Modality Info

Nautilus Strength Training Equipment

The benefits of Physical Therapy for older adults are considerable. Remaining physically active is an important part of remaining independent.
Exercise Promotes:

  • Lower blood pressure
  • Healthy sugar levels
  • Improved cognition
  • Better sleep
  • Strong bones
  • Heart health

All of the benefits of exercise are also factors important to reducing the risk of falls and fractures. Equally as important as preventing the loss of independence, is the role exercise plays in healing and regaining independence. For older adults, the Centers for Disease Control and Prevention recommend physical exercise that focuses on all of the bodies major muscle groups (legs, hips, back, chest, shoulders and arms.) Among others, the CDC recommends exercises that use resistance provided mechanical or by body weight. The unique design of Nautilus equipment provides therapists the ability to deliver individualized strength programs that incorporate both positive and negative resistance components.

Nautilus equipment provides a safe method of delivering quality strength training to residents recovering from reconstructive surgery, fractures and strokes. The use of Nautilus equipment often can yield faster results and a quicker return to independence and home.

Electrical Muscle Stimulation


How E-STIM Works

EMS therapy creates steady electric impulses that stimulate muscle contractions–many of them over a sustained therapy session. This repetitive contracting and relaxing of the muscle has the effect of:

  • Increasing circulation (blood flow) to the affected tissue area, which aids in repair.
  • Improving strength by flexing and working weakened muscles.
  • Stretching shortened tissue, improving range of motion and mobility.
  • Slowing the process of muscle atrophy by strengthening weakened or unused muscles.
  • Adapting (training or “educating”) muscle fibers to certain patterns of response (e.g., contracts the fibers that are responsible for force, which results in building strength).

Uses and Benefits

Some of the common uses of prescription EMS therapy include:

  • Relieving back spasms. Electric muscle stimulation can relax back muscles, easing tightness and soreness in the lower back area. Sciatica symptoms, for example, can be caused by back muscles in spasm. Stopping the spasm may relieve the pressure on the sciatic nerve. EMS can also help with muscle tightness and soreness from other spinal issues, including postural problems and scoliosis.
  • Working weakened or atrophied muscles. Broken bones, soft tissue injuries, spinal cord injuries, neuromuscular disorders, stroke, and certain forms of illness can inhibit movement and exercise, causing muscles to become weak from disuse. E-stim can be used to keep these muscles active and prevent atrophy.
  • Retraining muscles after surgery or illness. Occasionally, following orthopedic surgery or illness (such as a stroke), a patient may have difficulty contracting muscles at will. In such cases, e-stim can be used for “muscle re-education.” The electrical impulses contract the muscle involuntarily. If the patient concentrates on voluntarily contracting this muscle during the therapy, the brain may re-learn how to do so without help.
  • Aiding athletic recovery. E-stim active recovery program settings use specific low-level frequencies to increase blood flow, remove lactic acid, release endorphins, and promote muscle relaxation. Athletes working out at high intensity levels–who may be prone to intense cramping or spasms–may find this program beneficial. Endurance athletes, for example, may wish to work regular e-stim sessions into their routines so they can keep their muscles loose and continue training without injury.

Negative Pressure Wound Therapy


NPWT promotes wound healing by applying a vacuum through a special sealed dressing. The continued vacuum draws out fluid from the wound and increases blood flow to the area. The vacuum may be applied continuously or intermittently, depending on the type of wound being treated and the clinical objectives. Typically, the dressing is changed two to three times per week. The dressings used for the technique include open-cell foam dressings and gauze, sealed with an occlusive dressing intended to contain the vacuum at the wound site. Where NPWT devices allow delivery of fluids, such as saline or antibiotics to irrigate the wound, intermittent removal of used fluid supports the cleaning and drainage of the wound bed.

P.I.E. Pulse Irrigation Evacuation


Indicated Applications

Pulsed Irrigation Evacuation or PIE* is a Class II Medical Device that works with the body to gently and comfortably evacuate stool from the colon. PIE* has become the treatment of choice for non-surgical acute fecal impaction removal from the colon. The PIE* device provides in-home routine bowel activity and maintenance for patients where traditional fecal evacuation programs are problematic or ineffective. The PIE* device has been clinically tested and proven safe and effective for long term use in pediatric as well as elderly patients. The PIE* device is the most advanced method for routinely removing stool from the colon. It provides patients a safe and effective non-surgical solution to their dysfunctional colon issues and offers the patient freedom from home confinement.

Some of the Applications for the use of P.I.E.

  • Fecal Impaction Removal
  • Chronic Constipation Elimination
  • Chronic Incontinence Elimination
  • Bowel Preparation and cleansing  for Colonoscopy Examinations
  • Bowel maintenance for Neurogenic Bowel associated with conditions such as:
  • Spinal Cord Injury, Cerebral Palsy, Autism, Multiple Sclerosis, Spina Bifida,
  • Stroke, Brain Injury, Nerve Damage to the Colon Muscles
  • Alternative to Manual Dis-impaction of the Rectal Vault and Associated Rectal
  • Trauma
  • Routine Fecal Evacuation for Immobile Patients
  • Bowel Therapy and Training

Reported Therapies

  • Chronic Incontinence Elimination
  • Reduction of Hemorrhoids
  • Chronic Constipation Elimination
  • Reduction of Decubitus Ulcers
  • Retraining of Bowel Function
  • Reduction of Prolapsed Rectum
  • Reduction of Urinary Tract Infections
  • Reduction of Colitis
  • Reduction of Mega-Colon
  • Reduction of Bowel Related Autonomic Dysreflexia