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Alpine
Physical Therapy & Wellness Center
P.C.
(APT) has therapists skilled in a variety of treatment techniques. These
techniques are used to reduce pain and improve function. The following are
brief descriptions:| . |
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FREE 15 Minute Injury Consultation Are you not sure what to do? TWO CONVENIENT LOCATIONS Call726-8503 now for an appointment! |
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Orthopedic injuries are those that involve the muscles, bones and joints. Together, these structures are known as the musculoskeletal system. Rehabilitation of musculoskeletal injuries such as sprains, strains, fractures, dislocations or surgeries may entail improving the amount of movement that is available to a joint (active and passive range of motion), improving the activation of muscles that help stabilize a joint, as well as stretching and strengthening the muscles to maintain a balance of strength and flexibility around a joint. By using appropriate stresses, scar and body tissues can be stimulated to heal in a way that allows for return to normal movement patterns without the risk of re-injury. |
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Rehabilitation after sport injuries is tailored to the particular needs of the sport. As the injured athlete regains range of motion and strength, an exercise program is developed to impose specific demands upon the injured or atrophied structures. Progression is directed at return of body structures to a healthy condition that will withstand a return to athletic activity. |
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A healthy back and neck require that all of the vertebral bones are aligned well and the joints between them are moving freely. Dysfunctions of the joints between the vertebrae or between the vertebrae and ribs may be corrected through mobilization, muscle energy techniques, or manipulation. Once alignment is achieved, proper function can be maintained by retraining specific muscles to stabilize appropriately with movement of the trunk or neck. |
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Joint mobilization is a manual technique used to improve joint motion and alignment. It is useful to relieve pain and stiffness, and improve the overall function of the joint. Joint mobilization can be used on spinal and extremity joints. |
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(a.k.a. Fascial Release or Fascial Mobilization) Fascial
Mobilization is a technique used to develop
a well-balanced, mobile and symmetrical body within the skeletal
and soft-tissue systems. The
fascial system consists of connective tissue sheaths that spread
throughout the body in a three-dimensional web. Because it is an
integral part of all anatomical structures, it plays a vital role in the
functioning of the body. Fascia is connective tissue and provides a
structural, protective and nutrition role in the support of the body Restrictions
within the fascial system can contribute to pain and decrease in
function. These restrictions can be caused by postural imbalances,
trauma, surgery, inflammation, abnormal tension and pressure. Used alone
or in conjunction with other therapies, fascial mobilization decreases
pain, increases joint motion, and restores balance to the
musculoskeletal system. |
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Muscle
Energy is a direct, manual therapy technique used to improve spinal
alignment, increase range of motion, normalize muscle tone and decrease
pain. Developed by osteopath Fred Mitchell, Sr., this hands-on technique
improves the biomechanics of the spine and extremity joints. The client
has full control with this type of adjustment. After specific
positioning, the client contracts a specific muscle to realign the joint
involved. This creates a muscle balance around the joint that helps to
maintain the alignment. |
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The
nervous system like the muscular system needs to be flexible and mobile
for normal movement. Injuries and surgeries affect the nervous systems
ability to “glide” properly throughout the body.
Neural mobilization is the technique used to restore the proper
pain free mobility of the nerves in the arms and legs. The therapist
guides the client’s extremity in a variety of very specific movement
patterns to allow the nerve to glide more freely. |
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Strain/Counterstrain
is a gentle therapy technique that uses positioning to decrease pain by
normalizing muscle tone and decreasing muscle spasm. This technique is effective in treating dysfunctions of the
cranium, spine, ribs, pelvis, sacrum and extremity joints. |
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LYMPH DRAINAGE THERAPY (LDT) |
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LDT is a very gentle technique that targets the lymph vessels and nodes to restore proper function and flow of the lymphatic system. The strokes applied are intended to stimulate the lymphatic fluids in order to assist the body in cleansing. Benefits of lymph drainage therapy include the reduction of swelling, pain, stress, fatigue, as well as decreasing sinus and allergy symptoms. The benefits of Lymph Drainage Therapy are numerous. It will:
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Craniosacral
therapy is a myofascial technique to normalize the mobility of the
deepest layers of connective tissue in the body. These connective
tissues surround the cranium, sacrum, spinal cord and nerves as they
exit the spine. CST is a gentle, light-touch method of evaluating and
improving the function of the nervous system in order to calm the
nervous system and decrease pain and stress symptoms from injury or
accident. Developed
by John E. Upledger, D.O., O.M.M, this technique encourages the body’s
natural healing mechanisms to improve the operation of the central
nervous system, minimize the negative effects of stress, enhance health,
and strengthen resistance to disease. CST is beneficial in the treatment
of acute pain, headache, back and neck pain and numbness and tingling in
the arms and legs. |
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PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION (PNF) |
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PNF
is a technique that is used for muscle re-education. Stimulation of
receptors in the skin and muscles are made by direct hand contact, quick
stretch and appropriate resistance. Spiral and diagonal patterns of
motion are used as these are normal patterns of movement. PNF can be
used to increase motion and strength and improve stability. |
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McCONNELL TAPING (Patellar Taping) |
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Mc Connell Taping is a method of managing patella-femoral pain (pain around the knee cap). It involves assessing the position of the patella both statically and dynamically to determine which components need to be corrected. Tape is then applied to improve the position of the patella. The taping stretches the soft tissues and improves normal patella-femoral alignment with functional activities. Strengthening and retraining of the inner quadriceps muscle (VMO) is also emphasized during treatment. |
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Therapeutic exercise covers a wide range of exercises targeting general strengthening, active range of motion, correction of muscle imbalances, joint stability, balance, coordination, and agility. We stress function and realize that returning an individual to their normal activities is a primary goal. We design exercise programs based on the needs expressed by the individual. Therapeutic exercise is one of the main rehabilitation tools used in restoring function and improving existing ability. Balance and agility exercises challenge the athlete wishing to return to the top of his/her sport. Our sports rehabilitation programs are based on the most current sports medicine and rehab techniques. |
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BODY MECHANICS EDUCATION |
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Many
injuries can be prevented by the use of good body mechanics.
By using proper body mechanics, the musculoskeletal system is
placed in its optimal alignment for the task at hand. Using proper body
mechanics can reduce abnormal joint stress, muscle strain, fatigue, and
reduce the risk of overuse/repetitive injuries. Body mechanics education
provides the client with the necessary tools to use their bodies in the
most efficient and effective manner. Good body mechanics are essential
in the prevention and treatments of back and neck pain. |
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Therapeutic functional activities are a major focus of all of the services offered at APT. Therapy programs are geared toward functional goals in work, home or recreation. We request specific information about daily activities such as physical lifting, endurance, and agility demands. We then simulate tasks as therapy exercises to progress the person back to their normal activities. An effective rehabilitation program results in improved performance in daily activities at home, work, leisure or sports activities. |
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Ergonomic
and worksite site assessment is a service to assist individuals and
businesses to achieve a “user-friendly” work environment and
maintain the health and productivity of the employee.
Intervention involves analysis of the work, the worker, and work
environment to make optimal changes to alleviate a painful condition,
prevent a repetitive motion condition, or improve the employees ability
to be productive and healthy. Businesses
utilize our expertise to instruct management and employees in back
protection, lifting techniques, prevention of repetitive motion
disorders, and structural recommendations regarding work areas.
This hands-on practical approach is superior to watching videos
or lecture only on correct techniques for injury prevention.
Insurance companies and businesses also use this service to
prepare an employee for return to work.
APT has group and individual programs available and will custom
tailor the program to meet an employee or a business' specific needs. |
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Hand therapy/splinting is a specialty area of rehabilitation due to the complexity and intricacies of hand function. APT coordinates with many of hand surgeons and hand clinics to provide this service locally and eliminate the need for frequent trips to Denver and the front range area. We have experience in post-op care of tendon repair, nerve grafts, fracture stabilization, etc. We also fabricate a variety of custom hand splints. Hand therapy also addresses repetitive motion disorders such as carpal tunnel syndrome, trigger finger, tendonitis, and tennis/golfers elbow. With these conditions we use manual and movement therapy techniques, as well as ergonomic interventions. |
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Plyometrics
is a type of sport-specific training that is used to develop explosive,
powerful muscle contractions. This form of exercise improves a muscles
ability to contract quickly and powerfully. When used in conjunction
with a progressive rehabilitation program, plyometric training is a
useful method of increasing joint stability and protection while
preparing the individual for returning to sports. |
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NEURODEVELOPMENTAL TECHNIQUE (NDT) Pediatric & Adult |
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NDT
is a therapy technique developed by Carl and Berta Bobath in the 1950's. It was originally developed to provide treatment to children
with Cerebral Palsy, but over the years has expanded to encompass a
broader range of conditions. NDT
is a movement and function oriented technique of inhibiting muscle
groups that cause abnormal muscle use and facilitating functional
movement patterns. NDT is
useful in the treatment of adults with neurological disorders and is
used in the treatment of infants and children who have developmental
delays. The
pediatric/NDT therapist is able to provide developmental assessment of
motor skills and work with the parent on home activities that will
enhance motor development. APT
offers both adult and pediatric certified NDT therapists. |
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Pregnancy is a time of tremendous hormonal and physical changes. We can assist you in learning appropriate pre and post partum exercises to meet your body’s changing needs. Learn to adapt your pre-partum exercises to safely strengthen your core muscles. After the birth of your child, return your abdominal muscles to the strength needed to safely return to your activities. |
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Child-bearing is a natural event, but it is a process that challenges even the most fit individual. Significant hormonal and physical changes lead to postural issues that can contribute to back and neck pain. Numbness, tingling or pain may occur in arms and legs due to compression of nerves from fluid retention. We can educate you and address all these issues in a safe, non-invasive manner. Working together, we can help you enjoy this time of your life. |
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INCONTINENCE PROGRAM |
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80%
of those with urinary incontinence can be cured or improved.
Weak pelvic floor muscles cannot produce or sustain a contraction
to inhibit the flow of urine and an incontinent episode can occur.
An alignment problem in the pelvis or spine can also contribute
to a muscle imbalance in the pelvic floor muscles. Physical Therapy and Feldenkrais® techniques can be very successful in restoring the normal tone, strength and endurance of the pelvic floor muscles through the use of neuromuscular reeducation, biofeedback, joint mobilization/adjustments, soft tissue work, relaxation techniques, postural training, etc. Other important issues to address include diet, bladder and bowel voiding habits, hormonal and behavioral issues and medical conditions. If
you are one that knows where all the bathrooms are in Grand County or on
the way to Denver, go to the bathroom "just in case", avoid
sports or social activities, or leak a little when you sneeze, contact
Alpine Physical Therapy & Wellness Center, PC! |
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Electrical
stimulation utilizes an electric current through a surface (skin)
electrode to elicit a muscle contraction. It is used in the treatment of
neuromuscular and musculoskeletal problems to increase joint motion and
strength. It is also used for muscle re-education and to increase muscle
function after injury or surgery. |
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Iontophoresis is a treatment technique that uses an electric current to deliver an anti-inflammatory medication through an electrode placed on the skin into a specific area of the body. The medication acts to decrease inflammation and pain from arthritis, tendonitis, and bursitis. It can also be used to decrease calcification as with bone spurs. Iontophoresis is an alternative to more invasive cortisone injections. |
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NMT is a form of pressure therapy, which has its origins in the oriental healing arts of Shiatsu and Acupressure. It is a very specific hands-on deep tissue therapy for the reduction and/or elimination of chronic soft-tissue pain. With the integrative approach, NMT is brought into a more compassionate mode by utilizing massage, moist heat and herbal liniments to prepare the tissue before penetrating into the deeper layers with tools called t-bars. This makes the treatments more effective and becomes a corrective therapy as well as one of the best preventative medicines. |
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Horstmann
Technique is a bodywork therapy consisting of Iliosacral Release, Arm
and Shoulder Release and Foot Release processes, developed in the mid
1990’s by Australian Natural Therapist Trish Trowbridge. Horstmann was
Trish’s birth name. After some twenty years of practicing a variety of
natural therapies, she discovered and clinically tested the Horstmann
Technique. The
various release techniques involve holding specific points on a
person’s clothed body while gently maneuvering the legs or arms. For
the majority of people, this results in increased joint and muscle
flexibility as well as reduction in physical or structural problems.
Some experience release of problematic emotional patterns. This
therapy can loosen tight muscles, remove physical and energetic
blockages, and leave you feeling relaxed. The Horstmann Technique uses
movement and passive stretching to improve circulation, freedom of
movement, and range of motion. Christina
Russell is a Certified Horstmann Practitioner at Alpine Physical Therapy
& Wellness Center, PC. |
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A massage technique that includes stroking, kneading, tapping, compression, vibration, rocking, friction and pressure. |
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Uses the above strokes with more pressure to access deeper specific structures. The strokes are done to the tolerance of the client. |
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Massage during pregnancy not only makes a woman feel pampered, but offers undeniable physical benefits as well. Massage can relieve fatigue, enhance sleep and calm an active baby. Reflexology, Swedish, and passive stretching may be incorporated into your treatment session. Massage during the weeks after delivery helps to restore muscle tone in the abdomen and reposition the pelvis. |
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Acupressure is an ancient healing art that uses the fingers to press key points on the surface of the skin to stimulate the body’s natural self-curative abilities. This technique has been used in Chinese medicine for over 5000 years. Besides relieving pain, acupressure can help rebalance the body by dissolving tensions and stresses that keep it from functioning smoothly and that inhibit the immune system. Acupressure enables the body to adapt to environmental changes and resist illness. |
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Reflexology is a technique of applying pressure to the feet with specific thumb, finger, and hand placements. It is a method for activating the healing powers of the body. Reflexology is an art and a science that deals with the principle that there are reflex areas in the hands, feet and ears that correspond to all internal organs, muscles, glands and all parts of the body. Benefits can include reduced stress and muscle tension, deep relaxation, improved circulation, elimination of toxins and impurities and balancing the whole system. |
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This is an energy based therapeutic approach to healing. Healing touch uses touch (on or off the body) to influence the energy system thus affecting physical, emotional and mental health and healing. Bodywork can also include non-forceful passive or active movement. The application of techniques is intended to affect the energetic systems of the body and movement re-education. Sessions use and integrative approach and are personalized to each person. |
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They are regenerating and oxygenating immune defense properties of plants. The oils are used in conjunction with massage and are dripped on various areas of the body such as the spine. Clinical research shows that essential oils have the highest frequency of any substance known to man creating an environment in which disease, bacteria viruses and fungus cannot live. Raindrop therapy is when a combination of oils are used along the spine. Raindrop Therapy is a full body massage incorporating 9 different essential oils. The oils have a theraputic effect including oxygenation of cells, detoxification, and they are powerful antioxidants. |
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PILATES (pronounced Pih-láh-tees) |
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Pilates began as a fitness and conditioning program developed by Joseph H. Pilates over 70 years ago. The method is now also used in the rehab community, initially to rehab dancer's injuries, and now with all types of injuries. The six principles of: concentration, balance, centering, strengthening, elongation, and breathing are utilized as one learns to use only the necessary muscle groups, while strengthening the "powerhouse" of the back and abdominal area. Pilates is taught in two different formats, group or individual. The mat exercise format is usually done in a group setting. Individual sessions are often performed on special Pilates equipment. The exercises begin with the use of breathing and abdominal exercises and progress in difficulty to place increasingly more challenge on core stability as the individual is ready to progress. Pilates has recently gained in popularity due to the recognition for a need in core strength and stability. |
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THE FELDENKRAIS METHOD® |
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GOLF PERFORMANCE AND GOLF REHAB |
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Golf is one of the most complicated games to play well and is also one of the most complicated movements to perform without developing pain from repetitive use or improper biomechanics. A golfer should have the following physical fundamentals: proper postural alignment, full range of motion of multiple joints within the body, good body control, good strength of the core stabilizers, good balance and coordination. Individualized flexibility, balance and coordination programs are developed to enhance your golf swing. People with back, neck, or shoulder pain or stiffness problems will benefit and enjoy a more fluid golf swing. Golf Rehab Program:This program is for those golfers who are currently in pain. You will be assessed by a physical therapist, who will perform a pre-swing postural screen and a swing assessment. This assessment will determine your treatment. Treatment may include soft tissue and joint mobilizations, posture re-education, pain modification, impairment-specific strengthening and conditioning, golf-specific conditioning, return-to-game activities and biomechanical swing corrections. Golf Performance Program:This program is for golfers who are not in pain. You will be assessed to determine the areas where you would benefit most from our program. The program includes an assessment by a physical therapist, golf-specific strengthening and conditioning (either in a class setting or a one on one setting), soft tissue and/or joint mobilization and biomechanical swing corrections. |
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People of all athletic levels can use our injury prevention programs. Because the body is essentially made up of continuous links, it can be injury prone if one of these links is not working properly. We will perform an assessment to see where the weak links are and work with you to ensure a strong well-balanced body. |
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PERSONAL FITNESS TRAINING |
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There
are many reasons for getting and staying fit.
Combine these with the knowledge and motivation from a personal
trainer and you are sure to succeed.
Get fit for life….We dare you!! |
Bike
fitting is geared to both the recreational and competitive rider who is
interested in a more comfortable and efficient ride. It also benefits
those suffering from injuries that would like to use bike riding as a
part of their rehabilitation. Bike fitting involves taking a personal
history of injury, riding style, riding concerns, and riding goals.
The
Feldenkrais method is a movement and self-awareness method. Through
unique neuromuscular re-education you can break habits of muscular
tension and move with comfort and ease. Functional mobility of an
injured part gets better by improving patterns of movement in the whole
body. Some of the benefits are: injury prevention, decrease in pain and
stiffness, stress reduction, enhanced athletic and artistic performance,
improved flexibility, coordination and balance. Two formats are used.
One is Functional Integration (FI), a gentle hands-on individual session
enabling you to become more aware of your habit patterns so you can
change them. Awareness Through Movement (ATM) is a group format
consisting of interesting and gentle verbally guided movement sequences
done at your own pace. The methods have up to 7000 different movement
lessons to assist you in making these changes.
Our sports
performance programs are geared towards both recreational and high level
athletes. We will assess your sport’s demand and then assess your body to
evaluate where your needs are. We can address those needs wither in a
class setting or in a one on one setting.
Personal
fitness training involves meeting with a Certified Personal Trainer to
design an innovative, safe, and effective exercise program for home or
the gym.