Podcasts about apta next

Due to circumstances of COVID-19, APTA NEXT transformed our beloved NEXT conference virtual. At PT Pintcast, we decided to kick things off with a NEXT Virtual Happy Hour.  Matt Tuttle is the Lead Sports Scientists and Physical Therapist of the Denver Nuggets. Matt discusses how the Nuggets have adjusted since the beginning of COVID-19. He released an article in BJSM “How to Fix Problems of Exercise Prescription in the NBA: Challenges & Tips to Move Forward: https://blogs.bmj.com/bjsm/2020/05/05/how-to-fix-the-problems-of-exercise-prescription-in-the-nba-challenges-and-tips-to-move-forward/?fbclid=IwAR2UVIGsoLZiJV64YlFix44qTO23d1sgZ_D1tvBqm-R-ObJ0dlYKsJTeup4 One main point noted from this article was neuromuscular skeletal care takes longer than the preseason duration length. He discusses the importance of loading appropriately while preventing future injury. Matt gives his definition of micro dosing exercise and how it has benefited NBA players throughout the season. PARTING SHOT “We need to be better as a population about acceptance and equality. Working together and loving each other as humans.” – MATT  https://www.ptpintcast.com/2019/11/11/inside-the-life-of-an-nba-physical-therapist-with-matt-tuttle/ https://www.ptpintcast.com/2020/04/21/csm-live-with-matt-tuttle-jason-steere-and-krystyna-holland/

Due to circumstances of COVID-19, APTA NEXT transformed our beloved NEXT conference virtual. At PT Pintcast, we decided to kick things off with a NEXT Virtual Happy Hour.  Matt Tuttle is the Lead Sports Scientists and Physical Therapist of the Denver Nuggets. Matt discusses how the Nuggets have adjusted since the beginning of COVID-19. He released an article in BJSM “How to Fix Problems of Exercise Prescription in the NBA: Challenges & Tips to Move Forward: https://blogs.bmj.com/bjsm/2020/05/05/how-to-fix-the-problems-of-exercise-prescription-in-the-nba-challenges-and-tips-to-move-forward/?fbclid=IwAR2UVIGsoLZiJV64YlFix44qTO23d1sgZ_D1tvBqm-R-ObJ0dlYKsJTeup4 One main point noted from this article was neuromuscular skeletal care takes longer than the preseason duration length. He discusses the importance of loading appropriately while preventing future injury. Matt gives his definition of micro dosing exercise and how it has benefited NBA players throughout the season. PARTING SHOT “We need to be better as a population about acceptance and equality. Working together and loving each other as humans.” – MATT https://www.ptpintcast.com/2019/11/11/inside-the-life-of-an-nba-physical-therapist-with-matt-tuttle/ https://www.ptpintcast.com/2020/04/21/csm-live-with-matt-tuttle-jason-steere-and-krystyna-holland/

Due to circumstances of COVID-19, APTA NEXT transformed our beloved NEXT conference virtual. At PT Pintcast, we decided to kick things off with a NEXT Virtual Happy Hour. Tara Jo Manal Tara Jo Manal is the director of clinical services and Residency training at the University of Delaware and the director of the Academy of Orthopaedic Physical Therapy (AOPT). She is here to talk about her APTA NEXT 2017 Maley Lecture – Strike While the Iron is Hot. Check it out here: https://www.apta.org/NEXT/2017/MaleyLecture/?fbclid=IwAR0vo93fi0MpxezYDlFkvtabTmJ0bOwXaO4cBhyDRCv2fN0bNwT-_zk2eWo Tara believes that not only from her lecture but even due to COVID the therapy profession has transformed and adjusted for the better in clinical practice. If you are interested in furthering your physical therapy career in orthopedics, check out the Academy of Orthopaedic Physical Therapy here: https://www.orthopt.org/ Tara gives us the rundown of all educational material that AOPT provides for physical therapists interested in pursuing the OCS. Look out for future opportunities to win these materials! Tara ends with visualizing in 3 years our profession finding our spot in all settings and continuing to provide telehealth to patients. PARTING SHOT 47:28 “Be thinking how you are creating your communities. Recognizing what we have learned and what’s so important about community while we’ve been separated from one another.” – TARA

Due to circumstances of COVID-19, APTA NEXT transformed our beloved NEXT conference virtual. At PT Pintcast, we decided to kick things off with a NEXT Virtual Happy Hour.  Tara Jo Manal Tara Jo Manal is the director of clinical services and Residency training at the University of Delaware and the director of the Academy of Orthopaedic Physical Therapy (AOPT). She is here to talk about her APTA NEXT 2017 Maley Lecture – Strike While the Iron is Hot. Check it out here: https://www.apta.org/NEXT/2017/MaleyLecture/?fbclid=IwAR0vo93fi0MpxezYDlFkvtabTmJ0bOwXaO4cBhyDRCv2fN0bNwT-_zk2eWo Tara believes that not only from her lecture but even due to COVID the therapy profession has transformed and adjusted for the better in clinical practice. If you are interested in furthering your physical therapy career in orthopedics, check out the Academy of Orthopaedic Physical Therapy here: https://www.orthopt.org/ Tara gives us the rundown of all educational material that AOPT provides for physical therapists interested in pursuing the OCS. Look out for future opportunities to win these materials! Tara ends with visualizing in 3 years our profession finding our spot in all settings and continuing to provide telehealth to patients. PARTING SHOT 47:28 “Be thinking how you are creating your communities. Recognizing what we have learned and what’s so important about community while we’ve been separated from one another.” – TARA

Due to circumstances of COVID-19, APTA NEXT transformed our beloved NEXT conference virtual. At PT Pintcast, we decided to kick things off with a NEXT Virtual Happy Hour. Skye and Megan Skye Donovan and Megan Brown were our third guests on the happy hour. Skye Donovan was elected APTA board of director at APTA House of Delegates. Check that out here: http://www.apta.org/PTinMotion/News/2020/6/1/Elections/?fbclid=IwAR315xPj12RqfQeD1OQYiCOE8dqa0uIiMGNi4QQ60oH6QWmV6H3UkvB1hBA The ladies first rave about “The Last Dance” and how it is on their must watch documentaries. They further discuss their own fab 5. They identify these people as the ones who challenge you and let you be your authentic self. Megan is a business owner and Skye is a professor at Marymount University. They both discussed the difficulties of adapting their lives virtually. PARTING SHOT (Going virtual) “It taught me to just apologize frequently and to show your human side and be transparent.” – SKYE 

Due to circumstances of COVID-19, APTA NEXT transformed our beloved NEXT conference virtual. At PT Pintcast, we decided to kick things off with a NEXT Virtual Happy Hour.  Skye and Megan Skye Donovan and Megan Brown were our third guests on the happy hour. Skye Donovan was elected APTA board of director at APTA House of Delegates. Check that out here: http://www.apta.org/PTinMotion/News/2020/6/1/Elections/?fbclid=IwAR315xPj12RqfQeD1OQYiCOE8dqa0uIiMGNi4QQ60oH6QWmV6H3UkvB1hBA The ladies first rave about “The Last Dance” and how it is on their must watch documentaries. They further discuss their own fab 5. They identify these people as the ones who challenge you and let you be your authentic self. Megan is a business owner and Skye is a professor at Marymount University. They both discussed the difficulties of adapting their lives virtually.  PARTING SHOT (Going virtual) “It taught me to just apologize frequently and to show your human side and be transparent.” – SKYE 

Due to circumstances of COVID-19, APTA NEXT transformed our beloved NEXT conference virtual. At PT Pintcast, we decided to kick things off with a NEXT Virtual Happy Hour.  Thank you Owens Recovery Science for sponsoring the event! www.OwensRecoveryScience.com Johnny Owens and Kyle Kimbrell from Owens Recovery Science here to talk about blood flow restriction. Kyle starts off this chat discussing that both, and we mean BOTH, Twitter and BFR changed his way of practice as a PT. How to manage burnout as a PT? Try something new in the field and be inspired by connecting with others. Check out Johnny and Kyle on the PACER Project here: owensrecoveryscience.com/blog/the-pacer-project/ Johnny and Kyle give us the breadth and depth on the benefits of BFR for ALL populations – athletes, pediatric, geriatric, even patients in the ICU. Johnny illustrates how BFR is used in research, where it is going, and how it will benefit patients today. PARTING SHOT “I want physical therapists to stop prescribing exercise that looks like you’re a circus bear or a one man band. I want them to prescribe exercise that creates adaptation and muscle.” – KYLE “How would I tell my kids that this is how my mom or dad reacted during these times.” – JOHNNY

Due to circumstances of COVID-19, APTA NEXT transformed our beloved NEXT conference virtual. At PT Pintcast, we decided to kick things off with a NEXT Virtual Happy Hour.  Thank you Owens Recovery Science for sponsoring the event! www.OwensRecoveryScience.com Johnny Owens and Kyle Kimbrell from Owens Recovery Science here to talk about blood flow restriction. Kyle starts off this chat discussing that both, and we mean BOTH, Twitter and BFR changed his way of practice as a PT. How to manage burnout as a PT? Try something new in the field and be inspired by connecting with others. Check out Johnny and Kyle on the PACER Project here: owensrecoveryscience.com/blog/the-pacer-project/ Johnny and Kyle give us the breadth and depth on the benefits of BFR for ALL populations – athletes, pediatric, geriatric, even patients in the ICU. Johnny illustrates how BFR is used in research, where it is going, and how it will benefit patients today. PARTING SHOT “I want physical therapists to stop prescribing exercise that looks like you’re a circus bear or a one man band. I want them to prescribe exercise that creates adaptation and muscle.” – KYLE “How would I tell my kids that this is how my mom or dad reacted during these times.” – JOHNNY

Due to circumstances of COVID-19, APTA NEXT transformed our beloved NEXT conference virtual. At PT Pintcast, we decided to kick things off with a NEXT Virtual Happy Hour.  Jerry Durham was our first guest to kick off this happy hour. Jerry discusses #timeIsNow which symbolizes the need to change now to move forward in changing the future. As the patient experience is shifting towards a telehealth experience, it is important to understand the patient when talking on the phone. What Jerry emphasizes is demonstrating to your patient from the initial phone call that THEY MATTER and make the experience all about them. Jerry also acknowledges the difficulties of current physical therapists using telehealth. Even though these issues arise, physical therapists will only become better clinicians once back practicing in the clinic. Interested in learning how to run a business while valuing the patient experience? Check out: https://clientexperiencecompany.com/ PARTING SHOT “The world is about community. You will be successful when you learn who you can serve in your community. #1 step to business success.” - JERRY https://www.ptpintcast.com/2020/03/23/the-one-thing-you-must-focus-on-for-success-in-your-physical-therapy-practice-with-jerry-durham/ https://www.ptpintcast.com/2018/01/24/268-jerry-durham-graham-sessions/ https://www.ptpintcast.com/2015/09/01/episode-5-jerry-durham-2/

Due to circumstances of COVID-19, APTA NEXT transformed our beloved NEXT conference virtual. At PT Pintcast, we decided to kick things off with a NEXT Virtual Happy Hour.  Jerry Durham was our first guest to kick off this happy hour. Jerry discusses #timeIsNow which symbolizes the need to change now to move forward in changing the future. As the patient experience is shifting towards a telehealth experience, it is important to understand the patient when talking on the phone. What Jerry emphasizes is demonstrating to your patient from the initial phone call that THEY MATTER and make the experience all about them. Jerry also acknowledges the difficulties of current physical therapists using telehealth. Even though these issues arise, physical therapists will only become better clinicians once back practicing in the clinic. Interested in learning how to run a business while valuing the patient experience? Check out: https://clientexperiencecompany.com/ PARTING SHOT “The world is about community. You will be successful when you learn who you can serve in your community. #1 step to business success.” - JERRY https://www.ptpintcast.com/2020/03/23/the-one-thing-you-must-focus-on-for-success-in-your-physical-therapy-practice-with-jerry-durham/ https://www.ptpintcast.com/2018/01/24/268-jerry-durham-graham-sessions/ https://www.ptpintcast.com/2015/09/01/episode-5-jerry-durham-2/

  LIVE from the NEXT Conference in Chicago, Jenna Kantor guests hosts and interviews the teams from the Oxford Debate which covered the question: Is Social Media Hazardous? The Pro team consisted of Karen Litzy, Jimmy McKay and Jarod Hall. The con team consisted of Ben Fung, Jodi Pfeiffer and Rich Severin. In this episode, we discuss: -How each of the debaters prepared and crafted their arguments -Bias and how to research a question openly -The importance of respectful debate on controversial subjects -And so much more!   Resources: Jimmy McKay Twitter Rich Severin Twitter Ben Fung Twitter Jarod Hall Twitter Karen Litzy Twitter Outcomes Summit: Use the discount code LITZY   For more information on Jimmy: Dr. Jimmy McKay, PT, DPT is the Director of Communications for Fox Rehabilitation and the host of five podcasts in the category of Science & Medicine. (PT Pintcast, NPTE Studycast, FOXcast PT, FOXcast OT & FOXcast SLP.) He got his degree in Physical Therapy from the Marymount University DPT program and a degree in Journalism and Mass Communication from St. Bonaventure University. He was the Program Director & Afternoon Drive host on the 50,000 watt Rock Radio Station, 97.9X (WBSX-FM). He has presented at State and National Conferences. Hosted the Foundation for Physical Therapy research fundraising gala from 2017-2019 and was the captain of the victorious team in the Oxford Debate at the 2019 NEXT Conference. Favorite beer: Flying Dog – Raging Bitch   For more information on Rich: Dr. Rich Severin, PT, DPT is a physical therapist and ABPTS certified cardiovascular and pulmonary specialist. He completed his cardiopulmonary residency at the William S Middleton VA Medical Center/University of Wisconsin-Madison which he then followed up with an orthopedic residency at the University of Illinois at Chicago (UIC). Currently he is working on a PhD in Rehab Science at UIC with a focus in cardiovascular physiology. In addition to research, teaching and clinical practice regarding patients with cardiopulmonary diseases, Dr. Severin has a strong interest in developing clinical practice tools for risk assessments for physical therapists in a variety of practice settings. He is an active member within the APTA and serves on the social media committee and Heart Failure Clinical Practice guideline development team for the cardiopulmonary section.   For more information on Karen: Dr. Karen Litzy, PT, DPT is a licensed physical therapist, speaker, owner of Karen Litzy Physical Therapy, host of the podcast Healthy Wealthy & Smart and creator of the Women in Physical Therapy Summit. Through her work as a physical therapist she has helped thousands of people overcome painful conditions, recover from surgery and return to their lives with family and friends. She has been a featured speaker at national and international events including the International Olympic Committee Injury Prevention Conference in Monaco, the Sri Lanka Sports and Exercise Medicine Conference, and various American Physical Therapy Association conferences.   For more information on Jodie:  Jodi Pfeiffer, PTA, practices in Alaska, where she also serves on the Alaska Chapter Board of Directors.   For more information on Jarod: Jarod Hall, PT, DPT, OCS, CSCS is a physical therapist in Fort Worth, TX. His clinical focus is orthopedics with an emphasis on therapeutic neuroscience education and purposeful implementation of foundational principles of progressive exercise in the management of both chronic pain and athletic injuries.   For more information on Ben: Dr. Ben Fung , PT, DPT, MBA is a Physical Therapist turned Digital Media Producer & Keynote Speaker. While his professional focus is in marketing, branding, and strategic change, his passion is in mentoring & inspiring success through a mindset of growth & connectivity for the millennial age.   For more information on Jenna: Jenna Kantor (co-founder) is a bubbly and energetic girl who was born and raised in Petaluma, California. Growing up, she trained and performed ballet throughout the United States. After earning a BA in Dance and Drama at the University of California, Irvine, she worked professionally in musical theatre for 15+ years with tours, regional theatres, & overseas (www.jennakantor.com) until she found herself ready to move onto a new chapter in her life – a career in Physical Therapy. Jenna is currently in her 3rd year at Columbia University’s Physical Therapy Program. She is also a co-founder of the podcast, “Physiotherapy Performance Perspectives,” has an evidence-based monthly youtube series titled “Injury Prevention for Dancers,” is a NY SSIG Co-Founder, NYPTA Student Conclave 2017 Development Team, works with the NYPTA Greater New York Legislative Task Force and is the NYPTA Public Policy Committee Student Liaison. Jenna aspires to be a physical therapist for amateur and professional performers to help ensure long, healthy careers. To learn more, please check out her website: www.jennafkantor.wixsite.com/jkpt   Read the full transcript below: Jenna Kantor:                00:00                Hello, this is Jenna Kantor with Healthy, Wealthy and Smart. Super excited to be talking here because I am at the NEXT Conference in 2019 in Chicago, Illinois. And there was an awesome debate an Oxford debate and I'm with almost all the team members. So that being said, I want to just interview you guys on your process, especially because everyone here is either extremely present on social media or uses social media. So it's funny that we had these two opposing teams really fighting different arguments here where everyone pretty much is on the same page that we all use social media. It's great for business. There's no denying. So as I ask my questions, would you guys say your name because people aren't going to necessarily, well maybe for some recognize your voice and also say what team you were on, whether it was team hazardous, which was correct me, Jimmy, which was the pro argument. The pro argument was saying that social media is hazardous and then the Con team was team Blues Brothers, which I've learned from Ben Fung it would have been the star wars theme except it had already been used in the past and they needed to be original. So that being said, I want to start off with #teamhazardous. What was your individual processes with finding your arguments since each of you are very present on social media? Jimmy McKay:               01:39                Jimmy McKay team #hazardous. I think first of all, this was a very difficult argument for our opponents because, well, first of all, we didn't get to pick which sides. A lot of people think that we've vied for the sides. We were literally just asked if we wanted to do the Oxford debate and then been given a side and given a team. So I want to make that very clear. I think they did a great job. I was keeping track of all the points that I would've hit if I were on that side, I thought that was the uphill battle. Because people, when they found out we were pro social media it was like, oh, you don't like social media. But if you read the prompts for a debate very closely, it's like, is it hazardous? Jimmy McKay:               02:18                Not is it good or bad? Right? So we agreed like all the things that the con side said, we agree with it's fantastic. It should be utilized. But just like PT why do we take the NPTE for example? Because if improperly used physical therapy could be hazardous. So that's why we take a test that makes sure that we're a safe practitioner of physical therapy. So, my thought process was I went on social media and wanted to grab all the kits, right? Like emojis and gifs and videos and Beyonce doing dances because that's what people resonate with. But then focus on the things where I think it falls short. Everything falls short, right? There's no Shangri-la and social media is no different. So just focus on the issues that stood out, right. Jimmy McKay:               03:01                So all I had to do is can I just ask, what do you love about social media? Like what irks you, you know, what are things that you wish were better? And as you heard from tonight, I think in past Oxford debates, sometimes it was hard to get four or five speakers to ask questions. And I think they had to cut them off because everybody, it resonates with everybody and it's super personal, right? I mean, what was the stat? How many people, I mean minutes that people spend a day, 140, 116 minutes a day Jimmy McKay:               03:29                It's probably hard, so it's super personal for people but I think again, the argument from the other side was just is really hard. I mean, I think you guys were put in a corner. But here's the funny part. Like you defended it, I think you defended that corner pretty well. So that was my process. Karen Litzy:                   03:50                Hi, Karen. Let's see, #teamhazardous and yes, this is also my podcast, so that's, yeah. Karen Litzy:                   04:00                So my process was pretty easy because I had just spoken about social media and informatics at WCPT in Geneva. So I was able to use a lot of that research and a lot of that information to inform this debate. And what I wanted to stick to was, I wanted to stick to the idea of fake news, the idea of misinformation versus disinformtion because there are different and how each one of those are hazardous. And then the other point I made was that it's not individual people, it's not individual groups, it's not even an individual platform. But if put all together, all of the platforms add in misinformation and disinformation, add in people who don't know the difference between something that's factual and not. So if you put it all together, then that's pretty hazardous. But the parts in and of itself maybe aren't. And then lastly that social media is a tool we need to really learn how to use it as a profession because it's not going anywhere as the team concept. It's not going anywhere. So the best way that we can reach the people we need to reach is by using it properly and by making sure that we use it with integrity and honesty and good faith. Jodi Pfeiffer:                 05:22                Hi, I'm Jodie Pfeiffer. I was for the con team blues brothers. I got to be the lead off person as well. So I really just kind of wanted to set the tone. It was a hard argument. Everybody uses it. I would like to think most people try and use it well we know this isn't always the case and it is a really useful tool for our association and for our profession. But there are times when it is not, we were trying to just, I was trying to set the stage for my other team members to give them things to work off of, give everybody a little introduction of the direction we were going. And I also tried to play off of our opponents a little bit as well because you know, really their argument that they made so well kind of proved both sides, how good it is and the hazards. So yeah, that was the direction that I went. Jarod Hall:                    06:20                This is Jarod Hall. I was on the pro team #teamhazardous and I remember when I was asked to be on the Oxford debate panel, the same day I was scrolling through social media of course, and I saw Rich Severin on Facebook saying, Hey, look, I was selected to be for the Oxford debate. And I thought, man, he's super well-spoken. This dude knows his stuff. He's going to come in strong. And then like I checked my email an hour or two later and I had been asked as well and I was pretty floored. I didn't know what to say. And they're like, do you want to do this Oxford debate and what side do you want to be on? And of course I said, I'm super active on social media. It's been helpful for me to find mentors and it's really positively influenced my career. I want to be on the side that's pro social media. And they said, cool, you're on the opposite side. Jarod Hall:                    07:21                And I thought to myself, oh, ouch. Okay, I need to look at this subjectively. You know, I need to, I need to step back away from the situation and look at ways that either I myself have been hazardous on social media or things that I've seen that were hard for me to deal with on social media. And, when Karen and Jimmy and I were strategizing, you know we kinda came up with a couple of different points. We wanted to 8 mile, you guys, we wanted to 8 mile the other team and kind of take the bullets out of your gun. We wanted to address the points that we knew you would address. And Karen did a really awesome job of that because we knew you guys were gonna come with such a strong argument and so much fire that we had to play a little bit of defense on the offense. Jarod Hall:                    08:07                And Karen got everybody hyped up and then our strategy was maybe, go the opposite way in the middle with me and maybe bring a little bit of the emotional component the other side of emotions and have people reflect on what does it feel like to feel not good enough? What does it feel like to see everybody else's highlight reel on social media when in reality, you're doing the day in the day out, the hard grudge, the hard trudge, you're putting in so much hard work and all you see is everybody's positive stuff around you. And it can, it can be a really defeating feeling sometimes. So we wanted to emphasize, you know, a lot of the articles that have been coming out across the profession about burnout and how that could potentially be hazardous. And you know, obviously we're all in favor of the appropriate usage of social media and when done the right way. Jarod Hall:                    08:55                But to take the pro side of this argument, we had to reflect on how could this really actually pose a hazard to us both personally and professionally. And, you know, I think that that's one of the things that directed our approach. And it was a hard thing to do to take the opposite side of, you know, how I position myself. But, all of my own errors on social media were really good talking points and learning points to drive home the discussion. And, you know, we just knew that the other team was going to have such a strong argument. We knew that it's really hard to ignore the fact that social media has connected us. It has allowed me to meet everybody sitting at the table with. It's allowed me to have learning opportunities and mentorship and it's allowed me to have business opportunities that I wouldn't have had otherwise. So we knew that the argument was just, it was going to be tough to beat. And, you know, I think that the crowd just resonated with everything that was said from both teams. And at the end of the day we were able to shed light from both sides on a really difficult topic and have people, you know, reflect on it and really have some critical thought. Ben Fung:                     10:10                Ben Fung here. I was a part of the con team. So that was so difficult. Pro Con. So I mean like it was interesting. I had a very similar experience when they asked me to be on the Oxford Debate. They're like, hey, you know, we'd like you to captain the team. I was like, okay, great. What am I debating? Or like, then when they would actually did tell me, they're like, oh, it's about social media. I was like, okay, yes, I'll do it. And then they're like, okay, you're on the con team. And so immediately I thought like, Oh, I have your job. Like I have the team, you know, #Hazardteam, I needed to somehow slam on what much of my success had been attributed to, you know, and I was like, okay, that'll be a tough job. Ben Fung:                     11:01                Right. And then what's interesting is that, you know, then they sent me the prompt and I was like, oh no, no, no, I'm against the against statement. So I'm pro social media and, you know, then the other side I can promote this. And it was actually only in retrospect that I was like, oh, it can be an uphill battle. But then I decided just personally not to think about it from that perspective, from my, you know, debating approach cause we're trying to present, you know, we're trying to present a point, more importantly, just engage the audience, you know, because, the Oxford Debate in the past, for the most part it's been really positive and entertaining. But then in some past years have gotten a little too intense I think for the audience and some afterthoughts. Ben Fung:                     11:40                So I just wanted to make sure that the thumping in the background stops, but also that you know, people were engaged, entertained, you know, that generally said some critical thought. You know, like those might've come into this being maybe a con member goes over to pro and vice versa. But really, you know, it was just really, really fun. You know, as people, I was like, you know, I know all these folks, it's going to be so much fun. And you know, if we can bring even like an ounce of the kind of energy that I know we all have and put it together, that stage is just going to be vibrant. So, you know, from what I can tell, that's what happened. And, you know, I'm very pleased regardless of who won, but congrats you guys though. You guys did a great job. Rich Severin:                 12:32                And this is Rich Severin, was on the con team, which is again this incredibly difficult to kind of, yeah, team blues brothers. That's a better way to go about it. Everyone's said it, you know, this was, it's a difficult topic. You know, I asked like, who were, you know, were on the other teams, you know, realizing that, you know, we're going against some of the people who have, you know, some of the largest profiles in PT, social media and Karen and Jimmy and like, they have a really tough task here. I'm interested to see how they're going to go about this. Cause it's like, I even, I was like, man, I'm kind of glad I met on that side, but I don't know if I could somehow think of a tweet quoting me and like saying, ‘PTs social media is hazardous’ or whatever. Rich Severin:                 13:12                But anyway, realistically the Oxford debate, you know, it's to present a topic that's challenging, that's facing the profession and dissected and debated. And that's kind of the beauty in having fun. And I think everyone there had fun. I had a lot of fun. And it was just, it was just good. And I think, you know, the pro team, or #hazardousteam, you know, they did a really good job. It's not an easy topic to debate because again, social media is kind of a tool in a lot of the problems are kind of the human nature in a certain stance on a platform. But, you know, addressing the issues of burnout, addressing the issues that people wasting time, fake news, misinformation, you know, those were our, you know, those were all good things, but you kind of brought to light throughout that debate. Rich Severin:                 14:04                And I think our group, you know, came across with obviously with a good argument, but, you know, Karen came on the short and a little bit today. But, you know, it was a great spirit's good spirited debate. It's a lot of fun. It's a great time and having these conversations about tough issues, having to kind of take some time for introspection and looking through things was enjoyable. And enjoying hearing other people kind of, you know, doing the same. You guys definitely did like, I think put a lot of time into researching and discussing topics cause it's a serious issue, you know, our younger populations growing up using social media in middle school, you know, and it will, you know, the topic I thought you guys would get into was like the bullying and esteem issues that are happening and the mental health issues, anxiety, depression, it's linked to social media, you know, and whether or not that's the cause or it's a vehicle for that outcome. Rich Severin:                 15:03                So like, you know, I do agree with the safe  #safesocial, right. Like you know, and it kind of led to like kind of on our side too. It’s a tool and how you use it, it's kind of really an issue and I think you guys brought a really, really good light to that issue. So yeah, I was like, it's a great spirited debate and the crowd had fun. I mean dressing up as the blues brothers in Chicago, right? I mean, so, so much fun. Jenna Kantor:                15:28                Thank you so much. Now, I just want to leave it. Not Everybody needs to answer this, but I would like if anybody would like to do a little last words in regards to this debate, whether it be some sort of wisdom on doing an Oxford debate in general or pretty much what rich started to do on when he was just last talking in regards to social media being hazardous or not so hazardous. Would anyone here like to add onto that as a little like last mic drop, which is your outlet. Rich Severin:                 15:54                I think we've hashed out the debate on both sides pretty well. Which I think, again, it's the spirit of the debate is they present both sides. And that's kind of where I'm getting yeah. Is that we need to have more of these kind of conversations and discussions. And you know, to me it's almost kind of a shame that this is the only really time in our profession. Like, you know, at a high level where we have these discussions where both sides do their due diligence and say, like, legitimately argue, like, you know, and like arguing is not a bad thing. Right? Debate is not a bad thing if it's done well done amongst colleagues and friends and with mutual respect and we need to have more of that. Rich Severin:                 16:39                Social media is not necessarily a bad thing, but arguments necessarily a bad thing, but it's how you go about doing it. So, you know, I would encourage the profession to have more of these outside of just the Oxford debates. Well, when it was the women's health section, they did one on dry needling a couple of years ago and that was awesome. And I'd really encourage and support that again, you know, so that's my little, I don't know if it's a mic drop or not, but we need to debate more and do it well. Karen Litzy:                   17:29                Rich, I totally agree with that. And this is the thing, we were able to do that because we were in front of each other and we knew that there is no malicious intent behind it. We can hear each other. We know that we're smiling at each other, we're clapping for each other and we're kind of building each other up. And I think that's where when you have debates on social media, as Jarod attests to and Rich, sometimes those spiral into something that's really not great. And so I think to have these kinds of discussions in person with our colleagues and it's good modeling for the next generation. And it just, I think, you know, social media has a lot of great upside to it. There's no question, but there is nothing that beats in person interactions. Karen Litzy:                   18:20                And I think that that's what we need more of and I do see that pendulum shifting and you do see more in-person things happening now. But I agree. I also thought it was like a lot of fun and I was really, really nervous to do it and super scared to get up on stage and do all of this. But then once it started, it was a lot of fun. Jenna Kantor:                                        Thank you so much you guys for taking this time, especially after, literally right after the debate. It is an absolute pleasure to have each of you on here.   Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram  and facebook to stay updated on all of the latest!  Show your support for the show by leaving a rating and review on iTunes!

LIVE from the APTA NEXT Conference in Chicago, I welcome Duane Scotti on the show to discuss gymnastics medicine.  Dr. Duane Scotti is a physical therapist, educator, researcher and founder of Spark Physical Therapy. He is considered a leader in the fields of rehab, sports medicine, performing arts medicine, and human performance optimization. With years of experience as a physical therapist, runner, and dance instructor in combination with his strength and conditioning background, Duane has been working with many patients to improve all aspects of human performance. In this episode, we discuss: -The most common injuries in the youth gymnastic population -Differential diagnosis for low back pain -Key features of a rehabilitation program following an ankle sprain -How to enhance communication between athlete, coach and clinician -And so much more!   Resources: Duane Scotti Twitter Duane Scotti Instagram Spark Physical Therapy Facebook Spark Physical Therapy Website    For more information on Duane: Dr. Duane Scotti is a physical therapist, educator, researcher and founder of Spark Physical Therapy. He is considered a leader in the fields of rehab, sports medicine, performing arts medicine, and human performance optimization. With years of experience as a physical therapist, runner, and dance instructor in combination with his strength and conditioning background, Duane has been working with many patients to improve all aspects of human performance. Duane is currently the founder of Spark Physical Therapy, providing prehab, rehab, and performance optimization services either onsite or in the comfort of your home within the Cheshire/Wallingford CT region. He also is a clinical assistant professor in the Department of Physical Therapy at Quinnipiac University responsible for coordinating and teaching musculoskeletal examination, intervention, and advanced manual therapy within the orthopedic curriculum. Duane received his Bachelor of Health Science degree and Master of Physical Therapy degree from Quinnipiac University in 2001 and 2003. He then went on to receive a clinical Doctor of Physical Therapy and a Ph.D. in Physical Therapy from Nova Southeastern University in 2017. Duane is a board-certified Orthopaedic Clinical Specialist, Certified Mulligan Practitioner, certified in dry needling and has advanced training in spinal manipulation, dance medicine, gymnastics medicine, and rehabilitation for runners. Duane has been in clinical practice working with orthopedic, sports, and performing arts populations since 2003. He has strong clinical and research agendas in screening, injury prevention, and rehabilitation for runners, dancers, and gymnasts. Duane uses an integrative model of manual therapy including manipulation, mobilization, and soft tissue treatment including dry needling and the Graston technique for the management of musculoskeletal dysfunction. Duane is a physical therapy advocate and is actively engaged with the American Physical Therapy Association and serves as Vice President of the Connecticut Physical Therapy Association.   Read the full transcript below: Karen Litzy:                   00:00                Hey everybody. Welcome back to the podcast. I'm coming to you live from Chicago, Illinois at the APTA Next conference. And I have the great pleasure to welcome back to the podcast. Dr. Duane Scotti physical therapists. And today we're going to be talking about gymnastics medicine. So Duane, welcome back. Duane Scotti:                00:19                Thanks for having me Karen. It's good to be back Karen Litzy:                   00:21                And I have to tell you, gymnastics is something near and dear to my heart. I was a gymnast for many, many years as a child. And luckily I didn't have any major injuries, but what we're going to be talking about today are kind of the most common injuries you might see in a gymnast. And this is something that Duane is so passionate about. These are the people he sees. So if you're a physical therapist out there, and maybe you have the off chance that you might see one of these young athletes, I think this'll be really helpful for you to give us your insight. So Duane, tell us what are the three most common injuries one might see in a gymnast? Duane Scotti:                01:02                Well, I think first off is I definitely do have a passion for this area. Like you state because I have a daughter who's a gymnast. So that is one of the things that I kind of in my career from a clinical standpoint, kind of focused a little bit more in this area is spinning off of like dance medicine and got into the realm of helping gymnasts out because I did see there was a need in the local club in our region. So in terms of the most common injuries I would say, you know, definitely low back pain, in gymnasts and specifically extension based low back pain. So because of all of the kind of back bends you think about, they do like bridges, back walkovers, back handsprings all of those, especially in the young developing gymnast. So usually the smaller ones like the level fours and fives, they're doing a lot of those skills. A lot of times you'll tend to see that occur as well as a lot of the compressive loads that happen especially during your floor passes in gymnastics, there's a lot of compressive loads as well as shear loads that get transmitted to the spine. Karen Litzy:                   02:11                And can you kind of briefly tell us what exactly you mean by when you say a compressive load and can you give an example of when a compressive load might happen and a shear load? Same thing. Duane Scotti:                02:23                So it's really the compressive load is if you think of landing, right, so you're landing, your body weight is coming down. So we know that actually landing, you know, there are some studies that look at between 12 to 17% of your body weight is actually, or times your body weight is actually being loaded through the spine. So that's that compressive load as opposed to like a shear load, which would be something like if you think of doing that back bend or that bridge where you're getting one bone kind of shearing on the other. And in the young developing gymnast who is still growing, that can be problematic. And then that's where we start see things such as stress fractures. So that's kind of really the most you know, important thing. And the thing that I tried to intervene and educate because a lot of times most gymnasts have the perception that maybe back pain is normal with gymnastics due to the training and it's going to happen. But being a young gymnast with their bones developing, if they develop that stress fracture that could be detrimental to their long-term health if it goes undiagnosed. Karen Litzy:                   03:28                Oh that was my next question. So let's talk about differential diagnosis of that stress fracture. Cause I think that's really important to think about. And I would imagine that a lot of therapists aren't thinking stress fracture when they're thinking of a young girl or a young boy. Most of the time we think stress fractures in our older adults with osteoporosis, osteopenia. So how do you differentially diagnosed that stress fracture from other causes of back pain? Duane Scotti:                03:59                Yeah, so the stress fractures are, they call spondylolysis and it is really diagnosed based upon the history. So kind of taking a report, is that something that typically it can occur acutely from like a specific landing where they felt an acute kind of sudden onset of back pain, but usually it is something that's developing over time and it's not getting better with rest and it continues to get worse over time. And then there are some things on the physical exam that we can evaluate whether they have pain usually commonly with extension. So they're, you know, doing a standing extension test or a stork test standing on one leg, bending back. You can look at the irritability based upon if they have pain with that or if they don't have pain with like a press up on their stomach, then I feel pretty confident that this person doesn't have a stress fracture, that it is more muscular. Duane Scotti:                04:50                But you always have to kind of make sure and rule that out and then looking at confirming that. So you, you know, you send them to a specialist, a spine specialist. It's not going to show up on x-ray unless it's chronic by that point that they'll see the callus formation on x-ray. But it's really an MRI or a bone scan. And a lot of times, you know, if it is kind of consistent with the history, then even the specialist may not even recommend an MRI just because it's sometimes not necessary. So sometimes it just requires that kind of protection phase and avoiding the extension based activities. And then that allows that to heal. Karen Litzy:                   05:26                And how long is that protection phase? Duane Scotti:                05:29                So it's around, you know, everyone's different but around six weeks. So that's the most common timeframe you'll see. And there are some that recommend bracing. So they call that like the, the Boston braces, the Bob braces where they will brace them. So that athlete is actually preventing any back bending at all. So they're not going into any extension and forces them. So it's a hard kind of turtle shell brace. And they'll wear that for six weeks to really make sure that it heals up. Cause some of these young kids don't even realize and they don't understand the severity of it. I actually just had a girl recently who, you know, tried not bracing at first and then wasn't getting better and now she's braced and it will allow things to heal. Karen Litzy:                   06:10                Mm, Nice. And my next question was actually going to be how do you communicate this to a young boy, a young girl, young gymnast, that it is of utmost importance to not move into these motions. And then I'm sure you're reinforcing that with parents, guardians, coaches, etc. So talk to us a little bit about the communication that needs to happen around this. A child with a stress fracture. Duane Scotti:                06:38                So I'm lucky in the fact that I'm on site, so I have these relationships with the coaches already. So I'm seeing a lot of the gymnast actually within the gym and I have those relationships with the coaches as well as with the patients. I see the parents are always there during the evaluation. After every visit, I'm always communicating, you know, even if they're not there for the visit, we do the visits in the gym and then I communicate all my findings on each day with them. That being said, it gets challenging, especially during competition season. So this is where the difficulty comes in. And I think it is a very important role we play as healthcare providers where sometimes we have to be the bad guys because we're looking out for their health. So I had a girl this year before regionals, it was, you know, big competition for her and we have to make that decision and there are tough decisions and if things are sounding and going down that route that you think stress fracture, then it's like you have to take care of your long-term health. Duane Scotti:                07:36                And it's, you know, one of the hardest conversations, honestly, I've had, I go, you know, home at night thinking about these decisions. I have these long conversations with their parents and, but in the, you know, in the long run, when I reflect back, I'm like, okay, this was the right decision because you know, I don't want this, you know, female to have persistent low back pain for the rest of her life and she wants to have kids one day and grandkids and be able to move later in life. So you know, you want to make sure that you're thinking for their long term health. Karen Litzy:                   08:04                Yeah, I think that's very well said. And you know, I used to work at the lion king in New York and I remember it was like their last performance at the new Amsterdam theater before they moved to the Minskoff. And one of the young simbas was limping around, limping around. So they brought him in and he was not fit to dance that day. And so I had to make the professional decision to call in stage management, call parents, call tutors, call everyone around this huge production of he can't go out and dance because I'm looking out for the longterm house. So it is a lot of tears, which I'm sure you can attest to, but you're right, it's being a good health care professional. It's not about just that moment. It's looking out for these young kids. Duane Scotti:                08:53                And you know, I definitely pride myself on, you know, getting the recovery for injuries as quick as possible so they can get back out there doing what they love, being able to compete. So when something like that happens, you know, you almost feel like, oh, was I a failure or in, you know, but you have to think about the bigger picture and their long-term health versus that short term gain. Karen Litzy:                   09:14                Yeah. That's when you take yourself out of it, right. As the therapist, as we should all be doing, we check our ego at the door. It is not us. Sometimes things happen. Timing sometimes sucks and we have to make decisions based on what's in front of us. And I think if you're making what you feel is the best decision at the time for the health of that patient, then it's the right decision. And all right, so outside of stress fractures in the low back, what are there other common types of low back pain? Is it muscular and mechanical, low back pain. And what do you then do for those gymnasts? Duane Scotti:                09:54                So very good. Mainly there's not a huge amount of mechanical low back pain that I tend to see when we think of disk related low back pain, sometimes some facet joint. But these kids are a lot younger so it is usually muscular in nature. I kind of see that common pattern, but it is usually due to an underlying instability in the lumbar spine. But honestly more importantly that I'm seeing is the contributing factors. So specifically looking at hip flexibility, so limited hip flexibility specifically the hip flexors, is going to cause more lumbar extension as well as kind of a weakness or inactivation of the glutes. So these girls are doing these leaps and they're doing these movements where they are extending their hip but they're really not turning on their glutes and their using, you know, if they do have flexibility issues. So I found, you know, addressing those issues. Number one from a treatment standpoint is going to be helpful in the long run, but also for Prehab standpoint. So in prevention. And that's what I kind of do in the gym with all these girls is take them through a full screening help to identify those risk factors and then get them on plans to address the soft tissue care because they are doing a lot of strength and conditioning their front of their hips get really tight and that causes that excessive shearing in the lumbar spine. Karen Litzy:                   11:13                Great. So I think for me a big take home here is when you're looking at these young kids, you're not, they're not just tiny adults and so we're not necessarily looking for disc issues, but rather we really need to look above and below to kind of see, well is the back pain, this muscular back pain a result of compensation from other parts? Right? Duane Scotti:                11:36                Absolutely. Yes, definitely. And then even the core stability aspects of most of these gymnasts, like super strong, but sometimes there's still these little muscle imbalances that you can find with like a good examination that they're not using the muscles you think they're utilizing. And a lot of, you know, even physicians and you know, these athletes will go to a, you know, a pediatrician or primary care provider or an Ortho and then you're like, oh well there look at them. They're Jacked, you know, like you've seen gymnasts there, Jacked, like really, really good conditions. Yeah. So they, they're like, oh, there's no way they could be weak. But no, like when you actually watch them move and you watch their movement patterns, then you pick up on some of these weaknesses and then you know, having them get into, when they're doing their extra, it's like, okay, well where are you feeling this and this. I go, if they're not feeling they're glutes at all. They're like all of their feelings and their hamstrings. So I find a lot of that they're kind of using your hamstrings to extend their hip joint and not using their glute. So you kind of work on correcting some of those kinds of muscle imbalances. Karen Litzy:                   12:34                Perfect. All right, so let's move off of low back pain. What's another common injury that you see in your gymnasts? Duane Scotti:                12:44                So definitely you know, the most in terms of the research is ankle and foot are kind of the most common region or you know, area to be injured. And most of that is due to traumatic ankle sprains. So they get their classic inversion ankle sprain while they're beam landing from a pass on the floor, dismount off bars, everything vault like you name it, you know, an ankle sprain can happen. And it usually happens in practice. Not so much in competition. We know that the majority of gymnastics related injuries happen during practice. So I do see a lot of ankle sprains. I do a lot of triaging, especially because I'm onsite. So I need to make that clinical decision on, you know, do we send them out for a radiograph? So utilize the Ottawa ankle rules, and seeing, you know, if they can't put weight on it, then they're definitely getting a radiograph. If they're having pain and they have that bony tenderness, then sending them out for a radiograph. And again, this is where I see us as physical therapists being able to make an impact in our communities in being that point person and make that decision so the athlete goes to the proper place versus just putting ice on it and then going home. And then, you know, so I've been able to kind of streamline that process for a lot of the athletes that I see. Karen Litzy:                   13:56                Fabulous. And I don't think we need to go into the ins and outs of ankle sprain rehab. But have you found amongst this population, what is one thing you can tell another therapist if you do nothing else to rehab these gymnasts after ankle sprain, you must, must, must include this in your program. Duane Scotti:                14:20                Can I say two things? So first is one thing that I see overlooked a lot is mobility issues. So a lot of people have the assumption that you sprained your ankle, you have a loose ankle and we need just stabilization, stabilization. And that is important. Don't get me wrong. And kind of proper stabilization going from your balance activities proprioception to plyometrics. Definitely necessary need to do the plyometric training with your gymnast before you release them to do gymnastics training. But also checking for mobility issues, specifically lack of Dorsiflexion during like a weight bearing dorsiflexion test. And I've seen that where there's, you know, asymmetries on both sides and that's going to be important because when these gymnast land from their floor passes a lot of them, sometimes land short and if they land short, that requires more Dorsi flexion motion. So that can in turn cause you know more limitations of Dorsiflexion, anterior ankle pain. So you really want to make sure you normalize the joint mechanics and the talocrural joint and do your manipulation mobilization techniques to kind of restore that. So that's one thing. And then, especially if someone's been immobilized. So if there are mobilized in the walking boot or in an air cast, a lot of times you'll find stiffness in those joints as well as the distal tibiofibular joint. Karen Litzy:                   15:35                Perfect. Thank you. That is great. I would have thought your firsthand, so we would have been propioception exercises, which are important, but I'm glad that you brought up the mobility stuff. Great. All right, let's talk about one more common injury that you see in this population. Duane Scotti:                15:51                So this is more your kind of growth plate injuries. So the kind of growing gymnast as they're growing, they go through that growth spurt. So commonly in the younger gymnasts, so like the nine 10 year olds, you're going to see like the Seavers, so they're going to have heel pain. The calcaneal apophysis and then as they get a little older, usually around 12 ish, you're going to start to see knee pain. So whether or not it's Sinding-Larsen-Johansson Syndrome, which is the inferior pole of the Patella or the more common one that everyone knows about osgood schlatters which is at the tibial tubercle. So you will tend to see these kind of growing pains if you will. The big thing is to educate the parents, the gymnast, and there are things that they could be doing at this time. Duane Scotti:                16:38                They don't just need to train through pain and usually it relates to soft tissue flexibility. So for Seavers, it's really the calf, the Achilles, make sure they're on a good mobility flexibility program for those structures. And then for the knee, a lot of rectus tightness I tend to see, so working on some of the flexibility mobility during this time period and watching load management, so maybe not doing their rigorous training and if they're going through that kind of gross spurt and they have some pain and now let's say like summer conditioning starting, then they might need, be able to kind of do a modified practice, especially when it comes to the jumping and the plyometric training. So they're not doing because we know that's what really caused it. And that's why the incidence is so high in gymnast is because they're going through this rapid growing and they do a lot of jumping, a lot of contraction of the Achilles and contraction of the quads. So that's why you tend to see pains in both the ankle and the knee area. Karen Litzy:                   17:35                Perfect. Yeah, I had a patient a couple of months ago Seavers disease, she was nine and she was a gymnast. And what was really interesting is I would have her, because I needed to see how she jumped and how she landed. And I don't know if this contributed to it or not. In my line of thinking, I felt like maybe it did, but when she landed she tended to land in a very valgus position of her knees. And I don't know, can that, so looking at the biomechanics of the landing, can that help in the treatment of Seavers disease? Cause then we kind of worked on that so that she wasn't landing in quite such a valgus position. So that in my line of thinking was that if we can help to normalize her landing a little bit more, that she’d be able to more effectively use her calf muscle in order to land instead of being at this very sort of sharp valgus angle. Duane Scotti:                18:33                Yes. I think that's definitely important. And then even I guess going one step further than that is looking sagittal plane and with ankle Dorsi flexion. So if they're limited there because their Achilles is tight and their gastric is tight, I see that even more so. But maybe like you said, if even if they're weak hip muscles, so your abductors external rotators are weak and they're going into that dynamic Valgus, you know, could that be a contributing factor to different mechanics going down at the ankle? Possibly. Karen Litzy:                                           Interesting. Yeah. There's so much to think about with these gymnast's that you would not think about in your ordinary population. Duane Scotti:                                        Right, right. No, absolutely. And it is as you said that they have such high levels of training, you know, the girls I see, you know, once they get up to level six and above, they're in the gym for 24, you know, 25 hours a week. Duane Scotti:                19:21                So it's a lot of training. The only get like two weeks off a year. So it's like at the end of the season befor summer starts and then before a fall starts. So it's a lot of training, a lot of wear and tear on their bodies. And that's why it's so important to be able to pick up on, you know, contributing factors. Cause every gymnast is different too. So someone's going to have maybe a tightness in the front of their hips. Someone's gonna have some tight calves, so I'm just going to have maybe week shoulder muscles and they're starting to get shoulder pain with bars or tight lats. So that's a common thing where they're limited with overhead mobility with reaching. So you kind of need to identify what each one does. And that's what I like to do is to get them on like a customized kind of program and it's like, okay, here are your like top five exercises you should be doing before practice every single day. Duane Scotti:                20:03                So as opposed to just like chatting with your friends, like, let's prime the body, let's get, you know, warmed up. If it's rolling the front of your hips, doing some glute activation exercises, make sure they're turned on before practice starts. That's what they need to be doing. Karen Litzy:                                           And you know, I was just going to ask you, what advice would you give to, let's say, any physical therapists out there listening to healthcare practitioner who maybe doesn't have the amount of experience you have with the gymnastic population, but like I said, maybe they've got a gymnast coming in and I feel like you just kinda answered that. Do you want to add anything to it? What advice you would give to that PT? Duane Scotti:                20:48                Don't be afraid to reach out and talk with the coaches. I think a lot of the gymnastics world and culture, I tend to see a little bit of kind of medical professionals on one side, coaches on the other. The coaches think that the medical professionals don't understand their sport and vice versa. The medical professionals think that the sport is just bad for them and they shouldn't be doing it almost that it's too much and it's not good for their bodies. So I think we need to kind of meet in the middle and actually communicate and have these conversations and you know, try to meet in the middle. And that's what I tend to do with the coaches and cause they, I could see where their mindset is. And I, you know, with my years of experience coming from the kind of clinical mindset and injury side, and I've shifted a little bit in some of my thought processes as well. Being able to actually be on site and see some of the training that they do and to see some of the practices. Duane Scotti:                21:32                So just don't be afraid to communicate and I guess reach across the aisle and be able to say, okay, this is what I'm finding, and even just letting them know that, hey, this is pretty irritable right now, but it's a minor problem, but if she can do a modified practice today and tomorrow and then she has off on Sunday, that will give her three days of this kind of protected rest phase and the next week she'll be able to do full practices to have you kind of frame it like that. Then the coaches are like, okay, I could, I could deal with that. Versus the coaches being like, no, they can't modify practice right now. We have a competition in two weeks. But if you've kind of framed it that way and say like, Hey, if we just allow these couple of days and then next week they're going to be able to have full practice without limiting themselves at all, then they're more likely to kind of go with your recommendations versus, you know, everyone being on kind of different sides. Karen Litzy:                   22:20                Perfect. I think that's great advice. Communication is vital and everything we do with our patients from all the different stakeholders that are involved to the patient themselves, to parents and caregivers and to each other. So I think that's great advice. Thank you so much. And I have one last question for you and it's the one that I ask everyone and that's knowing where you are now in your life and in your practice. What advice would you give to yourself as a new Grad right out of physical therapy school? Duane Scotti:                22:51                So this is a tough question because I hear this all the time because I listened to all your podcasts and you would think I would have the answer right off the top of my head. But I would probably say, there's a couple things is one, just not be afraid to fail. Failure is good because we learn from that and then don't abandon certain techniques or philosophies early on if you're not getting it right. Continue to learn and grow, evolve. And that's how we all get better in what we do. Karen Litzy:                   23:22                I think that's wonderful advice. That's perfect. Resonates with me. Very much so. Thank you, Duane, for coming back on the podcast again and educating us all around gymnastics medicine, so thank you. Duane Scotti:                23:32                Awesome. Thank you for having me. This has been great. Karen Litzy:                   23:35                My pleasure. And everyone out there listening. Thanks so much. Have a great couple of days and stay healthy, wealthy, and smart.   Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram  and facebook to stay updated on all of the latest!  Show your support for the show by leaving a rating and review on iTunes!  

We sat down to talk with a pair of Northwestern PTs and a current Northwestern SPT about all things CHICAGO! As we descend upon Chicago for the NEXT conference this June we asked locals where they'd drink, eat and visit if you had limited time in the Windy City. Thanks to Kirsten Moisio, PT, PhD Justin Drogos, PT, DPT, NCS and Katie McLeland, SPT

A need exists to address the physical aspect of addiction recovery. That’s the specialty of Advanced Therapy and Wellness. Today, we welcome Eric Chaconas and Ahmed Rashwan to discuss their work and passion in helping individuals recovering from substance use disorder by improving physical function, reducing pain and improving a sense of well being. On this week’s episode, Ahmed, Eric, Tim, and Jeff discuss their conference, APTA Next, the role of physical therapists in regards to addiction, the physical component on addiction (which is, surprisingly, not normally addressed), and how we can, sometimes, underestimate what physical therapy brings to the market. It’s an incredible discussion and something you will definitely find valuable as well as, possibly, some new opportunities! LINKS: https://www.advancedtherapyandwellness.com/ Ahmed’s e-mail: dra@atandw.com Ahmed’s phone: 561-632-4369 http://ispinstitute.com http://evidenceinmotion.com @eimteam

Julie Sexton, PT, and Michelle Ramirez, PT, DPT, discuss their health system’s process for translating evidence into practice and expanding care through direct access at APTA NEXT 2018 in Orlando.

Laurie Hack, PT, DPT, PhD, MBA, FAPTA, discusses her McMillan Lecture: “Wisdom and Courage: Doing the Right Thing” at APTA NEXT 2018 in Orlando. Watch video.

Good morning, it’s Monday July 2nd. We have your PT news for the week. This is Cait Cederholm and I’m joined by co-host Rachel Jermann, who just got back from Orlando from the APTA NEXT conference and House of Delegates. We’re going to dive into the House of Delegates and bring you some important updates on payment and policy (don’t fall asleep--we’ll make it quick). Talus Media News is a subsidiary of Talus Media: PT Views & PT News. You can find all interviews mentioned in this newscast on our sister channel, Talus Media Talks. Check us out on Twitter & Facebook @TalusMedia, and head to our website at talusmedia.org for more information.

“Lets not forget healthcare is a business”   So this week I took this show on the road. It felt appropriate with the APTA NEXT conference in my back yard ...