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In this Healthy, Wealthy, and Smart Podcast episode, host Dr. Karen Litzy welcomes Patrick Tarnowski, PT, MBA, a physical therapist and chief commercial officer at One Step, to discuss the gait analysis. Gait analysis is the study of how we walk, a crucial area of focus for physical therapists, especially regarding aging and overall health. Pat shares his extensive background in healthcare, spanning over two decades, and describes his journey from patient care to leading innovations in gait analysis and patient outcomes. Listeners will gain insights into the importance of gait analysis, how it changes with age, and what it means for improving health and mobility. Please tune in to learn more about this vital aspect of physical therapy and its impact on patient care. Time Stamps: [00:01:51] Gait analysis and biomechanics. [00:07:28] Gait analysis essentials. [00:08:35] Observational gait analysis effectiveness. [00:12:38] Correlating patient goals with analysis. [00:18:01] Functional assessment in treatment plans. [00:22:39] Patient confidence and gait analysis. [00:24:56] Gait speed as vital sign. [00:31:15] Gait analysis using smartphones. [00:34:40] Monitoring patients in real world. [00:38:45] Importance of mobility in health. More About Patrick Tarnowski, PT, MBA: As Chief Commercial Officer at OneStep, Pat is accountable for the company's US market entry through strategic provider partnerships. His deep healthcare experience as a leader in health plans, health systems, medical devices, startups and digital care delivery support and enable OneStep's growth and scale. As an entrepreneur, Pat has successfully launched and scaled care delivery companies, digital solutions that focused on health and wellbeing, disease management and virtual care and worked with providers to achieve success in value-based payment models. He received his degree in physical therapy from Boston University and his master's in business administration from the University of St. Thomas. A lifelong learner, Pat has also held several academic appointments and is a grant reviewer for the National Science Foundation's SBIR seed fund and served as an Industry Mentor for their I-Corp Innovation program. He has been the principal investigator in numerous clinical studies and is the Vice President of Professional Practice of the Minnesota Chapter of the American Physical Therapy Association's and the Minnesota Cancer Alliance Steering Committee. Pat lives in Minneapolis with his family, dog Maizey and is a committed outdoors enthusiast and endurance athlete. Resources from this Episode: One Step Website Pat on LinkedIn Jane Sponsorship Information: Book a one-on-one demo here Front Desk @ Jane Mention the code LITZY1MO for a free month Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio
In this episode, Ingrid Harm-Ernandes, PT, WCS, a seasoned physical therapist, author, and speaker with over 40 years of experience, including almost three decades specializing in women's health, joins us for a discussion into the often overlooked but crucial topic of pelvic health, its critical role in everyday functions like bowel and bladder control, sexual health, & maintaining stability, and treatment options and resources available including NMF's free Menopause MicroCourse on genitourinary symptoms of menopause (GSM). As women enter menopause, the pelvic floor faces additional challenges, including incontinence, prolapse, and pain during sex (aka sex dysfunction). Ingrid noted that these issues are commonly misunderstood or dismissed as inevitable and as a result are not addressed. In actuality, these issues are quite treatable and should be addressed as soon as they are noted.She stressed the importance of recognizing symptoms early and seeking help from qualified, credentialed professionals (e.g., physical therapists, urogynecologists, and certified menopause practitioners / CMPs). Many of these conditions, though common, are manageable with the right care.One of the most misunderstood pelvic health issues is prolapse, where organs like the bladder or uterus shift from their normal position. Ingrid explained how prolapse often starts subtly, with symptoms like pressure or discomfort, but can progress over time without intervention. Fortunately, prolapse is treatable with both non-surgical and surgical options.Ingrid emphasized the importance of follow-through, whether it's attending physical therapy after surgery or making small changes to daily habits. Being aware of changes and understanding how to navigate health issues is an important part of continued self-care. She shared simple but effective strategies to promote pelvic health:Strengthen the Pelvic FloorStay ActiveHydrate and Eat WellSeek Professional HelpAsk QuestionsIngrid is a member of NMF's Medical Advisory Committee (MAC) and was co-faculty for the NMF's Menopause MicroCourse on genitourinary symptoms of menopause (GSM). Her book, The Musculoskeletal Mystery: How to Solve Your Pelvic Floor Symptoms, provides a deeper exploration of these topics. She has served on committees for both the American Physical Therapy Association's (APTA) Specialization Academy of Content Experts (SACE) committee and the American Urogynecologic Society (AUGS), including serving as the Chair and Vice Chair for the Advanced Practice, Physical Therapy and Allied Health (APPTAH) Special Interest Groups (SIG) and the AUGS Advanced Practice Provider (APP) conference committee.Connect with Ingrid:LinkedIn: https://www.linkedin.com/in/ingrid-harm-ernandes-5057773b/Instagram: @harmernandesFacebook: https://www.facebook.com/ingrid.harmernandes.71/Resources referenced in the podcast: The Musculoskeletal Mystery: How to solve your pelvic floor symptoms -- available on DesertHarvest.com and Amazon.comThe National Menopause Foundation's Menopause MicroCourses
Featuring Diane Shiffer: Physical Therapy, Anti-Aging, and Healthspan In this episode of Walk, Don't Run to the Doctor, Dr. Miles Hassell sits down with Diane Shiffer, a physical therapist and business owner, to discuss the intersection of physical activity, aging, and healthspan. Together, they explore how movement, community, and thoughtful health practices can promote longevity and well-being. Key Takeaways: The Power of Movement: Regular physical activity is essential for maintaining strength, balance, and overall health, especially as we age. Repair, Restore, Reimagine: Diane's three-step approach encourages recovery, functional restoration, and envisioning new possibilities for an active lifestyle. Mix It Up: Diversify exercise routines to prevent overuse injuries and ensure holistic fitness. Games for Brain and Body: Activities like table tennis and pickleball combine physical movement with cognitive challenges, promoting brain health and social connection. Invest in Your Health Early: Diane introduces the concept of a "401(k) for your body," emphasizing the importance of building physical resilience in your 30s and 40s to reap benefits later in life. Avoid Overtraining: Balance exercise intensity with recovery to reduce injury risks and optimize benefits. Professional Guidance Matters: Partnering with healthcare professionals can help tailor exercise programs to individual needs, avoiding common pitfalls. Tune in to learn actionable tips for fostering a healthier, more active life and setting the stage for a long, vibrant healthspan. Diane Shiffer combines expertise and passion to empower others in their health and wellness journeys. She earned her degree in Biology from Willamette University before completing her Physical Therapy education at the University of Puget Sound. With over three decades of dedication to orthopedic care, Diane achieved her Orthopedic Clinical Specialist (OCS) certification through the American Physical Therapy Association. Additionally, she is a Certified Manual Physical Therapist (CMPT) through the North American Institute of Manual Therapy, further enhancing her hands-on approach to patient care. An active leader and advocate in the physical therapy community, Diane has contributed her expertise as an Active Delegate, Vice President, and member of the Nominating Committee for the Oregon Physical Therapy Association. Outside the clinic, Diane is deeply committed to community service and staying active. She can be found at Connetct & Beyond Physical Therapy: www.connectoregon.com More references can be found at www.GreatMed.org Would you like Dr. Hassell to answer your question on the air? Contact us! Phone/text: 503-773-0770 e-mail: info@GreatMed.org Write us a letter. We love to hear from you. This podcast is sponsored by our generous listeners. Send questions, comments, and support to: 4804 NW Bethany Blvd., Suite I-2, #273 Portland OR 97229
Kathleen K Mairella PT DPT MA FAPTAEducation:Degree: Doctor of Physical TherapyInstitution: MGH Institute of Health Professions, Boston, MA Major; Physical TherapyDate: May 2006Degree: Master of ArtsInstitution Teachers College, Columbia University, New York, NY Major: Movement Science and EducationDate: May 1992Degree: Bachelor of ScienceInstitution: Boston University, Boston MA Major: Physical TherapyDate awarded: May 1978Employment and Positions Held:Professor Emerita, Rutgers University, 2022-presentDirector of Clinical Education and Assistant Professor, Rutgers University, School of Health Professions, Doctor of Physical Therapy Program, Newark NJ, 2016-2022Assistant Professor, Rutgers University, School of Health Professions, Doctor of Physical Therapy Program, Newark NJ, 2014-2016Assistant Director of Clinical Education and Assistant Professor, Rutgers University (University of Medicine and Dentistry of New Jersey prior to July 1,2013), School of Health Related Professions, Doctor of Physical Therapy Program, Newark NJ , 2006-2014Physical Therapist, Brookdale Physical Therapy, Nutley, New Jersey, 2007-2008Instructor, University of Medicine and Dentistry of New Jersey/School of Health Related Professions, Doctor of Physical Therapy Program, Newark, New Jersey, 2004-2006Adjunct Instructor, University of Medicine and Dentistry of New Jersey/School of Health Related Health Professions, Doctor of Physical Therapy Program, Newark, New Jersey, 2002-2004Practice Development Facilitator, Atlantic Health System/Morristown Memorial Hospital, Morristown NJ, 2001-2002Academic Coordinator of Clinical Education, Fairleigh Dickinson University Physical Therapist Assistant Program, Morristown NJ, 1999-2001Adjunct Instructor. Fairleigh Dickinson University Physical Therapist Assistant Program, Morristown NJ, 1999Adjunct Instructor, Union County College Physical Therapist Assistant Program, Plainfield NJ, 1997-2000Physical Therapist, ARC Essex School, Livingston, NJ 1999Rehabilitation Supervisor, JerseyCare HomeHealth and Hospice, Belleville, NJ, 1995-1998 Physical Therapist, Independent Practice, Home Care, Nutley NJ, 1991-1995Adjunct Instructor, Teachers College, Columbia University, New York, NY, 1991-1992Staff Physical Therapist, The Valley Hospital, Ridgewood, NJ, 1985-1986Staff Physical Therapist, Welkind Rehabilitation Hospital, Chester, NJ, 1983-1984Senior Physical Therapist, Neuroscience Team, Washington Hospital Center, Washington DC, 1982-1983Staff Physical Therapist, Washington Hospital Center, Washington DC, 1981-1982Staff Physical Therapist, Georgetown University Hospital, Washington DC, 1980-1981 Staff Physical Therapist, New Jersey Rehabilitation Hospital, East Orange, NJ, 1978-1980Membership in Scientific/Professional Organizations:American Physical Therapy Association: 1976-presentChair, House of Delegates Reference Committee, 2025Member, House of Delegates Reference Committee 2023-2024 Chair, House Special Committee on Bylaws, 2019-2021 Bylaws Review Task Force, 2018-2019Director, Board of Directors, 2009-2017Board work assignments:APTA Committees and Task Forces:Best Practices in Clinical Education Task Force, chair 2016-2017Leadership Development Committee, chair 2013-2017Executive Committee, elected 5th member 2015-2016Recruitment and Retention of Early-Career Members Task Force, member 2014- 2016Public Policy and Advocacy Committee, member, 2012-2015 Finance and Audit Committee, member 2011-2013Member Engagement and Leadership Development Task Force, chair 2011- 2013Physical Therapy Classification and Payment Task Force/ Alternative Payment Task Force, chair 2013-2014, member 2012-2013CSM Review Work Group, member 2011-12Task Force on Governance Review, member 2009-2011Committee on Referral for Profit, liaison, 2009-2011Physical Therapist Centralized Application Service Advisory Group, liaison 2009- 2011Board Workgroups:Strategic Planning Board Work Group, chair 2013-2017Criteria for House Motions from the Board of Directors, member 2014-2015, Governance Proposal Board Work Group, member 2011-2013Board Work and Information Management Board Work Group, member 2011- 2012Board Workgroup on Board Performance Evaluation, member 2009-2010 Components:Student Assembly, 2011-2014Chapters:Maryland (2016-2017, 2010-2011), Nebraska (2015-2017), Nevada (2016-2017), Idaho (2011-2016). Texas (2014-2016), New York (2013-2015), Michigan (2010- 2014), Wisconsin (2011-2014), New Mexico (2009-2013), North Dakota (2009- 2011), Utah (2009-2010)Sections:Education (2014-2017), Women's Health (2015-2017), Geriatrics (2015-2016), Pediatrics (2009-2012)Councils:Chapter President Council, liaison 2011-2014APTA Mentorship Program, 2005-2010 (program discontinued) Committee to Approve the House of Delegates Minutes, 2007CEO Search Committee, 2007Committee on Chapters and Sections. 2004-2007, Chair 2006 Education Strategic Planning Group, 2004American Physical Therapy Association of Massachusetts 2022-present Chair, Bylaws Review Task Force 2023-2024Assembly Representative, 2024American Physical Therapy Association of New Jersey: 1978-80, 1983-2022 Delegate to APTA House of Delegates, 1998 -2004, 2008-2009, 2018-2022 Chief Delegate, 2004-2008Federal Affairs Liaison, 2018-2019Alternate delegate, 2017-2018Legislative Committee, 1998-2018Legislative Advisory Panel, 2007-20182009 Annual Conference Committee, 2008-2009, chairMembership Chair, 2005-2007 Executive Committee, 1996-2005 President, 2001-2005 President-elect, 2000-2001 Vice-president 1998-2001 Secretary 1996-1998Direct Access Task Force, Chair, 1996-1999Home Health Special Interest Group Workgroup 1997APTA Private Practice Section, 2000-presentAPTA Private Practice Section, Graham Sessions Planning Committee, 2021-presentAPTA Academy of Leadership and Innovation (formerly Health Policy and Administration Section), 2003-presentAcademy of Physical Therapy Education, 1999-2002, 2004-presentAmerican Academy of Geriatric Physical Therapy, 1994-2002, 2010-present APTA Orthopedics Section, 2007-2018APTA Section on Women's Health, 2002-2004, 2009-2011, 2016-2018APTA Section on Research, 2012-2015APTA Cardiovascular and Pulmonary Section, 2010-2012APTA Neurology Section, 1980s, 1993-1998, 2000-2003APTA Health Policy Section, 2002-2003APTA Section on Administration, 1998-1999APTA Home Health Section, 1993-1999New York New Jersey Clinical Education Consortium, 2006-2014, 2016-present Home Health Assembly of New Jersey, 1996-1998National Head Injury Foundation Workgroup, Washington DC, 1981-1983American Physical Therapy Association, District of Columbia Chapter Continuing Education Chairperson, 1982Service to the University/College/School on Committees/Councils/Commissions: SchoolRutgers University SHP Committee on Faculty Development, September 2015-September 2018Rutgers University (formerly UMDNJ) SHRP Faculty Chair, September 2012-September 2014Rutgers University (formerly UMDNJ) SHRP Committee on Committees, 2012-2014Rutgers University (formerly UMDNJ) SHRP Committee on Admissions and Academic Standing, 2011-2014Rutgers University (formerly UMDNJ) SHRP Committee on Curriculum Review, 2007-2010 DepartmentRutgers University SHP Newark DPT Curriculum Committee, 2015-2022, Chair January 2022- July 2022Rutgers University SHP Newark DPT Orientation Committee Co-chair, 2016-2021Rutgers University SHP Newark DPT Awards and Scholarship Committee, 2017-2022 Rutgers University (formerly UMDNJ) SHP Newark DPT Admissions Committee 2002-2019Rutgers University (formerly UMDNJ) SHP Newark DPT Program Student Activities Committee, Faculty Liaison, 2006-2019Honors and Awards:Catherine Worthington Fellow of the American Physical Therapy Association, 2023Lucy Blair Service Award, American Physical Therapy Association, 2019Outstanding Service Award, American Physical Therapy Association of New Jersey, 2013 President's Award, American Physical Therapy Association of New Jersey, 2008, 2006, 1999Peer Reviewed Publications:Sack S, Radler DR, Mairella KK, Touger-Decker R, Khan H, Physical therapists' attitudes, knowledge, and practice approaches regarding people who are obese, Phys Ther; 89(8):804- 15, 2009
In this episode of the Healthy, Wealthy, and Smart podcast, hosts Dr. Karen Litzy and Dr. Stephanie Weyrauch welcome Dr. Rob Worth, the Vice President of the APTA Private Practice Section, live from the Jane booth at the APTA Private Practice meeting in Washington, D.C. Rob shares insights into his early career in physical therapy, revealing that his passion for the profession began at the age of 16. He discusses the criteria he considered when choosing a career, emphasizing his desire to work in healthcare, focus on wellness, and leave a meaningful legacy. Please tune in to learn more about Rob's journey and his contributions to physical therapy. Time Stamps: [00:01:03] Early career in physical therapy. [00:06:36] Building resilience through adversity. [00:09:20] Finding passion in mentorship. [00:12:25] Loss of a practice partner. [00:15:23] Mission trips' impact on life. [00:20:30] Importance of having fun. [00:22:36] Opportunities in physical therapy. [00:26:16] Business Fundamentals program launch. More About Dr. Worth: Dr. Worth has been in private practice since establishing Advanced Physical Therapy & Sports Medicine in 1998, with 29 clinics in northeast/central Wisconsin and provides on-site care for 60+ companies and municipalities. Rob has served in many volunteer and leadership roles within the APTA over the past 30 years and is currently a Wisconsin Delegate to the American Physical Therapy Association and also serves as Vice-President on the APTA Private Practice Board of Directors. Dr. Worth has received the Outstanding Service Award from APTA Wisconsin and the IndUS International Award for cross-cultural contributions in healthcare. Resources from this Episode: Advanced Physical Therapy & Sports Medicine Rob Worth Instagram Jane Sponsorship Information: Book a one-on-one demo here Mention the code LITZY1MO for a free month Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio
Jimmy McKay and Tony Maritato dive deep into one of the biggest challenges facing physical therapy clinics in 2024 — hiring and retaining top Physical Therapy talent. 00:00 – Introduction: Tackling the PT Staffing Crisis02:35 – The Current PT Job Vacancy Rate: 10% and Rising05:58 – Creative Referral Programs: Avengers Assemble Strategy09:45 – Leveraging Non-Licensed Staff and Telehealth for Efficiency15:29 – Flexibility and Profit-Sharing: Long-Term Retention Strategies19:45 – Using Social Media for Recruitment and Branding23:00 – Bonus Tips: In-House Mentorship & CEU Programs26:45 – Final Thoughts: Adapt or Get Left BehindBacked by fresh research from the American Physical Therapy Association, Jimmy and Tony outline practical and innovative strategies to help clinic owners not only fill positions but also keep their therapists happy and motivated.From creative referral programs and profit-sharing models to exploring non-licensed staff and telehealth solutions, these ideas are designed to revolutionize your hiring and retention process. If you're a clinic owner or manager looking to overcome staffing shortages and build a stronger, more profitable clinic, this episode is for you!Key Points Discussed:The current PT job vacancy rate and its impact on clinics.Creative referral bonuses to incentivize staff and bring in top talent.Delegating tasks to non-licensed staff and leveraging telehealth to reduce workload.The importance of flexibility and profit-sharing models to retain therapists.Using social media and content creation to boost your clinic's brand and recruit the best.Special Guests:Tony Maritato, PT, Business CoachJimmy McKay, PT, DPT, Host of PT PintcastTarget Audience:Physical therapy clinic owners, PT professionals, healthcare recruiters, and business managers in the healthcare field.
Send us a textIn today's episode of Headfirst: A Concussion Podcast, we are honoured to welcome Clinical Associate Professor Rebecca Bliss. Dr. Bliss is affiliated with the Department of Physical Therapy, Rehabilitation Science, and Athletic Training at the University of Kansas Medical Centre. She is board certified in neurological physical therapy and has achieved advanced competency in Vestibular Rehabilitation through the American Physical Therapy Association. Additionally, Dr. Bliss has authored numerous journal articles and has received multiple awards and grants for her research, presentations, and initiatives related to physical therapy and concussions. - Introduction- How Dr Bliss Studies in the world of Concussion (5:45)- Changes in Concussion Education Over Time (8:39)- Challenges in Treating Different Demographics (11:35)- Rehabilitation of Concussion in Paediatric Population (15:53)- What is vestibular-ocular reflex (20:25)- Uncoupling the Main Symptoms and Aspects of Concussion (28:06)- Dr Bliss mTBI Courses (36:00)- Cognitive Rehabilitation in Blast Injury (38:50)- ACL Rehab, Concussion Cross-Over and Reaction Times (45:10) Twitter/X: @BBlissDPTExperienced Clinical Decision-Making in Physical Therapist Management of Concussion: A Qualitative Study: https://academic.oup.com/ptj/article/104/5/pzae027/7612759 Subscribe, review and share for new episodes which will drop fortnightlySocial media:Twitter: @first concussionFacebook: Headfirst: A concussion podcastInstagram: Headfirst_ Concussion Email: headfirstconcussion@gmail.com
Have you heard some things about working with people with MS that make you question how to approach their care? Are they old school thoughts or based on science? Who can tell?! You'll know after listening to this episode! Hosts Erin Gallardo and Claire McLean had the privilege of speaking with Herb Karpatkin, PT, DSc, NCS, MSCS, a leading expert in physical therapy for individuals with multiple sclerosis (MS). Herb shared invaluable insights from his decades of clinical experience and research, providing guidance for physical therapists on how to actually support patients with this complex neurological condition so they improve. A key focus of Herb's research has been exploring ways to help MS patients overcome debilitating fatigue, which often limits their ability to participate in rehabilitation. He has found great success with intermittent training protocols, where patients alternate short bursts of activity with rest periods. Herb shares specific parameters from the research so you can use it now. Next you must recognize that a significant portion of disability in MS patients may be due to deconditioning, rather than the neurological disease process itself. By implementing targeted reconditioning programs, physical therapists can make a substantial impact on improving functional mobility, even in those with advanced disease. Herb's research has also demonstrated the benefits of high-intensity interval training for individuals with MS. Contrary to outdated beliefs, many MS patients are able to tolerate and thrive with aggressive exercise programs when implemented thoughtfully. Herb emphasizes the importance of gradually progressing patients to higher intensities, while closely monitoring for signs of fatigue. To further support the MS community, Herb is actively involved with the Degenerative Disease Special Interest Group of the American Physical Therapy Association. This group has created a Clinician Locator Map to help patients find physical therapists with expertise in treating degenerative conditions like MS. For your patients and clients with MS: MS Cooling Products Application Sign up for the clinician locator map: https://www.neuropt.org/special-interest-groups/degenerative-diseases/ddsig-clinician-locator-map Register for the free webinar on MS interventions you can apply immediately here! https://www.neurocollaborative.com/ms-webinar
In this episode of the Braun Performance & Rehab Podcast, Dan is joined by Dr. Angela Gordon to discuss causes of anterior shoulder pain in overhead athletes and how to treat anterior shoulder pain. Angela T. Gordon PT, DSc, MPT, FAAOMPT, COMT, ATC, OCS, FMS has more than 16 years of clinical experience in orthopedic and sports physical therapy. Dr. Gordon was a high school and collegiate athlete suffering several injuries that lead her pursue a career in physical therapy. She went on to earn her Bachelor's degree from Baldwin Wallace College in 2000 for athletic training, her Masters of Physical Therapy from Andrews University in 2002, and her Doctorate of Science from Andrews University 2012. Dr. Gordon earned her orthopedic manual therapist certification through NAIOMT in 2012. In 2012 Dr. Gordon received her functional dry needling specialist certification and in 2014 became Board Certified Orthopedic Clinical Specialist from the American Physical Therapy Association. In 2017, Dr. Gordon completed her fellowship with NAIOMT and is recognized by the American Academy of Orthopedic Manual Therapists. In April 2013 Dr. Gordon became a published author for an article in the IJSPT: Relationships between core strength, hip external rotator muscle strength, and star excursion balance test performance in female lacrosse players. Dr. Gordon's co authored a book chapter “Physical Therapy considerations Following Regenerative Medicine Interventions” in September 2017 in the textbook Regenerative Treatments in Sports and Orthopedic Medicine. Dr. Gordon has served as the lead physical therapist for the Washington Nationals Baseball in 2005 and from 2010-2015. She works extensively with numerous professional and semi professional athletes from MLB, NFL, PGA, Canadian Football League, and European basketball players. She also works closely with many high school and collegiate overhead throwers and female athletes. Dr. Gordon is guest faculty with NAIOMT, teaching a specialty course for rehabilitation of overhead athletes and she has been invited to speak at a variety annual sports medicine conferences across the country. Dr. Gordon is the owner and creator of F. A.S.T.™ (Female Athlete Sports Training program) and is physical therapy consultant to George Mason University Athletics. For more on Angela & Advanced Kinetics, be sure to check out https://advancedkinetics.com/ & https://advancedkinetics.com/courses/overhead-athlete-courses/ *SEASON 5 of the Braun Performance & Rehab Podcast is brought to you by Isophit. For more on Isophit, please check out isophit.com and @isophit - BE SURE to use coupon code brawnbody10 at checkout to save 10% on your Isophit order! Episode Affiliates: MoboBoard: BRAWNBODY10 saves 10% at checkout! AliRx: DBraunRx = 20% off at checkout! https://alirx.health/ MedBridge: https://www.medbridgeeducation.com/brawn-body-training or Coupon Code "BRAWN" for 40% off your annual subscription! CTM Band: https://ctm.band/collections/ctm-band coupon code "BRAWN10" = 10% off! Ice shaker affiliate link: https://www.iceshaker.com?sca_ref=1520881.zOJLysQzKe Make sure you SHARE this episode with a friend who could benefit from the information we shared! Check out everything Dan is up to by clicking here: https://linktr.ee/braun_pr Liked this episode? Leave a 5-star review on your favorite podcast platform --- Support this podcast: https://podcasters.spotify.com/pod/show/daniel-braun/support
Alan Fredendall // #LeadershipThursday // www.ptonice.com In today's episode of the PT on ICE Daily Show, ICE Chief Operating Officer Alan Fredendall discusses the current state of healthcare & rehab as an industry, who the big players are, what (if anything) is being done to change things, and how individual therapists can begin to affect meaningful change Take a listen to the podcast episode or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about courses designed to start your own practice, check out our Brick by Brick practice management course or our online physical therapy courses, check out our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. EPISODE TRANSCRIPTION ALAN FREDENDALLGood morning, everybody. Welcome to the PT on ICE Daily Show. Happy Thursday morning. We hope your day is off to a great start. My name is Alan, the pleasure of being our Chief Operating Officer here at ICE and a faculty member in our Fitness Athlete and Practice Management Divisions. It is Leadership Thursday. We talk all things practice, ownership, business management. Leadership Thursday also means it is Gut Check Thursday. This week's Gut Check Thursday comes directly from ICE's CEO, Jeff Moore. sent this to me last week said hey I was just goofing off in the gym trying to get some lifting and cardio in together and so he sent me a workout of 100 bench press with the weights on the barbell 135 for guys 95 for ladies and a hundred calories on a fan bike for guys 80 for ladies with the caveat that you can break up that work however you like you can Do 100 bench press straight through, 100 calories on the bike straight through. You can break it up into 10 rounds of 10 and 10, 20 rounds of 5, 5, 5. Whatever rep scheme suits your fancy, you are allowed to do that as long as you get all of those bench press and all of those calories done. that bench press weight should be light to moderate for you enough that you could potentially do five to ten reps unbroken. If it's so heavy that you could only do maybe singles or doubles or triples it's going to take you a long time to work through a hundred so keep that in mind. Other than that just pace yourself on the bike. There is no use racing that bike to finish a couple seconds maybe faster than normal only to lay on that bench for 30 seconds before you feel like getting some reps in. So just treat it a moderate approach on that bike and hammer out that bench press as able. So that is Gut Check Thursday. Today we're talking about changing the status quo. What does that mean? We're talking about the status quo as it is across healthcare in general, but of course specifically to rehab today on PT on ICE. So we're gonna talk about what is business as usual in rehab, who are the major players, We're going to talk about what is currently being done to address some of the issues across the rehab professions and again in particular physical therapy. And then are there more effective ways to try to change things. WHAT IS BUSINESS AS USUAL IN REHAB? So let's get started first by talking about what is business as usual. And in the rehab industry, the healthcare industry in general, we have what is really going on across pretty much every industry in the country of a slow merger acquisition consolidation of small to moderate companies being bought out by larger companies and slowly paring down the amount of organizations who really offer the same or similar service. A good representation of this is the airline industry. We only have four major airlines left. Southwest, Delta, American, and United. 20 or 30 years ago, there were over a dozen. And in the wake of some of the IT issues we had last week, we may even see that Delta and American could be going away soon if they don't fix their IT infrastructure and get their feet back on board. And so we see that there are just a handful of major players in the industry. And we would label those too big to fail kind of organizations. We have the same phenomenon going on in physical therapy and again in healthcare in general. When we look at healthcare, when we look in particular at rehab, we really have four major players. We have health insurance companies that control the care that patients are able to receive. and the amount of time providers have to spend paperwork wise on providing that care and also the amount of money that providers get. We know that almost every American has health insurance and so that health insurance for the foreseeable future is going to be part of the equation and therefore these health insurance companies are a big player in this industry. We have just a handful of health insurance companies, about 10, that generate $1.3 trillion collectively and employ over half a million people, with an average profit increase every year of about 9% year over year. And these 10 companies insure about three-fourths of Americans. So again, a very consolidated, condensed industry. where if any of those companies were to go out of business or something, it would have a lot of ramifications for the economy, for patients, and for providers. And so health insurance companies stand as one of those too big to fail type of organizations in this equation. Right after health insurance companies are health care companies. Large, national, across state lines, corporate, health care clinics, whether they are primary care clinics, dental clinics, urgent cares, physical therapy clinics, whatever, we see the same issue across all health care professions is that over time we are slowly paring down that the vast majority of clinics are owned by a large corporation and that usually as we get near the top of these organizations, Nobody involved in the leadership or management of the company is actually a healthcare provider. And so these are large, for-profit clinics that provide some sort of healthcare treatment. In the rehab industry and physical therapy in specific, just eight companies are closing in on owning 75% of all outpatient physical therapy clinics. And so that's very similar to health insurance, right? A small amount of companies own the vast majority the organizations and clinics within the industry. We have universities as our third player in the equation. They are responsible for educating entry-level students and getting them prepared to become new clinicians. They certainly have a stake in the equation here. And then finally we have the government itself. That can be kind of vague when we say the United States government. We're kind of really referring to enforcement organizations, Medicare, IRS, who are trying their darndest to try to regulate the other three organizations, big players in the industry. And what we find when we look at the intersection of all these giant, large, too-big-to-fail organizations is that we find that Over time, they have become intertwined. They have developed a symbiotic relationship with each other such that it would be really hard to affect significant change on one piece of the puzzle without it affecting everything else downstream. We see that universities have grown their cohort sizes so much that they are now graduating hundreds. Hybrid programs with multiple cohorts starting per year are getting close to graduating thousands of physical therapists per year. And all of those students need clinical placements. Those large corporate health care clinics are happy to take those students and put them to work for some free labor. I think we've probably all experienced that. at one point or another in our student career. And when those universities grow these cohort sizes, they begin to need those large clinics to have places to send their students to. And those clinics rely on those students, again, as part of their labor force alongside their staff therapists as well. We see that health insurance companies need, at some level, some providers to take their insurance so that they can offer to their customers, our patients, that there are some providers who take your insurance. If we get to a level where no one is taking insurance, health insurance companies are gonna be in a lot of trouble, and so we see that they are trying to hang on and kind of fight back against a shift across healthcare towards cash-based physical therapy and trying to go around the insurance system. And then finally we see that the United States government hasn't necessarily quit trying to enforce curb all the fraud waste and abuse in Rehab in health care in general what we see is they've kind of changed their policy over the years instead of throwing people in jail or busting up companies or that sort of thing that they have shifted their strategy to just collect fines right if they can't and stop it, then they will collect a piece of the revenue that all these different organizations are making. And so you see that fines are becoming much more popular than actual legal action when the government tries to get involved in significant issues with fraud, waste, and abuse in healthcare. So that's business as usual currently. Universities pumping out students, big corporate clinics taking students, offering students a job, health insurance companies playing both sides against the middle and then the government just trying to come in and take a little bit off the top at the end of the day. And really what we see happening is at the end of the day, there's really no impetus to change business as usual, the status quo among those four groups. It is working well enough that there is no significant push to really change things. WHAT IS BEING DONE TO CHANGE THINGS? What is being done to change things? You may have noticed what we did not mention in one of those big players was an organization like the American Physical Therapy Association. Not much is being done here because not much can be done. If we take a second, and please don't hear that this episode is just an episode designed to dump on the American Physical Therapy Association, but structurally it is not designed to hang on and try to enforce or weigh in or make any sort of decisions or affect really a lot of long-term change on any of the issues we see among the big players in our industry. That when we look at what is the APTA, really it is a non-profit member organization. It's not a charity. It's not a church. It's a member organization, it's a non-profit, it doesn't pay taxes, and so at the national level it really can't affect change. Nothing about our profession is regulated on the national level, it is all regulated on the state level. Your scope of practice, whether you can manipulate the spine, dry needle, whether who can prescribe exercise, who can do cupping, who can do blood flow restriction, all those different scope of practice issues are all handled by individual state legislations. And because of that, the APTA cannot really weigh in. They can also not weigh in because they can't legally weigh in. When we look at how the APTA is structured, it's structured as a non-profit corporation. It is forbidden by law, as is every non-profit company, every church, every anything, from engaging in political activities. So what the APTA has is a secondary organization called the PT PAC, the Political Action Committee. That is an entirely different organization. It's an entirely different pool of money. And that is the group that can try to lobby for things like mitigating Medicare reimbursement cuts. But that in general, on the national level, by design, it can't be effective. And just being an APTA member without donating any extra money to the PT PAC itself doesn't really allow us as individual clinicians to help the APTA effect change either. HOW DO THINGS ACTUALLY GET DONE? So, how do things actually get done then? Things really get done in our profession at the state level. State legislation, changing scope of practice, doing things like expanding direct access, opening up the ability to dry needle. We saw Washington just get access to dry needling a couple months ago. That was a state-led initiative from the clinicians in that state, from the state physical therapy chapter, and from the state legislature in Washington. That is how things actually begin to move around in our profession. And the unfortunate thing is you cannot join, just join your state chapter. You have to join the APTA and then also join your state chapter at the same time. So you can't be a part of just your state without being a part of the national organization, which I personally believe is a little bit unfortunate because I'd rather see my time and money go towards the organization that's going to affect the most change, which is going to be my state chapter. A really good example right now, we're close to completely removing direct access restrictions here in Michigan, and that is led on the state level. A guy over on the west side of the state, Dustin Karlich, he is pushing that initiative with the Michigan State Physical Therapy Association through the Michigan State Legislature, and we're hoping that that gets heard in the fall meeting of the state legislature. and that we have direct access restrictions completely removed here in Michigan. And again, that is all done at the state level, not at the national level. So what can we do? What can be done? If that is the status quo, if that is what is currently being done, and most of it is being done at the state level, What can we do to try to change the status quo? We hear a lot here at ICE, you know, what is being done about this issue? What is being done about that issue? And the truth is, not a lot, right? We're not expecting to see reimbursement probably go up ever again. We've talked about why that is. The math just doesn't math with that. And so if we can't meaningfully affect the change that we want to see, especially at the level that we want to see it, what can we do as individuals and what can be done to try to change things in our profession? The first is to recognize, like, hey, we're in a Cold War event, kind of, right? These big organizations that don't really want to change things are pitting themselves against each other, and again, they don't really have an impetus to change. We see a lot of proxy fighting going on, arguing back and forth about who and who cannot dry needle or use cupping or blood flow restriction or whatever. We kind of have these proxy fights across the country. We go back and forth constantly. And the truth is, we need to recognize, hey, how did we actually win the real Cold War? We've significantly changed our strategy, right? How did we do that? We stopped expecting that doing the same thing over and over again would create meaningful change, right? We stopped going into small countries and propping up a government to fight against the Soviet Union. We recognized after 50 years of that, that that wouldn't work. What we did instead was we shifted to focus on our economy, we shifted to focus on being self-sufficient with natural resources, and we went an economy-driven strategy instead of a military-driven strategy, and that's what actually ended the Cold War. We see a very similar recommendation here inside the PT profession. What is the strategy? Literally anything except what we're trying to do, which has not worked in decades. This is one of my favorite books of all time. This is a hefty book. None of you are probably going to read this. That's okay. This is Army FM 7-8, Field Manual 7-8. It is infantry tactics. What I love about this book is probably a thousand pages of how to fight a war. What I love is that almost every section starts with, if what you're currently doing is not working, stop trying to expect a lot of change by doing the same exact thing over and over again. Change your strategy, right? Do the unexpected. There is a whole page in here on how to react to an ambush and the first sentence is, if ambushed, attack back immediately. Why? It is the unexpected thing to do. We have to do the same thing in physical therapy. Do the unexpected strategy because the expected strategy, the thing we've been trying, for the past 50 years or so has not really changed anything and we should not expect that doing the same thing over and over again will affect any sort of meaningful change. If we just stick our head in the sand and say, certainly someone is going to fix all of these issues soon, we should not expect that those issues will be fixed anytime soon. So, what are our recommendations? Support your local state PT association. You can't join it directly, but you can support your state PT PAC, your political action committee, which means that you can give money to your state physical therapy association that they can use to pass meaningful legislation in your state. So if you're in a state and you want access to dry needling, you want access to spinal manipulation, cupping, blood flow restriction, you want better direct access, you want whatever, it's going to change most likely at the state level and so support your state level association. As an industry, as a profession, we need to recognize that slowly over time, we're moving towards a state where it is not going to be possible to accept every single insurance and run a sustainable and profitable practice that lets us pay our therapists what they need to make to make a decent living while working at a reasonable volume, right? We have moved over the years from 40 patients a week to 60 patients a week to 80 to the average now is climbing towards a hundred patients a week that is Unsustainable and the again the idea that we can just do the same thing over and over again and expect change is not going to happen we're not going to to really make any meaningful change by trying to see a hundred patients a week or 120 patients a week and to try to generate more money to be able to pay more people. There are limits to how much you can get, how much you can work, and we need to recognize that over time, if things don't change with insurance, we need to let that ship sail. That is a tough transition, that is a hard transition, but it is a transition that is going to have to happen to some degree at some point in time for almost every physical therapy clinic in the country. unless things meaningfully change. How can those things change? There are systems in place for us to report our outcomes and increase our reimbursement from insurance. Almost nobody does that because it takes time, but it is possible. We're going to see our reimbursement here at our clinic here in Michigan go up 20% in 2025 because we are reporting our outcomes and And we are getting rewarded with more reimbursement. So there are systems in place, but if you don't want to use those systems or do those tasks, you need to recognize that you need to let that insurance ship sail. And it means that you're not going to be on it. And then over time, we'll need to probably pare down our insurances and potentially be cash only across the majority of the profession. And then as individuals, what can we do? Yes, we can support our state physical therapy association and state PT pack, but we can also stick up for ourselves. Every time you go to work for somebody that overworks you and underpays you, you confirm to the leadership of that organization that there is another sucker out there who is willing to accept that, right? And we just perpetuate the cycle that we have been trapped in for many decades. And again, what is the best strategy? Anything different than what we're already doing. So when you are given that quote unquote opportunity from that organization, and it looks terrible, don't take it. There are 34,000 physical therapy clinics across the country. Find a different one. There is a clinic for you that is going to pay you well and respect your time and autonomy. I guarantee it. It just might not be three minutes from your house, right? We sometimes need to choose a little bit of discomfort to make a meaningful bump in our own individual practice and our own individual work inside of the bigger profession. SUMMARY So changing the status quo, recognizing we're kind of stuck in a cold war with several organizations that are too big to fail, that don't really have an impetus to change what they're doing because it's working well enough for all of them. What is being done currently? Not a lot on the national level because it can't. We have to stop expecting that black helicopters with agents in suits from the American Physical Therapy Association are going to drop out of helicopters and just fix things. There are only 160 people that work at the APTA. Almost all of them are administrative roles. There are very few people there that are doing a lot of of groundwork because the groundwork of our profession happens at the state level. So what can we do to support that? Support your state physical therapy association. If you're like me and you don't want to join the American Physical Therapy Association just to support your state association, you can still support your state's physical therapy political action committee PAC PAC by donating money. If you go to that website I think you'll be surprised by how few people donate and in reality how much gets done at the state level with a relatively small amount of manpower and money and that if we all just gave a hundred bucks to those organizations I think we'd be really surprised at how much more change we see affected if only in our individual states, but how effective and how large that change could be across our profession. So, when in doubt, if your courage strategy is not working, literally do anything else, right? Write from the Army Field Manual. If you are being ambushed, attack back because that is the strategy that is least expected. Do something different. Go around insurance companies, support your state political action committee, and stop working for employers who don't respect your autonomy and who don't respect your livelihood, who are trying to overwork you and underpay you. That's all we have for today's episode. I hope you found this helpful. I'd love to hear any discussion you all have about this. You can leave a comment here. I'll be back tomorrow. We're gonna talk about Fitness Athlete Friday, how to develop really brutal strength in a way that translates to improvements in your Olympic weightlifting. So we'll see you again tomorrow morning. Have a great Thursday. Have fun with Gut Check Thursday. Bye, everybody. OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CEUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.
On this episode of the Healthy, Wealthy, and Smart podcast, Dr. Jennifer Stevens-Lapsley and Dr. Kory Zimney, underscored the crucial role clinicians play in influencing the APTA research agenda. They emphasized that clinicians should be invested in the research agenda as it directly impacts their practice and the well-being of their patients. Here are key takeaways from the episode on how clinicians can actively contribute to the APTA research agenda: 1. Data Collection: Clinicians are encouraged to start gathering outcomes data in their clinical settings. This data serves as a valuable resource for addressing research inquiries and refining clinical practices. By systematically collecting data on patient outcomes, clinicians can bolster the evidence base, guiding decision-making at both individual patient levels and broader research endeavors. 2. Questioning: Clinicians are uniquely positioned to identify knowledge gaps and areas requiring further research. By posing questions based on their clinical experiences, clinicians can help shape research priorities and initiate meaningful research projects. Cultivating a curious mindset can lead to the formulation of research questions that tackle real-world clinical challenges. 3. Collaboration with Researchers: Collaboration between clinicians and researchers is pivotal for advancing the field of physical therapy. Clinicians can collaborate with researchers by sharing clinical insights, participating in research studies, and engaging in discussions on research findings. Through joint efforts, clinicians and researchers can ensure that research remains relevant, practical, and directly applicable to clinical settings. 4. Networking and Relationship Building: Clinicians are urged to network with researchers, academic institutions, and other healthcare professionals to foster collaborations and knowledge exchange. Establishing relationships with researchers can provide clinicians with opportunities to contribute to research projects, access resources, and stay abreast of the latest research developments in physical therapy. 5. Promoting Evidence-Based Practice: Physical therapists are an evidence-based profession who rely on research to inform their clinical interventions. By actively engaging with the APTA research agenda and participating in research endeavors, clinicians can enhance the quality of care they deliver and contribute to the advancement of the profession. Time Stamps: 00:00:00 - Introduction and Guest Welcome 00:01:04 - Importance of the APTA Research Agenda 00:03:27 - Development Process of the Research Agenda 00:07:02 - Dissemination of the Research Agenda 00:11:56 - Overview of the Six Key Areas 00:12:14 - Population Health Research 00:12:59 - Mechanistic Research 00:13:19 - Clinical Research 00:17:19 - Education and Professional Development Research 00:21:16 - Health Services Research 00:22:18 - Workforce Research 00:24:36 - Relevance to Clinicians 00:30:05 - Encouragement for Clinician Involvement 00:32:11 - Final Thoughts and Takeaways 00:34:16 - Contact Information for Guests 00:34:42 - Advice to 20-Year-Old Self 00:36:12 - Conclusion and Sign-Off More About Dr. Jennifer Stevens-Lapsley: Dr. Stevens-Lapsley serves as a Professor and the Director of the Rehabilitation Science PhD Program within the Physical Therapy Program at the University of Colorado Anschutz Medical Center. Additionally, she is the Associate Director of Research for the Eastern Colorado VA Geriatrics Research, Education, and Clinical Center (GRECC). She is dedicated to the advancement of evidence-based solutions in older adult rehabilitation, achieved through rigorous research methodologies and strategic partnerships. With 25 years of experience in clinical research, her specialization lies in post-joint arthroplasty care and medically complex patient populations. Dr. Stevens-Lapsley's impactful clinical research has yielded 200 publications, garnered numerous awards, and secured $20 million in funding. She is a frequent presenter at both national and international forums, contributing significantly to the dissemination of her research findings. More About Dr. Kory Zimney: Kory Zimney, PT, DPT, Ph.D. has been practicing physical therapy since 1994 following his graduation from the University of North Dakota with his Master in Physical Therapy. He completed his transitional DPT graduate from the Post Professional Doctorate of Physical Therapy Program at Des Moines University, Class of 2010. He also earned his Ph.D. in Physical Therapy from Nova Southeastern University in 2020. Dr. Zimney is an Associate Professor within the Department of Physical Therapy at the University of South Dakota and the Director of the Ph.D. in Health Sciences program at USD. He also serves as Senior Faculty with Evidence in Motion (EIM) and researcher with Therapeutic Neuroscience Research Group and USD Center for Brain and Behavior Research. His primary teaching, research, and treatment focuses are on pain neuroscience, therapeutic alliance, and evidence-based practice for orthopedic injuries of the spine and extremities. He has published multiple peer-reviewed research articles in these areas. Past work experiences have been with various community-based hospitals working in multiple patient care areas, including inpatient, skilled rehab, home health, acute rehab, work conditioning/hardening, and outpatient orthopedics. He has completed the Advanced Credentialed Clinical Instructor program through the American Physical Therapy Association and is a Certified Spinal Manual Therapist and assisted in the development of the Therapeutic Pain Specialist program through the EIM certification program, and has a certification in Applied Functional Science through the Gray Institute. Resources from this Episode: APTA Research Agenda Jane Sponsorship Information: Win a Ticket to See Lorimer Moseley in NYC Book a one-on-one demo here Mention the code LITZY1MO for a free month Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio
“We put into effect a program that supports guaranteed mobilization of every patient at least twice a day, which is such a huge change from where we were before, where patients were maybe getting out of bed just to go to the bathroom or maybe just to sit in the chair for one meal a day. So it really had a huge impact on overall mobility,” Jennifer Pouliot, MSN, RN, OCN®, clinical program director of oncology safety and quality at Mount Sinai Health System in New York, NY, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a conversation about the benefits of mobility in hospitalized patients with cancer. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by June 28, 2026. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge related to patient mobility. Episode Notes Complete this evaluation for free NCPD. Oncology Nursing Podcast episodes: Episode 195: Exercise's Effect on Patient and Provider Well-Being Episode 82: Physical Activity Prescriptions in Cancer Care Episode 15: Incorporating Physical Activity in Patient Care 2024 ONS Congress® session: Benefits of an Early Mobility Program for Hospitalized Patients (Presented by Jennifer Pouliot and Mark Liu) ONS Voice articles: Does Dance/Movement Therapy Affect Outcomes for Pediatric Patients With Cancer? During or After Chemo, Exercise Fights Fatigue and Supports Cancer Recovery Exercise Program Improves Quality of Life in Patients With Breast Cancer—and Keeps Them Moving Daily Exercise the Evidence: How I Moved From an Idea to Program Development More Survivors Have Functional Limitations After Cancer What the Evidence Says About Low-Intensity Exercise in Cancer Care What the Evidence Says About Tai Chi in Cancer Care ONS courses: Incorporating Physical Activity Into Cancer Care Quality and Physical Activity Course Bundle Clinical Journal of Oncology Nursing articles: Increased Mobility and Fall Reduction: An Interdisciplinary Approach on a Hematology-Oncology and Stem Cell Transplantation Unit Multimodal Exercise Program: A Pilot Randomized Trial for Patients With Lung Cancer Receiving Surgical Treatment ONS's Get Up, Get Moving resources American Physical Therapy Association's Activity Measure for Post-Acute Care (AM-PAC) National Database of Nursing Quality Indicators (NDNQI) To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the Oncology Nursing Podcast™ Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode “Mount Sinai developed a mobility mission. And this mission included interdisciplinary approach. So that's talking with the whole team about mobility, knowing the patient's baseline, documenting and understanding the functional status and that it should not decline during hospitalization. Every patient is mobilized unless medically contraindicated. We have a mission to get patients out of bed for every meal. Physical therapy is not required before nursing can mobilize patients, and then to escalate the inability to mobilize patient to the provider upon admission, so we can address that in real time and see what we can do to make sure that they don't stay in the bed.” TS 7:30 “We measured the progress of the program through documented mobility interventions, trending the patient's mobility score and AM-PAC functional assessment, which is the Activity Measure for Post-Acute Care. And then also with NDNQI data like falls, falls with injury, pressure injuries, and then also patient satisfaction surveys.” TS 9:44 “We saw that 76% of our patients, they either maintained or improved their mobility score while they were in the hospital. We had a 6% reduction in excess days. We had a decrease in readmissions, about 6%. And then we saw an increase in our patient satisfaction score about the willingness to recommend the hospital from 63% to 91%. So we found those really powerful, meaningful, and we also had a lot of comment cards from patients highlighting the mobility program.” TS 17:16 “We know the literature is out there. We know the benefits exist. It's really just about advocating and having a business plan that benefits both the organization, the staff, and the patients. And then pilot; start small. So you learn, you grow, you adjust. You figure out what works, what doesn't, and then you scale it out.” TS 19:38
“You should treat the movement to get rid of the symptoms rather than treating the symptoms to be able to move.” Dr. Shirley Sahrmann Our guest Dr. Shirley Sahrmann, PT, PhD, FAPTA. Dr. Sahrmann is a Professor Emerita of Physical Therapy at Washington University School of Medicine, St. Louis, Missouri with over 60 years of experience. She received her bachelor's degree in Physical Therapy, masters and doctorate degrees in Neurobiology from Washington University. She is a Catherine Worthingham Fellow of the American Physical Therapy Association and is a recipient of the Association's Marion Williams Research Award, the Lucy Blair Service Award, and the Kendall Practice award, the Inaugural John H.P. Maley Lecture and Mary McMillan Lecture awards. Dr. Sahrmann has received Washington University's Distinguished Faculty Award, The Distinguished Alumni Award, the School of Medicine's inaugural Distinguished Clinician Award and an honorary doctorate from the University of Indianapolis. She has also received the Bowling-Erhard Orthopedic Clinical Practice Award from the Orthopaedic Section of the APTA. She has served on the APTA Board of Directors and as president of the Missouri Chapter. In addition to her numerous national and international presentations, Dr. Sahrmann has been a keynote speaker at the World Confederation of Physical Therapy, Canadian, Australian, New Zealand, Japan, and Danish national congresses. Dr. Sahrmann's research interests are in the development and validation of classification schemes for movement impairment syndromes and in interventions for these syndromes. Her books, Diagnosis and Treatment of Movement Impairment Syndromes and Movement System Impairment Syndromes of the Cervical and Thoracic Spines and the Extremities, describe the syndromes and methods of treatment.
Margo Poole graduated with a bachelor's degree in physical education. She earned her master's degree in physical therapy and has been practicing for over 20 years. Margo was a member of the American Physical Therapy Association for 11 years and became an APTA-credentialed Clinical Instructor in 2013. She earned a Corrective Exercise Specialist certification in 2017 and a dry needling certification in 2023. For full show notes and transcripts visit https://calledtotheworkforce.substack.comDuring our podcast, guests share their professional experiences and faith experiences. Views expressed reflect their own beliefs and do not reflect their employers past, present, or future. The Church of Jesus Christ of Latter-day Saints does not sponsor this podcast. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit calledtotheworkforce.substack.com
On this episode, we are joined by Zack Sutton, a physical therapist and Certified Hand Therapist who is utilizing artificial intelligence in his clinical practice to increase efficiencies. He shares with us a variety of ways to implement AI in hand therapy and the various benefits of using AI in clinical practice.Guest bio: Zach Sutton, PT, DPT, MS, MBA, ATC, CHT is co-owner of McMinnville Physical Therapy, PLLC. Zach's current practice focuses on sports medicine with an emphasis on the upper extremity in an outpatient practice in McMinnville, TN. Zach is adjunct faculty at South College's Doctor of Physical Therapy Program and contributed to the chapter on the hand in Hertling and Kessler's 5th edition of Management of Common Musculoskeletal Disorders. At the 2022 Annual Meeting of the American Society of Hand Therapists, Zach presented on Current Concepts with Lateral Epicondylalgia. Most recently, at the American Physical Therapy Association's Tennessee Chapter this Spring, Zach presented “Merging Minds - Clinical Mastery Meets AI Advancements.”
Chime In, Send Us a Text Message!We're kicking off Stroke Awareness Month with our first business spotlight series in partnership with Vivistim®. On this episode we'll introduce you to Teresa Jacobson Kimberley, PT, PhD, FAPTA Director of the Rehabilitation Science PhD Program School of Health and Rehabilitation Sciences MGH Institute of Health Professionals.About our Guest:Dr. Kimberley is a Professor and Director of the Brain Recovery Lab in the MGH Institute's Department of Physical Therapy. She is also a research associate at Harvard Medical School, Spaulding Rehabilitation Hospital, Massachusetts General Hospital, and the Center for Neurotechnology and Neurorecovery. Her lab's cross-disciplinary focus is to understand the pathophysiology of sensory-motor impairment and facilitate recovery for people with neurologic disorders. The career-long impact of her work is reflected in numerous awards, including Physical Therapy's highest honor of being named a Catherine Worthingham Fellow of the American Physical Therapy Association. Connect with our guest Mention: VNS REHAB About Vivistim®:Vivistim® is the first FDA-approved neurostimulation device to pair vagus nerve stimulation with rehabilitation therapy and daily activities. This pairing helps strengthen the brain connections needed to improve hand and arm function. It's the only system of its kind, and it is proven safe and effective. The MicroTransponder® Vivistim® Paired VNS™ System is intended to be used to stimulate the vagus nerve during rehabilitation therapy in order to reduce upper extremity motor deficits and improve motor function in chronic ischemic stroke patients with moderate to severe arm impairment. Do not use if you have had a bilateral or left cervical vagotomy. Risks may include, but are not limited to pain after surgery, hoarseness, bruising, swelling, coughing and throat irritation. While not observed in the Vivistim studies, infection leading to explant is a risk associatedNew show supporter CTA for 2024-Mike Garrow Support Our Show! Thank you for helping us to continue to make great content. We appreciate your generosity! For more information about joining our show or advertising with us visit: https://enable4us.comSupport the Show.Support the show:Become a monthly subscriber for as low as $3 per month.Click here to subscribe.Be sure to give the show a like and share, & follow plus connect with us on social or contact us to support us as a show sponsor or become a guest on the Know Stroke Podcast. Visit website to to learn more: https://www.knowstrokepod.com/Show credits:Music intro credit to Jake Dansereau. Our intro welcome is the voice of Caroline Goggin, a stroke survivor and our first podcast guest! Please listen to her inspiring story on Episode 2 of the podcastConnect with Us and Share our Show on Social: Website | Linkedin | Twitter | YouTube | Facebook
On this episode, Andrea is joined by oncologic physical therapist, Scott Capozza for a practical and scientific approach to running while fighting and surviving cancer. Scott shares his own journey with testicular cancer. He and Andrea discuss the role of physical therapy for oncology patients, recommendations for maintaining running during cancer treatment, and practical advice for returning to fitness after treatment is over. Whether you or a loved one is battling cancer, or you're healthcare professional caring for cancer patients, this is a must-listen! Scott Capozza, PT, MS has worked as a physical therapist in a multi-disciplinary survivorship clinic as well as an outpatient physical therapist dedicated to oncology rehabilitation. He received a Master of Physical Therapy degree from Ithaca College in 1999. Scott initially worked in pediatric physical therapy, including outpatient pediatrics, school-based physical therapy, and aquatic-based physical therapy, before making the transition to adult oncology rehabilitation. Scott is among the first class of board-certified clinical specialists in oncologic physical therapy in the United States and serves as a SACE II Item Writer for the oncology certification exam through the American Board of Physical Therapy Specialists. He holds several leadership positions within the American Physical Therapy Association, including the APTA Media Corps and the Academy of Oncologic Physical Therapy. You can find Scott online on Facebook, Instagram, X, and LinkedIn. Links mentioned in the show: American College of Sports Medicine Roundtable on Exercise Guidelines for Cancer Survivors Exercise Guidelines for Cancer Survivors Patient Is Otherwise Healthy ChoosePT Chapters 0:00 - Introducing Scott 12:42 - Scott's journey with running and his cancer diagnosis 22:37 - The chronic effects of cancer treatment on exercise performance 24:16 - Scott's approach to PT during cancer treatment 32:34 - A holistic approach to PT & cancer treatment 40:56 - If a runner has been diagnosed, how do they know if it's safe to continue running? 48:09 - Evaluating a patient's progress post-cancer-treatment 54:42 - How to advocate for yourself with your medical team 58:50 - Resources for learning about oncology rehab 1:02:31 - Finding an oncology-certified PT 1:03:56 - Wrap-up --- Support this podcast: https://podcasters.spotify.com/pod/show/doctors-of-running/support
As a mother herself, Nicole understands that it is hard to figure out how to get it all done. After having her son, and realizing that there was a huge lack of information, guidance, and knowledge for postpartum women, Nicole knew she had to help guide women back to their health, fitness, and exercise routines safely. Nicole was plagued with minor injury after injury when trying to return to her favorite activities of CrossFit, yoga, and running after having her son, she knew she needed to develop a safe place for women to learn how to build strength again from the inside out.She made it her mission to guide as many women through the journey of pregnancy and postpartum health and fitness as possible. She NEVER wants a woman to feel alone or as though she has to stop all activities she loves because of pain or discomfort. She wanted to be able to empower women to understand all the changes that happen to their body and how to safely navigate through all of life's stages to remain active and energized for a lifetime. That's why she knew she had to start Hays County Physical Therapy and Wellness. Hays County Physical Therapy and Wellness empowers women looking to get their body back after baby (even after 30 years), avoid extra bathroom trips, and avoid pelvic pain to feel like themselves again and return to the activities and exercises they love. Being able to help so many women is a dream come true for Nicole. Nicole graduated with a Bachelor of Arts in Psychology from St. Edward's University and went on to pursue a Doctorate in Physical Therapy from Texas Woman's University in Houston. She is trained in pelvic floor function, dysfunction, and treatment, is a member of the Global Pelvic Health Alliance, is a certified Clinical Athlete Weightlifting Coach through Clinical Athlete and is a member of the American Physical Therapy Association's Section on Women's Health. Nicole is also a certified personal trainer through American College of Sports Medicine and is a Precision Nutrition Level 1 coach.Connect with Dr. Nicole at https://www.hayscountypt.comConnect with Erin at: https://heartwinghealing.com
On this episode of Healthy, Wealthy, and Smart, Dr. Jenna Kantor interviews Dr. Veronica Canada, a specialist in sports physical therapy who shares her extensive background in competitive swimming and diving. From starting at a young age to competing in college, she delves into the physical and mental lessons learned from these sports. Today's podcast will discuss the differences and similarities in shoulder injuries seen within the swimming and springboard diving population. How understanding the biomechanics of each sport, current research, and training regimens can help mediate an evaluation as a physical therapist and create an appropriate plan of care. Tune in to gain insights into the differences between swimming and diving and discover how her experiences have influenced her practice in physical therapy. Show notes: [00:02:31] Scuba diving research challenges. [00:05:46] Shoulder injuries in swimmers vs. divers. [00:07:37] Shoulder Strain in Competitive Swimming. [00:12:52] Swimming injuries and accidents. [00:16:04] Shoulder stability in swimming. [00:21:46] Swimmers counting strokes for positioning. [00:22:29] Diving accidents in Sharks and Meadows. More About Dr. Canada: Veronica Canada PT, DPT, ATCis an enthusiastic and energized woman who was born and raised in New York. She received her Bachelor of Science Degree in Athletic Training with double minors in Kinesiology and Early Childhood Education from George Mason University in 2018. In 2023, she graduated from Dominican University New York with her doctorate in physical therapy, where she received “The Clinical Education Award”, which is an award given to one candidate that best exemplifies the university's mission and American Physical Therapy Association's core values. Her passion for both athletic training and physical therapy not only stems from being an educator within her local public school system, but also from her 15+ year-long career in swimming and diving. Dr. Canada first started competitively swimming at the age of 7 and competitively diving at the age of 12. She took her talents and competed on a varsity level for her high school swimming and diving team for 5-years. By the time she was 16, Dr. Canada simultaneously competed in both year-round swimming and diving for the New York Sharks Swim Club and West Point Diving Club. After qualifying for New York State Sectionals in both swimming and diving and achieving Most Valuable Player for her high school team, she then moved on to compete at a Division 1 level for George Mason University's Diving team. Not only was Dr. Canada a swimmer and diver, but she also participated in softball, gymnastics, dance, and soccer, making her well-experienced with the physical and mental demands of being an athlete and versatile in the sports world. She continues to share and educate her experience and knowledge to the athletic community as she continues to practice as a licensed athletic trainer in New York and New Jersey. Throughout her career thus far, Dr. Canada has also had the opportunity to speak on multiple national platforms, one being historic, making her the first person in the American Academy of Physical Therapy to teach a continuing education course as a student. In addition to her educational accomplishments, Dr. Canada is currently a traveling physical therapist, a diving coach, a director for Future Stars Diving Camp, and a member of multiple organizations such as the National Athletic Trainer's Association, the American Physical Therapy Association, and the American Academy of Physical Therapy. Resources from this Episode: Dr. Canada's Instagram Jane Sponsorship Information: Book a one-on-one demo here Mention the code LITZY1MO for a free month Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio
Do you feel like you're as great a clinician as you could be? Do you know how to apply the evidence in an individualized way? Are you missing anything in your therapy toolbox, if so, do you know what it is? In today's show we were so excited to interview Dr. Oscar Gallardo, PT, DPT, NCS after he won the PT Clinical Excellence in Neurology Award from the Academy of Neurologic Physical Therapy component of the American Physical Therapy Association. Oscar is dedicated to the advancement of physical therapy through many advocacy efforts. He spends countless hours treating patients, mentoring students, residents and other clinicians, and focuses on community wellness. He has transformed many lives in his 20+ years in the field and is definitely someone who will take the profession (and healthcare) further as he continues to devote time, effort and energy to these passions. Any clinician or student will benefit from this in depth discussion of what makes a person a really great clinician so they can overcome barriers, empower patients to overcome their real and perceived barriers, and ultimately find perhaps a lost sense of agency. The insights shared will enlighten clinicians at any stage in their career. Some of the discussion points touched upon in this interview include how to determine what to use in your practice from the evidence when you're stuck between following best practice guidelines and the restrictions faced like resources, patient functional level, other patient/family priorities, and clinical appropriateness for the interventions being suggested. Additionally, we discuss an essential communication tool that can shift power dynamics ultimately leading to better outcomes, understanding of expectations, and satisfaction for patient and clinician alike. Helpful adages like “our discharge plan starts at the evaluation” and “think out loud” will strengthen patient/clinician relationships. Becoming an expert in neurologic therapy goes beyond your clinical skills and the bullet points in the research. Listen to hear how you can elevate your practice right now. If you're inspired by anything you heard, you can reach out to Oscar in the following ways: ogallardo76@gmail.com @dr_o.g._theneuropt
Join Sheila and special guest this week Emily Knell Spaeth, PT, DPT, IBCLC, LMT, NTMTC, CNT, RPYT as they cover all things related to the NICU. Dr. Emily Spaeth is an expert in all things pregnancy, birth, postpartum, and babies. She is the founder and CEO of Be Well Baby PDX. While supporting families as a doctor of physical therapy in the neonatal ICU, Emily saw a deep societal need for a more holistic approach to peripartum care, and decided to blend her background in yoga, massage, and lactation support with her expertise in physical therapy to create a full spectrum peripartum experience for her clients. Emily offers a range of continuing education courses for professionals on the Lactation OT platform. Additionally, her website offers an array of courses covering topics that help parents understand their baby's cues, infant massage techniques, newborn care essentials, and more. Courses: www.bewellbabypdx.com/courses FREE GUIDE- Respectful Tummy Time for the Newborn: www.bewellbabypdx.com/subscribe Follow her on Instagram and Facebook and Linked In @bewellbabypdx Affiliate Codes: ------------------------------------------ Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics Medbridge Affiliate Code: PUSHINGPEDS ----------------------------------------- Resources: Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell's physical therapy for children. Elsevier. https://pediatricapta.org/fact-sheets/ Sweeney JK, Heriza CB, Blanchard Y; American Physical Therapy Association. Neonatal physical therapy. Part I: clinical competencies and neonatal intensive care unit clinical training models. Pediatr Phys Ther. 2009 Winter;21(4):296-307. doi: 10.1097/PEP.0b013e3181bf75ee. PMID: 19923969. Sweeney JK, Heriza CB, Blanchard Y, Dusing SC. Neonatal physical therapy. Part II: Practice frameworks and evidence-based practice guidelines. Pediatr Phys Ther. 2010 Spring;22(1):2-16. doi: 10.1097/PEP.0b013e3181cdba43. Erratum in: Pediatr Phys Ther. 2010 Winter;22(4):377. PMID: 20142700. https://neonataltherapists.com/ https://www.neonatalcertification.com/certification/ https://www.caringessentials.net/ https://www.liddlekidz.org/cimt-certification-advanced-level-2/ https://neonataltherapycertification.com/
In this episode, we discuss how important our pelvic floor is to our overall health with guest Ingrid Harm-Ernandes. Many women experience symptoms in the pelvic region during menopause. These are known as genitourinary syndrome of menopause (GSM) and are often not discussed with women as they transition through menopause.Ms. Harm-Ernandes is a physical therapist, board certified in Women's Health (WCS) and Pelvic Floor Biofeedback who has been specializing in women's health for 27 years. During her 20-year tenure at Duke University Health System, she treated a wide variety of pelvic patients in the Urogynecology and Physical Therapy (PT) clinics. In addition to her role as the Co-Director and a mentor for new Pelvic PTs in the Duke Women's Health Physical Therapy Residency Program, she was also responsible for the Women's Health team program development and participated in Pelvic Floor Disorder Network (PFDN) research projects.One of the frustrating things Ingrid encountered during her practice was how it would take patients experiencing symptoms decades before they would see her and get the help they needed. As a pelvic health PT specialist, she has addressed a myriad of pelvic health conditions that dramatically impact women's lives. She realized that there is a lack of education in pelvic health on both the practitioner's and patient's side. In 2021 she published her book, The Musculoskeletal Mystery - How To Solve Your Pelvic Floor Symptoms, which helps to better educate patients and practitioners about women's bodies, pelvic health conditions they may suffer, and what pelvic PT is all about. Her book contains guidance and support for those suffering from the physically, emotionally stressful, and often undiagnosed, pelvic floor disorders, pelvic pain, irritable bowel syndrome, endometriosis, Interstitial Cystitis, prostatitis, pain or discomfort during sex, and incontinence.Ingrid is a member of the National Menopause Foundation's Medical Advisory Committee (MAC). She is passionate about demystifying and destigmatizing this topic by providing individuals with the knowledge they need to advocate for themselves and get proper pelvic care. In this episode, Ingrid talks about:The importance of our pelvic floorThe effects of menopause on the pelvic floorThe importance of holistic health during menopauseThe value and importance of incorporating healthy habits and practices from an early age.Connect with Ingrid Harm-Ernandes, PT WCS, BCB-PMDLinkedIn: https://www.linkedin.com/in/ingrid-harm-ernandes-5057773b/Instagram: @harmernandesFacebook: https://www.facebook.com/ingrid.harmernandes.71/Additional informational link:American Physical Therapy Association
What an end of the year treat to have 2:56:02 marathoner and physical therapist (to the running stars!), Jessica Dorrington on the Suite Run Podcast! Here is Jessica's impressive bio in her own words:I have a love for helping people stay active and see the athlete in us all. My goal is to get every person back to what they love to do. As a practicing physical therapist in Portland, OR since 2002, I have been honored to be a part of the journey of many athletes. This includes assisting dozens of professional and Olympic athletes and subsequent return to elite performance. I was honored to be asked to lead PT at the World Track and Field Championships. I take a comprehensive approach to my practice, considering the multidimensional interplay of core, pelvic floor, sports therapy, gait mechanics, and orthopedic considerations to ensure every patient is set up for success. I have extensive credentialing, ensuring advanced competency including as a Board Certified Orthopedic Clinical Specialist through the American Physical Therapy Association, Certified Manual Physical Therapist, Pelvic Rehabilitation Practitioner's Certification, Intrapartum Pelvic Care Training, Strength and Conditioning Specialist, and Post-Partum Corrective Exercise Specialist Certification, Bike Fit Certified, ASTYM certified. As my accolades display, I am an education junkie who continues to live my life's passion through over 1200 combined hours of post-graduate clinical education and teaching for other medical providers, physical therapists, and practitioners. My mission is simple: I want to get every patient back to doing what they love to do. When I'm not with family or helping patients, I am out on the trails, road and track practicing what I preach. Friends, you are in for a great conversation and an inspiring jump start to the new year! In the second part of our chat, Jessica shares with us her go-to places to train, dine out, race and more in the great city of Portland. Let's go!Click HERE for the show notes.Click HERE to grab a Suite Run mug!This episode is sponsored by:InsideTrackerInsideTracker is a personalized health and wellness platform like no other.What's their secret? First, InsideTracker uses its patented algorithm to analyze your body's data and offer you a clearer picture than you've ever had before of what's going on inside you. Then, InsideTracker provides you with a concrete, science-backed, trackable action plan for reaching your performance goals and being your healthy best. InsideTracker is offering 25% off its store for our listeners and let us recommend the Essentials Package for just $189! It's perfect for runners to elevate their training. Just visit insidetracker dot com slash SUITE RUN.Where to find Jessica Dorrington:Jessica on InstagramWhere to find Natalie and Jerold:Natalie's InstagramSuite Run InstagramNatalie's TwitterSuite Run TwitterNatalie's FacebookSuite Run Website
Sharon Dunn, PT, PhD, is the Dean of the School of Allied Health Professions, Professor of Rehabilitation Sciences, and Vice Chancellor of Academic Administration at LSU Health Shreveport. She graduated in 1987 with a BS in PT from LSU, a MHS in 1996, and she earned her PhD in Cellular Biology and Anatomy in 2006, also from LSU Health Shreveport. Sharon's research interests include conservative clinical approaches to the management of common musculoskeletal conditions and translational research of applied mechanical loading to healing tissue to determine dosing effects the ultimate functional and biomechanical tissue integrity. Dr. Dunn previously served on the PT faculty and as program director, teaching professional issues, anatomy, biomechanics, and orthopaedic PT. Her clinical practice and board specialty is in the area of orthopaedics. Throughout her career, Dr. Dunn has been professionally engaged in efforts to promote public policies to enhance the public's access to high quality health services and excellence in practice delivery. She is a past-president of the American Physical Therapy Association and has significant experience in health policy and collaborative approaches to health delivery. She advocates for a team-based approach and patient-centered management for better health outcomes in our communities.
Join Sheila and Sara this week as they cover Developmental Coordination Disorder (DCD) and Intellectual Disabilities. They also touch on some genetic conditions. Make sure you are supplementing our conversation with charts, tables and pictures from the Campbell text referenced below and don't forget the DCD CPG. Cheers and happy listening! Affiliate Codes: ------------------------------------------ Medbridge Affiliate website: https://www.medbridgeeducation.com/pushing-pediatrics Medbridge Affiliate Code: PUSHINGPEDS ----------------------------------------- Resources: Palisano, R. J., Orlin, M. N., & Schreiber, R. (2023). Campbell's physical therapy for children. Elsevier. Dannemiller, Lisa PT, DSc, PCS; Mueller, Melinda PT, DPT, PCS; Leitner, Adrah PT, DPT, PCS; Iverson, Erin PT, DPT, PCS; Kaplan, Sandra L. PT, DPT, PhD, FAPTA. Physical Therapy Management of Children With Developmental Coordination Disorder: An Evidence-Based Clinical Practice Guideline From the Academy of Pediatric Physical Therapy of the American Physical Therapy Association. Pediatric Physical Therapy 32(4):p 278-313, October 2020. | DOI: 10.1097/PEP.0000000000000753
Physical Therapy Month 2023 concludes with our fifth and final guest for the month of October John Gallucci Jr., Join our conversation as we discuss his new book “The JAG Method”, how everyone can assess their entrepreneurial spirit, and discuss how AI and other world changes will impact for future of the profession. John Gallucci Jr., MS, ATC, PT, DPT, is the CEO of JAG Physical Therapy, one of the fastest growing comprehensive physical and occupational therapy practices providing rehabilitative care to patients and sports teams in over 140 locations across the Northeast. Recognized by ROI-NJ as one of the top 20 influencers in healthcare, Gallucci has received numerous additional honors, including the Ernst and Young Entrepreneur of the Year Regional Award Winner and the American Physical Therapy Association of New Jersey Distinguished Professional of the Year for his work. An expert in sports medicine, rehabilitation, and injury prevention, Gallucci serves as the Medical Coordinator for Major League Soccer (MLS), coordinating the medical care of more than 800 professional soccer players. He is also a Sports Medicine consultant for professional athletes in the NHL, NFL, NBA, and MLB. A noted author, John released his first book titled Soccer Injury Prevention and Treatment in 2014 and his second book titled Play Ball: Don't Let Injuries Sideline You This Season in 2018. Following the release of his medical-based publications, John worked diligently to write a book that can provide inspiration to anyone striving for success. In His newest book entitled The JAG Method, a 30 minute motivational guide to success, John shares his personal journey and his inspirational rags-to-riches story, recounting the challenges he experienced and persevered through. Out for presale right now. --- Send in a voice message: https://podcasters.spotify.com/pod/show/bemoretoday/message Support this podcast: https://podcasters.spotify.com/pod/show/bemoretoday/support
In this episode of the Brawn Body Health and Fitness Podcast, Dan is joined by Dr. Angela Gordon to discuss physical therapy considerations for overhead athletes. Angela T. Gordon PT, DSc, MPT, FAAOMPT, COMT, ATC, OCS, FMS has more than 16 years of clinical experience in orthopedic and sports physical therapy. Dr. Gordon was a high school and collegiate athlete suffering several injuries that lead her pursue a career in physical therapy. She went on to earn her Bachelor's degree from Baldwin Wallace College in 2000 for athletic training, her Masters of Physical Therapy from Andrews University in 2002, and her Doctorate of Science from Andrews University 2012. Dr. Gordon earned her orthopedic manual therapist certification through NAIOMT in 2012. In 2012 Dr. Gordon received her functional dry needling specialist certification and in 2014 became Board Certified Orthopedic Clinical Specialist from the American Physical Therapy Association. In 2017, Dr. Gordon completed her fellowship with NAIOMT and is recognized by the American Academy of Orthopedic Manual Therapists. In April 2013 Dr. Gordon became a published author for an article in the IJSPT: Relationships between core strength, hip external rotator muscle strength, and star excursion balance test performance in female lacrosse players. Dr. Gordon's co authored a book chapter “Physical Therapy considerations Following Regenerative Medicine Interventions” in September 2017 in the textbook Regenerative Treatments in Sports and Orthopedic Medicine. Dr. Gordon has served as the lead physical therapist for the Washington Nationals Baseball in 2005 and from 2010-2015. She works extensively with numerous professional and semi professional athletes from MLB, NFL, PGA, Canadian Football League, and European basketball players. She also works closely with many high school and collegiate overhead throwers and female athletes. Dr. Gordon is guest faculty with NAIOMT, teaching a specialty course for rehabilitation of overhead athletes and she has been invited to speak at a variety annual sports medicine conferences across the country. Dr. Gordon is the owner and creator of F. A.S.T.™ (Female Athlete Sports Training program) and is physical therapy consultant to George Mason University Athletics. To keep up to date with everything Dan is doing on the podcast, be sure to subscribe and follow @brawnbody on social media! Episode Sponsors: MoboBoard: BRAWNBODY10 saves 10% at checkout! AliRx: DBraunRx = 20% off at checkout! https://alirx.health/ MedBridge: https://www.medbridgeeducation.com/brawn-body-training or Coupon Code "BRAWN" for 40% off your annual subscription! CTM Band: https://ctm.band/collections/ctm-band coupon code "BRAWN10" = 10% off! PurMotion: "brawn" = 10% off!! GOT ROM: https://www.gotrom.com/a/3083/5X9xTi8k Red Light Therapy through Hooga Health: hoogahealth.com coupon code "brawn" = 12% off Ice shaker affiliate link: https://www.iceshaker.com?sca_ref=1520881.zOJLysQzKe Training Mask: "BRAWN" = 20% off at checkout https://www.trainingmask.com?sca_ref=2486863.iestbx9x1n Make sure you SHARE this episode with a friend who could benefit from the information we shared! Check out everything Dan is up to, including blog posts, fitness programs, and more by clicking here: https://linktr.ee/brawnbodytraining Liked this episode? Leave a 5-star review on your favorite podcast platform! --- Send in a voice message: https://podcasters.spotify.com/pod/show/daniel-braun/message Support this podcast: https://podcasters.spotify.com/pod/show/daniel-braun/support
Physical Therapy Month 2023 continues with our fourth guest for the month of October Doctor of Physical Therapy and Athletic Trainer Jess Barsotti. Join our conversation as we discuss the reals signs and symptoms of Sciatica, the challenges in managing plantar fasciitis, and when/if the benefits of manual and instrument assisted manual techniques are most effective to reduce pain. For more information about JAG Physical Therapy visit www.jagpt.com. Jess Barsotti is a licensed physical therapist and the associate clinical director of JAG Physical Therapy Ocean City as well as a certified athletic trainer. Jess was born and raised in Vineland, NJ and attended St. Augustine Prep where he wrestled and played football and earned numerous student athlete accolades. He moved to Boston to receive his bachelor's degree in athletic training from Boston University in 2006 and went on to receive a doctorate degree in physical therapy from Boston University in 2008. During his clinical rotations he had the opportunity to work with the Indiana Pacers, the BU Terrier Ice Hockey Team, and the MIT Engineer Football Team. Jess also assisted as a medical volunteer for the Boston Athletic Association's 2005 and 2006 Boston Marathons. Jess worked as a physical therapist in Boston as well as serving as Head Athletic Trainer at Arlington High School 2008-2009. Jess has treated a wide range of sports and orthopedic conditions, and he has developed new treatment techniques for plantar fasciitis and sciatica. A member of the American Physical Therapy Association, Jess presented his research on plantar fasciitis to the APTA of Massachusetts in 2015. Jess worked as clinical director of two physical therapy facilities in Boston while also completing a two-year fellowship certification in the American Academy of Orthopedic Manual Physical Therapists in 2016 and now mentors future fellows for the American Academy of Manual Therapy. Jess moved to Linwood, NJ with his family in 2019 and spends most of his free time at the beach in Ocean City. Jess is dedicated to improving the standard of care in physical therapy and is an active clinical instructor, regularly accepting clinical students from Thomas Jefferson University, Stockton University, Rowan University, Boston University, Northeastern University, and MGH's Institute of Health Professions to help educate future physical therapists. Jess has experience working with all types of patient populations including but not limited to sports/work-related injuries, pediatrics, and post-surgical cases, as well as neurological conditions such as Parkinson's disease, multiple sclerosis, concussions and traumatic brain injuries. Jess became certified in dry needling in New Jersey in November 2022 and offers dry needling as an adjunct treatment to all appropriate patients. --- Send in a voice message: https://podcasters.spotify.com/pod/show/bemoretoday/message Support this podcast: https://podcasters.spotify.com/pod/show/bemoretoday/support
Dr. Drew Contreras is the Vice President of Clinical Innovation and Integration at the American Physical Therapy Association. And while that title may not give you the clearest idea about his job description, he can share a lot of pearls of wisdom as to where our profession has been and where it is going. Oh, and he used to be the White House physical therapist during the Obama Administration. There's a video somewhere about that...
I started my career in sports medicine as a PT student working with the Boston Celtics. After a short stint working in Burlington, VT. I set out on the road as a traveling physical therapist with Kate for 10 years, across 7 states. Manual therapy and exercise are the cornerstones or most of my treatment plans. In addition, I lean heavily on dry needling and blood flow restriction training (BFR). BFR helps accelerate strengthening and recovery with the use of a pressurized cuff during exercise, Skiing is my passion in the winter. In the summer, I enjoy running, hiking, open water swim races, and camping with my family. Much of the rest of my free time is spent volunteering in national leadership positions within the American Physical Therapy Association. I currently serve on the Board of Directors of APTA's Academy of Orthopaedic Physical Therapy - the national body representing 20,000 musculoskeletal PT Members. (970) 924-0520 James.Spencer.PT@gmail.com
On this episode of the Healthcare Education Transformation Podcast, Dr. Carmen Cooper Oguz shares her non-traditional journey in healthcare and how she has managed to juggle multiple roles and responsibilities. She emphasizes the importance of having a supportive network and being proactive in seeking opportunities. Dr. Oguz encourages individuals to show up, socialize, and express their interests in order to get involved and make a difference in their profession. She also highlights the value of recognizing and uplifting others in their achievements.Dr. Carmen Cooper Oguz is a highly accomplished physical therapist and healthcare administrator. With a background in business and a passion for healthcare, she has held various positions in the field, including hospital outpatient CMS, grants reviewer for the Health Resources Services Administration, and medical expert witness. Dr. Oguz is also actively involved in professional organizations such as the American Physical Therapy Association and the American College of Healthcare Executives.Key Takeaways:- Show up, socialize, and express your interests to get involved in professional organizations.- Recognize the opportunities that others see in you and be proactive in offering your help and resources.- Surround yourself with a supportive network of family, friends, and colleagues.- Be open to learning and never underestimate the power of kind words and gratitude.- Strive to be a clinical leader and advocate for the profession in various settings.Reach out to Dr. Oguz:Email: carmencooperoguz@gmail.comhttps://www.instagram.com/oguzcarmen/https://twitter.com/oguz_carmenhttps://www.facebook.com/carmen.c.oguzhttps://www.linkedin.com/in/carmencooperoguzSpecial thanks to both our sponsors, The NPTE Final Frontier, and Varela Financial! If you are taking the NPTE or are teaching those about to take the NPTE, visit the NPTE FInal Frontier at www.NPTEFF.com and use code "HET" for 10% off all purchases at the website...and BREAKING NEWS!!!! They now have an OCS review option as well... You're welcome! You can also reach out to them on Instagram @npteff If you're a PT and you have student loan debt, you gotta talk to these guys. What makes them unique is that they view financial planning as like running hurdles on a track. And for PTs, the first hurdle many of us run into is student loan debt. Varela Financial will help you get over that hurdle. They not only take the time to explain to you which plans you individually qualify for and how those plans work, but they ALSO take the time to show you what YOUR individual case looks like mapped out within each option. So if you're looking for help on your student loan debt, or any area of your personal finances, we highly recommend working with them. You can check out Varela Financial out at varelafinancial.com. Feel free to reach out to us at: http://healthcareeducationtransformationpodcast.com/ https://www.facebook.com/HETPodcast https://twitter.com/HETpodcast Instagram: @hetpodcast @dawnbrown_pt @pteducator @dawnmagnusson31 @farleyschweighart @mail.in.stew.art @ujima_institute For more information on how we can optimize and standardize healthcare education and delivery, subscribe to the Healthcare Education Transformation Podcast on Apple Podcasts or wherever you listen to podcasts.
Low back pain is one of the most common things that any person can experience throughout their lifetime. What makes it so complicated is the many causes that could be contributing to low back pain. And one cause can affect both men and women is pelvic floor dysfunction. So, in this episode, physical therapist, Dr. Amanda Olson will discuss…How pelvic floor dysfunction can lead to low back pain?How to know if your low back pain is coming from pelvic floor dysfunction?What is pelvic floor dysfunction ?Can males have pelvic floor dysfunction?ExamplesIs leakage normal during pregnancy when running ?Dr. Olson earned her Bachelor of Science degree from Pacific University, and a Doctorate Degree in Physical Therapy from Regis University, graduating as a member of the Jesuit National Honor Society. She is holds a Certification of Achievement in pelvic floor physical therapy (CAPP-PF) from the American Physical Therapy Association, and the Pelvic Floor Practitioner Certification (PRPC) through the Herman and Wallace Pelvic Institute. She is also a certified Stott Pilates instructor and RRCA certified running coach. She is the president and chief clinical officer of Intimate Rose where she develops pelvic health products and education. She is passionate about empowering women and men with pelvic health issues including pelvic pain, incontinence, pregnancy, and post-partum issues. Dr. Olson teaches internationally on various pelvic health topics including pelvic floor dysfunction in runners. She has written newspaper and magazine articles on pelvic floor dysfunction, and running and also authored the book Restoring the Pelvic Floor For Women.Connect with Dr. OlsonWebsitehttps://www.IntimateRose.comEmailamanda@intimaterose.comInstagram:@aolsondpt@intimateroseAmanda's 1 piece of advice“I find that as runners we go through seasons of life with our running. At some points we may be serving our running (dedicating our time and intentions to our running), while in others seasons of life our running may simply be serving us (there as a coping strategy when we want or need it). “Connect with Dr. KatInstagram- @Runwithkat_dptTik-tok- @Runwithkat_dptFacebook Group- RunwithKat ShowWebsite- RunwithKat.netTo Inquire About Physical Therapy with Dr. KatInstagram- @BlueIronPhysioWebsite- BlueIronPhysio.comListen and Subscribe Apple PodcastSpotifyGoogle PlayIHeartRadioAmazon Music
In this episode of the Brawn Body Health and Fitness Podcast - Dan is joined by Dr. Mike Piekarski, PT, DPT, OCS, to discuss the Online Fitness and Physical Therapy space and offer insights on current social media trends. Originally from the Northeast, Mike earned his Bachelor's degree from Binghamton University in upstate New York, where he first discovered Brazilian Jiu-jitsu. After graduating, Mike began competing in Mixed Martial Arts, Muay Thai, and submission grappling. After turning professional as a Mixed Martial Artist, he decided to change his focus and return to school. Mike attended Stony Brook University in Long Island, where he earned his Doctorate in Physical Therapy. After graduate school Mike moved to Los Angeles. During this time he earned the rank of black belt in Brazilian Jiu-jitsu and became recognized as a Board Certified Orthopedic Clinical Specialist by the American Physical Therapy Association. Mike currently lives in Eastern Washington and works with a variety of athletes as a Sports Physical Therapist. For more on Dr. Piekarski, you can find him on Instagram @doctor_kickass **Be sure to check out Dr. Piekarski's Instagram page for his course on BJJ for rehab professionals! Episode Sponsors: MoboBoard: BRAWNBODY10 saves 10% at checkout! AliRx: DBraunRx = 20% off at checkout! https://alirx.health/ MedBridge: https://www.medbridgeeducation.com/brawn-body-training or Coupon Code "BRAWN" for 40% off your annual subscription! CTM Band: https://ctm.band/collections/ctm-band coupon code "BRAWN10" = 10% off! PurMotion: "brawn" = 10% off!! TRX: trxtraining.com coupon code "TRX20BRAWN" = 20% off GOT ROM: https://www.gotrom.com/a/3083/5X9xTi8k Red Light Therapy through Hooga Health: hoogahealth.com coupon code "brawn" = 12% off Ice shaker affiliate link: https://www.iceshaker.com?sca_ref=1520881.zOJLysQzKe Training Mask: "BRAWN" = 20% off at checkout https://www.trainingmask.com?sca_ref=2486863.iestbx9x1n Make sure you SHARE this episode with a friend who could benefit from the information we shared! Check out everything Dan is up to, including blog posts, fitness programs, and more by clicking here: https://linktr.ee/brawnbodytraining Liked this episode? Leave a 5-star review on your favorite podcast platform --- Send in a voice message: https://podcasters.spotify.com/pod/show/daniel-braun/message Support this podcast: https://podcasters.spotify.com/pod/show/daniel-braun/support
Brought to you by AG1 all-in-one nutritional supplement, LMNT electrolyte supplement, and Eight Sleep's Pod Cover sleeping solution for dynamic cooling and heating.Resources from this episode: https://tim.blog/2023/08/04/dr-shirley-sahrmann/Shirley A. Sahrmann, PT, PhD, is Professor Emerita of Physical Therapy at Washington University School of Medicine in St. Louis, Missouri. She received her bachelor's degree in physical therapy and her masters and doctorate degrees in neurobiology from Washington University, where she joined the physical therapy faculty and became the first director of their PhD program in movement science.Shirley became a Catherine Worthingham Fellow of the American Physical Therapy Association in 1986 and in 1998 was selected to receive the Mary McMillan Award, the Association's highest honor. She is a recipient of the Association's Marion Williams Research Award, the Lucy Blair Service Award, the Kendall Practice Award, and the Inaugural John H.P. Maley Lecturer Award. She has also received Washington University's Distinguished Faculty Award, the Distinguished Alumni Award, the School of Medicine's Inaugural Distinguished Clinician Award, and an honorary doctorate from the University of Indianapolis. She has also received the Bowling-Erhard Orthopedic Clinical Practice Award from the Orthopaedic Academy of the APTA. She has served on the APTA Board of Directors and as president of the Missouri Chapter.Her first book, Diagnosis and Treatment of Movement Impairment Syndromes, has been translated into seven languages. Her second book, Movement System Impairment Syndromes of the Extremities, Cervical and Thoracic Spines, has been equally influential in promoting movement diagnoses.Please enjoy!*This episode is brought to you by LMNT! What is LMNT? It's a delicious, sugar-free electrolyte drink mix. I've stocked up on boxes and boxes of this and usually use it 1–2 times per day. LMNT is formulated to help anyone with their electrolyte needs and perfectly suited to folks following a keto, low-carb, or Paleo diet. If you are on a low-carb diet or fasting, electrolytes play a key role in relieving hunger, cramps, headaches, tiredness, and dizziness.LMNT came up with a very special offer for you, my dear listeners. For a limited time, you can get a free LMNT Sample Pack with any purchase. This special offer is available here: DrinkLMNT.com/Tim.*This episode is also brought to you by AG1! I get asked all the time, “If you could use only one supplement, what would it be?” My answer is usually AG1, my all-in-one nutritional insurance. I recommended it in The 4-Hour Body in 2010 and did not get paid to do so. I do my best with nutrient-dense meals, of course, but AG1 further covers my bases with vitamins, minerals, and whole-food-sourced micronutrients that support gut health and the immune system. Right now, you'll get a 1-year supply of Vitamin D free with your first subscription purchase—a vital nutrient for a strong immune system and strong bones. Visit DrinkAG1.com/Tim to claim this special offer today and receive your 1-year supply of Vitamin D (and 5 free AG1 travel packs) with your first subscription purchase! That's up to a one-year supply of Vitamin D as added value when you try their delicious and comprehensive daily, foundational nutrition supplement that supports whole-body health.*This episode is brought to you by Eight Sleep! Eight Sleep's Pod Cover is the easiest and fastest way to sleep at the perfect temperature. It pairs dynamic cooling and heating with biometric tracking to offer the most advanced (and user-friendly) solution on the market. Simply add the Pod Cover to your current mattress and start sleeping as cool as 55°F or as hot as 110°F. It also splits your bed in half, so your partner can choose a totally different temperature.Go to EightSleep.com/Tim and save $250 on the Eight Sleep Pod Cover. Eight Sleep currently ships within the USA, Canada, the UK, select countries in the EU, and Australia.*For show notes and past guests on The Tim Ferriss Show, please visit tim.blog/podcast.For deals from sponsors of The Tim Ferriss Show, please visit tim.blog/podcast-sponsorsSign up for Tim's email newsletter (5-Bullet Friday) at tim.blog/friday.For transcripts of episodes, go to tim.blog/transcripts.Discover Tim's books: tim.blog/books.Follow Tim:Twitter: twitter.com/tferriss Instagram: instagram.com/timferrissYouTube: youtube.com/timferrissFacebook: facebook.com/timferriss LinkedIn: linkedin.com/in/timferrissPast guests on The Tim Ferriss Show include Jerry Seinfeld, Hugh Jackman, Dr. Jane Goodall, LeBron James, Kevin Hart, Doris Kearns Goodwin, Jamie Foxx, Matthew McConaughey, Esther Perel, Elizabeth Gilbert, Terry Crews, Sia, Yuval Noah Harari, Malcolm Gladwell, Madeleine Albright, Cheryl Strayed, Jim Collins, Mary Karr, Maria Popova, Sam Harris, Michael Phelps, Bob Iger, Edward Norton, Arnold Schwarzenegger, Neil Strauss, Ken Burns, Maria Sharapova, Marc Andreessen, Neil Gaiman, Neil de Grasse Tyson, Jocko Willink, Daniel Ek, Kelly Slater, Dr. Peter Attia, Seth Godin, Howard Marks, Dr. Brené Brown, Eric Schmidt, Michael Lewis, Joe Gebbia, Michael Pollan, Dr. Jordan Peterson, Vince Vaughn, Brian Koppelman, Ramit Sethi, Dax Shepard, Tony Robbins, Jim Dethmer, Dan Harris, Ray Dalio, Naval Ravikant, Vitalik Buterin, Elizabeth Lesser, Amanda Palmer, Katie Haun, Sir Richard Branson, Chuck Palahniuk, Arianna Huffington, Reid Hoffman, Bill Burr, Whitney Cummings, Rick Rubin, Dr. Vivek Murthy, Darren Aronofsky, Margaret Atwood, Mark Zuckerberg, Peter Thiel, Dr. Gabor Maté, Anne Lamott, Sarah Silverman, Dr. Andrew Huberman, and many more.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Dr. Janey Prodoehl is a Professor in the Physical Therapy Program and College of Dental Medicine Illinois at Midwestern University Downers Grove, Illinois. She completed her entry level physical therapy degree in Leeds, England, an advanced Master of Science degree in physical therapy at Rosalind Franklin University, and doctoral and post-doctoral studies at the University of Illinois at Chicago. She has over 30 years of experience as a physical therapist primarily in out-patient orthopedic settings and was certified as an orthopedic clinical specialist by the American Board of Physical Therapy Specialties. Her doctoral studies examined motor control in focal dystonia, and her post-doctoral work examined functional and structural neuroimaging in patients with movement problems. She sees patients in the Physical Therapy Institute at Midwestern University with a physical therapy practice focused on neck pain, orofacial pain and headache, and dry needling for musculoskeletal dysfunction. Her research focus is to ask questions related to motor control that will lead to an improved understanding of musculoskeletal movement dysfunction particularly as it relates to orofacial pain and postural dysfunction. Dr. Prodoehl has authored numerous publications from her work. She is a Certified Cervical & Temporomandibular Therapist by the Physical Therapy Board of Craniofacial & Cervical Therapeutics. She is currently leading a team in the development of a national clinical practice guideline sponsored by the Academy of Orthopedic Physical Therapy, a section of the American Physical Therapy Association, on Temporomandibular disorders: diagnosis and management for physical therapists.
Alan Fredendall // #LeadershipThursday // www.ptonice.com In today's episode of the PT on ICE Daily Show, ICE COO Alan Fredendall discusses the state of physical therapy in 2023 with regards to pay. In this episode, the question of whether pursuing a career in physical therapy is worth it is addressed. It acknowledges that individuals may have concerns about the return on investment for the time and money spent on education and training to become a physical therapist. Alan mentions that some may be discouraged by the long time it takes to see a return on their investment, as it can take 15 to 20 years to pay off the debt associated with advanced certifications or residencies. To address this concern, Alan suggests the need for better guidance for future physical therapists in terms of education and career choices. He emphasizes the importance of providing information to students considering entering the profession, as well as those already in school or practicing as physical therapists. Alan suggests informing future PTs about alternative routes to becoming a physical therapist that may be quicker and more cost-effective, such as completing prerequisites at a community college and transferring to a four-year program if necessary. The episode also highlights that not all PT schools require a bachelor's degree and that there are various paths to becoming a physical therapist. Alan suggests providing better guidance to students during observation hours or while they are still in high school or undergrad, to inform them about the available options and help them make informed decisions about their education and career paths. References Take a listen to the podcast episode or read the full transcription below. If you're looking to learn more about courses designed to start your own practice, check out our Brick by Brick practice management course or our online physical therapy courses, check out our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. EPISODE TRANSCRIPTION 00:00 INTRO Good morning, happy Thursday morning. Welcome to the PT on ICE Daily Show. I hope your morning is off to a great start. I'm happy to be here today as your host. My name is Alan. I currently have the pleasure of serving as the Chief Operating Officer here at ICE and a faculty member in our Fitness Athlete Division. Here on Thursdays we talk all things Leadership Thursday, small business ownership, practice management related to physical therapy, that sort of thing. Leadership Thursday also means it is Gut Check Thursday. Today's Gut Check Thursday is a little kind of cardio party, bodyweight only, combination of running and some bodyweight reps. So it starts off with descending distance. So we start with a thousand meter run and then we hit 25 burpees and then we hit an 800 meter run and then we hit 50 air squats and then we hit a 600 meter run and then we hit 75 walking lunges and then we finish with a 400 meter run. So just a little bit shy of a 3k run, about a mile and three quarters of running and then some bodyweight reps as well. Probably for most folks in the 20 to 30 minute time domain, certainly those of you who are faster runners and those of you who really want to push the pace can really get after the run and those bodyweight reps and really get your heart rate up. Or this is also a great workout even though it's Gut Check Thursday, if you're feeling beat up at this point in the week to just take those runs nice and easy, take those bodyweight reps nice and easy and kind of treat it more like an active recovery piece. So that's Gut Check Thursday for this week. Courses coming your way, we have a whole bunch of courses coming up in August, the weekend of August 5th and 6th. We have Paul down in Greenville, South Carolina for dry needling lower body and then we have Alex Germano in Frederick, Maryland for Older Adult Live. The next weekend August 12th and 13th, we have Lindsay Huey here in Michigan, Rochester Hills, Michigan for extremity management. We have the Older Adult Live Summit, that's going to be all of the older adult lead faculty and TAs at Stronger Life headquarters in Lexington, Kentucky. I'm going to that course, that's going to be a great weekend. We also have out on the west coast, Justin Dunaway for Total Spine Thrust out in Bellingham, Washington. The weekend of August 19th and 20th, Lindsay Huey is again on the road with extremity management, this time in Fremont, Nebraska, right outside of Omaha. Paul will again be on the road for dry needling, this time with lower body out in Phoenix, Arizona. And then two chances at Older Adult Live, either in Bedford, Texas right outside of Dallas or in Minnetonka, Minnesota. And in the last weekend of August, August 26th and 27th, cervical spine management will be at Onward Charlotte with Jordan Berry. Older Adult Live will be in Carpinteria, California, that's out on the west coast, just north of LA for Older Adult Live. And then again, Paul will be on the road for dry needling, this time upper body, same venue the next weekend in Phoenix. So we have back to back dry needling weekends at the same venue out at Exos in Phoenix. If you're looking to get both courses knocked out in a short amount of time, you can look at those courses at the end of August. So that's what's coming your way for courses. Again, everything related to ice can be found at ptniice.com. Today's topic, the state of physical therapy 2023. Now, you might be thinking, Alan, that sounds arrogant. Who are you to inform me on the current state of physical therapy in 2023? And before we get started, I just want to say this is coming directly from our national member organization, the American Physical Therapy Association. So if you're not aware right now, the House of Delegates is going on kind of the annual meetup of state delegates from every state meeting and discussing various policy related things to physical therapy, kind of like the Congress of American Physical Therapy. And today's topic is really focused on what was announced related to both pay and residency from APTA. This was at the end of last week. So they released a publication, a series of infographics called the state of physical therapy in 2023. They talked about PT pay over the past about two decades, the past 20 years, they talked about the state of physical therapy, residency and board certification. And probably most importantly, for the first time, really ever, they released some concrete data on pay related to going through a residency and obtaining a board certification, how much extra money can you expect to make. So let's start first with the pay of it's interesting that this was released, because it doesn't bode well for physical therapy that the the information released by APTA shows pay changes from 2004 to 2021. So about a 17 year change, showing that the national average for pay in 2004 was about $68,000, and that it is now about $91,000 in 2021. They also released a breakdown based on geographical region showing a little bit more geographical specific information, especially as it relates to cost of living. But they summarize it all average it all out for that national average. Now you might be thinking Alan, that sounds great, man. 68,000 to 91,000 is significant. That's almost a $30,000 increase. But we have to step back and say, that's not how money works. That's not how economics works. That's not how math works. That if we track money across 17 years, we have to of course, adjust for inflation. And then if we do indeed adjust for inflation from 2004 to 2021, then if we were making an average of 68,000 in 2004, we should be making over $110,000 in 2021. Now, we know inflation has been crazy the past couple years. So it's probably going to be even above 110,000. But we know based on the data released that we are not meeting inflation, which is to say that nationwide on average, across the country, physical therapy pay has been flat or even negative for about the past 20 years, which is a little bit concerning that we have had so many years of essentially flat pay. Based on forecasting from 2021 forward, if we keep this same trend, physical therapist average pay in 2030 should be $135,000 a year. Now, I don't know about you, but I'm not going to hold my breath on that. I don't think it will ever get that high, even in higher cost of living areas. So that my first point is the state of pay is quite concerning that our pay in general is flat or maybe even adjusting for inflation a little bit negative. And that's something we need to be concerned about both is employees and employers of what steps can we take to reduce costs so that we can continue to improve pay and continue to at least match pay based on inflation with the folks that are working on our teams with us. On the employee side of things, this should be concerning to you because if you are below this, this means you're even more flat or possibly even more negative than the national average of if you are not getting a raise every year that is at least in line with inflation, you are technically losing money. The cost of everything in your life that costs money is more expensive. If your pay is not matching that, then you are slowly losing ground financially. So we need to know the state of physical therapy in 2023 is that pay seems to be flat, which is concerning. The second data point, the second infographic released by APTA listed out board certification specialties based on a percentage of physical therapists who hold that board certification. We know that there are 26,308 physical therapists who are board certified out of about a licensed population of 300,000 or so. The vast majority of folks who hold board certification hold a board certification in orthopedics. Almost 60% of those 26,000 people have a certification orthopedics. So right away you should be thinking, wow, very saturated market right of pursuing that OCS of pursuing that residency and board certification orthopedics is really not going to make you stand out that much when the vast majority of people who are board certified are already board certified in orthopedics. After orthopedics board certification really kind of falls off a cliff. 13% of board certified physical therapists hold board certification with their NCS in neurological physical therapy. 10% have their GCS in geriatric physical therapy. 9% are sports certified, hold their SCS. 7% pediatric certified with the PCS. Only 2% women's health certified with the WCS. And then it really falls off a cliff even more. 1% of those folks who have board certification have a cardiopulmonary board certification, the CCS, and then about half a percent each for clinical electrophysiology, the ECS, and half a percent for the OPT, the oncological physical therapy specialty. So you should know where most of us work in outpatient orthopedics is already saturated market and it's even saturated with board certification. So just know if you're thinking in your mind, man, I want to do that orthopedic residency. Man, I really want to go get that OCS. It's really going to make me stand out. You should think again based on this data. Again, based on flat pay, based on the market saturation, you should be thinking twice before you think OCS is really going to make me stand out among orthopedic clinicians. Not really, right? A lot of people already have it. That gets into my third point of what pay increase can you expect for going through your residency obtaining your board certification? This is a question many people have and now thanks to APTA we have some concrete data on it. The short answer is you shouldn't expect much of a pay increase at all. An average of $2.27 more per hour for having a board certification or about $3,500 more per year after taxes. You should know the pay bump based on certification varies greatly. When we pull back from that average and look at those individual board certifications, what stands out? Clinical electrophysiology stands out a lot. Those folks make about $27 more per hour. We know that's a very subspecialized area of physical therapy where most people don't work. Only about 100 people in the country have that board certification. It jumps up a little bit from the average. We look at the NCS, the board certification for neurological physical therapy, about $7.55 more an hour. The OCS, about $3.89 more per hour. Unfortunately, after that, the rest of the board certifications you can expect to really not make much more per hour if anything more than your base pay. For example, women's health certification, the WCS is right at baseline pay for physical therapists, which is to say you can expect to make no more money above baseline than you do with or without the certification. Now you might be thinking, well, $2.27 more per hour on average is $2.27 more per hour than not having it, so why not go through my residency? Why not go and sit for the board certification and try to get that little pay bump? It's really important to actually go through and understand how much it costs you to get to that point and really do the math to think, is it going to be worth it for me? We need to take the account of money and time that takes into going into residency and sitting for and passing your board certification. Then we look at costs. The average residency program is about a 16-course series, usually somewhere between 12 and 24 months long. About a quarter to half of those courses are going to be in-person, which means you need to travel. It's essentially the same as going to a weekend continuing education course, so you need to buy a plane ticket and get a hotel or a rental car and all that kind of stuff that comes with travel. The rest of the courses are online or virtual lab experiences, but in general, on average across all residency programs, you can expect to pay about $15,000 for that residency and tuition, and you can expect to have some travel costs as well to attend those live weekend courses. The board exam itself is also not cheap or free. It's about a $1,000 cost for the application fee, and it's $1,500 to take the test. It's about $2,500, and that assumes that everything is correct with your application and that you pass the test on the first time. If you are missing stuff for your application or you fail the test, then obviously that cost will go beyond $2,500. In a residency, you should know that most residency programs pay you about 70% of what they would pay a full-time physical therapist, although you may also be expected to carry a full clinical caseload. What does that look like? Here at Health HQ, if we were to reduce everybody's pay to 70%, that looks like folks here would make about $30,000 less per year. Across an average of an 18-month program, that means you would make about $46,000 less than you would somebody working here full-time. So when we take all these little costs, they don't seem really that bad by themselves, but they're all part of the process to work yourself towards completing that residency and to eventually take your board certification and obtain that credential after your name. What's that total cost? It's about $60,000 to $65,000. And we look at tuition for residency, travel for weekend courses, application fees, testing fees, and lost clinical revenue because you are either doing mentorship hours or otherwise you're doing unpaid stuff in the clinic that across about a 12 to 24-month span, you're missing out on about $65,000. Some of that is lost revenue and some of that is money you have to directly pay. So now when we zoom out and think, if I make $3,500 extra per year having this board certification, how do I know it's worth it? Well, when we do the math, you need to understand that it's going to take you about 18 and a half years to break even on that investment. That an average increase of pay of $3,500 per year with a cost of a combination of lost revenue and paying into tuition and travel and fees of about $65,000, it's going to take you about 18 and a half years to break even and then finally begin to move ahead and quote unquote profit off that initial investment. So that's quite staggering, right? I'm 37 of thinking if I went to my wife and said, hey, I want to spend $65,000, I want to be gone from home even more than I already am. By the way, this investment that we're going to make of time and money will start paying it off to me when I'm 55 years old. My wife would be very upset if I went and said that to her. And I imagine a lot of you would be in the same boat of that is an extremely long time to see some sort of return on that investment. So this brings me to my last point here of the question that many folks have, whether you are watching this, listening to this, and you're thinking about entering the profession, whether you're already in school or whether you're already a member of the profession of the answer to the question of physical therapy, is it worth it, worth it? How do we know that? Where does our role play already as members of the profession? Well, we should probably do a lot better job at guiding future PTs of when we have students in the clinic who are doing observation hours, who are maybe still in undergrad or maybe even in high school of really guiding them as much as we can and letting them know, yes, it's possible to become a physical therapist, it's possible to do it in a manner that's quicker and cheaper, that there are many different routes to become a physical therapist and that if you are truly looking to get ahead in life financially and you want to have a rewarding career as a physical therapist, it's probably going to look like some combination of doing most of your prereqs at a community college, getting as many hours done in a community college as you can, get it done cheap, get it done fast, maybe even be able to work a little bit and only transfer to a four-year school if you need to take classes at that four-year program or your PT program requires a bachelor's. There are a lot of PT schools that do not require a bachelor's. They simply require 80 to 100 credits of prereq work and in some cases you can get most or all of that done at a community college. That's going to get you to PT school a lot faster and cheaper than a four-year program, especially if you don't need that bachelor's degree. And then looking at PT schools, we need to do a better job at directing these future students towards programs that maybe offer a hybrid or a flipped classroom model where they can do the majority of their didactic work online and meet up in person less often to be able to do in-person hands-on stuff that needs to be done in a lab setting. Again, the goal there is to get through PT school faster and cheaper than a traditional model so that when we look at the traditional route through PT school of a four-year or maybe even a five-year undergrad program to get your prereqs and a three-year grad school experience of a lot of folks coming out a hundred to two hundred thousand dollars in debt seven or eight years of school. That looks like a lot when we know that there are faster, cheaper routes that maybe we can get community college done in three years and maybe we can get PT school done in two years. So we enter the workforce sooner and hopefully we did it cheaper so we have less student loan debt as we start to work. That is the way we need to talk to current PT or sorry future PTs. Speaking to current PTs, the education really needs to be on don't fall for the trap. The data is here, it's clear, it's from the organization that's selling you the program of don't get caught on their hamster wheel. Don't get caught in a lifetime of school of a four or five-year undergrad program, a three-year PT school program, a two-year residency program, a five-year fellowship program where you might spend 10 to 15 years in school. You might have five hundred thousand dollars in student loan or credit card debt before you actually start to grind away at that debt, making money even if yes you will make more money per hour of it will probably take you the majority of your career to pay off that investment. So don't get caught on that hamster wheel. What should you do instead? Well we're biased but we think you should pursue meaningful education that yes improves your clinical reasoning but also lets you expose yourself to new clinical subspecialties that lets you attract new and different patients to your clinic to serve them well so they keep coming back so your caseload is fuller, you're having more fun in the clinic, and hopefully along the way you're making more money while not having this giant burden of debt hanging against your shoulder that you need to pay off. So where's the state of physical therapy in 2023? Pay is flat or negative. The pay for increased subspecialties, board certification, letters after your name does not seem to be there and what little bit is there might take you the majority of your career to actually start to pay off and see a return on your investment. Help guide future PTs on better ways to make their way to and through PT school and if you're a current PT just know that if you're thinking a board certification, a residency is really going to set me apart, there's not a lot of people especially in orthopedics that's not the case and just know that it's going to take a very long time to pay off that investment potentially somewhere between 15 to 20 years if you're still thinking about pursuing that advanced certification, that advanced residency. So I hope this helps. This is great information to have. We'll post links directly to what we share from APTA. We'll post those both in the show notes on the podcast as well in the comments here on Instagram. So we'd love to hear comments and discussion about this. I hope you all have a fantastic Thursday. Have fun with Gut Check Thursday. If you're going to be at a live course this weekend, I hope you have a fantastic time. Have a good weekend. Bye everybody.
Therapy Matters: A Podcast About the Physical Therapy and Rehab Industry
CEO of the American Physical Therapy Association, Justin Moore, gives us some insight into the broad issues facing physical therapy practices today.Some of what we talk about:The issue with static payHow a higher demand for physical therapy is driving our workforce shortageHow artificial intelligence is affecting the T&R spaceBrought to you by RaintreeProduced by Connversa Hosted on Acast. See acast.com/privacy for more information.
Description: Interview with Nick Evans about his group's paper “Walking and Balance Outcomes are Improved Following Brief Intensive Locomotor Skill Training but Are Not Augmented by Transcranial Direct Current Stimulation in Persons with Chronic Spinal Cord Injury” published in Frontiers in Human Neuroscience in 2022. Join DiSCIS hosts Kristen Cezat, PT, DPT, NCS and Uzair Hammad, PT, DPT as we learn more about this new and exciting work! The ANPT Spinal Cord Injury Special Interest Group is a part of the American Physical Therapy Association.
In this episode, I am joined by John Gallucci Jr., MS, ATC, PT, DPT, and CEO of JAG-ONE Physical Therapy. We discuss the importance of athletic trainers, how they work with physical therapists, and their role in the community. John shares his experience working with various sports teams, including the New York Knicks and the New Jersey Devils, and how he started JAG 1, a sports medicine company. Overall, this episode highlights the crucial role that athletic trainers play in keeping athletes safe and healthy. Show notes: [00:00:09] Importance of athletic trainers. [00:06:02] Multidisciplinary approach in therapy. [00:07:07] Multisport approach to healthcare. [00:10:49] Certified athletic trainers shortage. [00:17:24] Pay of athletic trainers. [00:18:32] Capitalizing on Athletic Healthcare. [00:23:49] Emergency Action Plans in sports. [00:28:21] Physical therapy as primary care. [00:30:19] Emergency Room Misuse. [00:34:07] Advice for your 20-year-old self. More About Dr. Gallucci: John Gallucci Jr., MS, ATC, PT, DPT, is the CEO of JAG-ONE Physical Therapy, one of the fastest growing comprehensive physical and occupational therapy practices providing rehabilitative care to patients and sports teams in over 110 locations across the Northeast. Recognized by ROI-NJ as one of the top 20 influencers in healthcare, Gallucci has received numerous additional honors, including the Ernst and Young Entrepreneur of the Year Regional Award Winner and the American Physical Therapy Association of New Jersey Distinguished Professional of the Year for his work. In early 2023, Gallucci was recognized by ROI-NJ on their Power List for Healthcare Life Sciences, and was inducted in his alma mater Dominican University's Alumni Hall of Achievement. An expert in sports medicine, rehabilitation, and injury prevention, Gallucci serves as the Medical Coordinator for Major League Soccer (MLS), coordinating the medical care of more than 800 professional soccer players. He is also a Sports Medicine consultant for professional athletes in the NHL, NFL, NBA, and MLB. A noted author, Gallucci released his first book titled Soccer Injury Prevention and Treatment in May 2014. His second book, titled Play Ball: Don't Let Injuries Sideline You This Season was released on May 1, 2018. Gallucci earned his Bachelor of Science in Political Science from the City University of New York- Staten Island. He then went on to earn his Doctorate in Physical Therapy from Dominican University, and the University later honored him as their Person of the Year for 2018. In 2023, Dominican University officially opened the Gallucci Physical Therapy Research Laboratory. Gallucci committed to donating a scholarship to the school for the next three years, as well as a personal contribution to go towards research and innovation within the Physical Therapy lab. Dually licensed as an athletic trainer and physical therapist, Gallucci began his career within organizations such as the New York Knicks, New York University, New York Red Bulls, and within several major healthcare systems. His start in sports physical therapy inspired him to bring the same level of attention and treatment to every person, so he started his own physical therapy practice, JAG Physical Therapy. In 2018, JAG Physical Therapy merged with One-on-One Physical Therapy creating JAG-ONE Physical Therapy and appointing Gallucci as CEO. Gallucci plans on expanding JAG-ONE Physical Therapy to locations throughout the Northeast, based on the needs of our communities for an in-network, outcome-based physical therapy company. Aside from his work at JAG-ONE Physical Therapy, Gallucci sits on the governor-appointed New Jersey Council on Physical Fitness and Sports and is the Medical Coordinator for Major League Soccer (MLS), consulting on the medical care of more than 800 professional soccer players. Gallucci is also a member of the President's Advisory Group for Seton Hall University assisting in the university's strategic planning process. In the local community, Gallucci's philanthropic efforts have included a leading role in the fundraisers for The Valerie Fund, RWJBarnabas Health, The Arthritis Foundation, The American Cancer Society, and The Leukemia & Lymphoma Society. He also supports more than 200 high schools, college programs, and athletic clubs throughout the Tri-State Area. Find Gallucci on Twitter or connect with him on Linkedin. Resources from this Episode: Jag-One Website Jag-One Twitter Dr. Gallucci Twitter Jag-One Facebook Jag-One Instagram Dr. Gallucci LinkedIn Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio
Episode 113: Dr. David Tiberio is the dean of the Gray Institute's 40-week mentorship program, which is known for training, treating and conditioning athletes in all 3 planes of motion. Dr. Tiberio has published numerous articles in scholarly journals and is professor emeritus at the University of Connecticut. In 2007, Dr. Tiberio received the Kendall Award from the American Physical Therapy Association for "outstanding and enduring contributions to the practice of physical therapy." Dr. Tiberio was kind enough to come on the podcast to answer the seemingly simple question, how do you activate muscles? As a strength coach, I've always been confused on how to effectively cue athletes without telling them to, "squeeze their glutes" or, "focus on their core." And what started as a simple question not only turned into an hour long episode, but Dr. Tiberio was nice enough to come on the show again to record parts 2 and 3 and talk about proprioception and fascia. If you're a trainer or coach that wants to effectively train athletes to perform better on the court, Dr. Tiberio is going to give you a combination of timeless wisdom and the latest in scientific findings on how to activate muscles. Instagram @HoopCommitmentTwitter @HoopCommitmentFacebook HoopCommitmentWebsite HoopCommitment.com
Show Notes Today's Guests: Dr. Daniel Dale PT, DPT Dr. Daniel Dale is a Clinical Assistant Professor and the Assistant Director of Clinical Education in the Department of Physical Therapy at Mercer University. He received his Doctor of Physical Therapy degree from Armstrong Atlantic State University (now Georgia Southern University) in Savannah, Georgia in 2011. Dr. Dale is a Certified Healthcare Simulation Educator (CHSE) by the Society for Simulation in Healthcare, and is also a Certified Lymphedema Therapist (CLT). In addition to his teaching and clinical practice, Dr. Dale also serves as an educational consultant for Early Mobility, a company for consulting services and early mobility program development and management for major hospital systems countrywide. Dr. Dale also still works PRN at the Shepherd Center in Atlanta, GA, where he held his first job out of school. Dr. Dale's current teaching responsibilities include assisting in service-learning, integrated and long-term clinical experience courses, health policy, and conducting simulation in courses throughout the curriculum related to neurology, acute care, and interprofessional education related to the ICU and acute care environments. Dr. Dale is an active member of the American Physical Therapy Association, including the Education, Acute Care, and Leadership and Innovation sections/academies. He has served on multiple committees and in leadership positions within the state and national professional associations. Dr. Dale is also a member of the Society for Simulation in Healthcare (SSH). Currently, Dr. Dale is the Immediate Past President of APTA Georgia, a Chapter of the American Physical Therapy Association. Guest Quotes: 10:48” “I think one of the biggest kind of standard things that needs to be in a simulation that a lot of us don't quite understand until we go through some of that training is the debrief….Debrief is meant to get the students reflecting on their performance, being open and honest, and sharing what they did, how they would do it differently, how their actions affected others.” 18:58” “It's one of the tenants I think that simulation stands on… is you create that safe space to fail. And it's so important, especially, anytime we're talking about patient care, but especially when we're talking about in acute care, ICU care, there's not a lot of room for error.” 26:29” “simulation is not a new novel idea in healthcare education by any means. Our colleagues in medicine, nursing, pharmacy, have been doing this for decades.” Rapid Responses: Do you tell dad jokes yes or no? “A hundred percent yes. And in class as well” You know, you work in acute care when… “You have a pair of scrubs and shoes as a backup.” Links: https://www.ssih.org/ https://www.inacsl.org/ https://acapt.org/about/consortium/simulation-in-physical-therapy-education-consortium For questions about 2024 APTA Acute Care Nominations, please email: acute@aptaacutecare.org Connect with our hosts and the podcast! Leo Arguelles (LEE-O R-GWELL-IS) Twitter @LeoArguellesPT Ashley Poole Twitter @AshleyPooleDPT Interested in being a future guest? APTA Acute Care: Website 2024 Call For Nominations Journal Access Twitter @AcuteCareAPTA Facebook APTA Acute Care Instagram @AcademyAcutePT YouTube APTA Acute Care Podcast APTA Acute Care Resources APTA Adult Vital Signs APTA Lab Values Document Webinar Recordings 2023 Long Covid Webinar Series
The American Physical Therapy Association's Academy of Sports Physical Therapy is now in its 50th year. Today, Academy President, Dr Mike Reinold, is celebrating not only the achievements of the past 50 years, but looking forward to the future. Mike has assumed the role of Sports Academy President at an exciting time of innovation in learning, professional development, and mentorship. Today we discuss how the Sports Academy is nurturing the physical therapy profession and its future leaders. ------------------------------ RESOURCES Academy of Sports Physical Therapy: https://sportspt.org/ Sports Academy Learning Centre: https://learn.sportspt.org/
Today we are talking with Dr. Amanda Olson. Dr. Amanda Olson is a dedicated and passionate Doctor of Physical Therapy specializing in treatment of pelvic floor disorders including incontinence, pelvic organ prolapse, pelvic pain, and pregnancy related issues. She is a certified advanced pelvic floor practitioner (CAPP-PF) by the American Physical Therapy Association and the Herman and Wallace Pelvic Institute (PRPC). She teaches on pelvic health content nationally. Dr. Olson is also the pelvic expert behind Intimate Rose, a women's health brand whose mission is to improve the health of women worldwide. She creates devices and educational resources to address common and treatable women's health issues for patients and other health care providers. She is the author of the book Restoring the Pelvic Floor For Women. Follow us @pelvicorerehab and share any questions you have on Pelvic Health or share your experience overcoming Pelvic Health related issues. Episode Notes: Here are some question we answered during this episode: What are some pelvic health issues that come up for runners? Running during pregnancy was a hard NO years ago but there is a transition going on and we are seeing more pregnant mamma running. What do you think has changed? What are some warning signs/red flags for pregnant moms to look out forin running during pregnancy? Do you get avid runner moms that come to you during pregnancy and want to optimize their system during pregnancy in order to return to running after birth? What do you think are some common mistakes moms make when returning to running after childbirth? Health care providers give moms the “ Green Light “ at their postnatal 6 week checkup. They are often told that they can return to all activities without restrictions. After Orthopedic surgery,like ACL surgery, athletes wouldn't dare not follow the rehab protocol but after birth we get this GO AHEAD and do anything. Do you think this is a big issue? How can we change this? There was recently a set of guidelines developed by Grainne Donnelly and Emma Brockwell what are your thoughts on this? How do you help moms return to running postnatally?What are the things that you feel are essential to establish in their strength? For moms that present with OVERACTIVITY, TENSION PATTERNS of the pelvic floor, How do you handle these runners? Do you first focus on relaxing the Pelvic floor or do lengthen and strengthen at the same time? Do you use Vaginal weights to prepare to return to running? Where can you find more of Amanda Olson? https://www.intimaterose.com/ IG: @aolsondpt; @intimaterose FB: Intimate Rose TikTok: Intimaterose 2 day course on Running and Pelvic Floor: https://aptapelvichealthlivecourses.softr.app/listing-details?recordId=recG4CHJbu6xzZtQx Visit me at: My Website: https://www.pelvicorerehab.com/ Instagram : https://www.instagram.com/pelvicorerehab Facebook:https://www.facebook.com/pelvicorerehab/ Facebook Group: https://www.facebook.com/groups/pelvichealthplus YouTube: https://www.youtube.com/channel/UCCiEl1ZFlA5SzN44MhUwzgA?view_as=subscriber Ebook Books links Pregnancy Ebook: https://www.pelvicorerehab.com/pain-free-pregnancy-guide Bladder Leaking Ebook https://www.pelvicorerehab.com/leaking 8 steps to achieving pelvic healing https://www.pelvicorerehab.com/ Pelvic Pain, Bladder leaking, and 8 steps to achieve pelvic healing https://www.pelvicorerehab.com/pelvicfloorguides Pelvic Pain https://www.pelvicorerehab.com/pelvicpain Menopause Guide https://www.pelvicorerehab.com/menopauseguide Postpartum ebook https://www.pelvicorerehab.com/headtotoewellnessformommyandbaby Disclaimer: Susan Winograd, PT offers health and fitness information intended to assist you in improving your general health and well-being. These videos and written text are designed for entertainment and educational purposes only. Please consult your physician before beginning or implementing this or any other technique or exercise program. Do not rely on the information presented as a substitute for professional medical advice, diagnosis, or treatment. If you have any concerns or questions about your health, consult with a physician or other healthcare professional. Do not disregard, avoid or delay obtaining medical or health-related advice because of something you may have read, heard, or viewed on this site or channel. The use of any information provided on this (or any associated) video or website is solely at your own risk.
BG Deydre Teyhen received her Bachelor of Arts in Sports Science at Ohio Wesleyan University. She earned her master's degree in physical therapy from the U.S. Army-Baylor University, completed her Ph.D. in Biome- chanics from the University of Texas, and earned her Doctor of Physical Therapy from Baylor University. BG Teyhen graduated with honors as a distinguished graduate from the U.S. Army War College with a master's degree in Strategic Studies.Prior to assuming command of the Brooke Army Medical Center, BG Teyhen previously served as the Deputy Chief of Staff (Support, G-1/4/6) at the Office of the Surgeon General in Falls Church, Virginia. During the pandemic, she served as the Department of Defense Lead of Therapeutics for Operation Warp Speed at the U.S. Department of Health and Human Services and as the Commander for Walter Reed Army Institute of Research, the Department of Defense's largest biomedical research facility. She led infectious disease, brain, and behavioral health research efforts; including research to prevent, detect, and treat COVID-19. Previously, she commanded the U.S. Army Health Clinic Schofield Barracks, Hawaii. Her previous assignments include Assistant Chief of Staff, Public Health at the Office of the Army Surgeon General; Commander, Public Health Command Region-South; Deputy Director, Telemedicine and Advanced Technology Research Center at Fort Detrick, Md.; Associate Professor and Director of the Center for Physical Therapy Research for the U.S. Army Baylor University Doctoral Program in Physical Therapy on Fort Sam Houston, Texas; Officer-in-Charge of Task Force 10 Delta Med in Al Kut, Iraq; Chief of Musculoskeletal Care Center and Chief of Physical Therapy at Kimbrough Ambulatory Care Center, Fort Meade; Chief of Outpatient Physical Therapy at Walter Reed Army Medical Center, Washington, D.C.; Chief of Physical Therapy, 21st Combat Support Hospital in Tuzla, Bosnia; and Physical Therapist at (then) Carl R. Darnall Army Community Hospital at Fort Hood, Texas.BG Teyhen also serves as the 20th Chief, U.S. Army Medical Specialist Corps. She has spent her career focused on improving the delivery of healthcare, holistic health, and readiness (public health, musculoskeletal medicine, behavioral health, resiliency, imaging, and technology). Her research accomplishments include over 225 peer-reviewed publications, editorials, book chapters, and published abstracts; 120 presentations at conferences; and 150 invited lectures.BG Teyhen's key military awards include the Defense Superior Service Medal, Legion of Merit (four Oak Leaf Clusters), the Army Medical Department Order of Military Medical Merit (O2M3), the Surgeon General's “A” Proficiency Designator, and the U.S. Army War College Commandant's Award for Distinction in Research. Key civilian awards include Catherine Worthingham Fellow of the American Physical Therapy Association, Dissertation Award from the University of Texas, the American Physical Therapy Association, Margaret L. Moore Award for Outstanding New Academic Faculty Member, and inducted into the Kinesiology and Health Education Distinguished Alumna Hall of Honor, University of Texas.
In this episode of the Brawn Body Health and Fitness Podcast, Dan is joined by Dr. Mike Piekarski, PT, DPT, OCS, to discuss PT considerations for combat athletes, including common injuries, rehab considerations, and return to sport progressions. Originally from the Northeast, Mike earned his Bachelor's degree from Binghamton University in upstate New York, where he first discovered Brazilian Jiu-jitsu. After graduating, Mike began competing in Mixed Martial Arts, Muay Thai, and submission grappling. After turning professional as a Mixed Martial Artist, he decided to change his focus and return to school. Mike attended Stony Brook University in Long Island, where he earned his Doctorate in Physical Therapy. After graduate school Mike moved to Los Angeles. During this time he earned the rank of black belt in Brazilian Jiu-jitsu and became recognized as a Board Certified Orthopedic Clinical Specialist by the American Physical Therapy Association. Mike currently lives in Eastern Washington and works with a variety of athletes as a Sports Physical Therapist. For more on Dr. Piekarski, you can find him on Instagram @doctor_kickass To keep up to date with everything Dan is doing on the podcast, be sure to subscribe and follow @brawnbody on social media! Episode Sponsors: MedBridge: https://www.medbridgeeducation.com/brawn-body-training or Coupon Code "BRAWN" for 40% off your annual subscription! CTM Band: https://ctm.band/collections/ctm-band coupon code "BRAWN10" = 10% off! PurMotion: "brawn" = 10% off!! TRX: trxtraining.com coupon code "TRX20BRAWN" = 20% off Red Light Therapy through Hooga Health: hoogahealth.com coupon code "brawn" = 12% off Ice shaker affiliate link: https://www.iceshaker.com?sca_ref=1520881.zOJLysQzKe Training Mask: "BRAWN" = 20% off at checkout https://www.trainingmask.com?sca_ref=2486863.iestbx9x1n Make sure you SHARE this episode with a friend who could benefit from the information we shared! Check out everything Dan is up to, including blog posts, fitness programs, and more by clicking here: https://linktr.ee/brawnbodytraining Liked this episode? Leave a 5-star review on your favorite podcast platform! --- Send in a voice message: https://anchor.fm/daniel-braun/message Support this podcast: https://anchor.fm/daniel-braun/support
Dr. Worth graduated from the University of Wisconsin–LaCrosse, double majoring in physical therapy and psychology, received his Master's in Orthopedic Physical Therapy from the University of St. Augustine and his DPT from Massachusetts General Institute of Health Professions. He has been in private practice since establishing Advanced Physical Therapy & Sports Medicine in 1998, with 28 clinics in northeast/central Wisconsin, plus 8 on-site clinics at YMCA's and providing on-site care for 60+ companies and municipalities. Rob has presented at the APTA Innovation Summit and his practice was selected as the 2013 Private Practice of the Year by the APTA Private Practice Section. In addition to his private practice, teaching at two universities and an orthopedic residency program, and leading international medical missionary work, he is an active member of the American Physical Therapy Association, previously serving as the President of the American Physical Therapy Association Wisconsin, currently serves as Wisconsin Delegate to the American Physical Therapy Association, and is a Director on the APTA Private Practice Board of Directors. Dr. Worth has also received the Outstanding Service Award from APTA Wisconsin and the IndUS International Award for cross-cultural contributions in healthcare.
This week's podcast episode is a replay from a former season of the Dear NICU Mama podcast! As we continue our conversation of growing our families after the NICU, we couldn't think of a more valuable series of episodes to share than our Sex & Intimacy after NICU and/or Birth Trauma series. We know that connecting with our bodies after the NICU is a lifelong healing journey, especially when it comes to connecting to our partners physically, but we hope that this episodes offers your heart some practical and tangible steps to finding peace in your body post trauma.-----Welcome to part 2 of our sex after birth and/or NICU trauma series! On this week's episode we talk exclusively about the physical aspects of healing after trauma with physical therapist Jill Ehrmantraut of Apex Wellness! In this episode we cover:What is the pelvic floor?Is pain during sex normal? If not, what can we do to treat it?What are the different changes physically that occur within the body with a vaginal delivery vs a cesarean delivery?When is too late to receive therapy from a physical therapist? (Hint - it's never too late!)Where in our bodies do we hold trauma? Is an emotional response during therapy normal?We hope this episodes offers insight into the physical aspects of healing after birth and/or NICU trauma. Your body has done so much to protect you, and unlocking therapies like physical therapy can be a wonderful asset in your healing journey.Jill is a Board-Certified Women's Health Clinical Specialist (WCS) with advanced training in pelvic rehabilitation for females, males and children. Jill graduated with her Doctorate of Physical Therapy from the University of Mary, Bismarck, ND in 2010. She has advanced training in the treatment of pelvic pain, pregnancy and post-partum issues, urinary and fecal incontinence, pelvic organ prolapse, constipation, and neurogenic bladder in women, men, and children. She also has years of experience in treating female pelvic floor dysfunction, pelvic floor dysfunction during or after cancer treatment, pediatric pelvic floor dysfunction, and post prostatectomy incontinence in males. She is the second physical therapist in the state of North Dakota to obtain a Certificate of Achievement in Pelvic Floor Physical Therapy. Jill is a member of the American Physical Therapy Association and a part of the Academy of Pelvic Health Physical Therapy. She is also certified in Functional Dry Needling Level 1 and Pelvic Floor dry needling/Level 2.To get connected with Jill: Website | InstagramTo get connected with DNM: Website | Private Facebook Group | InstagramThis podcast episode is not an attempt to practice medicine or provide medical advice. All information, content, and material on this website is for informational purposes only and is not intended to be a substitute for professional medical or mental health advice, diagnosis or treatment. Hosted on Acast. See acast.com/privacy for more information.
Billy has been working in Physical Therapy since 2004. As a native of Colorado, he received his bachelor's degree in Health and Exercise Science with a concentration in Sports Medicine from Colorado State University in 2006. He went on to receive his Doctorate of Physical Therapy from the University of St. Augustine where he graduated with high honors in 2009. He moved down to New Orleans to complete a Fellowship in Orthopedic Manual Physical Therapy through the American Academy of Orthopedic Manual Physical Therapy in 2011 (FAAOMPT). Through his experience in orthopedics, Billy was able to complete the requirements and examination to become a board-certified clinical specialist in orthopedic physical therapy (OCS) in 2016. He is now recognized by the American Physical Therapy Association as a Board Certified Clinical Specialist in Orthopedic Physical Therapy. Billy is one of the few Physical Therapists in the New Orleans area to have both his OCS and FAAOMPT. Billy also has extensive experience and passion for educating and mentoring students and new therapists. He enjoys integrating this passion into Comprehensive Physical Therapy. In addition, Billy has ranked within the top 3 physical therapists in New Orleans through “Three Best Rated” and has been voted Northshore's Best Physical Therapist. Leduc Entertainment is a video production company with offices in New Orleans, Atlanta, and Los Angeles. We help business owners and creatives scale their businesses through video marketing. Using YouTube, Facebook, Instagram, TikTok, LinkedIn, and Twitter, we are able to communicate your message, brand, and product in an engaging way. Your business deserves great videos!
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