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Boyd Earns Credential as an Expert in Upper Quarter Rehabilitation People
value the use of their hands; therefore, any loss of function
through injury or disease can devastate lives.
The Certified Hand Therapist (CHT) credential offers
assurance to the public that the therapist treating them has
achieved the highest recognition of competency in the profession
of upper quarter therapy. Brain
Boyd of TOP Rehab Services in Tullahoma, TN has earned the
distinguished CHT designation after completing all required
examinations and clinical studies in November 2006. The
Hand Therapy Certiication Commission, Inc., (HTCC), the only
organization granting hand therapy certification in the U.S.,
Canada, Great Britain, Ireland, Australia, and New Zealand, is
proud to announce that Brian Boyd has met all requirements set
forth by the Commission. These
requirements include at least five years of clinical experience as
an occupational therapist, a minimum of 4,000 hours in direct
practice in hand therapy, and successful completion of advanced
clinical skills and theory in upper quarter rehabilitation.
There are approximately 4500 individuals worldwide hold
this marked designation. According
to Dr. Roy Meals, a hand surgeon at UCLA, many physicians direct
patients to CHT to ensure good results after hand surgery.
Dr. Meals says, “Treatment of most hand conditions
require modulation of scar tissue.
The good news is that scar sticks tissue together; the bad
news is that scar sticks tissue together.
The hand is such a compact structure that the margin
between good and bad many only be the thickness of a few collagen
fibers. The only way
for a surgeon to look good in this scenario is to enlist a CHT to
oversee the modulation. CHTs
are entirely familiar with the diseases and injuries that I treat.
CHTs efficiently and effectively manage my patients’ hand
rehabilitation.” Brian
obtained his degree in Occupational Therapy at the University of
Alabama- Birmingham. He
did his clinical training in upper extremity rehabilitation at
Siskin Rehab Hospital and Erlanger Regional Trauma Center in
Chattanooga, Tennessee and HealthSouth Hand Clinic in Huntsville,
Alabama. Brian came
to TOP Rehab with several years of clinical experience in upper
extremity rehabilitation after relocating to the area from
Lawrenceburg, Tennessee.
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EXCITING
NEW STAFF AND NEW PRICES TOP Fitness is proud and excited to welcome their new Fitness Director, Will Hyden. Hyden grew up in Franklin, TN and graduated from Franklin High School in 1999. He continued his education at the University of Memphis, graduating with a Bachelor of Business Administration, Management and a minor in Marketing Management. During his four years at U of M, Hyden played football for the Tigers. One might ask what brought Hyden to our neck of the woods. Brother-in-law Heath McCullough, who works for TOP Rehab as the ATC (athletic trainer) for Tullahoma High School, had a helping hand in the matter. McCullough and his family are so happy in this area they encouraged Hyden and family to move here. After successful convincing, Hyden relocated from Birmingham, AL with wife Heather and 15-month-old son William to Decherd, TN. Starting as Fitness Director in May 2009, Hyden has settled into the area and into the TOP Fitness family as well. Hyden has also involved himself in the community by accepting the position as Assistant Football Coach of Tullahoma High School. Hyden is the varsity linebackers and freshman defense coach. Also joining the TOP Fitness team is marketing coordinator Julie Cardwell. After growing up in Tullahoma and graduating from Tullahoma High School in 2005, Cardwell embarked to Big Orange Country for four years, also commonly known as the University of Tennessee, Knoxville. She graduated in May 2009 with a Bachelor of Communication, Communication Studies and a minor in Journalism and Electronic Media. In addition to her education, she has worked in marketing, management and sales as well. Cardwell has a passion for fitness having taught gymnastics for seven years in Tullahoma and Knoxville combined. She was also a University of Tennessee Cheerleader for football, men and women’s basketball and women’s volleyball. One of Cardwell’s most exciting memories of UT was cheering at the lady vols final four when they won their seventh championship. Cardwell stated, “I am very excited to inform the community about everything TOP Fitness has to offer. We want to get the message out that TOP Fitness is a place for all generations!” TOP Fitness is proud to announce they have all new low prices! They have memberships for individuals, families and aerobics. Individual and Family memberships are all inclusive: all aerobics classes, tanning beds and personalized fitness. For those who just need a gorgeous glow for the fall months ahead, TOP offers tanning visits and memberships as well. TOP is staffed all hours of operation to guarantee personalized fitness. For those who want the push to go the extra mile, personal training is offered as well. For the hard working parents, TOP can accommodate you as well. Not only does TOP have childcare offered in a morning and night shift, there are now new aerobics classes offered at night for those whom work during the day. Our new aerobics schedule includes classes in zumba, step sculpt, yoga, power yoga, yoga/pilates, beginner hula hoop, advanced hula hoop, silver sneakers, 20/20/20, abs, circuit, kickboxing, low impact and power sculpt. Zumba is a cardio Latin dance class. It is fun and easy to follow for any age. Angel Stidham and Karrah Walker teach Zumba classes. Step Sculpt uses a step as a tool for resistance training. It is taught by DeeDee Allen. Power Sculpt uses resistance bands, balls and weights for site specific body sculpting and is taught by DeeDee Allen. Yoga is a series of postures and breathing exercises practiced to achieve control of the body and mind, and tranquility. Yoga is offered several times during the week and is taught by Suzanne Banks, Cara Chadwick and Karrah Walker. Power yoga is a more advanced yoga. It entices holding posses longer, more cardio, movements in and out of poses, more core work and has a zinyasna flow. It is taught by Cara Chadwick. Yoga/pilates is a combination of yoga and pilates. Pilates is a method of physical and mental exercise involving stretches and breathing that focus on strengthening the abdominal core. It is taught by Karrah Walker. Beginner hula-hoop focuses on the abdominal core. Andrea Mason teaches beginner and advanced hula-hoop. Advanced hula-hoop works outer areas as well as the abdominal core. Silver Sneakers is geared towards senior adults. Have fun and move to the music through a variety of exercises designed to increase muscular strength and range of movement to improve quality of life. Hand-held weights, elastic tubing with handles, and a ball are offered for resistance; and a chair is used for seated and/or standing support. Silver sneakers is taught by Karrah Walker. 20/20/20 is taught by Stacey Butcher and is twenty minutes of kickboxing, twenty minutes of abs and twenty minutes of sculpting. This is a variety of aerobics classes all wrapped into one. Circuit is an interval aerobics class made up of high intensity cardio intervals followed by low intensity strength building. This class is designed for maximum weight loss. Angel Stidham teaches circuit. Kickboxing is a high intensity class with kicks and punches. It is based on the Billy Blanks Tae Bo work out and is taught by DeeDee Allen. Low impact is a low intensity weight bearing (one foot on the floor) form of exercise that uses an eight-count combination to create a fun dance-like routine. Suzanne Banks teaches low impact. If there are any questions about aerobics classes call TOP Fitness at 393-0406. TOP Fitness Director Will Hyden and the whole TOP Fitness family invite everyone to TOP for personalized fitness. Call and make an appointment to see the facilities or simply stop by. TOP is open Monday through Thursday 5 AM – 9 PM, Friday 5 AM – 8 PM, Saturday and Sunday 8 AM – 4 PM.
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When to Use Hot or Cold?
Something like this has probably happened to you in the
past. You get a call from your best friend, and he asks for your
help moving a “few” boxes out of his garage to make room for
his brand new deep freezer.
“Sure,” you say.
After all, a friend in need is a friend… who you may
need to help you one
day. You go to his
house, and he opens the garage door.
As it rises, you feel as though you’re looking into the
back of a double-wide Fed-Ex truck, the week before Christmas,
prior to the first delivery.
Quickly you realize that a “few,” is more like a few
hundred. But, you
are not easily discouraged. You begin the day energized, and for
some reason, actually looking forward to conquering this
mountain of cardboard. In
any case, you could use the exercise, since you haven’t
exactly been faithful with working out 4 days a week.
The task begins smoothly.
Around lunch time, you feel pretty good.
But, by five o’clock your muscles are aching, your feet
hurt, and you realize the boxes that you were lifting at nine
o’clock this morning were on top, because they were light.
Now you are lifting the boxes full of books; books with
paper constructed of lead.
Finally, you are carrying out the last box.
After the work he invites you into his home for some
fresh iced tea. Your
legs are so sore that you’re barely able to maneuver yourself
up the three stairs into his kitchen.
“Wow, that was some job,” you say as your eyes are
scanning the room for the nearest place to sit.
“Yeah,” says your friend, “it’s a good thing all
we have left is to move the freezer into the garage, I don’t
think I could do any more.” Coping
with the Pain
The next morning… well
technically afternoon since you slept until 12:30, you attempt
to get out of bed. Okay…
you think to yourself. I
can do this. You
can’t recall ever hurting this bad.
All you really know at this point is that you have got to
do something for this pain.
You begin by looking in the medicine cabinet.
You might take something for pain, if you have anything.
“Martha!!!” you yell, “What can I do for this
pain?”
“Put some ice on your legs,” she says “that’ll
make you feel better.”
You don’t know why, but
before she said that you were thinking to yourself that you
should put some heat on your legs.
Now what? You
think; Heat is the
opposite of ice. Am
I going to make it worst if I use the wrong one?
I couldn’t possibly hurt more than I do now.
Which one should I choose? How
Does Heat Relieve Pain?
Heat therapy works in
several ways to give you the sense of pain relief.
But heat does more than make you feel better; it actually
helps to heal the injured tissue. Heat therapy dilates blood vessels in the area in which it is
applied. The
increased diameter of the vessels allows increased flow of
oxygen and nutrients to the muscles, helping to heal the damaged
tissue. Heat also provides another stimulus to the sensory
receptors in the skin, which means that applying heat will
decrease transmissions of pain signals to the brain and assist
in relieving the discomfort.
Heat application increases the extensibility of soft
tissue including muscles, connective tissue, and adhesions.
Consequently, use of heat for pain management will also benefit
people who complain of muscular tightness. How
Does Ice Relieve Pain?
Ice can help provide pain
relief as well. Ice
application slows the inflammation and swelling that occurs
after injury. Pain is often accompanied by some type of
inflammation, and addressing the inflammation helps reduce the
pain. Ice has a
numbing quality that may provide localized anesthesia (absence
of sensation). Cryotherapy (ice therapy) slows the nerve
impulses in the area, which interrupts the pain-spasm reaction
between the nerves. Cryotherapy decreases tissue damage. When to use Heat
Heat is especially useful
for the treatment of chronic pain.
This includes chronic neck or back pain.
If you find your neck is aching by lunch time every day,
it may benefit you to apply a moist heat pack to the area.
The heat will bring nutrients to the painful area to
assist in healing the painful area.
Heat is also useful if your muscles feel tight.
For the best results, you may use heat prior to
stretching, to decrease the pain associated with muscle
tightness. When to use Ice
You have probably heard of
the acronym R.I.C.E. (Rest, Ice, Compress, Elevate). This is intended for the quick management of an acute injury,
such as an ankle sprain, or a pulled muscle, until you can
consult a physician. Ice
is best used immediately after an injury.
It is also useful if swelling or bruising is present.
Ice is best under these circumstances because of the
vascular constricting property of extreme cold.
This tends to push fluids out of the swollen area into
the general circulation. Both heat and ice are good options for the treatment of
localized pain and muscle spasm. When NOT to use Heat or
Ice
There are a few times when
you should not use heat or ice.
Heat is not indicated for the treatment of inflammation.
If your skin appears red, or if your joints are swollen
or bruised you should not heat this area.
As described above, heat increases the diameter of blood
vessels, which increases the amount of blood that gets into the
area. If you
already have swelling, you do not want to attract more blood to
the area. Heat
should also not be used in the vicinity of active cancer due to
increasing blood supply to tumors may supply nutrients to the
neoplasm, encouraging growth. Heat should never be used in the area of blood clots.
It should also not be used in the area of hemorrhages or
potential hemorrhages. In
rare cases heat may actually cause swelling or bleeding.
Finally, neither heat nor ice should be used in areas of
poor sensation, because of the potential of burns or frostbite.
Ice should not be used for
the treatment of pain in people with hyper sensitivity to cold.
It is also not indicated for the treatment of pain due to
poor circulation as ice will further decrease circulation.
There are some rare blood disorders that are also
sensitive to ice, and you should consult a physician if you
experience sickness or bruising after using ice.
Special care should always be used when treating the very
young or very old with heat or ice. Pregnant women should also
consult a physician prior to using heat or ice. Application
Neither
heat nor ice should be applied directly to the surface of the
skin for more than a few seconds in one place.
You should use some sort of barrier to protect your skin.
With ice, one towel is generally a sufficient barrier.
When applying heat you may need to use up to 12 layers of
towels, depending on the temperature of the heat pad.
You should visually check the surface of your skin at
least every five minutes when using heat.
Redness is a good indication that you need to add more
barrier between yourself and the source of heat.
Only apply heat or ice for 15-20 minutes per treatment
for best results.
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