PT Pintcast - Physical Therapy

We bring back three familiar voices for an update on things in their worlds.

Sarabeth Berk is the master of the idea of "Hybridity" or merging of multiple professional identities and now she has a full book coming out!

Corey Foote is a thought leader in the world of Travel Physical Therapy, he shares and dispels the biggest myths around traveling as a Physical Therapist and Physical Therapist Assistant.

And finally Maggie Whittum comes back on the show to talk about the progress of her documentary "The Great Now What?" where she shows the world what it's like to survive a brain stem stroke.

If a person being treated for lung cancer comes to you with an ankle sprain, is it safe to use therapeutic ultrasound as a component of your rehabilitation plan of care?

If your patient has a history of breast cancer 7 years prior, what clinical decisions need to be addressed prior to spinal manipulation techniques?

Persons with cancer or with a history of cancer, frequently present to physical therapy with both cancer related and non-cancer related pain and impairments.

Physical therapists often forego using modulates or physical agents in their rehabilitation plan of care in persons with a history of cancer due to a lack of knowledge. There are basic guidelines to help PTs make clinical decisions regarding modalities and patients.

We talk with friend of the show Dr. Jamie Hagenbaugh about cognitive distortions that people use daily and how they can bring about symptoms of anxiety and depression.

Jamie is a Psychologist and Clinical Assistant Professor at Thomas Jefferson University working with college students and health care professionals since 2011.

Jamie shows how to spot them and how to manage them more effectively to improve your mental health.

What are cognitive distortions?What Impact do they have?How can you manage them?

APTA's Director of Regulatory Affairs Kara Gainer, JD and Alan Chong W. Lee, PT, PhD, DPT walk us through a great resource produced by APTA.

The top ten list walks a clinician through the first 10 steps that need to be on your to-do list if you're venturing into telehealth as a Physical Therapist.

The list is well ordered, thought out and full of links to other resources available to you.

This is a great example of the value of membership in the APTA.

More Telehealth Resources for PTs and PTAsHIPAA: Business associate agreementsFERPACOPPA Health IT and telehealthHPSO: Telemedicine: Risk Management Issues, Strategies, and Resources APTA: Considerations for Practice Opportunities and Professional DevelopmentHHS Security Risk Assessment ToolHPA Tech SIG: SIG's homepage.

We talked with Heidi Engel and Ellen Hillegass about the webinar and resources being produced about COVID-19

We cover:What is the best role for PT during this viral pandemic?What can we learn from the experiences of our ICU successes and failures?Why is the PT ability to create therapeutic alliance with patients now more crucial than ever? 

Bringing our best selves to patients who are at their most vulnerable, avoiding the provision of futile care, having the restoration of medically complex patients lives be the Center always focus of what we do. We need to serve the patient before we serve the system.

Traditionally, PTs have been a reactive (waiting for the referral and protocol for the MD), group focused on orthopedic and neurological patients primarily. Medicine and health have shifted dramatically away from that paradigm of who needs PT dramatically. Yet we often are caught in a tangle of insurance dictates and hospital administration priorities that don’t help us shift our care towards the people who need us most. It is time for PTs to become proactive, become patient advocates- bring clinical decision making and their skills to patient centered care for medically complex people.

COVID 19 is a public health problem first and medical problem second, PTs will need to strategize how they prioritize their care.

Medically complex patients need more intensive and frequent therapies, not less, a reversal of traditional assumptions.

Skeletal Muscle is a vital and misunderstood organ system PTs can play a vital role in protecting.

Link to webinar: https://www.cardiopt.org/pdf/pubs/3-28-20-HPA-Webinar-Recording.pdf

Slides for webinar: https://www.aptahpa.org/resource/resmgr/webinars/3-28-20_Presentation_Handout.pdf

Physiotherapy Guidelines: http://www.apta.org/PTinMotion/News/2020/03/26/AcuteHospitalCOVIDGuidelines/

Prone Positioning: o https://www.youtube.com/watch?v=E_6jT9R7WJs o https://www.nejm.org/doi/full/10.1056/nejmoa1214103

We talked with 6 DPT students about how their education has changed in the last few weeks. From online learning to clinical placements and NPTE postponements how are students getting by?

Show Credits:

Casey Hasenbein Ohio State 1st Year

Kelsey McNaughton University of St. Augustine for Health Sciences - Austin, TX 2nd year

James Nowak Utica College: 2nd year

Becca Maracich Ithaca College 2nd year

Sean O'Gara University of Miami 2nd Year

Chase Kuhn (THE) Ohio State University First year

David Putrino shares insight of what the staff in the Mt. Sinai hospital system are seeing, learning and living with during COVID-19

David shares info about an amazing app he helped develop called Precision Recovery. You can find that information here: https://precisionrecovery.net/

As well as sharing what he has turned his laboratory space into to help front line hospital workers reduce stress and fatigue as they continue to work at near 100% effort.

We talked with Kyle Ridgeway who's a board certified clinical specialists in cardiovascular and pulmonary PT. Kyle practices in ICUs at University of Colorado Hospital where he assists with clinical and operational quality improvement including medical ICU PT and system wide activity and mobility promotion.

COVID-19 has the potential to strain hospitals, ICUs, and ventilator supply. Getting patients out of the hospital and away from healthcare are paramount. There is the potential for clinical and operation bottlenecks. How can PTs assist in a pandemic? For those with moderate and severe cases of COVID—19 the survivorship burden may be similarly devastating to other critical illness. These stressful times give us the opportunity to explore the role of the PT in pandemic and in the future. Where can we add value?

Link to Kyle's open source google doc: https://docs.google.com/document/d/16UrBoE0YLikWaXgdUpmO01oO2NTo5fr-_qkN3EyDvr0

Link to public folder with information: https://drive.google.com/drive/folders/12kNBFloEKd6p_D4qxuYomU6_hT7s95NO

We talked to Duke faculty member Mike Landry about the APTA and CPA response to organize our professional response to COVID-19 in your communities.

Mike is a Canadian physical therapist and a professor at Duke University.  He has worked for over 20 years in global health in distant and emergency settings.  

We overview where we are now, the role of PT in an emergency situation like COVID-19 and the APTA/CPA response and a plea to sign up for the corps of volunteers

WEBSITE: http://ptcovid19.org/

Captain Michelle Jílek is active duty in USAF and partially embedded with fighter squadrons. She specializes in G induced  injuries in the spine.

I take care of fighter pilots who have spinal injuries from sustaining high Gs in aircraft. I am there for them before and after flights and help with preventative care. I have specially designed strengthening programs just for them that I have developed.

* We talk:* Global air superiority* Spine Health* Embedded care in the military

Check out an article about Captain Jílek here: https://www.af.mil/News/Article-Display/Article/2017872/fit-to-fight-one-fighter-wing-at-a-time/