PhysioWerkz For Everyone

Providing effective solutions through education and the promotion of self-management of health and wellbeing.
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Adding some humour to your day..

Patient: Physio, I have pain in my neck, do you know why?
Physio: Yes, look at this picture, and you know why!



Mechanisms of Bone Injury


An illustration of the heart valves from above

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Interesting read…


Q & A with Raul Coimbra: Treating Trauma as a Disease

Trauma. The word itself invokes images of an emergency: a car accident, heart attack, or bad fall. Something that cannot be anticipated but requires immediate action.

However, many causes of trauma can be prevented, and therefore fit the criteria for disease, according to Raul Coimbra, MD, PhD, chief of Trauma, Surgical Care, and Burns for UC San Health System and co-director of the Injury Epidemiology, Prevention and Research Center. We’ve asked Coimbra several questions about how people can prevent trauma and why trauma needs to be treated as a preventable disease.

Question: It’s trauma awareness month – why is it important for the community to recognize this and understand their role in prevention?

Answer: Trauma is a disease that kills more people between one and 45 years of age than any other disease in the world. In addition, trauma leads to more years of life lost than any other disease, including cardiovascular diseases and cancer. Productive individuals are being taken away from their families, their jobs, and their environment because of injuries. Many die, and for every death, six individuals will be forever disabled. However, this is a completely preventable disease. The public has a responsibility in preventing injuries, as in most circumstances, it is human behavior that leads to injury.

Q: What are some simple prevention tips people can implement in their homes, yards, etc. that could save them a trip to the trauma center or even their lives?

A: For children at home, the most frequent causes of injury are drowning and burns. Therefore, the use of fences with alarms around swimming pools and constantly watching kids in the kitchen so they cannot reach out to frying pans or boiling liquids on the stove is very important. For the adult population, drinking and driving is a very common cause of injury. Avoiding driving after drinking, finding a designated driver, or catching a cab would be examples of preventive strategies. In the elderly population, securing rugs and furniture on the floor, as an example, will decrease the risk of injury at home. For all ages, wearing a seat belt while driving is key.

Q: Most people don’t think of trauma as a disease. Please explain this philosophy.

A: Trauma is a disease like any other. We know how to define it, we know how to treat it, and more importantly, we know how to prevent it, therefore, it is a disease like any other. Unfortunately, the public’s perception is that trauma is an accident that only happens to somebody else, but that is not the case.

Q: San Diego’s trauma system is used as a model worldwide. What makes it successful and what are your goals for future trauma systems?

A: San Diego has one of the most organized trauma systems in the world. The commitment of six trauma centers and the county EMS has been the same for the last 28 years. This is a model trauma system, and I would go even further to say that our system is a model for regionalized care applicable to any disease. Competing healthcare systems work together, in a very collegial way, to provide the best care possible to trauma patients. As a result, the San Diego trauma system has one of the lowest preventable death rates in the world. In our system, we do not compete with each other; we work together on behalf of the injured patient.

The trauma program at UCSD has provided guidance and help to many other systems in the world, and we plan to continue with those activities. We have received healthcare providers from several countries who spend three weeks with us learning the intricacies of the system and how to build an effective trauma center. This international outreach is very important in disseminating the concept of trauma as a disease. Just as an example, in August 2012, we will be presiding the first World Trauma Congress in Rio de Janeiro, Brazil, where we will be discussing a global agenda for trauma care, particularly focusing in middle and low income countries, where trauma is the most important health care problem.

Coimbra discussing state-wide trauma system

Did you know?

Baby’s bony body

Newborns are a bundle of bones – more than 300 to be more precise. Over time, many of these bones fuse together. One obvious example: The 44 original, separate components of the skull, whose loose confederation allows a newborn’s head to more easily pass through the birth canal and to accommodate dramatic brain and head growth during in the first year of life outside the womb. Generally, an infant’s skull fuses together by age two to provide better protection of the brain.

Overall, the total number of bones in the body is reduced to 206 by the time humans reach adulthood.

Above is a human fetus visualized in the third trimester of pregnancy using a computed tomographic scan and volume rendering software. Courtesy of Philipp Gunz and Jean-Jacques Hublin at the Max Planck Institute for Evolutionary Anthropology in Germany.

Courtesy of ucsdhealthsciences

Physiotherapy has existed since the time of Hipprocates and later Galenus, which is believed to have been the first practitioners of physical therapy, advocating massage and manual therapy techniques as well as hydrotherapy as treatment.

Offen referred to as movement specialists, physio’s are trained to assess and treat a variety of conditions that affect the physical function of adults and children.

According to Medilexicon’s medical dictionary, physical therapy is:

The profession concerned with promotion of health, with prevention of physical disabilities, with evaluation and rehabilitation of persons disabled by pain, disease, or injury, and with treatment by physical therapeutic measures as opposed to medical, surgical, or radiologic measures 

Working in various fields of medical practice such as orthopedics, neurology, cardiorepiratory etc. A physical therapist seeks to identify and maximize quality of life and movement potential through prevention, intervention (treatment), promotion, habilitation, and rehabilitation. 

There’s a saying that goes, ” Physicians add years to your life, while Physiotherapists add life to your years.

This is so interesting..


How Genes Organize the Surface of the Brain

The first atlas of the surface of the human brain based upon genetic information has been produced by a national team of scientists, led by researchers at the University of California, San Diego School of Medicine and the VA San Diego Healthcare System. The work is published in the March 30 issue of the journal Science.

The atlas reveals that the cerebral cortex – the sheet of neural tissue enveloping the brain – is roughly divided into genetic divisions that differ from other brain maps based on physiology or function. The genetic atlas provides scientists with a new tool for studying and explaining how the brain works, particularly the involvement of genes.

“Genetics are important to understanding all kinds of biological phenomena,” said William S. Kremen, PhD, professor of psychiatry at the UC San Diego School of Medicine and co-senior author with Anders M. Dale, PhD, professor of radiology, neurosciences, and psychiatry, also at the UC San Diego School of Medicine.

According to Chi-Hua Chen, PhD, first author and a postdoctoral fellow in the UC San Diego Department of Psychiatry, “If we can understand the genetic underpinnings of the brain, we can get a better idea of how it develops and works, information we can then use to ultimately improve treatments for diseases and disorders.”

The human cerebral cortex, characterized by distinctive twisting folds and fissures called sulci, is just 0.08 to 0.16 inches thick, but contains multiple layers of interconnected neurons with key roles in memory, attention, language, cognition and consciousness.

Other atlases have mapped the brain by cytoarchitecture – differences in tissues or function. The new map is based entirely upon genetic information derived from magnetic resonance imaging (MRI) of 406 adult twins participating in the Vietnam Era Twin Registry (VETSA), an ongoing longitudinal study of cognitive aging supported in part by grants from the National Institutes of Health (NIH). It follows a related study published last year by Kremen, Dale and colleagues that affirmed the human cortical regionalization is similar to and consistent with patterns found in other mammals, evidence of a common conservation mechanism in evolution. 

More here