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Netcare Waterfall City Hospital, Corner Magwa Cresent & Mac Mac Av Midrand

Physiotherapy in Midrand at Waterfall Clinic

“Help me, help myself.” - Maria Montessori


How Did We Get Here?

 Jacqui Schewitz (nee Krawitz) and Robert Lelaka decided to open a joint practice at Waterfall City Hospital when it started in July 2011.

What Have We Achieved?

We have been accepted as physiotherapists at Waterfall City hospital and have full practicing privileges. Since our inception, we have grown to have more referring doctors, a network among the Midrand GPs, and an ongoing relationship with local retirement villages. In terms of personnel we have grown, to now a staff of a full time physiotherapist, a part time therapist, and two therapists that assist on weekends.

Our Mission

  • To ensure quality physiotherapy services that are up to date with the latest research, at Netcare Waterfall City Hospital.
  • Provide caring, compassionate physiotherapy care for our patients as well as educate them, so that they may better understand their condition and its management, in order to manage their condition at home.
  • To provide services to the doctors who refer to us by maintaining an open form of communication with them, being on-call, and presenting them with accurate feedback regarding patients.
  • Assist the nursing staff to work in a multidisciplinary environment, and provide education within the context of physiotherapy.
  • Maintain and keep up-to-date with academic research, and continue involvement within the general physiotherapy community through professional development.

Make an Appointment

If you would like to make an appointment, please feel free to contact us:

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Treatments

Musculoskeletal

This section of the practice is both in- and out-of-hospital. The in-hospital cases are normally orthopaedic in nature. These patients are followed up from ICU or Surgical Ward to discharge and then as outpatients. Being first line practitioners, we also see patients who walk into our rooms for help with sports injuries or other musculoskeletal complaints.

Respiratory Therapy

This comprises of post-surgical cases such as general surgery, cardio-thoracic, urology, orthopaedics, neurology, maternity etc. We are also involved with medical patients who need physiotherapy services – for example, those with an acute disease such as pneumonia, and those with a chronic disease such as COPD. This therapy is mainly provided within the wards of the hospital but can also be provided on an outpatient setting or at home for patients who require it.

Paediatrics

We see children in hospital, usually in a respiratory context. We also see children in our rooms for out-of-hospital respiratory complications.

Neurology

We see acute stroke patients within the ICU and Medical Wards. These patients can be followed up after discharge to continue their rehabilitation. Patients can be seen at home if they are living in the surrounding area and are unable to travel to the hospital.

The Team

FAQ

What is physiotherapy?

Physiotherapy is paramedical intervention that aims to decrease pain and improve function. It involves rehabilitation of the body and helps with healing of most medical and surgical conditions. It is appropriate for a range of muscle, joint and nerve conditions whether resulting from injury, illness or disability.
A range of techniques are available for each condition, and your physiotherapist will choose what is appropriate for you and your condition. They can also advise on lifestyle changes that may reduce problems or injuries. The physiotherapist may refer you to another socialist if they feel that it is appropriate.

Is physiotherapy massage?

No. Physiotherapy may use some massage techniques to realise tissues, but it uses other techniques for treatment, and not just relieve the symptoms.

What types of problem can physiotherapy help?

Physiotherapy can help with muscle and joint problems, as well as respiratory and neurological conditions.

What does the treatment involve? / What treatments will you use?

During the first treatment, the physiotherapist will perform a full assessment, and then treat according to what was found in the assessment.

What should I wear?

You can come in the clothes that you would be wearing. We have gowns and shorts, and may request that you change into these, if specific body parts need to be exposed.

How long do sessions last?

Each session lasts approximately 30 minutes, although the first session may be longer, as the primary assessment needs to be performed.

How much will it cost?

We charge medical aid rates. Since each medical aid pays a different amount, we charge according to your medical aid. Private patients are charged the rate of Discovery medical aid. Compensation for accidental injuries will be submitted directly to them. All the necessary documents must be submitted.

Do you get treatment on your initial appointment?

Your first session will involve a full assessment, and in most cases, treatment will occur and recommendations will be made.

Do I need to see my doctor first?

No, we are first-line practitioners.

Will it hurt?

Physiotherapy should not hurt. However, there may be some discomfort. If your treatment is too unpleasant, please feel free to talk to your therapist.

Can I bring someone with me?

Yes, you are welcome to bring someone along. However, due to space constraints, if there are too many people, they may be asked to wait in the waiting room.

Tips & News

Resistance training as an aid to standard smoking cessation treatment: a pilot study.

On March 17, 2014

By

Introduction: Research indicates that exercise may be helpful for smoking cessation; however, the majority of studies have focused only on women and only on aerobic exercise. This pilot study explored the use of resistance training (RT) (i.e., weight lifting) as an adjunctive strategy for quitting smoking for both men and women.

Methods: A sample of 25 smokers received a brief smoking cessation counseling session and the nicotine patch prior to being randomized into a 12-week RT or contact control (CC) group. Assessments were conducted at baseline, 3-month, and at a 6-month follow-up.

Results: Participants (52% female) averaged 36.5 years (SD = 12.0) of age and 19.1 years (SD = 12.0) of smoking. At the 3-month assessment, objectively verified 7-day point prevalence abstinence (PPA) rates were 46% for the RT group and 17% for CC; prolonged abstinence rates were 16% and 8%, respectively. At the 6-month assessment, objectively verified 7-day PPA rates were 38% for the RT group and 17% for CC; prolonged abstinence rates were 15% and 8%, respectively. Mean body weight decreased 0.6 kg (SD = 1.7) in the RT group and increased 0.6 kg (SD = 2.8) in the CC group. Mean body fat decreased 0.5% (SD = 1.8) in the RT group and increased 0.6% (SD = 0.7) in the CC.

Conclusions: This is the first study reporting on the use of a RT program as an aid to smoking cessation treatment. The findings suggest that such a program is feasible as an adjunctive treatment for smoking cessation. An adequately powered trial is warranted.

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Body mass index and height over three generations: evidence from the Lifeways cross-generational cohort study.

On March 17, 2014

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Background: Obesity and its measure of body mass index are strongly determined by parental body size. Debate continues as to whether both parents contribute equally to offspring body mass which is key to understanding the aetiology of the disease. The aim of this study was to use cohort data from three generations of one family to examine the relative maternal and paternal associations with offspring body mass index and how these associations compare with family height to demonstrate evidence of genetic or environmental cross-generational transmission.

Methods: 669 of 1082 families were followed up in 2007/8 as part of the Lifeways study, a prospective observational cross-generation linkage cohort. Height and weight were measured in 529 Irish children aged 5 to 7 years and were self-reported by parents and grandparents. All adults provided information on self-rated health, education status, and indicators of income, diet and physical activity. Associations between the weight, height, and body mass index of family members were examined with mixed models and heritability estimates computed using linear regression analysis.

Results: Self-rated health was associated with lower BMI for all family members, as was age for children. When these effects were accounted for evidence of familial associations of BMI from one generation to the next was more apparent in the maternal line. Heritability estimates were higher (h= 0.40) for mother-offspring pairs compared to father-offspring pairs (h= 0.22). In the previous generation, estimates were higher between mothers-parents (h= 0.54-0.60) but not between fathers-parents (h= -0.04-0.17). Correlations between mother and offspring across two generations remained significant when modelled with fixed variables of socioeconomic status, health, and lifestyle. A similar analysis of height showed strong familial associations from maternal and paternal lines across each generation.

Conclusions: This is the first family cohort study to report an enduring association between mother and offspring BMI over three generations. The evidence of BMI transmission over three generations through the maternal line in an observational study corroborates the findings of animal studies. A more detailed analysis of geno and phenotypic data over three generations is warranted to understand the nature of this maternal-offspring relationship.

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Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy.

On March 17, 2014

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Background: Strong evidence shows that physical inactivity increases the risk of many adverse health conditions, including major non-communicable diseases such as coronary heart disease, type 2 diabetes, and breast and colon cancers, and shortens life expectancy. Because much of the world’s population is inactive, this link presents a major public health issue. We aimed to quantify the effect of physical inactivity on these major non-communicable diseases by estimating how much disease could be averted if inactive people were to become active and to estimate gain in life expectancy at the population level.

Methods: For our analysis of burden of disease, we calculated population attributable fractions (PAFs) associated with physical inactivity using conservative assumptions for each of the major non-communicable diseases, by country, to estimate how much disease could be averted if physical inactivity were eliminated. We used life-table analysis to estimate gains in life expectancy of the population.

Findings: Worldwide, we estimate that physical inactivity causes 6% (ranging from 3·2% in southeast Asia to 7·8% in the eastern Mediterranean region) of the burden of disease from coronary heart disease, 7% (3·9—9·6) of type 2 diabetes, 10% (5·6—14·1) of breast cancer, and 10% (5·7—13·8) of colon cancer. Inactivity causes 9% (range 5·1—12·5) of premature mortality, or more than 5·3 million of the 57 million deaths that occurred worldwide in 2008. If inactivity were not eliminated, but decreased instead by 10% or 25%, more than 533 000 and more than 1·3 million deaths, respectively, could be averted every year. We estimated that elimination of physical inactivity would increase the life expectancy of the world’s population by 0·68 (range 0·41—0·95) years.

Interpretation: Physical inactivity has a major health effect worldwide. Decrease in or removal of this unhealthy behaviour could improve health substantially.

Lifestyle modifications to prevent and control hypertension.

On March 17, 2014

By

Objective: To provide updated, evidence-based recommendations for health care professionals concerning the effects of regular physical activity on the prevention and control of hypertension in otherwise healthy adults.

Options: People may engage in no, sporadic or regular physical activity that may be of low, moderate or vigorous intensity. For sedentary people with hypertension, the options are to undertake or maintain regular physical activity and to avoid or moderate medication use; to use another lifestyle modification technique; to commence or continue antihypertensive medication; or to take no action and remain at increased risk of cardiovascular disease.

Outcomes: The health outcomes considered were changes in blood pressure and in morbidity and mortality rates. Because of insufficient evidence, no economic outcomes were considered.

Evidence: A Medline search was conducted for the period 1966-1997 with the terms exercise, exertion, physical activity, hypertension and blood pressure. Both reports of trials and review articles were obtained. Other relevant evidence was obtained from the reference lists of these articles, from the personal files of the authors and through contacts with experts. The articles were reviewed, classified according to study design and graded according to level of evidence.

Values: A high value was placed on avoidance of cardiovascular morbidity and premature death caused by untreated hypertension.

Benefits, Harms and Costs: Physical activity of moderate intensity involving rhythmic movements with the lower limbs for 50-60 minutes, 3 or 4 times per week, reduces blood pressure and appears to be more effective than vigorous exercise. Harm is uncommon and is generally restricted to the musculoskeletal injuries that may occur with any repetitive activity. Injury occurs more often with jogging than with walking, cycling or swimming. The costs include the costs of appropriate shoes, garments and equipment, but these were not specifically measured.

Recommendations: (1) People with mild hypertension should engage in 50-60 minutes of moderate rhythmic exercise of the lower limbs, such as brisk walking or cycling, 3 or 4 times per week to reduce blood pressure, (2) Exercise should be prescribed as an adjunctive therapy for people who require pharmacologic therapy for hypertension, especially those who are not receiving beta-blockers. (3) People who do not have hypertension should participate in regular exercise as it will decrease blood pressure and reduce the risk of coronary artery disease, although there is no direct evidence that it will prevent hypertension.

Validation: These recommendations agree with those of the World Hypertension League, the American College of Sports Medicine, the report of the US Surgeon General on physical activity and health, and the US National Institutes of Health Consensus Development Panel on Physical Activity and Cardiovascular Health. These guidelines have not been clinically tested. SPONSORS: The Canadian Hypertension Society, the Canadian Coalition for High Blood Pressure Prevention and Control, the Laboratory Centre for Disease Control at Health Canada, and the Heart and Stroke Foundation of Canada.

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