Check out our March newsletter!
MARCH 2025
6358 EDGEMERE BLVD. EL PASO, TEXAS 79925 915-562-8525
11855 PHYSICIANS DR. EL PASO, TEXAS 79936 915-855-6466
Your Brain Is Your Most Valuable Asset Helping Athletes and Everyday Individuals Recover From Concussions
sudden personality changes . A common myth is that someone with a concussion should never go to sleep, but in reality, rest can be beneficial as long as they are awake and responsive before drifting off. However, if symptoms worsen — like dilated pupils, difficulty walking, or persistent vomiting — it’s time to seek emergency medical care. Rehabilitation is essential for athletes to get back to their sport safely. It’s not just about waiting it out; the brain needs time to rewire itself, and therapy can help it recover the right way. In our clinic, we focus on desensitization, balance training, and neuromotor exercises to restore coordination and stability. It might seem like small things — standing on one foot with eyes closed, following visual cues — but these exercises retrain the brain to function normally again. More importantly, we teach how to move in ways that reduce the risk of future injury so an athlete doesn’t step back onto the field unprepared. But it’s not just athletes who need to be aware of concussions. Falls, workplace accidents, and even minor car collisions are all leading causes of TBIs. These everyday scenarios can lead to severe brain injuries that often go unnoticed. Headaches, blurred vision, or unexplained nausea might
March is Traumatic Brain Injury (TBI) Awareness Month, and with the warmer days ahead, it’s likely more young athletes will hit the field and face countless risks that could result in a concussion. Concussions, or mild TBIs, are some of the most overlooked injuries, but they can have long-lasting effects on underdeveloped brains if not properly recognized and treated. I see the impact of these injuries firsthand, not only with young athletes trying to get back in the game but even with adults after a seemingly minor fall. This season, we need to be more cautious than ever. Every year in the U.S., between 1 and 3 million sports-related concussions occur, and that’s just a fraction of the total number of TBIs. The truth is that kids playing sports are at high risk, not just because of the game’s physical nature but because their brains are still developing. Unlike a bruised knee or a sprained ankle that young people can heal quickly from, a concussion can disrupt cognitive function, balance, and even emotional regulation for months, sometimes years. The problem is that many concussions go unnoticed because their symptoms are subtle at first. Parents and coaches must be extra vigilant — watching for slurred speech, dizziness, confusion, or
not seem like a big deal at first, but they could be warning signs of something more serious. Identifying a brain injury early is key to preventing long-term complications. Even though TBI Awareness Month is in March, we should all be thinking about it year-round. If you or someone you know has taken a hit to the head, don’t ignore the signs. Pay close attention to athletes after a collision, check in on loved ones who have fallen, and be aware of your own symptoms after a minor accident. Your brain controls everything you do — protecting it should always be a priority. And if an injury does happen, our team is ready to help you recover, regain strength, and return to the activities you love. If you have questions about concussion rehabilitation, reach out. The sooner you take action, the better the outcome. Your brain deserves nothing less.
Do you know a friend in need of PT? Have them call our office! If they mention our newsletter, they’ll score a FREE 15-minute consultation. They can call 915-562-8525 for the Edgemere Boulevard clinic or 915-855-6466 for the Physician’s Drive clinic.
–John Moreno PT, DPT, Cert. MDT
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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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915-562-8525 | www.SpineRehab.net 6358 Edgemere Blvd. El Paso, Texas 79925
INSIDE THIS ISSUE
1.
How to Spot and Treat Brain Injuries
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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