam on top). 2. Cover pot, reduce to low heat, and let simmer for 3 hours until meat is fork tender. 3. Add potatoes to the pot and let simmer uncovered for 30 minutes or until potatoes are al dente. 4. Add cabbage along the edges of the meat and on top. Cover and let simmer until cabbage is tender, 20–30 minutes. 5. Place meat on a cutting board and let rest for 10–15 minutes. After meat has cooled, slice against the grain. 6. Add to a large serving bowl, ladle vegetables and broth over top, and serve. DIRECTIONS

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INSIDE THIS ISSUE

1.

Why the World Needs 'Bring Your Dog to Work Day'!

2.

A Physical Rehab Revolution

3.

Achieving Health Goals With a Macro Focus

Not Your Mom’s Corned Beef and Cabbage

4.

How Creative Activities Promote Healthy Aging

Age Gracefully With Movement You Enjoy

NO GYM REQUIRED! By now, you’re probably tired of hearing about healthy aging. Every article says you should eat specific things and exercise regularly, but what if you’ve never enjoyed going to the gym or jogging? You’re probably not going to start running marathons, lifting weights, or joining a sports club at this point. It can make you wonder if other options exist to add more physical activity to your daily routine. The answer is yes. Instead of going to the gym or running through your neighborhood, you can find creative activities to provide extra movement to your day. Even better? You’ll improve your physical and mental agility. Here are two creative aging activities you can explore. Take the Stage Acting is an excellent activity for anyone to start, but it becomes even more beneficial to aging Americans. Through acting, you’ll notice improvements in your concentration and memorization. Depending on the play, you may be required to stay moving, which will benefit your physical health. Plus, you’ll get many opportunities to socialize with your castmates. Many local theaters actively look for aspiring actors to audition.

Bust a Move You may have fond memories of dancing in clubs, at weddings, or during special events, but the opportunities to boogie become rarer as we age. Thankfully, dance classes and studios love sharing the enjoyment of dance with people of all ages. Whether you like salsa, tap, waltz, swing, or some other type of dance, you can find a class or group ready to welcome you.

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