PT Pintcast - Physical Therapy

I was invited to host the keynote event at the Tri-State PT conference in Las Vegas Nevada. It was a weekend conference that brought together the state PT associations of California, Arizona and Nevada in Vegas.

It was not a hard thing to say yes to.

PT + Vegas + Getting to talk in front of lots of people about PT.

I even got a chance to dress up like Elvis and come out to hundreds of PTs to Viva Las Vegas, what's not to love?

You'll get to hear my attempt at cheezy stand-up comedy as I warm the crowd up, it was 8am on a Saturday in Vegas... they needed warming.

But then we got down to business with Sharon Dunn, Chris Powers, John Heick and Tricia Catalino in a macro and micro view of where PT is and where it can and should go.

To support our show, support our sponsors:

* Aureus Medical Staffing #TravelPT: www.AureusMedical.com * Academy of Orthopedic Physical Therapists Annual Meeting: https://www.orthopt.org/content/education/annual-orthopaedic-meeting Academy of Orthopedic Physical Therapists: www.OrthoPT.org * Owens Recovery Science: www.OwensRecoveryScience.com * Brooks IHL: www.BrooksIHL.org * RockTape: www.RockTape.com/medical * BuiltPT: www.BuildPT.com * NuStep: www.NuStep.com

We talk to PT and Registered Dietician Patrick Berner about PT scope of practice and nutrition.

Believe it or not nutrition is something well within the scope of practice of a physical therapy practitioner. Something that the APTA fully supports and of recent fully supports the collaboration/referral to registered dietitians. The degree of use will of course also depend on practitioner's local practice acts.

Why does this matter?

Because the physical therapy profession needs to become more holistic in nature and the nutrition is a huge part of it.

Nutrition is within the PT scope.

State practice acts makes a difference.

Know the limitations of your "personal scope."

Twitter: @theFuelPhysio

Instagram: @theFuelPhysio

Website: https://fuelphysio.com/

To support our show, support our sponsors:

* Aureus Medical Staffing #TravelPT: www.AureusMedical.com * Academy of Orthopedic Physical Therapists Annual Meeting: https://www.orthopt.org/content/education/annual-orthopaedic-meeting Academy of Orthopedic Physical Therapists: www.OrthoPT.org * Owens Recovery Science: www.OwensRecoveryScience.com * Brooks IHL: www.BrooksIHL.org * RockTape: www.RockTape.com/medical * BuiltPT: www.BuildPT.com * NuStep: www.NuStep.com

Joe has spent the last 30 years training physical therapy residents and fellows in programs in Southern California, and across the US and around the world in USC affiliated programs.

And, from 2006 to 2017, he served as the editor of the Clinical Practice Guidelines for Common Musculoskeletal Conditions for the Academy of Orthopaedic Physical Therapy and the Journal of Orthopaedic and Sports Physical Therapy.

What a participant will get by participating in the AOPT meeting in Minneapolis in April

* Summary of what makes this meeting different than other continuing professional education events* Quality of the presenters - actual authors of the cutting edge science match with master clinicians who were also authors of the recent clinical practice guidelines* Small group - hands-on sessions - an opportunity to interact in a face to face manner with the presenters* Leading-edge content - integrating science into practice with a focus on inter-regional relations

* There are two unique practice areas of physical therapists.* One is making clinical decisions on and providing interventions for our clients based upon movement/pain relations* The other is making clinical decisions and providing interventions for our clients based upon inter-regional relationships* We need to own these areas. * This the presentations and discussions in this meeting are focused on making this improving the ability of the participants in these two areas of practice for the Head, Neck, Thorax, and Shoulder regions.

* Clinical success in physical therapy for our clients with common musculoskeletal disorders is highly related to correctly determining the physical impairments most related to the clients reported concern or limitation* Then, determine the intervention and the dosage of that intervention is critical to be therapeutic* Make incorrect decisions or poor treatment implementation results increased likelihood of chronic disablement in our clients.   The stakes are high.  The responsibility is high.

We talked to Ianthe Boden who is a Physiotherapist, PhD student, actively researching and enacting therapies to improve outcomes for patients in ICU and after major surgery.

Check out the trial here: https://archivesphysiotherapy.biomedcentral.com/articles/10.1186/s40945-017-0039-3

https://www.youtube.com/watch?v=vWFgBvH9pdI

PEDro is a free database of over 45,000 randomised trials, systematic reviews and clinical practice guidelines in physiotherapy. 

For each trial, review or guideline, PEDro provides the citation details, the abstract and a link to the full text, where possible. 

All trials on PEDro are independently assessed for quality. 

These quality ratings are used to quickly guide users to trials that are more likely to be valid and to contain sufficient information to guide clinical practice. 

PEDro is produced by the Institute for Musculoskeletal Health, School of Public Health at the University of Sydney and is hosted by Neuroscience Research Australia.

And did we mention… this is free?!  Find PEDro at https://www.pedro.org.au/

Now To celebrate PEDro’s 20th birthday they’ve have identified the five most important randomised controlled trials in physiotherapy published in the last 5 years. These trials were nominated by PEDro users, and an independent panel of international trialists judged the nominations received.

Now YOU get to take advantage of hearing a little more about these standout pieces of work… by the people who created them.

A complete look at Shoulder Impingement Syndrome for the NPTE

Download free study guides from Aureus Medical Staffing here: https://www.aureusmedical.com/nptestudycast.aspx

David Putrino is back talking about being named "Global Australian of the Year"!

The @QuadGods esports team that's 100% comprised of athletes who are quadriplegic. They describe themselves as, "Passionate gamers who just enjoy having a good time. However we all have very strong personalities, which makes us quite the bunch to be around. We are very much about empowering each other as well as the community. We are the first but we don’t want to be the last!!"

Where his Abilities Research Center (ARC) is sailing to next.

We caught up at Earls Beer & Cheese on the upper west side of Manhattan. You should go there, if you're in NYC and like beer & cheese.

To support our show, support our sponsors:

* Aureus Medical Staffing #TravelPT: www.AureusMedical.com * Academy of Orthopedic Physical Therapists Annual Meeting: https://www.orthopt.org/content/education/annual-orthopaedic-meeting Academy of Orthopedic Physical Therapists: www.OrthoPT.org * Owens Recovery Science: www.OwensRecoveryScience.com * Brooks IHL: www.BrooksIHL.org * RockTape: www.RockTape.com/medical * BuiltPT: www.BuildPT.com * NuStep: www.NuStep.com

We talk to fellow Marymount University PT alum Sarah Wilson about her job, as a concierge PT in the Washington DC area.

Topics we cover:

* Concierge physical therapist model* Independent contractor* One on one appts * Contracts with private clubs* Travels to and treats at homes, offices, gyms, private country/city clubs* Flexibility in schedule* How pay is structured * Ergonomic assessment specialist * Travel to offices and performs onsite ergo assessments

Sarah is a former national level competitive gymnast and fitness competitor with a Bachelors in Nutrition and Dietetics and a Doctorate in Physical Therapy from Marymount University. Sarah now practices as a Concierge Physical therapist that travels to homes, offices, and country clubs to treat patients with various orthopedic and neurological disorders throughout the DMV.

Instagram: @docsarahwilsonpt and @conciergephysicaltherapists

To support our show, support our sponsors:

* Aureus Medical Staffing #TravelPT: www.AureusMedical.com * Academy of Orthopedic Physical Therapists Annual Meeting: https://www.orthopt.org/content/education/annual-orthopaedic-meeting Academy of Orthopedic Physical Therapists: www.OrthoPT.org * Owens Recovery Science: www.OwensRecoveryScience.com * Brooks IHL: www.BrooksIHL.org * RockTape: www.RockTape.com/medical * BuiltPT: www.BuildPT.com * NuStep: www.NuStep.com

JJJ Mowder-Tinney is a professor at the Nazareth College DPT program. Her teaching focus is the Neurologic and Geriatric population.  She assists in running the on-site pro-bono clinics where they serve the underserved.  She also provides professional continuing education courses with topics that include Neuro, Geriatric, SCI, balance and motor learning. She focuses heavily translating research into clinical practice.

She's presenting a lecture and two posters at CSM 2020 in Denver:

* Effects of a Single Session Reactive Step Training Intervention in the Geriatric Population* Utilizing Intrinsic Motivation and External Focus of Attention in a Patient with Cerebellar Ataxia* Changes in Critical Thinking and Problem Solving in Integrated Clinical Experiences

Majority of the presentation are videos of actual patients performing dozens of different interventions that facilitate some type of anticipatory or reactive balance activity.

These interventions include a variety of diagnoses and includes an equipment list with different ideas of equipment used in the videos to make it easier for therapists to perform.

Emphasizing both outcome measures when working with reactive balance as well as documentation tips.

Pam Bartlo is a clinical associate professor at D'Youville College, Vice President of the Cardiopulm Section of APTA, and a Cardio pulmonary PT at Mount St Mary's Hospital.

We take a look at an interdisciplinary study she did with 3 registered dietitians about online nutrition information for people with type 2 diabetes. 

They looked at the quality of websites providing nutrition information for people with diabetes and then the accuracy of that information.

Here's what they found:

* Overall there weren't a lot of websites that came up with diabetes nutrition search terms - 34 sites total to analyze.* 85% of the sites analyzed were quality websites based on Healthy People 2020 quality website crtieria.* None of the sites had >75% accuracy of the nutrition info provided based on the American Diabetes Association's Medical Nutrition Therapy Guidelines.

Why does this matter to Physical Therapy?

As PTs, especially in outpatient or cardiac care, we should be providing at least basic nutrition information to patients with diabetes.  It is important to know whether we can rely on websites to help augment or complete that education.  Based on these results, Professional Organization websites could help augment that nutrition education, but will not be accurate enough for full education. Therefore, we should work with our Registered Dietician or licensed Nutritionist colleagues to complete nutrition for individuals with diabetes.

* Many people look online for information about nutrition and it may not be accurate.* Professional organization websites were the most accurate.* It is most important for patients to have in person consultations for nutrition education for diabetes.

Connect with Pam:Twitter: @bartlopInstagram: @pambartloFacebook: @PamBartlo

To support our show, support our sponsors:

Aureus Medical Staffing #TravelPT: www.AureusMedical.com 

Owens Recovery Science: www.OwensRecoveryScience.com 

Brooks IHL: www.BrooksIHL.org 

RockTape: www.RockTape.com/medical 

BuiltPT: www.BuildPT.com 

NuStep: www.NuStep.com

We talked to Coloradan, James Spencer (@HoboHealth) about what you need to do when learning is not in session at the APTA Combined Sections Meeting in Denver this year.

We also bring Patrick Berner (@TheFuelPhysio) and Monique Caruth (@fyzio4u) on to talk about a societal initiative they're launching to help underserved locals.

To help #PTintheCOMMUNITY go here: https://www.gofundme.com/f/pt-in-the-community-denver-2020