WHAT WE DO 

Assessment 

Patient care and your individual needs are at the centre of all treatments at Optimum. After taking a detailed history, I will carry out a thorough assessment to establish the cause of your condition. I will then work with you to develop a treatment programme which is tailored specifically to you and your underlying condition. 

Treatments are for individual clients of all ages with conditions resulting from injury, infirmity or medical conditions such as: 

Sports and work related injuries 
Injury screening and prevention 
Rehabilitation – from injury and surgery 
Chronic Pain relief 
Back Pain 
Neck Pain 
Sciatica 
Repetitive strain injuries 
Whiplash 
Postural issues 
Shoulder problems 
Knee problems 
Stress related conditions 
Tension headaches 
Joint strains 
Tennis elbow 
Golfer’s elbow 
Ankle sprain  
Treatments 
I use a variety of techniques, ensuring that you are comfortable with them. These include: 
Movement 
Massage 
Myofascial Techniques 
Positional Release 
Joint Mobilisations 
Dry Needling 
Kinesiology Taping 
Exercises 

How can Optimum help you? 

I use a variety of techniques, ensuring that you are comfortable with them. These include: 
Movement 
Massage 
Myofascial techniques 
Positional release 
Joint mobilisations 
Dry needling 
Exercises 
Movement 
Massage 
Myofascial techniques 
Positional release 
Joint mobilisations 
Dry needling 
Exercises 
Ongoing Care 
A treatment is not simply one session, or a series of visits. Physical Therapy adopts a ‘big-picture’ or holistic approach. At Optimum I provide you with the knowledge and any necessary rehab plan that will allow as fast a recovery as possible and also to mitigate recurrence of injury. 
So what does that mean in practice? 
What it means is that I take into account any work or activity related issues which may be contributing to your condition. I will also take into account social and psychological issues which may also be contributing to your physical condition. I can also work with you to change activity patterns which may have contributed to your condition. 
Call or contact me to find out more about the Treatments I provide 
Massage Therapy 
The benefits of massage therapy are extensive. It is estimated that up to 90% of disease is stress related and massage is an effective tool for managing stress, in the following ways: 
Decreased anxiety 
Enhanced sleep quality 
Greater energy 
Improved concentration 
Increased circulation 
Reduced fatigue 
Decreased anxiety 
Enhanced sleep quality 
Greater energy 
Improved concentration 
Increased circulation 
Reduced fatigue 
Massage can also help manage or alleviate a number of other health issues, including: 
Ease depression and anxiety 
Alleviate low back pain and improve quality of movement 
Pump oxygen and nutrients into tissues and vital organs, improving circulation 
Enhance immunity by stimulating lymph flow – the body’s natural defence system 
Release endorphins (amino acids that work as the body’s natural painkillers) 
Relieve migraine pain 
Increase joint flexibility 
Exercise and stretch weak, tight or atrophied muscles 
Promote tissue regeneration and reduce scar tissue 
Reduce post-surgery adhesions and swelling 
Reduce spasms and cramping 
Relax and soften injured, tired and overused muscles 
Falls Prevention in Older Adults 
Postural Stability Instructor with Later Life Training 
The Postural Stability Instructor (PSI) qualification is based on a programme of exercises and support developed by Skelton & Dinan for a research intervention called FaME (Falls Management Exercise) in 1996-97. 
 
The PSI course is evidence based and designed to equip health and exercise professionals with the knowledge and practical skills to deliver this proscriptive, progressive, individually tailored, postural stability programme to reduce falls risk factors in older people. 
 
Qualified PSIs can teach all chair based FaME exercise (individual and group session) and the Otago (home based) exercise programme, both of which can reduce the risk of falls significantly. 
 
The PSI qualification is the first and only evidence based accredited and endorsed falls prevention qualification. PSI is underpinned by current evidence (Cochrane Reviews, Sherrington Falls Exercise Review, NICE falls guidance, FaME programme, ProAct65+ study) and recommended by the Department of Health Prevention Package (2009), the RCP Audit of Falls Services (2012)and the Age UK Expert Series (2013) and ProFouND 
Benefits of FaME - Physical 
Reduced risk of falls 
Improved strength & power 
Improved balance & mobility 
Improved asymmetry in limb function 
Possible improvement in bone mineral density 
Re-training floor skills to reduce the risk of a long lie following a fall 
Improved confidence in balance 
Reduced anxiety and fear 
Increased activity and social interaction 
Other Benefits of FaME 
Following a fall there is an increased fear of falling which leads to reduced activity. 
This in turn leads to decreased muscle strength, flexibility, balance and therefore an increased risk of falling again. 
In order to stop this cycle, we aim to reduce the fear of falling by gradually and progressively reintroducing activity – beginning with chair based exercise. 
The final stages of the exercise plans are to provide the participants with the strength and confidence to be actively able to get down to and up from the floor. I also introduce floor based activity so that if they do have a fall they have the techniques and strength available to either get up from the floor or to move on the floor to be able to reach a phone to call for help, thereby avoiding long lies. 
FaME in Practice 
So what does a FaME exercise programme entail? Well, in order to achieve the four main outcomes… 
Improve balance and co-ordination 
Increase Functional Capacity 
Increase Bone and Muscle Mass 
Increase Confidence (reduced fear of falling) 
…there are 7 evidenced based activities: 
Dynamic endurance training for balance 
Dynamic balance training 
Targeted resistance training (weights, bands and body weight) including targeted bone loading for leg and ankle strength, for arm and back strength 
Backward chaining 
Functional floor activities 
Flexibility training for leg and ankle, chest and spine 
Sustained, three dimensional adapted Tai Chi training 
But remember… 
Both individual and group sessions are tailored to each individuals ability and progressed according to their individual needs 
There is a comprehensive referral and pre-participation screening process including measurable functional assessments which allow for ongoing monitoring of progress 
I work with the individuals current medical and physiotherapy team to ensure the total wellbeing of every individual 
How PSI Works In Practice 
Initial consultation, screening and assessment including health questionnaire, functional assessment and goal setting. 
Supervised exercise session (ideally once a week for minimum 12 weeks). See attached sample exercise class outline. 
Home exercise plan to be completed once or twice a week between supervised sessions. 
Reassessment and exercise plan progression. 
Dry Needling 
Dry needling is a safe, effective treatment whereby a solid filament needle is applied directly to a trigger point – a tight band of tissue - in a muscle. This direct stimulation results in a mechanical and physiological resolution of the trigger point. Dry needling can produce the same effect as the injecting of a local anaesthetic to the area of the trigger point. 
Technique 
I identify a taut band or trigger point first by palpating the muscle. 
 
I will then insert a needle directly into the taut band or trigger point that I have just located. This may elicit a local twitch response in the muscle. 
Results 
There are generally three patterns of pain relief that can occur following a dry needling treatment: 
Pain relief immediately upon removal of the needle 
Pain relief the next morning 
Pain relief over a course of treatments 
Local effect – needling stimulates never fibres in the skin and muscle which promotes healing 
Segmental effect – nerve relief at spinal cord level 
Analgesic effect – stimulates the body’s internal pain suppressing mechanisms from the brainstem 
Central effect – other areas of the brain are influences – including the cerebral cortex and limbic system 
Trigger points – trigger points are deactivated 
How dry needling works 
There are generally three patterns of pain relief that can occur following a dry needling treatment: 
Possible side effects of dry needling 
Dry needling is very safe. Serious side effects are very rare – less than one in 10,000 treatments. However, you should be aware of the following possible side effects: 
 
Drowsiness after treatment in a small number of people, and, if affected you are advised not to drive 
Minor bruising or bleeding occurs after needling in about 30% of treatments 
Pain during treatment occurs during approximately 1% of treatment 
Symptoms can get worse after treatment (approximately 3% of patients). 
Fainting can occur in certain patients, particularly at the first session, but again this is very rare  
Optimum Physical Therapy use only single use, sterile, disposable needles. 

SPORTS PHYSICAL THERAPY 

GAA Teams 

Working with GAA teams involves both attendance at matches and individual treatments between games as needed. 
At matches I see players for injury assessment, taping and strapping and warm up rubs before the game. During the match I assess any injuries that occur on the pitch and make a call with the management as to whether the player is fit to continue or not. Post match I give players advice on how to manage any bumps, bruises or injures that the sustained during the game. I also provide the players with advice and rehabilitation plans and exercises to aid their recovery. 
 
Playing Camogie for my GAA club, Na Fianna, in Croke Park July 2013 
 
Croke Park dressing room for the Dublin Premier Junior Camogie Team for their All Ireland Championship Final, September 2017 
 
Working with Na Fianna Senior Camogie Team 
 
Playing Camogie for my GAA club, Na Fianna, in Croke Park July 2013 
 
Croke Park dressing room for the Dublin Premier Junior Camogie Team for their All Ireland Championship Final, September 2017 
 
Working with Na Fianna Senior Camogie Team 

Cycling 

My role in cycling is formally called 'soigneur' but we are generally called 'swannys'. I am responsible for the riders wellbeing, both nutritional and physical. I prepare all the riders race food and beverages. I give the riders warm up rubs pre-race and I do recovery work with the riders each evening to ensure they are ready for the next days racing which includes their immediate post race food and additional food each evening to aid their post race recovery and ensure their nutritional need are being met. 
Nicolas Roche and Dee Quinn 2018 Road World Cycling Championships Austria
Working with Nicolas Roche at the Road World Cycling Championships in Austria 2018 
Team Ireland staff and riders at the 2018 Road World Cycling Championships Austria
Team Ireland staff and riders at the Road World Cycling Championships in Austria 2018 
Riders and staff of the Irish team in Tour de L'Avenir 2017
With the riders and staff of the Irish team in Tour de L'Avenir 2017 
Dee Quinn working with UCD Cycling Club in the Tour of Ulster 2018
A girl and a van - working with UCD Cycling Club in the Tour of Ulster 2018 
 UCD Cycling Team Ras Tailteann 2018
UCD Team Ras Tailteann 2018 
 Dee Quinn Physical Therapiest for UCD Cycling Team Ras Tailteann 2018
Waiting for the UCD riders to cross the finish line at Ras Tailteann 2018 
If you are a team manager and require a physical therapist to support your team contact me on 086 8774819 or email dee@opt.ie, or fill out the contact form. Rates are available upon request. 
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