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  • Home
  • Approaches
    • Aquatic Therapy
    • CoreAlign®
    • IASTM
    • Functional Dry Needling
    • Pilates-based rehabilitation
    • PRRT™
    • Rehabilitative Ultrasound Imaging
    • Work Injury Management
  • Programs
    • Bike fitting
    • Bone Health
    • Dance Medicine
    • Lymphedema Management
    • Oncology Rehabilitation
    • Pain Science
    • Pelvic Health
    • Post-Operative Rehabilitation
    • Spine Rehabilitation
    • Sports Rehabilitation
    • The 4th Trimester program
    • Vestibular & Balance
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      • Jeff Soulia
      • Jessica Kehoe
      • Jocee Long
      • Kristi Moore
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9/18/2017 0 Comments

Lymphedema Management Program

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Cancer treatment is the leading cause of lymphedema (limb swelling) in the United States.
Alpine Physical Therapy's Lymphedema Management Program is helping survivors better manage their risk by providing the gold standard treatment of Complete Decongestive Therapy (CDT).
 
There are two phases of Complete Decongestive Therapy (CDT):
Phase 1: Intensive CDT
Phase 1 CDT focus is moving lymph fluid out of the arm, hand, or other part of the limb to reduce swelling and other symptoms of lymphedema.
  1. Manual lymph drainage (MLD): a gentle, directed massage technique used to move the fluid back to the heart.
  2. Compression bandaging: the patient is bandaged with non-elastic wraps to further reduce the size of the limb and to prevent the fluid from returning. This wrapping is tailored to meet each patient’s needs.  ​
  3. Exercise: exercises are carried out while wearing wraps to encourage the activity of the nearby muscles to move fluid back to the heart.   
Phase 2: Maintenance CDT
Phase 2 CDT focus is maintaining the results of Phase 1 on your own.
  1. Compression sleeves and garments: the patient is fitted for compression garments and taught how to care for them properly.
  2. Self-care: the patient is taught how to protect the affected limb, how to perform self- MLD, and how to properly use compression garments to reduce their risk of future lymphedema flare-ups.  
  3. Exercise: Alpine designs an exercise plan for the patient for at home practice for continued health and well-being.  
If you have any feelings of heaviness in your limbs or swelling in any body part that is not controlled by water pills, follow up with our specialist today.
 
To learn more about CDT we invite you to stop by for a free 15-minute consultation. Antara Quiñones can be reached at Alpine’s North Clinic (406-541-2606) or click here for a full description of Alpine Physical Therapy's Lymphedema Management Program.
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10/20/2015 0 Comments

Alpine Physical Therapy Announces our New Oncology Program - by brent dodge

We’d like to announce the Oncology Rehab Program at Alpine Physical Therapy. Our team, which includes Josie Sweeney, DPT, Antara Quinones DPT, CLT-LANA, and Jessica Kehoe DPT, want to bring to everyone’s attention that October is National Breast Cancer Awareness month.  We will surely all see lots of pink stuff this month in sports and in the news honoring this month, but we really want to remind everyone that the reason for all this media is to encourage early detection. 

Statistics show that nearly 1 in 8 women will be diagnosed with breast cancer in her lifetime.  Early detection is the BEST way to beat this disease, and both the 5 year and long term survival rates drastically improve with early detection.

We encourage all women to talk about early detection with their friends and family.  If you are a woman aged 40-49 talk to your doctor about when and how often to begin getting mammograms.  If you have had a close family member with breast or ovarian cancer you are at a slightly greater risk, so no matter your age, be sure to talk to your doctor about your options for early detection.  Join us in vowing to start, or get back to, your early detection plan.

We’d like to share some great resources to help you.

The American Cancer Society (early detection).

The National Breast Cancer Foundation (early detection).

The National Cancer Institute (risk calculator).

The Oncology Rehab Team at Alpine Physical Therapy is now providing Missoula and surrounding communities with the following services:
  • Rehabilitation from surgeries, radiation, and chemotherapies
  • Certified Lymphedema Therapist
  • Certified Cancer Specialist
  • Expert swelling prevention, reduction and management
  • Compression garment fitting
​
For more information, be sure to visit our Oncology Rehabilitation webpage.
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2/21/2015 0 Comments

Fit To Fight Offers Free Exercise Resources to Cancer Patients and Survivors - by brent dodge

Missoula has always had an active community. Active is the key word! Exercise can help fight depression, regain strength, and combat fatigue. Exercise is the best medicine. There is no population that understands this more than cancer patients and survivors.
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FIT TO FIGHT is here to help

Medical studies prove that exercise helps minimize the detrimental side-effects of cancer treatment, aiding in the return to a better quality of life. This unique program is based on education, health, and fitness to empower those fighting cancer to understand how to become stronger and maintain strength. FIT TO FIGHT helps cancer survivors re-establish trust in their bodies and return to daily life as productive members of their community.

Program Format
The FIT TO FIGHT program runs three 8-week sessions per year, twice weekly. The format is a small organized group exercise session, with individual tailoring. Each session consists of stretching, breathing & relaxation, resistive strengthening, and endurance training. Each class of the session was developed by a licensed physical therapist and is led by an exercise physiologist.

Who can participate in the program?
FTF is open to cancer patients and survivors of any age, gender, cancer diagnosis, and stage in the treatment process. A medical release is required from their doctor.

How much does it cost?
The program is free of cost to all participants. Donations go directly to the FIT TO FIGHT program and its participants.

Upcoming Sessions
Winter Session Beginning Feb. 24th, 2015

Spring Session Beginning April, 2015

For applications, to donate, or for additional information, visit our website www.FitToFightMT.org by clicking here.
​

Or contact Emily at 406-750-0943 or by email at:  emily.fittofightmt@gmail.com.
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6/12/2014 0 Comments

Local Collaborative Study Yields Positive Benefits of Exercise in Those Fighting Cancer - By Brent Dodge

“Fit To Fight and UM PT researchers demonstrate the benefits of exercise for quality of life for those fighting cancer. This spring the UM Physical Therapy School led an introductory study on analyzing the outcomes and benefits from an organized exercise program for cancer fighters. The study concluded that ‘Subjects with cancer and cancer survivors demonstrated significant improvement in sit-to-stand and in the number of days that they report feeling healthy’.”

Help The PEAK Health and Wellness Center and Alpine Physical Therapy support this great non-profit by donating to www.FitToFightMT.org today!

++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Abstract Proof
CONTROL ID: 2019899
TITLE: ASSESSING OUTCOME MEASURES AND OUTCOMES OF AN EXERCISE PROGRAM FOR CANCER SURVIVORS: A PILOT STUDY.
PRESENTATION TYPE: Poster
CURRENT SECTION: Oncology

Author Details
AUTHORS (LAST NAME, FIRST NAME): Ikeda, Elizabeth R.1; Sweeney, Josie1; Schmidt, Samantha S.2
INSTITUTIONS (ALL): 1. School of Physical Therapy and Rehabilitation Science, Univ Montana, Missoula, MT, United States.
2. Alpine Physical Therapy, Missoula, MT, United States.

Abstract

ABSTRACT BODY:
Purpose/Hypothesis : Cancer and cancer treatment can adversely affect physical and emotional well-being. There is some evidence that exercise may be beneficial in improving function, strength, and longevity in patients with cancer. Purposes of this study were to: 1) Assess participants’ outcomes in exercise tolerance, strength, balance, function, and quality of life after an eight week program and 2) determine the appropriateness of chosen outcome measures.

Number of Subjects : The subjects were 5 women and 2 men, mean age 58.14 years, who had active cancer, ongoing treatment for cancer, or had completed treatment for cancer.

Materials/Methods : Pre and post testing consisted of; the modified Naughton treadmill test, the four stage balance test, a timed sit to stand test (STS), the CDC Health Quality of Life test (HQOL), and the Outpatient Physical Therapy Improvement in Movement Assessment Log (OPTIMAL). Examiners and exercise leaders were physical therapists, exercise physiologists, physical therapy students and exercise physiology students and were educated in the administration of the tests. The eight week program met twice weekly with group and individualized training consisting of stretching, relaxation, resistive exercise and endurance exercise. Subjects were given a membership to a local athletic club to encourage exercise between sessions.

Results : The subjects attended an average of 12 sessions (range of 8-15). There were no adverse effects of testing or exercise reported by the subjects or staff. Ordinal level data was analyzed by Repeated Measures ANOVA and the Wilcoxon Signed-Ranks Test was used for nominal level data. There was a significant improvement in sit-to-stand (p=.028). There was a significant difference in the HQOL Symptom Module question 5; “During the last 30 days, for about how many days have you felt VERY HEALTHYAND FULL OF ENERGY?”, (p=.004) Pre-test average for question 5 was 5.3 days and post program average was 18.7 days. Six of the seven subjects improved in the Modified Naughton test. All subjects improved in most items in the OPTIMAL and HQOL tests. At the pre-test, all subjects were able to complete the 4 stage balance test without difficulty so an alternative post-test was conducted and this data was not analyzed.

Conclusions : Subjects with cancer and cancer survivors demonstrated significant improvement in sit-to-stand and in the number of days that they report feeling healthy. In this preliminary data, improvements were seen in all tests. Additional subjects will be recruited from this program that is scheduled three times per year. Outcome measures were satisfactory with the exception of the balance test, thus a different measure will be used in future testing.

Clinical Relevance : After an eight week exercise program, all subjects, including one terminally ill subject, more than doubled the number of days that they report feeling “very healthy and full of energy”. In addition to physical outcome measures, quality of life measures are important to attain a comprehensive assessment in this population.
​
KEYWORDS: cancer, exercise, quality of life.
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    Author

    Brent Dodge is the founding owner of Alpine Physical Therapy and is a board certified orthopedic specialist. He holds additional certifications in Functional Dry Needling, Manual Physical Therapy, and Strength and Conditioning.

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