PT Pintcast - Physical Therapy

Orthopaedics, Breathing, and Communications! Oh My! New England Conference Preview

APTA Chapters of Connecticut, Massachusetts, Rhode Island, and New Hampshire worked together to create a virtual conference on November 7th for all members for the PT community to attend with programming available until January 31, 2021. Register here.

Jay Grimes is faculty member and orthopedic residency director at Sacred Heart University, Angela Campbell is president of the APTA Cardiovascular & Pulmonary Section and Michelle Collie is the president of the RI APTA chapter and CEO of Performance Physical Therapy. Jay, Angela, and Michelle are all speakers at the first Northeast Regional Virtual Conference.

Jay and his partners Jason Myerson and Michael Gans started a continuing education platform called Partners 4 Rehab Excellence for young professionals to improve their clinical skills and reasoning. At the conference, Jay will be on a residency and fellowship panel covering the residency experience.

Angela will be presenting on a session called the “Science of Breath” which will include the physiology of breathing and the importance of paying attention to breathwork in a patient’ care.

Michelle is speaking on the “Role of Telehealth in the Future of Our Profession.” She believes telehealth is an adjunct to our care and gives the opportunity for those people who cannot access a physical therapy clinic to receive care.

PARTING SHOT

“For a great price, you’re getting 30 different educational sessions, 30 posters and platforms at a very reasonable and cheap price.” – JAY

“Masks work. Masks will not drop your oxygen. Coming into this conference, you have got a long time to use this information. Go outside your shell a little bit and try something new.” – ANGELA

“Now is the time that our profession has the opportunity to evolve and be the leaders in MSK care as well as all the adjunct areas.” – MICHELLE

How To Leverage Your Passion With An Online Business With Aaron LeBauer

Aaron LeBauer is a physical therapist, owner of LeBauer Physical Therapy and host of The CashPT Lunch Hour Podcast.

Experiencing a 40+ caseload in physical therapy school, Aaron opened his own cash-based physical therapy practice after graduation.

He consults with PT’s and other business owners about cash-based physical therapy and starting a practice through CashPT Blueprint. He believes the number one valuable resource is time and that should judge a business’s efforts and actions.

To save time, Aaron recommends hiring someone for a business task that does not require the business owner to complete. If you work for a company, investigate software assistance to save time answering customers and patients. 

Aaron is the author of The CashPT Blueprint book which is a strategy guide to help launch a cash practice and it is FREE! Check out Aaron’s Youtube channel for videos of tips and tricks on cash PT business.

QUOTES

12:18 “People who pay money pay more attention.” – AARON

14:29 “Some things that we do in our clinic is try to get people to walk out with something tangible that’s something other than just an exercise print out.” – AARON

29:57 “It is five times as hard to get a new person then it is to sell a second time to an existing customer.” – AARON

PARTING SHOT

42:58 “It’s your time to leverage online, video, radio to reach massive amounts of people because everyone needs to know that when they get hurt or tweak their back, they need to see a PT.” – AARON

What Are Movement System Impairments? With Sylvia Czuppon

Sylvia Czuppon is a physical therapist, professor at the Washington University in St. Louis DPT program, and co-founder of the St. Louis Female Sports Medicine Initiative where she volunteers her time to speak to youth sports teams about injury prevention strategies.

Sylvia describes a movement system involving a variety of systems (neurologic, endocrine, etc.) but these systems work together to create movement.

Treating patients in clinical practice occurs using two models

* Kinesio-pathologic model – impaired movements that create the pathology* Patho-kinesiologic model – an existing pathology which create impaired movement

Therapists mainly use the kinesio-pathologic model believing movements overtime with poor mechanics will eventually create pain or pathology which ultimately lead to movement system impairments (MSI). Therapists should understand pattern recognition when classifying a patient's movement. 

Standardizing movement quality helps the therapist to understand the range of motion considered normal in a movement pattern. Since every person is different (i.e. structural anatomy), these values will not fit all patients but assist in finding the cause of the MSI.

If you are looking for more information on movement system syndromes, check out these books from Shirley Sahrmann

* Diagnosis and Treatment of Movement Impairment Syndromes* Movement System Impairment Syndromes of the Extremities, Cervical and Thoracic Spines

Check out the courses offered by Washington University in St. Louis on Movement System Impairment Syndrome.

QUOTES

“One of the greatest skills as a physical therapist is pattern recognition.” – SYLVIA

PARTING SHOT

“Each patient is an individual. They have individual needs. They have individual movement patterns which feed into the reason they might have pain. If we are not exercising our brains to try to help them out with a more individualized and tailored approach to their treatment, we are doing them a disservice.” – SYLVIA

Battling Guillain Barre Syndrome to Become a Physiotherapist

Rachael Bailey is a physiotherapist from England who had a life changing experience which led her to become a physiotherapist.

After a weekend in college, she became ill quickly but like any other college student did not think too seriously. In a matter of days, she was admitted to the ICU and diagnosed with Guillain-Barre Syndrome

This diagnosis did not only affect Rachael physically but also emotionally altering her mental health.

Rachael was blessed for the physios who worked with her along this journey. She eventually switched her degree with the goal to help others the way she was cared for in the hospital.

Read more about her journey in the Daily Mail.

QUOTES

“If you are living with something like that, you cannot escape it.” – RACHAEL

PARTING SHOT

“My physios inspired me to completely change my life and you have that opportunity with every patient you have. Using that as motivation to always do the best and to not give up on your patients.” – RACHAEL

Jaime Mor is a performance physical therapist and certified athletic trainer at EXOS with a passion for movement and body mind connection. He has been in the sports medicine field for 7 years.

Jaime defines a performance physical therapist as treating and preparing the elite athlete to their peak optimal level.

Each year, Jaime works with the athletes that participate in the NFL Combine – a weeklong competition of prospects to be drafted to the NFL. As a PT, he prepares the athletes 8 weeks ahead by either treating impairments or improving the performance of tasks required.

He recommends a PT, PTA, or student interested in this field to have a performance clinical rotation and reach out to professionals to gain experience and learn about performance.

QUOTES

“Don’t be uncomfortable making random connections.” – JAIME

“Find out the people you want to learn from and learn from them.” – JAIME

PARTING SHOT

“Don’t be afraid to ask questions. Reach out to people and find your own mentors. Find people you wish to learn from. From a clinical side, don't neglect the basics. ” – JAIME

What Do We Know? Post-Acute COVID-19 Syndrome

David Putrino is the Director of Rehabilitation Innovations and Jenna Tosto Mancuso is a physical therapist both at the Abilities Research Center at Mount Sinai Hospital in New York City. Josh Duntz is the CEO and founder of a breathwork company called Stasis. Dayna McCarthy is a physician in the department of rehabilitation at Mount Sinai Hospital.

David discusses the management of COVID in three phases:

1.       Prehab – get patients to feel control over their symptoms (i.e. breathwork)

2.       Medical – investigating red flags which may prevent a patient advancing with treatment

3.       Physical Therapy – a reconditioning program

Josh uses breathwork to teach functional breathing and having control over one’s breath. He uses this treatment to help COVID patients become comfortable to perform physical activity.

Josh uses the three pillars to explain breathwork:

1.       Mechanics of breathing

2.       Tidal volume – measuring normal breathing

3.       Respiration rate

Dayna explains her role in phase 2 of management – checking if there is anything significant that needs to be ruled out or taken care of from a medical standpoint.

Jenna emphasizes that when patients reach phase 3, these patients are highly sensitive with quick symptom exacerbation. PT’s need to go against their instincts for pushing patients and educate patients to not push themselves.

Check out Jenna’s previous episode with us presenting her COVID-19 Long-Hauler Inservice.

PARTING SHOT

36:28 “Listen to your patients. Work with a broad variety of professionals. If you don’t know the answer to something, reach out to us.” – DAVID

36:45 “It is national PT month so Choose PT. As a PT, this is an opportunity for all of us to help our patients. Take that opportunity.” – JENNA

36:59 “You breathe more than you do anything else in life. I think everyone can get something out of breathwork.” – JOSH

37:18 “As a physician, I am really keen on interdisciplinary approaches. You guys are so important to this cause so reach out to any other providers that you have and work together to try and help out this patient population.” – DAYNA

Combating The Opioid Crisis: An Orthopedic Resident & Manual Therapist’s Perspective

Kyle Stapleton is a physical therapist and orthopedic resident at Duke University Health System 

In 2017, the Department of Health and Human Services (HHS) declared a public healthemergency regarding the opioid crisis. As an allied health profession, physical therapy plays amajor role in non-opioid chronic pain management.

Kyle is presenting this full course at the APTA North Carolina Virtual Conference on 10/23 - 24

4x Ironman World Champion Chrissie Wellington.  Chrissie is now the Global Head of Health and Wellness for Parkrun, an initiative out of the UK that organizes thousands of free 5K runs on a weekly basis around the world.  They talked about the initiative and why it’s so successful and how you can participate and run or set up your own event.  Parkrun is a perfect compliment to the global vision of physical / physiotherapy of getting the public to move more on a regular basis.

They also give a look ahead to her new book, “To The Finish line – A world champion triathlete’s guide to your perfect race” which comes out on 10/3/17.

Chrissies Bio:

Since bursting on the triathlon scene with her win at Ironman Korea in 2007, Chrissie Wellington has established herself as the Queen of the ironman distance. She is reigning, and four-time, Ironman World Champion and is undefeated at the ironman distance.

She holds the five fastest times ever recorded by a woman over the ironman distance and holds the world record (8: 18:13) set at Challenge Roth in 2011. She also broke the 17 year course record for the World Championship course in Kona in 2009.

Chrissie Wellington is a true champion on and off the race course. She measures success by the positive impact of her athletic career on larger causes, including her work with charitable causes. She is taking 2012 off from racing to promote the sport more widely, work with her chosen charities and promote her new book, “A Life Without Limits.”

She has also written a second book “To The Finish line – A world champion triathlete’s guide to your perfect race.”

Ironman World Champion 2007, 2008, 2009, 2011, CHRISSIE WELLINGTON is an iconic figure in the history of triathlon. She is the only triathlete, male or female, to have won the World Ironman Championship less than a year after turning professional, an achievement described by the British Triathlon Federation as “a remarkable feat, deemed to be a near impossible task for any athlete racing as a rookie at their first Ironman World Championships.” She lives in Bristol, United Kingdom.

Related Articles / Episodes:

How To Become An Effective Patient Educator With PhysioSage

Karla Wente and Megan Lamphere are physical therapists that developed PhysioSage to provide up-to-date, widely sourced content that is interactive and easily accessible on social media.

PhysioSage’s mission is to create a platform for PT/PTA to become stronger patient educators in physical therapy. They provide FREE resources on their website and Instagram (@PhysioSage) which include educational content, mentorship, and continuing education.

Five main values PhysioSage focuses on called “Sage Subjects”

* Clinical reflection* Teaching* Learning* Health Literacy* Patient Empowerment

QUOTES

9:17 “If you are more engaged in your patient care because you are positioned as a patient educator, you are going to get better patient outcomes.” – KARLA

12:25 “Having a patient say I learned so much, that is a reflection of the fact that I was there as an educator for them, but they’re empowered now.” – KARLA

PARTING SHOT

37:26 “Ask your patients what they want on a daily basis. It might change from session to session so ask them every session what they need.” – MEGAN

37:43 “Position yourself as a patient educator and do that by reflecting, teaching, learning, meeting your patient where they’re at and always try to empower them.” – KARLA

APTA Student Board of Directors Elections Made Easy