PT Pintcast - Physical Therapy

We went live @ Technopalooza, a 3-hour event at CSM that featured some of the leaders in and around technology in Physical Therapy. The event was put on by HPA The Catalyst.

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.

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 superioritySpine HealthEmbedded 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/

Megan Moran is a Physical Therapist and Assistant Professor at Marymount University. Megan shares how she used Clifton StrengthsFinders in DPT education to test if grouping students by various strengths could make them more productive in school, at work, or in their personal lives. CliftonStrengths is an assessment tool used across different industries to inform individuals of their personal strengths or talents.  Individuals are encouraged to leverage their strengths to make them more productive at work or in their personal lives.  At MU, we are introducing this to students as they enter the program with hopes they will continue to use their talents throughout their graduate education and as they enter the profession. The assessment is easily available online, for a minimal fee.  Individuals can gain insight as to why they gravitate to certain tasks at work, or why they work well with others.  Knowing one's strength can help an individual choose roles where they will thrive. Know your strengths and how others might view the strengthsDon't spend most of your time focusing on your weaknessesLearn the strengths of those you work with and discuss how your team can best achieve goals

Congenital Muscular Torticollis (CMT) is a postural abnormality affecting 4-16% of infants.  Shortening of the sternocleidomastoid muscle (SCM) on one side of the neck causes the infant to tilt their head toward and rotate their head away from the tight side. Download free study guides from Aureus Medical Staffing here: https://www.aureusmedical.com/nptestudycast.aspx

Jerry Durham is a Physical therapist who learned that PATIENT SUCCESS comes from studying successful businesses and implementing what they have done in a "CUSTOMER FIRST" Culture!! He has a company called The Client Experience Experience Company that works with multi site practices and practice managers. He's a Physical Therapist of 25 years who has grown tired of my profession and healthcare NOT truly focusing on our clients, customers and patients!!  Im not afraid to share whats best and not afraid to speak my mind and call out the profession for its many times backwards approach.  learned from my stack of books, my Business mentors, Entrepreneur Organization AND then doing, doing. BUSINESS SUCCESS COMES FROM ONE PLACE ONLY..... client and patient success Your client is on a journey and the better YOU understand that in your business, the MORE successful your clients will be and ultimately the MORE successful YOUR business will be!! Your Front Desk being the hidden gem in a practice.... the most undervalued, misunderstood and poorly leveraged part of your biz!! here is an ULTIMATE biz and patient metric that ALL should measure... knowing this 1 metric will tell you more about the HEALTH of your business than any other metric  (completed plans of care) Your biz culture is defined by your clients journey in your business THE FUTURE IS NOW....... people are paying more today for our services, people are expecting physio and healthcare to deliver an experience similar to other industries People are growing tired of ALL the friction points that healthcare and physio put up AND they are willing to pay for LESS friction!! PEOPLE PAYING MORE.... (regardless of in or out of network)People are willing to pay for an experience that has less frictionPeople ARE expecting better experiences from physio and healthcare

CEO and Founder (2010) of Concierge Physical Therapists. The state of the industry. Cash practices. Social media influence on those trying to start cash practices. The future of PT as a profession. Challenges and rewards of owning and operating a cash based practice. Issues with the seemingly endless pop ups of new cash practices. How the profession is positioned within the healthcare space. PTs thinking of starting a business would benefit.Owning a healthcare business it TOUGHSocial media outlets are selling their “cash based plans” and making it easier than it seemsGood outcomes don’t always come from good therapies

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 eventsQuality of the presenters - actual authors of the cutting edge science match with master clinicians who were also authors of the recent clinical practice guidelinesSmall group - hands-on sessions - an opportunity to interact in a face to face manner with the presentersLeading-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 relationsThe other is making clinical decisions and providing interventions for our clients based upon inter-regional relationshipsWe 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 limitationThen, determine the intervention and the dosage of that intervention is critical to be therapeuticMake incorrect decisions or poor treatment implementation results increased likelihood of chronic disablement in our clients.   The stakes are high.  The responsibility is high.

Edwin Porras is a physical therapist orthopaedic resident at Kaiser Permanente and medical analyst at FantasyPoints.com - the leaders in fantasy football with expert projections and injury analysis.  Edwin describes his experience as a medical analyst working at Fantasy Points and the availability of non-clinical opportunities for physical therapists. He tells us the difficulty of getting started in this role and the barriers he overcame to get to his role today. He emphasizes imposter syndrome does exist and occurs within many physical therapists.  His takeaways are for students and therapists to learn a different perspective in PT and suggests to follow your passion. If you are trying to start in an area you're interested in, start with research and put out content. Follow Edwin on Twitter at @FbInjuryDoc and listen to him on his podcast Injury (Pro)ne Fantasy Football Podcast.  PARTING SHOT 37:50 “Don’t let the old heads tell you what you can do.” - Edwin Porras 

Erik Meira is an educator, clinician, advocate, thinker, the current representative at larger for the American Academy of Sports Physical Therapy, the founder of the PT Podcast Network and the host of PT Inquest.  He recently sold his practice to focus on continuing education and professional development. His new course concentrates on evidence based practice and foundations of physical therapy.  During CSM, Erik holds a recurring session “The Many Faces of Sports Physical Therapy.” He describes sport physical therapists in many PT settings and not only focused on treatment to sport teams.  Erik is currently running for the president-elect position for APTA American Academy of Sports Physical Therapy and discusses his plans and goals. Check out Erik’s website for his podcast, continuing education courses, and consulting in sports physical therapy.  PARTING SHOT 58:41 “Always be questioning what you know and what you believe. Always understand that there are other viewpoints. Always try to get a sense of why someone will believe the thing that they believe.” - Erik Meira

Sarabeth Berk is an innovative strategist meaning she is spearheading the concept of hybrid professionals in our new hybrid reality. Sarabeth is passionate about researching hybrid work and workplaces. You can call her the creative disruptor.   She explains how our world is ever changing into hybrid work and what trends are happening in today’s workforce adapting to society and the pandemic. There are different parts of hybrid work - people, places and the work itself.  She believes your hybrid title is what you name yourself, who you are, your identity, and seen as a cross functional role.  Look into Sarabeth’s courses, webinars, and masterclasses to level up your brand and professional development at morethanmytitle.com  PARTING SHOT 41:45 “Who are you at the intersection of your multiple identities. That is your unique value. Go find that and you will get to be your full self in your work.” - Sarabeth Berk 

Laura Rathbone is a physiotherapist, consultant, educator and lecturer in the UK who is passionate about treating the complex pain patient and providing a person-centered approach to musculoskeletal care.  She believes treating persistent pain patients should be provided from a multidisciplinary team for best practice. She emphasizes that physios are not to turn into psychologists, but to learn from other health care professionals for help when specific care is needed.  Her course ACT meaning Acceptance and Commitment Therapy is for non-psychologists like physical therapists who work in settings with a high persistent pain population.  She discusses embodied cognition as a way of recognizing that there is not only pain or conscious experience but a whole person experience.  Check out the insight, coaching, courses, and podcast Laura offers at laurarathbone.com  PARTING SHOT “Always believe the person in front of you.” - Laura Rathbone 

Lisa VanHoose, Rupal Patel, Steph Long, Mark Milligan, and Chris Barnes physical therapists who challenge our profession, our society, and our world on racism and DEI.  This episode was created from a tweet and podcast from JAMA. The tweet caused backlash on social media and from members of the medical community and public.  The panel discusses their thoughts, reactions, but mainly questioned the tweet. They discuss topics such as levels of racism, the existence of structural racism, biases to healthcare, and lack of competence expressing racism in healthcare.  Physical therapists stand in an excellent spot to take ownership and teach others about the issues that currently exist involving racism. The panel agrees there needs to be a motivation to change the view of the healthcare system so all people are treated and care for equally.  To create change for the future, physical therapists are at the forefront to educate children about the PT profession, PT efforts to racism, and how to create future leaders to ultimately gain followers in combating structural racism. The physical therapy profession cannot create outside change if it does not recognize its own biases.  Follow our speakers on Twitter: Lisa VanHoose @LisaVanHoosePT Rupal Patel @rupalPT Steph Long @stephlongPT Mark Milligan @MarkMilliganDPT Chris Barnes @CBarnesPT  PARTING SHOT “Even in the anger that I have, I have to honor the normalcy for which marginalized people live.” - Mark Milligan  “This is not being talked about in other places.” - Chris Barnes “Our greatest ability as humans is not to change the world, but to change ourselves.” - Rupal Patel  “Let’s make this a better place for the generations to come.” - Steph Long “We are already connected biologically. Once we figure out we are connected socially, that we are our brothers, our sisters, our other human keepers, then we can fix this thing.” - Lisa VanHoose

Jeremy Sutton is a physical therapist and author of SIX books. He has helped send and publish over 50 books in the last year and is on a mission to help 10,000 business owners become published authors.  Jeremy dives into how he became an author by self-publishing and building a personal brand. He found a problem and wrote books to solve his client’s problems while making it digestible.He takes set steps to plan his books and has found ways to write a book in 90 days.  With this, he has found multiple income streams and used his book to create online courses, coaching programs, and podcasts.  Follow Jeremy on Facebook with his group Book Boss Tribe, Instagram at @the_bookboss and check out his website at healthybooks.net.  PARTING SHOT 34:57 “You don’t have to have anybody’s permission to do what you want to do in this life.” - Jeremy Sutton 

Andrew Tran is a physical therapist and the owner of Physio Memes, a brand of physio products and memes on social media. He also helps businesses acquire new patients and clients through his expertise in social media marketing.  He starts off telling us his story and why he created Physio Memes. He used these skills to brand himself as a therapist and add creativity to the PT profession.  Andrew has a strong following on instagram (@Physio_Memes) displaying and selling his designed PT swag. He also used this platform to seek potential clients by turning followers into his own patients.   Show off your PT pride by heading over to Physio Memes! PARTING SHOT 43:25 “People ask me ‘how should I go put my name out there?’ Be you and put yourself out there.” - Andrew Tran 

Maddie Landstrom is the outreach marketing manager at Fusion Medical Staffing helping new grads and first time travelers start their adventures in therapy jobs around the country. Don Briganti is the therapy manager at Fusion Medical Staffing and works with all travel therapists with their contracts. Rachel White is a 2019 DPT graduate from the University of Nebraska Medical Center and is a current #travelPT with Fusion Medical Staffing.  Maddie and Don dive into what travel therapy is and the current job market throughout the country. With COVID-19, the team has been creative to ensure interested therapists land a worthwhile travel contract. When traveling, therapists should consider these factors when considering travel PT such as licensing, housing, stipends, and pay packages.  Top reasons to a new grad should try travel PT: The experience Networking opportunitiesVariety of PT settings Mentorship programNo long term commitment Building growth and confidence  Reach out to the team at Fusion Medical Staffing to begin your journey in #TravelPT!  PARTING SHOT 43:45 “Reach out. No pressure conversation.” - Maddie Landstrom  44:05 “The job market is there now.” - Don Briganti  44:30 “Realize to be comfortable in the uncomfortable.” - Rachel White

Uchenna Ossai is a pelvic physical therapist, professor at University of Texas Austin Dell Medical School and founder of a sex education platform called You See Logic (Youseelogic, LLC)  Uchenna uses her social media platforms @youseelogic to provide pelvic/sexual health education and answer questions for people in a comfortable space.  She recommends for therapists to form a sex team to treat and educate needed for patients in their sexual health. She highlights people who have a sexual dysfunction will view their own health lower than a person without a sexual dysfunction.  Uchenna describes intersectionality as power structures that intersect to impact people’s health in various ways. Teaching intersectionality starts with foundational knowledge as topics related to a person’s health impacts their behavior and response to health. In the clinic, ask your patients  the real life events that can affect them directly (racism, sexism, other factors related to social determinants of equity).  She questions how to create workplaces that are equitable and also inclusive. If work places already begin with exclusion, the problem is coming from the root of the company. She recommends for individuals in a company to understand their own power to create change in a company’s values.  To learn more about this topic, Uchenna recommends listening to Allegories on Race & Racism TED Talk.  Uchenna course Intersections of Racism and Power: Healthcare Redefined on sale now! PARTING SHOT 59:05 “Learning about racism and sexy time is a process. You’ll always learn something new.” - Uchenna Ossai 

What Every Physical Therapist Should Know About Vestibular Rehab Danielle Tate and Abbie Ross are both vestibular physical therapists at Balancing Act Rehab providing vestibular telehealth treatment and hosts of the podcast “Talk Dizzy To Me”, the basics you need to know but also the complexities of vestibular rehab. Danielle created Vestibular Today to provide evidenced-based vestibular resources for patients and professionals. Abbie started a vestibular therapy company via telehealth to treat patients all over the country , increasing access to care, and providing treatment she believes patients deserve. Danielle and Abbie talk through the prevalence of vestibular dysfunction and conditions commonly seen in the clinic or telehealth (BPPV, vestibular migraine, post-concussion, balance dysfunction).  They discuss research related to treatment for this population that extends beyond treating using the Epley maneuver. The guests emphasize that our inner ear is made up of 3 canals and each should be checked with testing.  If interested in how you can add vestibular therapy into your practice, check our Vestibular Today which provides research, resources, and education for the treating therapist.  Listen to Abbie and Danielle on Talk Dizzy to Me Podcast.  PARTING SHOT 59:13 “Get into vestibular therapy. Just get into it. Get comfortable with it.” - Danielle Tate 59:40 “Persevere because you will not know everything in the vestibular world.” - Abbie Ross

???? 2021 Foundation Donor Reception We're really excited to host our annual donor reception virtually this year with such a great group of PT researchers. Tamara Keeny, PT, PhD, DPT, CCS Rich Severin, PT, DPT, PhD (c), CCS Jason Falvey, DPT, PhD Douglas Haladay, PT, DPT, PhD, CSCS RSVP today (it's free!) and join us on Feb. 10 at 6pm EST!SHOW LESS

Leslie Bonci is a registered dietitian and sports nutrition consultant to the Kansas City Chiefs, lecturer for the DPT program at the University of Pittsburgh, founder of her blog Active Eating Advice, and co-founder of a sport nutrition consulting group called Performance 365. Leslie begins with emphasising nutrition does have a role in PT’s scope of practice as we help prepare our patients for recovery. PT’s can improve PT outcomes by integrating nutrition therapy.  Integrating rehabilitation nutrition, Leslie recommends to ask these questions to your patients to learn about their diet habits: When? What? How much?  As society has found ways to learn from diet trends, nutrition myths were established which may not meet end health and nutritions goals. Leslie identifies what foods do not cause extra inflammation, what foods do help, and why food should be part of the healing plate to recover from injury.  In the future, physical therapists and registered dietitians should increase collaboration to optimize nutrition therapy for patients. Check out Leslie teaching on Medbridge with new released nutrition courses!  PARTING SHOT46:05 “Food is what unites us. It should not divide us.” - Leslie Bonci 

Danielle Pittaluga is a physical therapist and contractor for a Special Warfare unit and embedded in the Tactical Air Control Party Unit of the United States Air Force at Fort Bragg/Pope Army Airfield. She is also a nutrition Coach and recently started her own blog called Fit 4 the Fight educating on topics such as performance, recovery, nutrition, and rehab.  Danielle discusses the different types of military jobs and settings for physical therapists and the perks that come with this position that are not typically seen in the civilian world - lack of working with insurance, increased autonomy, treated as specialist, order imaging, and order certain types of medication.  As a nutrition coach, Danielle has become an educator on performance, nutrition, and rehab for any individual to conquer their own fight. She remains active on her website by writing blogs and having a presence on social media platforms to spread her insight on human performance and optimization.  PARTING SHOT 26:58 “Don’t give up if you know what you want if you have a dream or a goal.” - Danielle Pittaluga

Brett Neilson is a physical therapist and full time educator with Evidence in Motion and is completing his Doctor of Science in Physical Therapy (DScPT) at Bellin College with a research focus on sleep health and pain. Katie Siengsukon is an associate professor in the Physical Therapy and Rehabilitation Science Department and Director of the Sleep, Health and Wellness Lab at the University of Kansas Medical Center.  They discuss strategies and sleep hygiene interventions to incorporate sleep health into practice and why this is essential for physical therapists to discuss sleep health with their clients.  The experts have pro and con viewpoints on using wearable technology for sleep. Pros include discussing sleep, behavior change, and use as a tool to improve sleep. Cons include accurate results/data, may increase anxiety from results, and patients interested in the data collected.  In physical therapy research, there is a limited amount published on patient’s beliefs related to sleep if seeking therapy services for a musculoskeletal condition.  According to the APTA, the House of Delegates’ position on sleep health states “supports collaboration to promote education, research, and practice between physical therapists and sleep medicine professionals to enhance the health and well-being of society.” This motion was proposed by the Washington and Kansas delegates.  Check out Katie’s article in PTJ “Sleep Health Promotion: Practical Information for Physical Therapists.”  PARTING SHOT 54:32 Recognize the role of the physical therapist that we can play in improving sleep health for our patients in the community.” - Brett Neilson 55:02 “If you are not sure where to start or have those conversations, there are a lot of great resources. Start having the conversation. That is the very best and the very first step,” - Katie Siengsukon 

Kylie Ahern is an award-winning science publisher and launched COSMOS Magazine, an Australian science magazine. She is also the CEO of STEM Matters, publisher and Editor in Chief of The Brilliant, and Board member of the Australian Center of Robotic Vision.  She launched The Brilliant to showcase our global leaders in STEM communication and engagement. These people however do not follow the traditional public relations handbook.  Universities perform science and research yet have a difficult time communicating this to the world. She emphasizes every university should have a publishing strategy to support the current science and research as 99% of STEM organizations continue to PR compared to building an audience.  Kylie recommends Lumen5 Video Maker which will turn your content into a visually engaging explainer and attract your target audience.  Pro tip to improve your science communication:  What is your business objective? Who is your audience? What do they need to know? PARTING SHOT 56:09 “Challenge in the next year for one of you to have really cracked this and be a destination point around physical therapy.” - Kylie Ahern

Joe Reinke is the CEO and founder of Fitbux which helps professionals, like physical therapists, strategize, conquer and ultimately save money on their student loan repayment.  Justin Berry is a physical therapist who recently wrote a research report in JOPTE called “a national survey of accrued student loan debt by doctor of physical therapy students.” Mike Makher is a physical therapist who has an interest in finance after receiving his BS in Economics and finding it essential to study the banking and financial industries.  Joe discusses President Biden’s executive order to extend the payment pause and 0% interest on federal student loans. This means that direct loan borrowers do not have to make a loan payment and interest will not be accrued until September 2021. Through Justin’s survey, he found shocking statistics to the student loan borrower: The average student loan debt at time of graduation was around $103,000 (public) and over $138,000 (private)75% of student loan participants would not meet a 10 year repayment guideline21% of participants would not meet 25 year fixed or graduated repayment guidelines  As a physical therapist with a background in finance, Mike got tactical into what students and therapists should know about their student loans, strategies to pay down their loans, and minimize their student loan debt.  PARTING SHOT 49:10 “Don’t refinance. Try to save your money. Be smart. Be careful.” - Mike Makher 

Shelby Miller is a second-year DPT student who posed the question on Twitter “How do you respond to a patient who tells you they are ready to die?” Megan Eldridge, Sharon Gorman, Talia Pollok, and Julie Skzrat, all physical therapists who work and/ or teach in the acute care setting, responded by providing assistance and insight to Shelby on this topic.  Shelby shared her experience responding to this patient’s question. Shelby as a second year PT student was finishing up her first full time clinical rotation in an acute care setting.  Megan had a similar situation as a physical therapist new to the acute care setting and wanted to give Shelby insight from her experience. Megan also suggests looking into your hospital's protocols for these situations and looking at it from a multidisciplinary standpoint. Sharon put her professor hat on as this is an area she teaches at Samuel Merritt University. She recommends screening and referring for depression using two questions. The PHQ and the geriatic depression scale are two great resources to learn more about how your patients are feeling.  Talia emphasizes for therapists to be prepared and aware these conversations will occur in any setting. She discussed the importance of maintaining resilience of therapists in these situations to prevent burn out. She believed physical therapists do play a role in end of life care.  With extensive work in cardiopulmonary physical therapy, Julie encourages all therapists to be aware this is a conversation we will have more frequently due to our current environment with a global pandemic. She recommends therapists increase their understanding of positive intensive care syndrome to understand a patient's experience post-COVID.  Other resources provided by the experts include  PARTING SHOT 50:30 sometimes the bravest and most important thing you can do is just show up - Talia For you today is ordinary, for you pariet is extra, be patient - Julie Remember to always listen to your patients - Megan  Speak the truth, even if your voice shakes - Sharon  Just because we are physical therapists, we don’t just treat the physical , we also treat the mental…. Listen again?? - Shelby  

Katie Butzu is an occupational therapist and assistive technology mentor for the Bay Arenac ISD (intermediate school district), Michigan Chapter Leader in Makers Making Change and currently collaborating with Makey Makey to use their tool as assistive technology.  Makey makey is an easy to use invention kit that combines everyday objects with the internet. Katie’s youtube channel Creative Makers demonstrates how to use your everyday object with Makey Makey for rehab purposes.  Working in the pediatric setting, Katie found 3D printing as a tool to improve patient outcomes. In Makers Making Change, Katie is a creator of 3D printing to build assistive devices for individuals with disabilities.  PT Pintcast and The Onco PT are holding the first Virtual Oncology Physical Therapy Summit. Register here today.  PARTING SHOT 49:40 “When you think it is impossible, it’s possible.” - Katie Butzo 

Lisa VanHoose is a physical therapist, researcher, educator, and equity warrior in the front lines addressing health disparities. She is founder of the Ujima Institute which is an inclusive space to improve health and wellness and raise the voices of Black communities.  The Ujima Institute created three villages with support and a focus on female healthcare providers, individuals in underserved/non-served communities, and community based research.  The Ujima Institute Toolkit is available for resources and guidance on anti-racism discussion and personal growth.  100 multidisciplinary healthcare professionals, patients, and caregivers collaborated to create the Black Rehabilitation Manifesto with a purpose to express the needs of the black rehabilitation community.  Lisa and Mica Mitchell, PT, lead together Mindful Mondays to provide mindfulness and discussion for rehabilitation students and clinicians. See future dates by following the Ujima Institute on Twitter. PARTING SHOT 1:01:30 “Health disparities matter especially for our front liners working in the middle of COVID. We have to commit to health disparities...Do what you can within your village.” - Lisa VanHoose   ----------------------------------------------------------------------------------- QUOTES 12:56 “I love listening to everyone’s commentary comparing the policing from January to the summer. That’s everyday in America.” - Lisa VanHoose  16:34 “When you look around in a room and you keep saying that someone should do something about that. Then that someone is probably you.” - Lisa VanHoose  18:09 My role as a human is to use that privilege to help elevate somebody else because you can’t be in all the lanes of traffic.” - Lisa VanHoose  18:20 “A leader does not create more followers. A leader creates more leaders.” - Jimmy  26:40 “COVID is just a manifestation of all these injustices that we’ve not addressed.” - Lisa VanHoose  33:42 “How do we insert ourselves into places that maybe we don’t belong because that is where you make change.” - Jimmy   AUDIOGRAM  6:59-7:54 I grabbed on to it because that was how I was raised… with the ujima institute we’re really focused on health and wellness in black communities  11:30-12:10 Our congressional leaders were othered…. January 6th was definitely a wake up call  30:56- 31:40 In my mind I see the ujima institute as a guide…. A big part of that conversation is provider bias 32:34-33:12 You can’t talk about transforming society if we don’t double down….who is the APTA of urban planners

To begin APTA’s Centennial Year, APTA will open a new headquarters, the APTA Centennial Center. Watch live on Facebook on January 15 for APTA’s Centennial Cutting Ribbon Ceremony. Tracie Harris is the marketing director at APTA who worked with Fitwel to create a healthier work environment. Joanna Frank is the President & CEO for the Center of Active Design who is the operator of the Fitwel building certification.  Fitwel was created by the CDC to provide building certifications to support healthier workplace environments to help improve occupant health and productivity. The Fitwel team assesses projects against seven health impact categories. This call to action to create a healthier work environment allows APTA to directly tie to their mission and vision - APTA mission “improving the health of society” and vision “to optimize movement.”  What are fun facts behind a healthy environment?  If you see the stair, you’re actually 50% more likely to take the stair just because you see it.6 flights of stairs a day is enough to offset the average annual weight gain of an American.  PARTING SHOT 39:44 “Stop by 3030 Potomac Avenue, the APTA Centennial Center.” - Tracie Harris 40:13 “Your physical environment has as much impact on your health as your genetic code” - Joanna Frank

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 

Social Justice Lessons from Roger Williams by Dr. Lisa VanHoose Keynote Presentation at the Northeast Regional Virtual Annual Conference  Michelle Collie is CEO of Performance Physical Therapy and APTA President of Rhode Island introduces keynote speaker Lisa VanHoose. During the conference, Michelle will be speaking on the “Telehealth Panel: The Role of Telehealth in the Future of Our Profession.” Lisa VanHoose is an Associate Professor and Program Director in the Physical Therapy Department at the University of Louisiana Monroe. She speaks on “Social Injustice Lessons We Learn from Roger Williams.”  She focuses on the “Five Principles of Social Injustice” by Roger Williams AccessEquityDiversity ParticipationHuman Rights  Mic Drop “If you know better, do better.” – Lisa VanHoose

Kadeem Howell is a physical therapist who has developed a growth mindset. He focuses on the positives as a furloughed PT during COVID and earns extra money with side hustles.  His pursuit for keeping a strong mindset started at a young athlete which eventually led him to choose physical therapy as a career. His first job as a PT was with the Buffalo Bills because he maintained his mindset. Kadeem believes there are multiple solutions for one problem. Being furloughed as a PT, he not only earned extra money but increased in a variety of skills. Look at all the possibilities you can do AS A PT to earn additional money: ·        Car flipping ·        E-bay flipping ·        Day trading ·        Dividend stocks ·        Rental real estate ·        Affiliate marketer for courses and amazon products ·        E-comm drop shipping for PT products The theme throughout this chat is building relationships to increase trust with either people in your profession, patients, or customers.   QUOTES “If you can make it here, you can make it anywhere… If there is a will, there is a way.” – KADEEM “’Don’t listen to what I say, watch what I do.’ – Gary Vee”  – JIMMY “Empathy and sympathy are two different things but they are important to recognize the differences.” – JIMMY “The solution will always outweigh the problems… The solutions are limitless.” – KADEEM “If you don’t believe in yourself, no one else will.” – KADEEM PARTING SHOT “You are not your profession. It’s up to you if you want to be.” – KADEEM 

Steve Gleason was given the Congressional Gold Medal, and that is a big deal. We get to hear Steve accept his award in his own words, in his own voice. And that is a major reason that he’s being given this award. Steve created and pushed through the Steve Gleason Enduring Voices act which made sure that persons with degenerative diseases would have access to Speech Generating Devices. Quite literally making sure that people living with ALS and other diseases never lose their voice. Only 163 people in American history have been given this award and Steve is the first former NFL player to receive it. You might know him as a former football player that blocked a punt against the Falcons, but the reason you get a medal like this is because you put your head down and focus on a singular vision. And Steve and his team have done just that making sure persons with living with ALS and their families lead productive and purposeful lives. Drew Brees spoke about is friend and former teammate at the ceremony in Washington D.C. Drew’s message was about watching Steve turn tragedy into triumph on the field, but most importantly off of the field. If you hear this and are moved by his words and his Team we ask you to do all or some fo these three things: 1 – Donate to his organization @ TeamGleason.org 2 – Watch his Documentary, “Gleason.” It’s on Amazon and if you have prime it’s FREE! 3 – Follow them on social media to see and maybe join their TEAM helping those with ALS and their families live better lives. On Instagram: @TeamGleason On Twitter: @TeamGleason “Finding ways to make life meaningful and purposeful and rewarding, doing the activities that you love and spending time with the people that you love – I think that’s the meaning of this human experience.” -SG

Drew Contreras is a retired Lieutenant colonel US Army physical therapist, former White House PT to the 44th POTUS, and VP of the Federal Section of the APTA. Drews tells his story on deciding physical therapy as a career and becoming a federal/Army PT. He served for 21 years in the US Army as a physical therapist. He gives the comparison of his experience as a US Army PT compared to civilian PTs. He refers to himself as a “physician extender” with increased autonomy in the Army. During the Obama presidency, increased physical therapy services were needed. With Drew’s experience in the Army and conveniently located working in the Pentagon, he was called to perform for the White House. Drew was the in-house PT for the Obama administration for 7 years. Drew dives into federal physical therapy and how PTs can make a difference on the federal level. If interested in federal physical therapy, check out the Federal Section of the ATPA here: https://federalpt.org/ Drew discusses the increased need for physical therapy in the military and he sees the future of PTs traveling with their assigned units. QUOTES  “I always try to treat all my military patients the same regardless of rank.” – DREW “Nothing is a problem until it is a problem.” – DREW “To have them (the government) say we want a physical therapist with every functional unit. That is pretty validating for our profession.” – JIMMY “People expect a certain level of performance out of you or a certain level of capability. You should be able to deliver that.” – DREW PARTING SHOT “You can do whatever you want on your last day.” – DREW 

Will Humphreys is a physical therapist, entrepreneur, author, and speaker. Will coaches business owners and physical therapists across the country to his knowledge and belief of profitability. If you thought that was all, Will created a medical billing and consulting company called In the Black this past April. Will tells us about the events he endured to ultimately choose his path in physical therapy and becoming a physical therapist. Will goes further in how his past has shaped who he is today and describes the entrepreneur’s mindset: learn, endure, and lead. He discusses the difficulty starting his company Rise Rehab back in 2003 but mentions that even though that was the most difficult situation he had to endure, it is possible with work. In 2018, Rise merged with now Empower Physical Therapy. He gives us a clear understanding on what “profitability unlocks possibility” means and how this benefits the entrepreneur and current physical therapists. One topic Will coaches about is the 5 Pillars of Profitability: 1.       Reliability and transparency 2.       Consistency 3.       Efficiency 4.       Stability 5.       Predictability Will has created a YouTube channel to assist business owners, PTs, new graduates, and students on success in our industry. Take a listen here: https://www.youtube.com/channel/UCd9MwDrfXzXbDjnEqRCW8wA Will describes to us the Core Four (heart, mind, body, spirit) and how he believes working on yourself everyday leads to success.

Rupal Patel is a physical therapist and professor at Texas Woman’s University. Lisa VanHoose is the physical therapy program director at the University of Louisiana Monroe and owner of the Ujima Institute. Zachary Rethorn is a Faculty Development Resident at Duke University, owns his own telehealth practice called Rethorn Physical Therapy and Practice and current PhD Student in health promotion and wellness. Rupal, Lisa, and Zachary spoke together at CSM in Denver on their presentation “Better Together in Diversity, Equity, and Inclusion: Engaging Diverse Populations to Improve Rehabilitation Outcomes.” To breakdown DEI, diversity are all the components that create a person. Equity is those opportunities or objects that become fit for an individual. Inclusion is welcoming the diversity of others. Discussing public health issues, these begin to include people with disabilities, lower literacy, language barriers, and communities with minimal opportunities. The communities that integrate DEI into their culture demonstrate less gap between high-income and low-income individuals. There are different factors that affect health – 40-50% of health is related to our social context and environment. Healthcare and access to healthcare is at most 20% of health. Our health behaviors make up the rest of the 30-40%. The panel believes clinical practice will begin to shift by diving deeper into a patient’s social environment as health begins in those social contexts. The biggest barrier is starting the conversation. Someone’s own self efficacy and self-confidence can get in the way of addressing the sensitive issues of our patients. The Health Leads Social Needs Screening Toolkit helps clinicians to take those steps to understand a patient’s social needs. The AAFP has a Neighborhood Navigator Tool and the website findhelp.org are great ways to connect patients with supportive resources in their community. To improve physical therapy outcomes, looking “upstream” means to consider other factors that could be contributing to a patient’s health rather than solely looking at the condition or chief complaint. Check this TED Talk about upstream medicine and how upstreaming can improve your patient’s outcomes. QUOTES 11:43 “Voting rights are a public health issue.” – RUPAL 16:22 “So everyone brings diversity into a room with them. It’s just whether or not we recognize it.” – LISA 19:23 “An inclusive group by definition can be diverse, but a diverse group is not always inclusive.” – RUPAL 23:02 “Why do we treat people and then send them back to the very condition that made them sick.” – ZACHARY 27:45 “The folks that have had enough, they don’t need to listen. I think there are plenty of folks who want to listen and learn.” – RUPAL 45:30 “You are the average of the 5 people that you spend the most time with.” – LISA PARTING SHOT 1:05:15 “Sometimes people are taking the action because they need to be seen and heard.” – LISA 1:05:43 “Our environments cultivate our communities, and our communities nurture our health.” – RUPAL 1:06:16 “I got three ‘what if’s’- ZACH 1.       What if we continue to embrace the patient client relationship and start seeing our communities as our patients as well? 2.       What if we framed our framed not just as one to one, but one to many? 3.       Finally, what if we recognized that your zip code may be more important than your genetic code and your social environment is going to trump any treatment that we are going to offer in the clinic.”

Mike Morrison is a former web designer turned PhD student in Work Psychology using design and psychology backgrounds to share knowledge. Mike defines the user experience (UX) in common web designs today and how UX makes consuming information faster and more efficient in websites or presentations. With his background in web design, Mike created Twister Poster and Better Poster to improve the way information is presented. Check them out here: ·        Twitter poster: https://www.youtube.com/watch?v=fQDL8r3r_d4 ·        Better poster: https://www.youtube.com/watch?v=1RwJbhkCA58&t=3s He describes what is included in the Better Poster and how it compares to other posters usually seen at conferences. He talks about the importance of catching attention and emotion with your poster design. He explains how to create a Twitter Poster and found this design to be more eye catching to the consumer versus a link or graphic. Mike breaks down what information foraging theory is and why it is important to engage your audience with little effort. Mike believes there is not a better time then to start and apply UX than during COVID. With the rise in virtual events and increase in technology use, it is time to improve the presentation of your information and make presenting easier. QUOTES 41:12 “If something is hard to use, people don’t use it very much” – MIKE 30:10 “Everything that gets in someone’s brain before they ask you a question about your research will make them ask deeper and better questions.” – MIKE 23:14 “If you cared about the learning experience, you would use color to stimulate emotion that is relevant to your study.” – MIKE   16:12 “To make something engaging, you have to make it more interesting than it is effort.” – MIKE 12:48 “The strongest information that you can present is getting right to the point” – MIKE PARTING SHOT 1:38 “You have to stop being frustrated with people for being lazy and start loving people for being lazy” – MIKE 

Johnny Owens and Larry Cahalin are collaborating on a Blood Flow Restriction component that we dive into. Johnny sticks around the show to talk about Project 11 – a feature on ESPN documenting the injury and recovery of the Washington Redskins Quarterback Alex Smith. The feature is hosted by physical therapist and ESPN head injury analyst Stephanie Bell. Johnny was part of the recovery team for Alex, along with another former guest of PT Pintcast Seth Blee.

Mark Milligan is a physical therapist who wants to challenge our profession by revolutionizing it through technology, empathy, connection, love, and even donuts! Cannot argue with that. At CSM in Denver, Mark presented on telehealth and DEI which now are two major topics discussed in physical therapy. You could say he predicted the future, but Mark has been working into these areas even before this year’s events. Mark is originally from Austin, Texas and describes the systemic barriers that exist in his community. Not only is acknowledging these barriers important but he questions how PTs can play a role in communicating to other healthcare providers about breaking these barriers. Practicing in the clinic for 10 years, Mark has experienced the difficulties PTs face to treat patients without biases. He explains the importance of physical therapists to become comfortable with the uncomfortable while treating all patients. Mark explains the power of knowing and loving yourself to create safety in conversations and decreasing defensive behavior. QUOTES “We need to get people on the same starting line with the same bike, the same pair of shoes, the same wind, and let’s ride together.” – MARK “You don’t have to be responsible for other people’s thoughts about you but you do have to be responsible for your thoughts about you.” – MARK “When you love yourself ultimately you don’t have any defensiveness.” – MARK “A conversation is a relationship of information between two people.” – JIMMY “Pay people enough that money is off the table.” – JIMMY “More people should know about themselves.” – MARK PARTING SHOT “We are all human, we are all here together. Be patient, be loving, be kind… Love will solve things.” – MARK 

NEXT Kickoff Virtual Happy Hour Kicking off APTA's NEXT conference virtually. Bring your drinks as we broadcast with PT Leaders over beer and bourbon! Since we're physically distanced, we can at least be socially close! Sharing a drink with fellow PTs to kick off the virtual NEXT conference.

Sharif Zeid from MW Therapy https://www.mwtherapy.com/ breaks down the NEED TO HAVES and the NICE TO HAVES for your practice EMR. Sharif has been working within the health IT space for over 15 years spending the bulk of that working with PT practices. He is a business director at MWTherapy, which is a complete PT software package, where he works on many different things including communicating with many PTs and staff on a daily basis.

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 superioritySpine HealthEmbedded 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/

One of our Top 20 Episodes from 2020 is with Dr. Leslie Waltke. She’s know as “The Arm Whisperer” the “Explainer in Chief” and ” Vitamin L.” Down to earth style and humor combined with decades of clinical cancer rehab experience have made the world better for tens of thousands of cancer patients and survivors in the US and across the globe. Leslie Waltke is a Cancer Rehab physical therapist, educator, and consultant. She is known as “The Arm Whisperer”, the “Explainer in Chief” and ” Vitamin L.” Leslie was on the show previously to talk about treating and educating cancer patients. THIS EPISODE she gives us the backstage pass on how she creates her educational content and video production. Leslie’s videos started out as a dare, but with hard work, picking an appropriate audience and knowing her intent, she now has The Recovery Room with educational videos for patients to view anytime online. Check out her Youtube channel and Facebook: ·        Youtube: https://www.youtube.com/channel/UChlrKLC6U3jYRyomCCf3NCA ·        Facebook: https://www.facebook.com/pg/lesliewaltkept/videos/?ref=page_internal Leslie discusses how to engage your patient with the acronym VET-M: Validate, Explain, Teach, and Motivate. She has found this beneficial especially with cancer patients.   Video, lighting, and sound are all factors Leslie considers and shows us how she incorporates these into creating her content. QUOTES 35:54 “Exercise like your life depends on it.” – LESLIE 38:49 “Treat yourself like you are the important person on the planet because you are.” – LESLIE   27:02 “Talk like your audience listens. Listen like your audience talks.”  – Jimmy 20:10 “Professionalism matters and there is a step to that in how you present yourself in video.” – LESLIE PARTING SHOT 2:04 “Videos can be ever green so never put a date on anything.” – LESLIE 1:12 “Youtube is a microphone. Use it.” – LESLIE  www.WaltkeAcademy.com

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

Megan Fisher Megan Fisher a Paralympic gold, silver, and bronze medalist from the Rio 2016 and London 2012 Games, a ten-time world champion, and retired member of Team USA. Her road to success has not been easy. At 19 years old she was involved in a tragic car accident that nearly killed her; leaving her in a coma and stealing the lower half of her left leg. After the accident, Meg fought to overcome relatively simple challenges, like eating, standing, and relearning how to walk.  Incredibly, less than a year after the loss of her leg, Meg returned to college and finished her first triathlon.  That one race proved to her that she could overcome any obstacle. Meg continues to explore her own physical boundaries.  She uses these experiences to inspire and motivate as well as to raise awareness for a wide variety of causes and organizations. Today, she works as a Doctor of Physical Therapy, athletic performance coach, motivational speaker, and is in hot pursuit of other opportunities that demonstrate the capacity of the human body and spirit.    Amanda Boxtel. On February 27th, 1992 a freak skiing accident rendered Amanda a paraplegic. On that fateful day, at the age of 24, Amanda’s life took a dramatic turn and her dance on wheels began. It happened in a split second while downhill skiing – she somersaulted, an electric current ricocheted through her legs, and instantly she knew she was paralyzed. Since sustaining a permanent spinal cord injury, Amanda has become a strong advocate for people with disabilities and has been involved in community and outreach projects that aim to improve the lives of individuals with disabilities. Amanda presents from her bionic exoskeleton suit, walking across the stage and demonstrating to her audiences the power of bionic technology. She is a passionate and dynamic motivational speaker who captivates her audiences with her stories, weaves in the valuable lessons she has learned along the way, and warms their hearts with laughter and compassion. She focuses her energy to present fresh material in a polished style. She has been featured as a speaker at numerous conferences and venues including TED2011, TEDx San Antonio, TEDxDU, TEDxSF, The Aspen Ideas Festival, 20th Century Fox Studios, Aspen Brain Forum, and Singularity University’s European Summit. Amanda’s overall message is one of never giving up in pursuit of the best quality of life possible. From her life experiences, she has a greater sense of healing and that transformation occurs from within. She believes in the divine connectedness to all things and she aspires to help make the world a better place for future generations. Amanda currently serves as Executive Director for Bridging Bionics Foundation, which aims to bridge human mobility with exoskeletons and bionic technology. In her spare time she enjoys writing, painting and drawing. She lives near Aspen in Basalt, Colorado.

Here's a TOP 20 episode from 2020! We talk to Alicia Hosmer, APTA’s Senior Director of Brand Strategy who is leading the rebrand for the association. Why APTA is rebranding? And why members and potential members should care? Rebranding is about much more than a new look. Our brand will encourage us to act for impact, better highlighting APTA’s leadership role on behalf of members and future members. APTA’s rebrand is about making our association more accessible for our members – so they can more easily identify the resources and communities that will help them thrive. Rebranding is much more than a new logo. It’s about maturing as an organization and maximizing our potential as the trusted leader of the profession. The rebranding process will happen over several years. We are launching phase 1 of the APTA national brand in June 2020. Components are aligning at their own pace and not required to align. Rebranding is much more than a new logo. It’s about maturing as an organization and maximizing our potential as the trusted leader of the profession. Alicia is passionate about the power of storytelling, teamwork, and mission-driven organizations. She loves sharing a great meal with friends, especially when she doesn’t have to cook it. Biking to work and skiing with her family are just a few of the ways she stays physical active. If driving her kids to baseball and hockey were a sport, she’d have reached professional status several years ago.

Oncology and Lymphedema Master Class - Elise Cantu & Shai SewellYou'll Have Better Insight Into Oncology Physical TherapyLymphedema physical therapy being a #FreshPT in oncology rehab how to become a confident, competent #OncoPT!BUT WAIT! THERE'S MORE! Continuation of Care in the oncology SettingUnder dosing Physical Therapy in the Acute SettingBeginning your Career in Oncology RehabSee Less

All you need to know about #Cancerrehab!! We have Amy Compston, Dan Steventon, Chris Barnes, and Scott Kramer all physical therapists working, leading, and educating in the world of oncology physical therapy. The hidden themes for this episode: Read the room and the patientKnow how treatment impacts functionHave the foresight and leadership to speak up, reach out and make an impact In this field, Amy believes physical therapists should be an advocate for their patients and not setting limits on treatment. To be a successful leader, you should take even the smallest of opportunities and keep refining your skills. Dan created a Youtube channel called The Kids Cancer PT to provide education and encouragement to those affected by childhood cancer. Top tools treating the pediatric oncology population include having a thorough chart review and a strong research base. As a PhD candidate, Chris is working on the precision exercise prescription study which is a model to incorporate PT into the oncology team and improve the long term outcomes after lung cancer. Chris discusses how the oncology population is affected in relation to DEI.  Scott describes his role and adaptability when working with hematological and bone marrow transplant patients. He encourages body weight resistance to treatment when appropriate. PARTING SHOT “Every person you come across in your clinic, forging that bond. Getting to know those people so that we can help make physical therapy not just a point in the cancer continuum but a cornerstone and enveloped in the whole entire patient experience.”Amy Compston “If you are experiencing that or ever struggle with that burnout as a PT, as a provider, really dive into it. Sometimes you need to dive in harder than you thought you were going because that is your way out.”Scott Kramer “If a kid with cancer invites you into their world, brighten that world.”Dan Steventon “As PTs, we are rigid. We fight for what we want to do. To mature as a profession, we need to meet people for where they are.”  Chris Barnes

How To Deliver High-Quality Info On Social Media As A PT Dance Background Danny dedicated his early career to professional dancing, competing internationally, and became the 5th top international professional ballroom dancer in the world. From teaching ballroom dancing at the age of 15, Danny found PT as a way to help people with movement and build a relationship and connection with others.  Clinical Practice Before COVID, he opened his practice Project Physical Therapy. He is currently treating 60/40 in person and telehealth but shifted to 100% telehealth in the beginning of the pandemic to treat his patients and reach a larger population.  Danny creates social media content crossing both dancing and physical therapy to spread fun, engaging, and applicable insight to his audience. Follow him now on Instagram at @OfficalDannyShapiro.  When it comes to money and insurance in physical therapy, he emphasizes that PT’s should connect with their patients to consistently provide high quality of care despite the time length of treatment. If the care given makes a difference to a patient, the money will follow.  Danny’s drink for show - the boozie tea mixed with earl grey tea, oat milk, disaronno liqueur.  Thank you for watching and listening! Look out for our TOP 12 of 2020!  QUOTES “If you’re a PT and listening to this, don’t shy away from digital therapy. There is so much you can do that does not require your hands.” - DANNY  “Not only be real with your audience… but also be real with your patients. The way I am on social media is 100 fold the way I am with my patients.” - DANNY   Academy of Orthopaedic Physical Therapy Parting Shot “If you are a healthcare provider, please work on being yourself. Work on being the real self to your patients… Your patients crave your support so give it to them.” - DANNY 

Colin Carr is CEO of CARR which is the nation’s leading provider of healthcare real estate for healthcare professionals.  Colin started out in traditional and commercial real estate deals and found himself working with healthcare providers on their negotiations. Discovering what they knew and how he could help, he shifted to predominantly working with this population representing the doctor.  The biggest misunderstanding in commercial real estate is healthcare providers believing they will save money if they do not hire an agent but they are the buyer or tenant that does not pay commission. Landlords and sellers pay commission.  There is a term ‘posture’ in real estate meaning as the buyer, you are serious about getting the best terms possible. Posture is creating options for yourself by hiring an agent that will represent your interests. This does not include working by yourself or under the landlord or listing agent. Colin recommends health care providers to find a commercial real estate agent who understands the healthcare industry and has no conflicts of interest. The #1 transaction doctors get taken advantage of are lease renewal negotiations.  Let healthcare real estate agents help you in your next negotiation. Check out CARR.  PARTING SHOT  46:22 “Hire professionals that are better than you in every possible area.” - COLIN

What Makes A Great PT School Applicant? Skye Donovan, Lori Bordenave and Chris Petrosino are physical therapists and have extensive experience in the PT admissions process as program chairs of three different PT programs across the country - Marymount University, A.T. Still University and Sacred Heart University.  The panel agrees a great PT applicant is someone who is strong academically, has grit, can persevere, is passionate, caring, compassionate and ready to change gears.  Applicants are highly encouraged to do their research when selecting a school. Each school has their own pre-requisites, separate applications aside from PTCAS, and interviews for admissions.  When it comes to the interview process whether it is an individual, group or video interview, the guests discuss that they look for strong communication skills and professionalism in the potential PT student. Listen to the stories these three share about their worst PT interview experiences (start 25:20).  The behavior guide of PTs and PTAs are the APTA Core Values. To understand how to behave and treat in this profession, these core values can guide how to come off on an application or personal statement.  QUOTES 15:11 One of the ways that you know you have everything on that application that is pertinent is to find somebody who knows you, loves you, and wants you to go to PT school.” - LORI  PARTING SHOT 1:04:32 “Everybody has a story. Know your story. Tell your story. I think that will make you genuine and really get you further by telling that story.” - LORI 1:05:02 “Optimize your talents. You have a lot of talents to bring to the table.” - CHRIS  1:05:51 “Don’t let fear paralyze you. Don’t be afraid of showing your true self. Try not to let fear overcome your ability to shine.” - SKYE  hool Applicant?

Caitlin McGee, Elliot Smithson, and Matthew Hwu are physical therapists who work at 1HP, a company improving gaming performance and prolonging gaming careers for the esport athlete.  Caitlin was on the show with us previously talking about esports but with an evolving field, she continues to define esports as any competitive scene of a video game.  The panel discusses the physical skills required for the esport athlete - fast reaction time, fast processing, strong upper extremity strength, posture, and endurance. Matthew discusses APM (actions per minute) which is the amount of finger movement performed while gaming. One difference between esports PT and sports PT is the lack of infrastructure and lack of expectation eport athletes are expected to be engaging outside of the game time.  Elliot dives into the concept of game sense which describes the esport athlete to not only be proficient in gaming performance but also to have quick decision making skills continually over time.  Check out APTA’s recent article In Esports, Gaming and Gamers Join the Big Leagues for more information about PT’s treating in this field.  PARTING SHOT 1:13:45 “Don’t just get yourself pigeon holed into learning the traditional models of whatever it is you’re studying. If you’re not seeking out information from sources that don’t necessarily just fit into your traditional structure, you’re missing out on so much information.” - CAITLIN  1:14:19 “Show that you care. Listen and care for the people you work with.” - MATTHEW  1:14:49 “Don’t be afraid to break out of that 9-5 outpatient ortho model. Really explore what you’re into. Really explore what you can offer as a PT.” - ELLIOT 

Alan Lee, Chris Peterson, Trevor Russell, and Mike Billings are all physical therapists, educators, experts, and advocates of telehealth in physical therapy and healthcare.  Alan describes early telemedicine was used mainly with cardiopulmonary conditions as the technology was not readily available. Telehealth has drastically increased due to COVID and the improvement in technology.  Chris finds telehealth as highly valuable in physical therapy as other businesses shift to an online platform. He sees telehealth being utilized in a hybrid model in the future with PTs/PTAs understanding what patient is fit for telehealth.  Trevor notes there is a substantial amount of research available but the evidence is not continuously translated into practice. He recommends focusing on what is similar between treating in person and using technology then converting those similarities using technology to meet treatment objectives.  In the future, Mike believes telehealth is here to stay but is leveling off compared to the start of COVID. Some other predictions were modifying the title telehealth to digital health, change in reimbursement rate, creating hybrid models, implementing interstate compacts, and adding telehealth in physical therapy programs.   For more information on telehealth in practice, look to the American Physical Therapy Association and the American Telemedicine Association.  PARTING SHOT 49:42 “Everyone have patience.” - ALAN  50:43 “Don’t always assume the original way you learned something is the only way to do something.” - CHRIS  51:12 “Do not be afraid of this [telehealth]. Embrace the similares but prepare for the differences.” - TREVOR  51:54 “I do hope care is taken to ensure that telerehab is used  to confront rather than exacerbate any health care on affordability and inequity that we have in the US.” - MIKE 

Stephen Burkert is a physical therapist who combines his passion for winter sports and outdoor athletics by treating snow sport athletes.  Steve started his business Snow Beast Performance out of a CrossFit gym near Burlington, VT. He took his lifestyle to cater to snow athletes and apply their needs to the mountain.  His model is to screen and prepare all athletes for the snow season. He conducts formal programs to limit potential injuries. Each athlete, either skier or snowboarder, has specific interventions tailored to their sport.  Common injuries Steve treats are not any different than what is seen in typical PT clinics. He treats mainly overuse injuries from poor repetitive movement but emphasizes PTs treating on the mountain should have a strong knowledge in concussion rehab. If any PT, PTA or student is interested in this area, Steve recommends gaining the experience in this area to understand the demand to ski or snowboard. Steve also became a ski and snowboard instructor to learn the language of educating this population.  Steve holds a Snowboard Performance and Injury Support Group on Facebook to further spread insight and knowledge to snow athletes.  Win a PT Pintcast PT Pintglass!!  The Northeast Regional Virtual Conference hosted by APTA CT, MA, NH and RI Chapters will be available until January 31.  PARTING SHOT 35:49 “If you have a passion for something, go after it. It might not be something that seems to make sense but as physical therapists, we’re naturally givers.” - STEPHEN

What Do You Need To Know About Inter-Professional Care? MeMe Earnest is a neurology resident graduate at the Cincinnati VA Medical Center, director of communications for MoveTogether, and practice lead for the Adaptive Sports SIG of AASPT. Within her residency, she worked in an interdisciplinary team including PT, OT, SLP, chiropractor, PM&R, and other PT residents. MeMe mentioned her #1 question from students was what does the day by day look like as a resident? She was performing a different task every day which included treating, teaching, presenting, receiving mentorship, and working a fitness wellness program called Gerofit. As practice lead on the Adaptive Sports SIG, her job is to communicate on practice guidelines and research for advancing the treatment of adaptive athletes. QUOTES 14:30 “Adaptive sport and wellness is the perfect solution to that, making sure you have opportunities for individuals with disabilities in your community is huge.”- MEME PARTING SHOT 25:15 “Meet the people where they are.” – MEME 

How to Dissect Anatomy in Physical Therapy Education Mike Pascoe is a professor of anatomy at the University of Colorado Anschutz Medical Campus teaching gross anatomy to PT, PA, and medical students. He received his PhD in neurophysiology from the University of Boulder. Mike reminds us that graduate level anatomy courses present a vast amount of information quickly. He recommends study strategies that can include drawing/painting on the body, creative dances, and building paper models and drawings to have an active learning experience. If you are a SPT looking for further anatomy resources, look no further with Mike Pascoe. With COVID, anatomy courses were completed either remotely or present in the lab but limited to extremities. To perform anatomy on campus, anatomy educators created a guide to explain the importance of donor-based anatomy on student learning. Mike uses light field photography, student wikis and digital dissection guides to increase the learning outcomes. He conducted a study comparing traditional dissection guides to a custom written digital dissection guide and found better outcomes with a more specific guide. For the last five years, the University of Colorado has held a student-led Marquette challenge bringing practicing clinicians into the lab to learn and practice anatomy dissection. Check out Mike Pascoe’s website about all the anatomy resources for the student physical therapist and current clinicians. QUOTES “When you leave anatomy class and you are with a patient, every patient is going to be an exam for you, an anatomy exam.” – MIKE “If you want your anatomy and your learning to be durable, it has to be difficult.” – MIKE PARTING SHOT “Make learning fun. When students need to understand the given area of skin inverted by a spinal nerve, that’s when the derma suit comes out.” – MIKE

What You Need to Know About Your Insurance and Disability Coverage Will Butler is a physical therapist turned financial advisor on a mission to change healthcare by improving the lives of clinicians through financial education and planning. Will posted an Instagram story about the importance of understanding disability insurance. He suggests physical therapists should consider insuring themselves due to the physical demand in patient care. Short term disability refers to being out of work for 0-3 months. Will post the question what if a PT needs to be out longer than 3 months or indefinitely? All physical therapists should be asking -  Do I have disability benefits? Short term and long term? -  What are the basics for short term and long term disability? Is there an elimination period? Any exclusions? -  How long does long term disability last?  To seek appropriate financial assistance, a financial advisor like Will is superior to a financial website or no assistance at all. Check out Will Butler to get all your financial questions answered. If you have questions about loan repayment, Will recommends Joe Reinke who helps physical therapists strategize repayment plans. Check out Joe Reinke with FitBux.   QUOTES “The first person you blame is the last person you saw.” – WILL “Respect a professional’s profession.” – JIMMY “Know what the definition of disability is.” – WILL “You need to understand what money is coming in and what money is going out grossly.” – WILL PARTING SHOT 59:44 “People need to save early, save often, and save differently. Quit worrying about what the person next to them might be doing.” – WILL

Kacey Kline is a physical therapist assistant working in an outpatient clinic associated with Midwestern University’s DPT Program in Arizona. She continually works towards advocacy and inclusion of PTA’s in the profession. Kacey thinks bringing a PTA in from the start of a patient’s plan of care is the best way to build rapport, consistency, and proper expectations for treatment. Between the PT and PTA, creating open lines of communication diminishes microaggressions towards PTAs. She believes involving PTAs on physical therapy websites and organizations without being separated from PTs would expand PTAs inclusion in the physical therapy community. QUOTES 5:52 “If you have any idea that your PTA is going to be part of the therapeutic team, they have to be a part of the conversation.” – KACEY PARTING SHOT 38:45 “Basic patient care, basic good practice is just open lines of communication between your colleagues.” – KACEY

Social Justice Lessons from Roger Williams by Dr. Lisa VanHoose Keynote Presentation at the Northeast Regional Virtual Annual Conference  Michelle Collie is CEO of Performance Physical Therapy and APTA President of Rhode Island introduces keynote speaker Lisa VanHoose. During the conference, Michelle will be speaking on the “Telehealth Panel: The Role of Telehealth in the Future of Our Profession.” Lisa VanHoose is an Associate Professor and Program Director in the Physical Therapy Department at the University of Louisiana Monroe. She speaks on “Social Injustice Lessons We Learn from Roger Williams.”  She focuses on the “Five Principles of Social Injustice” by Roger Williams AccessEquityDiversity ParticipationHuman Rights  Mic Drop “If you know better, do better.” - Lisa VanHoose

The Truth In Sexual Health Physical Therapy Jocelyn Connolly is a pelvic floor physical therapy in Arizona and building her own online coaching business called The Vagina Doc Physical Therapy & Wellness.  Jocelyn emphasizes why physical therapists should be screening for sexual health. She educates her patients on four facets of health – physical, mental, spiritual, and sexual to link pieces together contributing to a patient’s problem and overall health. In her business, she created a model for patients to actively participate in their care while providing thorough patient care and education. At initial visits, she supplies a journal for her patients to assess their own progress and rate priorities of their pelvic health. QUOTES 27:39 “One thing that people need to understand is they have to be emotionally ready to experience not only not only wins or steps forward, but the steps backwards.” – JOCELYN PARTING SHOT 39:44 “Don’t be afraid to learn about your own pelvic health. Do your own self exploration.” – JOCELYN

What You Need To Know In Oncology PT - Part 3 Kelly Reed, Paula Stout, and Aubrene Fiore are all physical therapists passionate about all thing’s oncology rehab each certified and specialized in fields of oncologic PT, lymphedema, pelvic health, and wounds. Kelly dives into breast and gynecologic cancer rehab treatment and the symptoms associated with these cancers. Lymphedema is highly associated with these cancers and treated using complete decongestive therapy by PT's. Check out Kelly’s Instagram and Youtube channel the Cancer Rehab PT. Paula emphasizes the importance of patient education about cancer related fatigue, lymphedema, side effects of treatment, and energy conservation. Exercise is the #1 treatment for cancer related fatigue.   Physical therapists should be on the surveillance team by working with this patient population from the beginning and at an ongoing basis throughout treatment. Aubrene educates us how wounds are multifactorial when treating cancer and lymphedema patients. It is important to look at considerations such as co-morbidities, multiple surgeries, nutrition, body mass, and cancer related effects. If you are interested in oncology physical therapy, check out the Academy of Oncology Physical Therapy. PARTING SHOT “These symptoms, these side effects that these individuals, these patients are going through, they are common but they are not normal and they should not have to live with these long term. – KELLY “In terms of wounds, my favorite product is a silver silicone wound dressing that you can get over the counter.” – AUBRENE “Physical therapy should be part of the cancer care continuum.” – PAULA

Kyle Covington, Gus Martinez, Lynn DiPirro, and Clarence Holmes are all highly involved in the APTA here to talk about their “why” to attend APTA National Student Conclave. As of today, this virtual NSC is the highest recorded for registration with over 1,800 students. All students registered for NSC will have a 50% off registration at APTA CSM which will be held virtually. The panel agrees that NSC is an opportunity to show students other areas of physical therapy that students may not be exposed to in the classroom or clinic. Student Assembly Board of Directors voting ends November 7th. Cast your vote today! All student members are eligible to vote in this election. There is a meet and greet with the candidates live at 12pm ET on November 7th. NSC is a great first step for students to dive into the national level created by students for students. All students who attend NSC are leaders. PARTING SHOT “Find your path, get involved. Make the profession better. Make us more accessible to our patients in some way.” – CLARENCE “You have a voice. Get involved and have a voice in your profession and in your clinic but in the APTA and in your community.” – KYLE “Get involved early because those connections that you make super early make getting involved as a new grad or later on in your career an easy phone call away.” – LYNN “These conferences these networking opportunities are a way for us to learn about our tribe, our community and share ideas that we may have never been exposed to through school.” – GUS

Rupal Patel is a physical therapist and professor at Texas Woman's University. Lisa VanHoose is the physical therapy program director at the University of Louisiana Monroe and owner of the Ujima Institute. Zachary Rethorn is a Faculty Development Resident at Duke University, owns his own telehealth practice called Rethorn Physical Therapy and Practice and current PhD Student in health promotion and wellness. Rupal, Lisa, and Zachary spoke together at CSM in Denver on their presentation “Better Together in Diversity, Equity, and Inclusion: Engaging Diverse Populations to Improve Rehabilitation Outcomes.” To breakdown DEI, diversity are all the components that create a person. Equity is those opportunities or objects that become fit for an individual. Inclusion is welcoming the diversity of others. Discussing public health issues, these begin to include people with disabilities, lower literacy, language barriers, and communities with minimal opportunities. The communities that integrate DEI into their culture demonstrate less gap between high-income and low-income individuals. There are different factors that affect health – 40-50% of health is related to our social context and environment. Healthcare and access to healthcare is at most 20% of health. Our health behaviors make up the rest of the 30-40%. The panel believes clinical practice will begin to shift by diving deeper into a patient’s social environment as health begins in those social contexts. The biggest barrier is starting the conversation. Someone’s own self efficacy and self-confidence can get in the way of addressing the sensitive issues of our patients. The Health Leads Social Needs Screening Toolkit helps clinicians to take those steps to understand a patient's social needs. The AAFP has a Neighborhood Navigator Tool and the website findhelp.org are great ways to connect patients with supportive resources in their community. To improve physical therapy outcomes, looking “upstream” means to consider other factors that could be contributing to a patient’s health rather than solely looking at the condition or chief complaint. Check this TED Talk about upstream medicine and how upstreaming can improve your patient’s outcomes. QUOTES 11:43 “Voting rights are a public health issue.” – RUPAL 16:22 “So everyone brings diversity into a room with them. It’s just whether or not we recognize it.” – LISA 19:23 “An inclusive group by definition can be diverse, but a diverse group is not always inclusive.” – RUPAL 23:02 “Why do we treat people and then send them back to the very condition that made them sick.” – ZACHARY 27:45 “The folks that have had enough, they don’t need to listen. I think there are plenty of folks who want to listen and learn.” – RUPAL 45:30 “You are the average of the 5 people that you spend the most time with.” – LISA PARTING SHOT 1:05:15 “Sometimes people are taking the action because they need to be seen and heard.” - LISA 1:05:43 “Our environments cultivate our communities, and our communities nurture our health.” – RUPAL 1:06:16 “I got three ‘what if’s’- ZACH 1.       What if we continue to embrace the patient client relationship and start seeing our communities as our patients as well? 2.       What if we framed our framed not just as one to one, but one to many? 3.       Finally, what if we recognized that your zip code may be more important than your genetic code and your social environment is going to trump any treatment that we are going to offer in the clinic."

Multiple Expert Perspectives on a Post Covid-19 World Welcome to the 2020 Malek School of Health Professions Lecture from Marymount University. Tonight our topic is: “When the Pandemic Wanes: Perspectives on a Post Covid World”We will address this topic with the help of four esteemed experts from Marymount University.  They are leaders in the areas of:Business and Innovation, Health Care and Journalism and Mass Communication.  The format tonight is organized with the audience in mind.  We will introduce each panelist individually, and let them speak about how they see their areas of expertise being affected by the current global pandemic. Once each panelist has had an opportunity to give their amazing insight, we will bring them all back on screen for you to be able to see how these areas are interconnected. Guests: Ken Harwood  is currently the Dean and Professor at the Malek School of Health Professions, is a licensed Physical Therapist and Certified Industrial Ergonomist.   He has published and presented nationally and internationally on a number of topics including health care policy and leadership, health care safety, and quality and low back pain. Jonathan Aberman  is a nationally recognized expert on innovation, entrepreneurship, and economic development. Over his career, he has helped to start 20 technology companies, and has advised many national and state political leaders. He is currently the Dean of Marymount's School of Business & Technology. He writes a regular “Amplified” column for the Washington Business Journal. Dr. Ginny Bianco-Mathis  is an author, consultant, and professor in the area of organizational change and leadership.  She is a sought after presenter for her recent book, Everyday Coaching and leader and fellow podcast host in the area of remote teams--how to develop culture beyond the four walls of corporate America. Dr. Kimberly Meltzer  teaches and conducts research about journalism and technology, and political communication.  Prior to her academic career, Dr. Meltzer worked for news organizations including CNN, NBC, and The Philadelphia Inquirer.  She is the author of two books about news and journalism, including her recent book From News to Talk: The Expansion of Opinion and Commentary in US Journalism, and she is the faculty advisor to Marymount's student-produced newspaper, The Banner.

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 reflectionTeachingLearningHealth LiteracyPatient 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

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

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 Build a Better Team. Secrets to Increased Productivity and Greater Morale with Jamey Schrier Jamey Schrier is a physical therapist and the founder of Practice Freedom U – teaching PT’s and business owners the balance between self-management, income, and freedom. In the time of COVID, Jamey notices owners re-evaluating their business to fix issues moving into the future. If a company wants to reset, he suggests to start with a clear vision and purpose that both the owner and employees believe in. Jamey concisely defines mission, vision, values and why these components are crucial in the hiring process. He visualizes his business order in a “reverse triangle” which puts the business owner on the bottom supporting the rest of the team. Some mistakes business owners make which results in an unsuccessful team Not providing for your teamNot giving initial expectationsNot meeting the employees where they are To prevent these types of mistakes, have a clarity conversation between the business owner and employees to clear up confusion and bring attention to concerns and issues.  QUOTES “Vulnerability is a strength. It is a powerful strength.” – JAMEY “Confused people don’t take action and action is what we want.” – JAMEY “There is no reason that every business owner can’t have a great team and there is no reason a great person can’t work for a great owner.” – JAMEY PARTING SHOT “Nothing happens until it is put into motion. Motion cures fear. Action. Implementation. Doing it is the key with all this stuff.” - JAMEY

New APTA Bylaws Will Impact You, How Your Voice MattersWhat are the APTA Bylaws?Why do they matter to the PT, PTA, or student?How can we as a collective profession make our voice heard? Kathy Mairella is a physical therapist, faculty member at Rutgers University and part of the APTA specialCommittee on Bylaws Review. Becca Sanders-Fung is a physical therapist while also serving on local, state and nationlevels including APTA HOD representing GA and CA. Social MediaTwitter: Becca: @ptdrbecca; Kathy We cover:What are the APTA Bylaws? Bylaws: governing document established member rights, decision making processes, election ofleadershipWhy do the APTA Bylaws matter to PT/PTA and students?Opportunities to engage professionallyWhy do the details (bylaws) matter big picture?What types of change are up to debate?How do we make our voice heard?How re we more inclusive in our associationTalking to delegates#bettertogetherAPTA By-Law Sessions – Oct 13, 14, 17

How Barrier Free Adaptive Recreation Helps Veterans With The Travis Mills Foundation This Throwback Thursday episode was originally shared in October 2018. Kelly Roseberry PT, DPT is the Program Director for the Travis Mills Foundation. She joined the Foundation after spending several years as a full time Physical Therapist and Center Coordinator of Clinical Education at Walter Reed National Military Medical Center. She relocated to Maine in the summer of 2017. The Travis Mills Foundation supports post 9/11 recalibrated veterans and their families through long-term programs that help these heroic men and women overcome physical obstacles, strengthen their families, and provide well-deserved rest and relaxation. We support these veterans through our nationally recognized retreat located in the Belgrade Lakes Region of Maine. Veteran families who have been injured in active duty or as a result of their service to our nation receive an all-inclusive, all-expenses paid, barrier-free vacation in Maine where they participate in adaptive activities, bond with other veteran families, and enjoy much-needed rest and relaxation in Maine’s outdoors. In 2017 we hosted 84 veteran families that participated in adaptive sports and activities. Website: https://travismillsfoundation.org/

Physical Therapy in TV & Movies

Where Does Cannabis Fit Within Physical Therapy Scope of Practice?

Bad research, and How it Affects PT Practice

Are You Vulnerable? The Biggest Threat To Physical Therapy Is Here Help #FightTheCut Today! Kara Gainer and Kate Gilliard from Regulatory Affairs at APTA discuss the 9% cut CMS is promising on therapy services in 2021. Not only should PT’s, PTA’s and students contact Congress but our voice needs to be raised directly at CMS. Take these steps to send your letter to CMS: Head over to APTA’s Patient Action CenterClick Submit Your Comment to CMS to Oppose the 9& Medicare CutA prewritten letter is created. All you need to do is enter your contact information. To demonstrate how this is personally impactful, write a personal message in the box provided.SEND MESSAGE APTA’s goal is to send 30,000 letters to CMS. Take action and send a letter to CMS!

Jimmy McKay was a guest on the CashPT Lunch Hour with Aaron LeBauer. We covered being a misfit in the profession of physical thearpy What you can take away from a 15+ year career in broadcasting directly into your patient communication The key to making a connection in communication? "Talk like your audience listens, listen like your audience talks."

Physical Therapy in the US Navy Stephen Grist is a Navy physical therapist at the Naval Hospital in Guam and the representative of the Federal Section for the APTA. Ways to serve depends on the branch of service, the population and location, and the type of PT setting.  Difference between Military and Civilian PT’s Seen as the number one musculoskeletal expertImaging privilegesOrdering lab testingJoint injections Medication prescription These opportunities are site specific. If the credential is legal, a Navy PT can add it and start utilizing these in the Military System. Stephen recommends students to reach out to local treatment facilities to gain military and federal experience. Check out APTA’s Federal Section for more information about Federal PT. The unique roles as a Navy PT include Assignments in Navy treatment facilitiesPost professional training and specializationResearch opportunitiesEmbedded jobs on aircraft carriers PARTING SHOT “It is not that hard to get involved in federal PT… If you’re interested, the best way to get involved is to get some exposure” – STEPHEN 

Two years ago this week the show was LIVE! In-person @ Jimmy's alma mater Marymount University!Seriously missing being at live events in person with people… But let’s take a THROWBACK THURSDAY listen to part two of a two-part episode… we had a REALLY interesting mix of guests. Part 2 brings you Adam Meakins and Erik Meira. They have podcasts of their own and it was great to bring them on together, they were in Arlington VA that weekend to give a continuing education course. Throwback Thursday brought to you by the Academy of Orthopedic PT - the leaders in orthopedic pt and education. Find them online @ ORTHOPT.org - new courses out on Blood Flow Restriction Training with Johnny Owens - Tissue Tolerance - the running athlete and of course - Current concepts of Orthopedic PT - an amazing resource for preparing for the OCS examination.

Community-Based Falls Prevention & Stroke Survivors Group Tell Their Stories LIVE from Marymount University Two years ago this week the show was LIVE! In-person @ Jimmy's alma mater Marymount University!Seriously missing being at live events in person with people… But let’s take a THROW BACK THURSDAY listen to this two part episode… we had a REALLY interesting mix of guests. Jennifer Tripkin was a professor at Marymount at the time working on a community-based fall prevention program, but now she’s working with the National Council on Aging! Part 2 brings you Adam Meakins and Erik Meira. They have podcasts of their own and it was great to bring them on together, they were in Arlington va that weekend to give a continuing education course. Melissa Richman - who runs a group at the Stroke Comeback Center in VA as well as helping her group of survivors of stroke and tbi host their OWN PODCAST! Called The Slow Road to Better! We brought the whole team on the show to talk about THEIR story and how THEY live… Throwback Thursday brought to you by the Academy of Orthopedic PT - the leaders in orthopedic pt and education. Find them online @ ORTHOPT.org - new courses out on Blood Flow Restriction Training with Johnny Owens - Tissue Tolerance - the running athlete and of course - Current concepts of Orthopedic PT - an amazing resource for preparing for the OCS examination.

Physical Therapy Evaluation and Treatment After Concussion/ Mild Traumatic Brain InjuryClinical Practice Guideline - Physical Therapy Evaluation and Treatment After Concussion/ Mild Traumatic Brain Injury with Catherine Quatman-Yates, Arielle Giordano and Bobby Jean Lee Airelle Giordano, Katie Quatman-Yates, Bobby Jean Lee are all physical therapists working, researching, and teaching in concussion rehab. The first Concussion & Mild TBI Clinical Practice Guideline (CPG) is now available for physical therapists brought together by 4 APTA academies – Orthopaedic, Neurologic, Pediatric, and Sports. This CPG is unique as it crosses numerous body systems and draws upon multiple fields in physical therapy. Check out all Clinical Practice Guidelines and the new Concussion & Mild TBI CPG. The Academy of Sports Physical Therapy has developed a Concussion SIG to help develop this CPG and grow this area of knowledge. PARTING SHOT “If you want to get involved or have an opportunity, always say yes.” – BOBBY JEAN “Find yourself a mentor, ask questions. Don’t regress to mediocrity.” – AIRELLE “Read widely and find somewhere in the middle to make sure that you can base your opinions on both ends of the spectrum.” – KATIE 

The Future of Amputee Care with Danny Keller Danny Keller clinical professor at UCSF treating the sports, orthopedic and amputee population as well as working on the specialized amputee clinical team. Due to COVID, Danny has been treating and educating as a CI mainly with telehealth. He will soon have a paper out in PTJ about patient satisfaction using telehealth. Additional considerations when treating a patient with an amputee: Working with an interdisciplinary teamUnderstanding the mechanics and possible issues of a prostheticThinking about the psychological toll this has on the patient Three things students should know seeing a patient with an amputation on their schedule: Take a thorough subjectiveDo not be afraid to touch the involved limbCarefully watch the patient move The future of amputee rehab will begin to integrate EMG utilizing surrounding muscle to help motorize the prosthetic and improve the quality of movement. PARTING SHOT “This population is underestimated… Take a chance. Take a risk. Jump outside your comfort zone.” – DANNY 

Here’s to PT Day of Service #PTDOS 2020 We have the Global PT Day of Service team to talk about this year’s event. Mark those calendars for October 10th and pledge today. Since 2015, Global PTDOS has over 18,000 volunteers with over 80 countries participating. This organization has grown since 2015 expanding in the United States and throughout the world. Check out the virtual and socially distant ideas to continue serving in your community. Reed Handlery from the University of South Carolina rows his way to his PTDOS event. He tells us about the Gamecock Challenge the U of SC DPT program is holding and how YOU can sign up. 

Mike Chua is a physical therapist who helps therapists turn their passion into purpose and profit by becoming a mentor. He lays on us how to improve your influence and impact in the industry using mentor – M – meet a need/nicheE – educateN – networkT – finding a teamO – one on one coachingR – repeat it Check out Mike’s website at Alternative Healthcare Careers and Facebook group Alternative Healthcare Careers for Rehabilitation Professionals. He has created multiple books on Alzheimer’s and Dementia to give more information to the patients and audience he serves. His Facebook lives not only benefit the audience who listen but are valuable to him by learning and understanding more about his topics.   QUOTES “Find a team that will actually believe in you and actually push you to your next level.” – MIKE “In order to be a good leader, you need to be a good follower.” – MIKE “There’s two parts in being a therapist. Part one is being the business owner. Second one, we are always made to be clinicians. We will always go back to our first love which is taking care of patients.” – MIKE PARTING SHOT “You always want to do everything fast.” – MIKE F – find friends that will push you to your next levelA – take actionS – shoot for the moonT – teach it 

We hosted the APTA Flash Action Strategy to get students excited about this years event. This year’s Flash Action Strategy is raising awareness and donations for the physical therapy political action committee (PT-PAC). We first start out with Lindsay Dolan, PT-PAC liaison, and Kayla Harris, VP of the Student Assembly. They tell us the goals of this year’s FAS: Increase student participation by 3% after pep rallyIncrease PT-PAC donations by $10,000Pep rally facilitate 250 new student stars Following is Justin Elliott, APTA VP of Government Affairs discussing issues faced in physical therapy today: Workforce DiversityStudent Loan Repayment9% cut from CMS Next, we have Eva Norman as the Lady in Red and PT-PAC Trustee. She describes for us what PT-PAC is, why it matters, and how the PT-PAC adds value to our profession. Two PT students James Nowak and Sam Zahnder push promoting the flash action strategy in schools to increase student awareness and participation in physical therapy advocacy. This year’s Flash Action Strategy is on September 15-16th emphasizing the importance of the PT-PAC. Donate to #BacThePac here. 

Disordered Eating & The Psychology of AddictionKevin Burciaga is a physical therapist who helps others battling with eating disorders. After struggling with disordered eating himself, he developed his own philosophy and system for overcoming them called Empowered Eating.  He defines disordered eating as eating behaviors that affect your long-term health which is different from eating disorders (anorexia nervosa, bulimia nervosa, binge eating disorder). What works to change these eating behaviors is beginning small. The behavior change will not occur if thinking all change needs to happen in one day. This is crucial for a PT because eating disorders look at the whole person and consider both physiological and mental health issues. QUOTES “Your habits tend to follow you wherever you go. You have to be an active participant.” – KEVIN “I need to have some micro changes to have a macro breakthrough.” – JIMMY PARTING SHOT “If there is something you want to change in your life, change it today. Start the process and be patient.” – KEVIN 

Matt Gratton is a professor, physical therapist assistant and a student physical therapist transitioning from PTA to DPT at the University of Findlay. Matt has an interesting backstory with different career paths before becoming a PTA. In his timeline, he knew he would transition from PTA to PT. Some reasons PTA’s will make the transition is to further their knowledge, increase autonomy, and improve patient care and clinical decisions. Previous experience whether as a PTA or another service has found to be valuable in this transition program and guide students to their path forward. Matt believes a good candidate to make this transition needs to know their why, understand their sacrifices, and have a strong support system. QUOTES “Where do you want your sacrifice to lie your life?” – MATT “If you just give people answers, they’re not discovering anything about themselves.” – MATT PARTING SHOT “When you’re moving forward in life, really self-reflect, make a decision and just go for it.” – MATT 

Jenna Tosto Mancuso is a physical therapist at the Abilities Research Center at Mount Sinai Hospital in New York City. Chronic COVID presentation is known as long haulers which means these patients are in the long haul of symptoms. These long haulers do not present with classic COVID symptoms and do not have a diagnosis in place. Other diagnoses like post viral syndrome and dysautonomia present similar to the chronic phase of COVID. Her presentation “Precision Recovery: Chronic COVID Rehabilitation” discusses the post COVID patient, symptoms, and physical therapy treatment. QUOTES “This is our time in rehab… We can step into the forefront, educate ourselves, get that professional development and understand what is going on.” – JENNA “Don’t be afraid to advocate for the profession. Don’t be afraid to advocate for your patient.” – JENNA PARTING SHOT “This is your time to shine.” – JENNA 

This is the Private Practice Panel! We have Ashley Johnson, Rachel Gelman, Lex Lancaster, and Kyle Brunelle who are physical therapists and recent private practice owners. Some of them even started during COVID! Check out each here: Doc Jay Physical TherapyPelvic Wellness & Physical Therapy  Renegade Movement & Performance Biggest Challenges: Constructing a new clinicRushing to sign lease papersLength of time to open and continue to accommodate patientsMarketingOverspending 80% of changes come from 20% effort. Here are their 20% effort areas: MarketingRelationship buildingLogisticsBuilding a brandTargeting a patient population with a financial burden for therapy  The Most Fun Opening a Business: Building the brandDocumentationNo uniformIncreased autonomyCreating a website PARTING SHOT “Find your lane. Do not give up. Be personal. Be cool when people come to you.” – ASHLEY “Believe in yourself.” – RACHEL “Send it.” – KYLE “If you’re a new grad watching this, you can do this.” – LEX

Ryan Hendrickson is a service member in the Navy, Air Force, and Army, author of Tip of the Spear, and current Green Beret. Ryan was chatting with us while on his deployment in Afghanistan. His book details his life serving through three branches of the military and eventually becoming a Green Beret. One specific deployment in Afghanistan searching for improvised explosive devices (IED), Ryan tells us how he was injured stepping on one which ended up becoming life changing. Through multiple surgeries, skin grafts, and extensive physical therapy with his PT Johnny Owens, Ryan was able to walk and return to Afghanistan. Check out his book of his journey back to battle Tip of the Spear. QUOTES “You don’t control life and you don’t control death. Everything in between are blank pages.” – RYAN “You don’t really fail… unless you adopt a victimization mentality that you’re a failure.” – RYAN “As people would quit, I would feed off that weakness because I’m still here.” – RYAN        “You’re not just working on a patient or a client… you’re changing lives.” – RYAN “You’re getting guys and girls back into the fight regardless of what fight it is.” – RYAN PARTING SHOT “Refuse to become a victim of circumstance because life is full of them.” – RYAN 

We have Cindy Miles (Academy of Pediatrics President), Sharon Gorman (Academy of Acute Care President), Angela Campbell (Academy of Cardiovascular and Pulmonary President) and Dee Kornetti (Home Health Section President) talking about APTA’s COVID-19 Aerosol Generating Procedure (AGP) statement. As aerosol is one of the chief modes for COVID-19, APTA created an aerosol generating procedure guide because exercise and mobility could generate those aerosols. For more information on this AGP statement, check out these resources created by the APTA: Taking Precautions for Mobility and Exercise as Potential Aerosol-Generating ProceduresCOVID-19 Core Outcome MeasuresInfectious Disease Control Check out APTA’s Post-Acute COVID-19 Exercise and Rehabilitation (PACER) Project on APTA’s Learning Center to learn more about the physical therapy management and education required for this population. PARTING SHOT “It’s chaos. Be kind.” - SHARON “Through adversity comes opportunity.” - ANGELA “’...the credit belongs to the man who is actually in the arena...’ – Theodore Roosevelt, The Man in the Arena” – DEE “Peds rocks. APTA and everyone in the academies and all the chapters rock. We all rock better together.”  – CINDY

Let’s talk about sex! On this episode, we bring on Tammy Roehling, Pam Kays, Ariana Jones, and Anya Vierra who all treat and educate in pelvic health physical therapy. Tammy starts with common pelvic dysfunctions seen in clinic that may affect patients during sex – pelvic pain, incontinence, and erectile dysfunction. The women discuss how these are seen in most if not all patient populations as well as portraying society's view about sex. Treatment techniques mentioned include while keeping in mind patient comfort and consent: Education & communicationInternal & external massageTherawandBiofeedbackVaginal dilatorsDiaphragmatic breathingDesensitization3 phase progression for mind-body connection  Fun Facts: Water based lube or coconut oil is best for lubricationOn average, it takes over 10 years from onset to diagnosis of pelvic pain conditionsSince onset of COVID, there was an increase in dyspareunia present in clinic which the group agreed was due to stressAudio record sessions if it involves treatment performed internally As a physical therapist, it is important to understand how the patient defines sex and what their goals are because it may be different from our own beliefs about sex. Even when pain-free sex is achieved, it is essential to continue thinking of function with sex – orgasm with pleasure. Ariana is holding a webinar about returning to sexual activity after delivering a baby on Tuesday August 27th, 2020. Register here. PARTING SHOT “Always have a curiosity. Always have compassion. Ask all the questions” – ANYA “Get comfortable with the uncomfortable.” – PAM “A lot of people have dysfunctional pelvic floors especially after having a baby… Women need to get in and get their pelvic floor healthy." – TAMMY “All the women out there, look at your vulvas so you can pick it out of a line up.” – ARIANA 

Sammy Stryke is a physical therapist assistant in a skilled nursing setting who is aggressively passionate for helping her patients, students, and fellow clinicians. Sammy believes everyone can use a mentor no matter what stage of your career you are in. There are benefits of being a mentor – fulfillment, relearning material, different perspective, etc. As a mentee, you can gain confidence and new skills. She is passionate about PT advocacy and becoming a leader to have a voice at the table to make change at national levels. Check out the PTA Caucas for more information on PTA leadership in physical therapy. 

Becky Bliss breaks down the BJSM Article - Concussed Athletes Walk Slower than Non-Concussed Athletes During Cognitive-Motor-Dual Task Assessments but not During Single-Task Assessments 2 months after Sports Concussion: A systematic review and Meta-Analysis using Individual Participant Data Released in January 2020 from Butter, F., Howell, D., et al. Article Link: http://pubmed.ncbi.nlm.nih.gov/31331944/ The What Current concussion assessment tools may not be difficult enough to identify residual neuromotor control deficits in athletes that have sustained a concussion.  Recent evidence has shown that concussed athletes have a 2-3x greater risk of subsequent lower extremity musculoskeletal injury.  This poses to question current return to sport decision making tools and injury mitigation strategies for concussed athletes.  In this systematic review, meta-analysis, slower walking speeds and greater frontal plane CoM displacement was found during dual task activities to include cognitive motor challenges as compared to single task activities up to 2 months following injury.  Gait impairments persist beyond reported clinical recovery timelines and current assessment methods may not be sensitive enough to identify residual deficits prior to return to play.   Dual task assessments (with motion capture) may be a useful clinical assessment method to evaluate higher level motor control following concussion injury. The Who Studies that included individuals with sports concussion And non-injured controls The How Systematic review looking at inclusion criteria that included concussed and control participants with steady-state walking or static balance task as the primary motor task, and dual-task performance was assessed with the addition of a second cognitive task. So What? Dual task motor-cognitive assessment showed residual neuromotor deficits in concussed athletes as compared to matched controls, as single task was not a discriminating condition.  This indicates that current assessment tools may not be sensitive enough to identify residual neuromotor control impairments. What does it mean? This confirms that higher level neuromotor control, specifically dual motor-cognitive tasks, may help identify residual deficits following concussion up to 2 months post injury.  This is a potential postulated theory of why these individuals are at risk for subsequent LE MSK injury. Now What? Clinicians should be employing dual task, higher level cognitive motor assessments in athletes following concussion and prior to return to play. What Went Wrong? Continued investigation of what is the “best” assessment tool is unknown. Conclusion Athletes need to be able to cognitively make decisions, react and perform during game play.  Assessment tools that can mirror skills needed for sport may help identify higher level neuromotor control deficits that are currently undetected with static, single task measures and mitigate the risk of subsequent LE MSK injury risk.

Ellie Somers is a team physical therapist for the USAFL women’s national team, run coach and owner of Sisu Performance and Physical Therapy in Seattle, WA. Biases are always involved even in leaders. Ellie hopes people learn about their own implicit biases and how those biases can influence continued racism in our profession as well as the little steps and actions taken to make change. Ellie is active on social media and recognizes the difficult conversation discussed on these platforms favoring loud voices. Her advice is when in doubt, lead with a question and understand the voices to amplify and why. Her goals for DEI in PT - follow racially different PT’s and take actionable steps in the community and clinic. QUOTES “We follow our bias because it is the easy path.” – ELLIE “I have a responsibility to try and ensure that the content I’m consuming on social media works against my ingrained white privilege.” – ELLIE “We have to amplify the voices of black and brown colleagues. Consistently.” – ELLIE “I think we need to shift the vision a little bit and say how do we elevate the entire profession? How do we ensure we are being equal, equitable, and inclusive? The realm of physical therapy has a long way to go.” – ELLIE “Crisis doesn’t create character, it reveals it.” – JIMMY PARTING SHOT “Do the best you can to support diversity, equity, and inclusion every day.” – ELLIE 

Michael Lewis is a state affairs specialist for the APTA. He has worked in state and federal healthcare and disability policy for 10 years, a cause dear to him as he has cerebral palsy. He tells his story about his life with cerebral palsy and his personal connection to physical therapy. He was young when the ADA was enacted but it benefited him immensely to improve his mobility in the community and complete college and graduate school.   Read his article The ADA Turns 30 This Year on the APTA website. At APTA Legislative Affairs, Michael helps to move forward the advocacy efforts therapists strive for to improve health care – direct access, increase scope of practice, providing telehealth, and increasing access to the PT compact. Michael mentions recent APTA accomplishments including dry needling in Florida, co-pay law in Georgia, and the Choose PT campaign. QUOTES “The world was an obstacle for people with mobility issues.” – MICHAEL “People don’t ask questions because they do not know how to ask questions.” – MICHAEL “ADA is a great piece of legislation to progress, but hopefully we’re not done yet.” – JIMMY PARTING SHOT “Never underestimate someone with a disability because they will always outsmart you.” – MICHAEL 

Marcia Darbouze is a powerlifter, black spoonie, and physical therapist. She also co-hosts on a podcast called the Disabled Girls Who Lift. Marcia highly recommends checking out episode 12 – How to Treat your Disabled Friend. Wondering what is a spoonie? She explains it as a metaphor for how people with chronic illness feel and it changes daily.   Marcia begins with her fears about disability as she was learning in PT school. She connected with her two co-hosts who are also disabled to discuss the meaning to be disabled. These ladies put these ideas together to launch their podcast. Through her connections in her community and on Instagram, she now has her own practice at Just Move Therapy. In this community, Marcia expresses why inspiration is not what they need, but increased access for all people to have the same lived experience. QUOTES “This is a process. This is a journey. The destination is moving forward and feeling better. Maybe things will feel the same, maybe they won’t. You’re still you. You’re still 100% the same person.” – MARCIA   “I’m not pushing volumes and numbers. I’m just living.” – MARCIA “Luck seems to favor people who hustle a lot.” – JIMMY “The hardest part is making that dream... You don’t have to know anything to start something.” – MARCIA “The only thing holding you back is you.” – JIMMY PARTING SHOT “Hire disabled people.” – MARCIA 

Elliot Cleveland is a physical therapist who works with marching athletes and started the Marching Health. In 2016, he was also the winner of the PPS Student Business Concept Contest. He brings us back to why he became passionate for health and wellness for marching bands, drum corps, and marching arts. Today, he has created a niche market to serve understanding his target audience as he once was. During PT school, Elliot teamed up with a high school drumline team to improve the physical and aerobic endurance of students to handle the requirements of drumline performance. If you are wondering how intense drum lining and marching arts is, Elliot gives us the breakdown of long duration training extending for months, weather conditions, weight requirements, competitions, and travel included in participating on a drumline team in high school or college. Check out this performance from the Bluecoats 2016 competition. After PT school, Elliot wrote a blog called The Two Muscles Every Marching Percussionists Needs to Develop which reached 75,000 views. Starting with an idea has now turned into a Marching Health team serving as a clinic for high schools and colleges. QUOTES “Our big push with Marching Health is health and wellness but 50% of it is actually student leadership development and investing in young people.” – ELLIOT “You need to go target the people that you represent the best and the people that you are.” – ELLIOT “Hard work beats talent when talent does not work hard.” – JIMMY “That is what you need to instill in yourself. You are the one.” – JIMMY “The next step when you feel you are ready to take action is do it for free.” – ELLIOT PARTING SHOT “Figure out who you want to serve, how you want to serve them, and make that product worth while for them.” – ELLIOT 

Balancing Bicycle which gives advice about exercise, nutrition, and balancing life. She defines intermittent fasting as the umbrella term for different types of fasting. It is more widely known for time that is restricted from eating. Cara emphasizes choosing the food you eat wisely when allowed to.   Pros with intermittent fasting  ·        Matching fasting with circadian rhythm ·        Routine eating ·        Increase in IGF1 protein ·        Weight loss Cons with intermittent fasting  ·        Planning ·        Scheduling ·        Consistency Cara uses behavior change education with her patients to implement nutrition in clinical practice. The typical intermittent fasting timeline is eating for 8 hours and fasting for 16 hours. Cara mentioned half of the fasting hours involve sleeping. Scheduling is essential to follow this plan of eating. If interested in more information on intermittent fasting, check out Rhonda Patrick and her podcast. QUOTES “You cannot talk about exercise without talking about diet. They are so interrelated.” – CARA “Unfortunately, there is never a quick fix.” – CARA “’Life is like riding a bike. In order to maintain your balance, you must keep moving.’ – Albert Einstein” – CARA “’The greatest failure in communication is to think it actually occurred.’ – George Bernard Shaw” – JIMMY PARTING SHOT “Find your balance.” – CARA 

Mica Mitchell is a physical therapist with a passion for pediatric PT and is also a professor at Methodist University. As a professor and previous PT student, Mica has discovered ineffective study strategies students used in PT school because they are considered easy to apply. Trying to change the study strategy has been found to be more effective in learning and retaining information. Using evidenced based strategies, PT students need to have a growth mindset to maximize their learning potentials. Mica defines a growth mindset as the capacity to continue to learn. More information can be found on the Learning Scientists. Some strategies she discussed were: ·        Writing out notes of a topic then refer to the book after ·        Take more time on uncomfortable topics ·        Do not rely on your own questions or quizzes ·        Finding another purpose for highlighters ·        Teaching the topic to another person Jimmy questioned how to become that “A” PT student? Mica believes students seek growth if they fall short of their ideal grade. She also comes up with her own strategies for those students who strive for the “A” in PT school: ·        Check studying strategies ·        Check what is important to you ·        How are you sleep and stress levels? ·        What is the test actually testing? ·        Reach out to your professors sooner rather than later QUOTES “A good test is going to highlight what you don’t know.” – JIMMY “If you keep doing what you’ve always done, you’ll keep getting what you’ve always got.” – JIMMY “You don’t want to surprise yourself at the test about what you don’t know. You want to be testing yourself along the way.” – MICA “Embrace the why questions.” – MICA “As this lifelong learner in our profession, the evidence is changing.” – MICA PARTING SHOT “Have a growth mindset. Setting your goals are important because if you set your goals not just something you think is attainable, set your goals for something beyond your wildest expectations.” – MICA 

Mark Milligan is a physical therapist who wants to challenge our profession by revolutionizing it through technology, empathy, connection, love, and even donuts! Cannot argue with that. At CSM in Denver, Mark presented on telehealth and DEI which now are two major topics discussed in physical therapy. You could say he predicted the future, but Mark has been working into these areas even before this year’s events. Mark is originally from Austin, Texas and describes the systemic barriers that exist in his community. Not only is acknowledging these barriers important but he questions how PTs can play a role in communicating to other healthcare providers about breaking these barriers. Practicing in the clinic for 10 years, Mark has experienced the difficulties PTs face to treat patients without biases. He explains the importance of physical therapists to become comfortable with the uncomfortable while treating all patients. Mark explains the power of knowing and loving yourself to create safety in conversations and decreasing defensive behavior. QUOTES “We need to get people on the same starting line with the same bike, the same pair of shoes, the same wind, and let’s ride together.” – MARK “You don’t have to be responsible for other people’s thoughts about you but you do have to be responsible for your thoughts about you.” – MARK “When you love yourself ultimately you don’t have any defensiveness.” – MARK “A conversation is a relationship of information between two people.” – JIMMY “Pay people enough that money is off the table.” – JIMMY “More people should know about themselves.” – MARK PARTING SHOT “We are all human, we are all here together. Be patient, be loving, be kind… Love will solve things.” – MARK 

Kadeem Howell is a physical therapist who has developed a growth mindset. He focuses on the positives as a furloughed PT during COVID and earns extra money with side hustles.  His pursuit for keeping a strong mindset started at a young athlete which eventually led him to choose physical therapy as a career. His first job as a PT was with the Buffalo Bills because he maintained his mindset. Kadeem believes there are multiple solutions for one problem. Being furloughed as a PT, he not only earned extra money but increased in a variety of skills. Look at all the possibilities you can do AS A PT to earn additional money: ·        Car flipping ·        E-bay flipping ·        Day trading ·        Dividend stocks ·        Rental real estate ·        Affiliate marketer for courses and amazon products ·        E-comm drop shipping for PT products The theme throughout this chat is building relationships to increase trust with either people in your profession, patients, or customers.   QUOTES “If you can make it here, you can make it anywhere… If there is a will, there is a way.” – KADEEM “’Don’t listen to what I say, watch what I do.’ - Gary Vee”  – JIMMY “Empathy and sympathy are two different things but they are important to recognize the differences.” – JIMMY “The solution will always outweigh the problems… The solutions are limitless.” – KADEEM “If you don’t believe in yourself, no one else will.” – KADEEM PARTING SHOT “You are not your profession. It’s up to you if you want to be.” – KADEEM 

Reed Handley is a PhD student and Stacy Fritz is a professor and director of research at the University of South Carolina. Their focus is promoting physical activity for people with disabilities. As part of the curriculum, U of SC DPT students carry out research projects. Reed gathered three students to conduct research on strength training attitudes, behaviors, and knowledge in current & future exercise professionals. Participate in the research survey here: https://redcap.healthsciencessc.org/surveys/index.php?s=8WCHFMY7XL Reed points out that PTs will have different views on strength training depending on the type of clinical setting they work in. With 1,300+ responses currently, Stacy and Reed hypothesize PTs and students do have sufficient education and knowledge to adequately dose strength training to different patient populations.   QUOTES “Strength is not owned by PTs, it is a universal thing.” – REED “We are the movement experts. We always say that. Let’s prove it. We should know at least as much as the next healthcare professional on strength training.” – REED “I think we underdose in education the importance of ther ex.” – STACY “Strength is function.” – STACY “Explore movement yourself if you are not used to someone else’s movement.” – REED “It is not just going to be about the disease (COVID), it is going to be about the recovery.” – STACY “Don’t under dose, these people are going to need you to make them work.” – JIMMY 

Mark Ciolek and Sarah Cruser are physical therapists involved in health promotion and the investigators in the PT Health Study (https://www.pthealthstudy.org/). PT Health Study takes wearable devices (i.e. FitBit) and connect those with health care providers like physical therapists. Data collected includes step count, quality of sleep, heart rate variability, resting heart rate, stress, and recovery PT Health Study incorporates this data by educating their participants on prevention of future chronic diseases. For the future, Sarah hopes for improvement in wearable technology to provide a simple way for older adults to use wearables for health prevention. PT Health Study goal is to provide the whole community with information to decrease risk and improve health by using wearables. QUOTES This is scalable to be used by PTs across the country and really impact the health of a whole population.” – SARAH “The future is now.” – MARK “It looks like rain, maybe you should throw an umbrella in your bag.” – SARAH “We are providing nudges and guidance that are pre-scope of practice.” – SARAH “Sometimes they do get wet and that’s ok because we can also still hand them a towel.” – SARAH “We need to find a way to better connect with our communities in a real way that starts to engage around the idea of health.” – MARK PARTING SHOT “This is an opportunity to drastically change the way we approach not only health and wellness but care in general.” – SARAH “What are you doing to take a little bit more of the pie?” – MARK 

Eddie Ernst is a physical therapist assistant and Director of Rehab at a skilled nursing facility who has a passion for vestibular/balance rehab, chronic pain, and geriatrics. On student rotations, he gained experience treating patients with vestibular disorders which led him to choose this area to practice. He became certified to treat vestibular conditions through the American Musculoskeletal Institute (AMSI) and gave a list of institutes to become certified for PTAs. Check out AMSI here: https://www.amsitraining.com/ Eddie is a co-host for the PTA Tapes podcast which is the only PTA lead and PTA specific podcast. Eddie is currently working with Steven Tijerina in the Dizzy Discussions podcast focusing on vestibular rehab. He knew early in his career he wanted to lead and hold leadership positions. He emphasizes the difference between clinical supervision and business supervision. Eddie puts emphasis on not only having clinical leadership as a PTA but becoming involved in the state and nationally. Check out the PTA Caucus for PTA representation in APTA governance issues https://www.apta.org/apta-and-you/leadership-and-governance/pta-caucus QUOTES 18:40 “It’s important knowing what you know and communicating with the PT.” – EDDIE 22:37 “Make sure you know what you are prescribing.” – JIMMY 31:33 “As clinicians, our number one job is patient advocacy.” – EDDIE 37:10 “I want to move up the ladder high enough to be able to make decisions that have the biggest impact.” – EDDIE 38:37 “If your company is creating barriers to make a positive impact, time to look elsewhere.” – EDDIE 39:40 “You don’t get it unless you’re in it.” – EDDIE  40:10 “You need to be a healthcare provider first and an admin second to actively be able to advocate for your patients accordingly and correctly.” – EDDIE 44:38 “You need to be at the table and get yourself at the table to have a say.” – EDDIE 47:18 “It is not about the credit, it is about showing that you care.” – EDDIE 50:00 “Do you want to get it right, or be right?” – JIMMY PARTING SHOT “Advocate for yourself and for your patients.” – EDDIE 

Nick Housley is a physical therapist with a PhD in neuroscience and is the director of clinical research at Motus Nova working with new rehab technologies. You can check out Motus rehab here: https://motusnova.com/ Nick tells his story of being a nationally ranked cyclist and had an accident during this time. His experience with his physical therapist inspired him to pursue PT more specifically with robotics and assisted technology. He hopes that robotics will be that step to advance care and rehab for patients with neurological injuries. He brings us to the Motus Nova walkthrough where he illustrates the types of exoskeletons he works with and how they are beneficial for our patients. He also discusses even the disadvantages because assisted technology needs to be able to fit with each individual patient. The next step of robotics in PT is helping people adopt tele-rehab delivery methods. Robotics can be a new tool to adjust and modify PT practices. PARTING SHOT “I want people to be empowered to use technology in rehab.” – NICK 

Zach Gabor runs The Level up Initiative an online educational company focusing on freemium mentorship focusing on critical thinking and communication skills. Zak Gabor is a practicing PT for Boston PT and Wellness, and is also the founder of The Level Up Initiative, an online educational platform that focuses on improving student and new graduates critical thinking and communication skills. Their premier product is a "Freemium" mentorship that runs twice a year, and has around 400 enrollees per cohort! Visit thelevelupinitiative.com for more details. - Using a free mentorship platform as a trojan horse for academic reform- The importance of critical thinking and intellectual humility as core values of the healthcare industry- How strong critical thinking and communication skills translate into truly effective clinical practice

Jamey Schrier is a physical therapist and the founder and CEO of Practice Freedom U where he teaches business owners how to maintain freedom by balancing life and work as a business owner. Check out Practice Freedom U: https://practicefreedomu.thinkific.com/ Jamey tells his story of an event he experienced early in his career that changed the way he wanted to help in the PT world. He shifted from being the business owner of a clinic to helping others build their own. He paints us a picture of his ideal patient for his clinic and building relationships and connections to this patient population helped him define his target audience. Identifying the target audience will eventually transform the business operation. Bringing back to the basics, Jamey breaks down the difference between benefits and features of treating patients and owning a business. Here are Jamey’s three types of relationship strategies to find that ideal client: ·        Referral partners ·        Connecting with the customer directly ·        Have something to offer the target audience  QUOTES “The more you niche, the better your business will be.” – JAMEY “I believe in alignment. Alignment in your business and alignment in your life.” – JAMEY “People don’t do things when you’re ready. People do things when they’re ready.” – JAMEY “Communicate the transformation.” – JIMMY “The best customer you have is the past patient who has already been there.” – JAMEY “You are your own worst enemy when it comes to competition.” – JAMEY PARTING SHOT “You can do this. You can create the kind of business that you want. You can create the kind of life that you want.” – JAMEY

Drew Contreras is a retired Lieutenant colonel US Army physical therapist, former White House PT to the 44th POTUS, and VP of the Federal Section of the APTA. Drews tells his story on deciding physical therapy as a career and becoming a federal/Army PT. He served for 21 years in the US Army as a physical therapist. He gives the comparison of his experience as a US Army PT compared to civilian PTs. He refers to himself as a “physician extender” with increased autonomy in the Army. During the Obama presidency, increased physical therapy services were needed. With Drew’s experience in the Army and conveniently located working in the Pentagon, he was called to perform for the White House. Drew was the in-house PT for the Obama administration for 7 years. Drew dives into federal physical therapy and how PTs can make a difference on the federal level. If interested in federal physical therapy, check out the Federal Section of the ATPA here: https://federalpt.org/ Drew discusses the increased need for physical therapy in the military and he sees the future of PTs traveling with their assigned units. QUOTES  “I always try to treat all my military patients the same regardless of rank.” – DREW “Nothing is a problem until it is a problem.” – DREW "To have them (the government) say we want a physical therapist with every functional unit. That is pretty validating for our profession.” – JIMMY “People expect a certain level of performance out of you or a certain level of capability. You should be able to deliver that.” – DREW PARTING SHOT “You can do whatever you want on your last day.” – DREW 

The Great Reset Craig Phifer, PT and Sean Bagbey, PTA are co-owners of Rehabilitation & Performance Institute which puts the person first. They created the Private Practice Rebellion where they teach other business owners their model. Check those out here: ·        Rehabilitation & Performance Institute https://rehabilitationperformance.com/ ·        Private Practice Rebellion https://www.privatepracticerebellion.com/ Craig follows Dave Chase’s idea of what healthcare should look like and recommends the book “The CEO’s Guide to Restoring the American Dream.” In this book, Dave Chase discusses this period we are in today is “The Great Reset.” Craig gave us his equation on what the “great reset” is in patient care. Craig emphasizes not all parts of this equation are weighted the same in each patient interaction. ·        Value = patient experience + emotional experience + physical outcome / effort putting in + price their paying + risk taking. Sean shares a personal story about himself and his treating physical therapist. From his experience, he feels PTs are needed now more than ever as our skills are essential. Craig explains the patient perspective in physical therapy and if patients do value us to pay for our services. He describes this value is developed in the first 3-4 visits with the patient.   Craig and Sean demonstrate that PTs need to have an existing relationship to build trust. How to build a relationship with your patient is different now compared to pre-COVID. QUOTES “If this is a reset, what is going to change and how are we going to adapt with it?” – CRAIG “Physical therapy needs to have a better place in our society.” – SEAN “We need to show our worth and this is our chance to start doing that.” – SEAN “It just reinforces to me what we can do in this profession.” – SEAN “If you want to seem interesting, be interested.” – JIMMY “That monster becomes bigger when you think it is under the bed.” – JIMMY “We are not the star of the show when we are treating someone.” – SEAN PARTING SHOT “The profession of physical therapy can be much better then what we currently live in.” – SEAN “We gotta get away from talking and we need to get to doing.” – SEAN  “Make healthcare work really well for us.” – CRAIG  It has been suggested by Dave Chase that this period of time may be defined "The Great Reset." I believe we're about to see much faster changes in opinion, lifestyle, and behavior then we normally would. What does that mean for the profession of physical therapy? We're doing so much right as a profession, but our service is generally not valued (5th choice for chronic MSK pain by primary care physicians, 6th-ranked choice for people who have LBP). Right now, we have a tremendous opportunity to change that. Understanding that while clinically, we're doing so much well, that doesn't mean that people value the service we provide on a macro level.People significantly changed where and how they spent their money in the Great Recession, and we are very likely to see changes again.We can prepare PT to be at the forefront of this change, but we have to acknowledge and deliver what people want from our service - price transparency, highly individualized care, and trusting relationships with providers. People don't value PT the way it's currently being delivered (trying to offend as few people as possible). This is a business systems problem and not a clinical problem. As few as 10% of patients complete their prescribed care plan (WebPT 2018 State of Rehab Survey), and 78% of PTs reported that they thought this number was at least 50% of patients (16% not sure, only 6% of therapists indicated a number less than 50%). So, it's a problem therapists either don't know about or don't want to know about. What's worse, is that most of them are not put in a position to do anything about it. Now is a great opportunity to change that for the following reasons:  ...

She's know as "The Arm Whisperer" the "Explainer in Chief" and " Vitamin L." Down to earth style and humor combined with decades of clinical cancer rehab experience have made the world better for tens of thousands of cancer patients and survivors in the US and across the globe. Leslie Waltke is a Cancer Rehab physical therapist, educator, and consultant. She is known as "The Arm Whisperer", the "Explainer in Chief" and " Vitamin L." Leslie was on the show previously to talk about treating and educating cancer patients. THIS EPISODE she gives us the backstage pass on how she creates her educational content and video production. Leslie’s videos started out as a dare, but with hard work, picking an appropriate audience and knowing her intent, she now has The Recovery Room with educational videos for patients to view anytime online. Check out her Youtube channel and Facebook: ·        Youtube: https://www.youtube.com/channel/UChlrKLC6U3jYRyomCCf3NCA ·        Facebook: https://www.facebook.com/pg/lesliewaltkept/videos/?ref=page_internal Leslie discusses how to engage your patient with the acronym VET-M: Validate, Explain, Teach, and Motivate. She has found this beneficial especially with cancer patients.   Video, lighting, and sound are all factors Leslie considers and shows us how she incorporates these into creating her content. QUOTES 35:54 “Exercise like your life depends on it.” – LESLIE 38:49 “Treat yourself like you are the important person on the planet because you are.” – LESLIE   27:02 “Talk like your audience listens. Listen like your audience talks.”  – Jimmy 20:10 “Professionalism matters and there is a step to that in how you present yourself in video.” – LESLIE PARTING SHOT 2:04 “Videos can be ever green so never put a date on anything.” – LESLIE 1:12 “Youtube is a microphone. Use it.” – LESLIE  www.WaltkeAcademy.com

Michale Cromartie comes back on the show. The last time he was SPT Mike Cromartie, and now he's Dr. Michael Cromartie. He currently practices in Miami, FL at the Bruce Carter Miami VA Medical Center as an orthopedic outpatient physical therapist where he is able to serve our country’s veterans. A strong advocate for diversity, equity and inclusion in the PT profession, he has shared his personal experiences in his blog post “Code Switching” that was published in the PT in Motion magazine, which highlights his experience as the only African American male in his cohort. Michael Cromartie is a physical therapist at the Bruce Carter Miami VA Medical Center and received his DPT in 2019 from the University of Miami. Michael is also a strong advocate for diversity, equity, and inclusion (DEI) in the PT profession. In 2018, Michael won the NEXT scholarship of $1,000 with Aureus Medical Staffing to attend APTA’s NEXT conference in Orlando, FL. Listen to that episode here: https://www.ptpintcast.com/2018/05/02/whos-next-scholarship-winner-spt2-michael-cromartie/ Michael had the opportunity to speak to the DPT classes at the University of Miami about his article “Code Switching” and his experiences as an African American male in Miami’s PT program. Even with the resistance experienced, Michael believed it was important to tell his story. Check it out here: https://www.apta.org/article/2019/01/02/code-switching He was also involved with APTA XchangeSA chat focusing on DEI and black students in physical therapy. Briana Scott, PT, DPT and Mark Agholor, SPT were also guests on this chat. Listen here: https://www.facebook.com/APTAStudentMembers/videos/251405559647536/UzpfSTEwMDAwMDEyMzMzMTU4NzozNDUyNzgxNTk4MDY5MjUx/?hc_location=ufi Michael describes his experiences presenting as a new grad to students about the implicit and unconscious biases and its effect on DEI in physical therapy. QUOTES 42:37 “Take a risk even if I’m not sure. Take a chance especially if there is something positive on the other side.” – MICHAEL 38:15 “I’ve never had to think twice about my tone, backlash, about what it could possibly do to my career… That bothers me that you did.” – JIMMY 35:24 “With unconscious bias, people can perceive certain things about you just based off of one when they see you and two when they hear you speak.” – MICHAEL 30:48 “This guy that I look up to so much is telling me that I inspired him just by using my voice.” – MICHAEL 28:25 “Accept every opportunity that is given to you.” – MICHAEL (for new grads)   21:17 ”Implicit bias is neither good or bad. It is what you do after that.” – JIMMY 16:35 “As a person, you need to keep growing in life. Take on new challenges and new tasks.” – MICHAEL   13:30 “Lift as we climb.” – MICHAEL 12:25 “It is good to see the next generation of PTs are so hungry for information.” – MICHAEL 8:52 “When Colin Kaepernick was kneeling, I was someone who was like absolutely that was disrespectful. I said it. I wasn’t paying attention.” – JIMMY 8:11 “Marathon or sprint? You do not want to have 10 sprints. Keep the gas pedal on now.” – JIMMY 7:32 “’I don’t know how this is going to end but I know how it is going to begin’ – The Matrix” – JIMMY PARTING SHOT 1:36 “Stay committed to your goals.” – MICHAEL 1:10 “It is important right now while people are listening to use our voice because we don’t know what our voice is giving to others.” – MICHAEL 

Stephanie Williams, DPT, Mercia Bakouetila, DPT, Andrea Pantoja, DPT, and Amy Marie Lucero, DPT are four class of 2020 graduates and physical therapists from Texas State University to discuss their qualitative study on black students in PT education. Stephanie begins the chat by giving us the statistics of black physical therapists and students in our profession compared to the population. Amy paints a picture of the difficulties black PT students face enrolling into school and the lack of mentorship towards these groups of students. Mercia mentions from the study there was a wide spectrum of both micro and macroaggressions from stereotypes, prejudice, and even racism. Andrea defines social isolation and assumed universality for this population which includes under representation, lack of support from faculty, feelings of loneliness within PT education and similarities among this population. Mercia illustrates what code-switching means through example stories and that black students need to “code switch” even in a physical therapy program.   This group found that black students in PT programs did seek organizations that included diversity to feel comfortable and have a sense of community but also had allyship from their peers and faculty to help establish a more diverse PT experience.  QUOTES 49:16 “If you don’t know anyone that looks like you in this position, you might not even find out that physical therapy is a thing.” – MERCIA 46:12 “It doesn’t matter what I’ve done. It does matter that I have a 4.0 in undergrad. For some people, all they’re going to see is the color of my skin.” – MERCIA 41:57 “Man I wish one of my white friends would have spoken up.” – STEPHANIE 38:35 “I have to put a bigger effort in getting to know people compared to them trying to get to know me.” – ANDREA 34:13 “You have experiences as a white person. I have experiences as a black person. You can’t relate to what I say but you need to try to understand.” – MERCIA 30:24 “I am going to be unapologetically black in everything that I do even if that means being isolated.” – MERCIA 17:28 “Race might be uncomfortable to talk about, but you got to become uncomfortable, you got to learn.” – ANDREA 14:22 “We’ve come a long way but we still have so much work to do.” – STEPHANIE What does success look like about this topic 5 years from now? – start at 12:00   “In 5 years, seeing diversity within the actual physical therapy world” – AMY “I would love to see more support groups within PT programs.” – ANDREA “Success looks like better patient outcomes.” – MERCIA “From an institutional level, look to not being afraid to have these conversations.” – STEPHANIE PARTING SHOT – start at 4:30 “Change begins with ourselves.” – AMY “We need to become comfortable with the uncomfortable conversations of race.” ANDREA “When people talk about their experiences, you need to listen.” – STEPHANIE “Challenge people to look at who’s around them… Have some diversity around you.” – MERCIA

Mike Lebec is a PT professor at Northern Arizona University. Mike has implemented teaching styles using technology (videos, polls) to engage students as there may be a shift to a hybrid/online DPT education. Mike is active in promoting physical therapists practicing in the emergency department. He teaches about this topic at NAU and provides valuable resources. Check these out here: ·    https://www.facebook.com/groups/252530905428371/?hc_location=ufi ·   https://www.ptpintcast.com/2019/08/12/pt-in-the-ed-preventing-catastrophe-by-asking-questions-with-naveed-shan/?fbclid=IwAR3FlrfA2hpwoH3E4D79mw70qqDwe1BLfx0b7PLDFDU0PY_CApTd_xjxURM ·   https://www.apta.org/your-practice/practice-models-and-settings/hospitals/emergency-department Mike performed for us the world premiere of “Six Feet Away” which Mike wrote himself. Listen live on this chat. PARTING SHOT 1:40 “Dare to be wrong.” – MIKE 

Mike Morrison is a former web designer turned PhD student in Work Psychology using design and psychology backgrounds to share knowledge. Mike defines the user experience (UX) in common web designs today and how UX makes consuming information faster and more efficient in websites or presentations. With his background in web design, Mike created Twister Poster and Better Poster to improve the way information is presented. Check them out here: ·        Twitter poster: https://www.youtube.com/watch?v=fQDL8r3r_d4 ·        Better poster: https://www.youtube.com/watch?v=1RwJbhkCA58&t=3s He describes what is included in the Better Poster and how it compares to other posters usually seen at conferences. He talks about the importance of catching attention and emotion with your poster design. He explains how to create a Twitter Poster and found this design to be more eye catching to the consumer versus a link or graphic. Mike breaks down what information foraging theory is and why it is important to engage your audience with little effort. Mike believes there is not a better time then to start and apply UX than during COVID. With the rise in virtual events and increase in technology use, it is time to improve the presentation of your information and make presenting easier. QUOTES 41:12 “If something is hard to use, people don’t use it very much” – MIKE 30:10 “Everything that gets in someone’s brain before they ask you a question about your research will make them ask deeper and better questions.” – MIKE 23:14 “If you cared about the learning experience, you would use color to stimulate emotion that is relevant to your study.” – MIKE   16:12 “To make something engaging, you have to make it more interesting than it is effort.” – MIKE 12:48 “The strongest information that you can present is getting right to the point” – MIKE PARTING SHOT 1:38 “You have to stop being frustrated with people for being lazy and start loving people for being lazy” – MIKE 

Registration is linked on their Facebook page here: https://www.facebook.com/groups/CPTALBSB/?hc_location=ufi Annie Annie Burke-Doe is a physical therapist and a telehealth expert. She describes the importance and difficulties of using telehealth in this ever-changing environment.  She mainly works with pediatric patients and discusses the challenges treating this population using telehealth. Annie further goes into what platform she uses to treat telehealth and how she continues to protect patient’s information. PARTING SHOT 47:57 “If telehealth has been something that you have been afraid of or not, thinking that you can do it, go out there, use all your skills, make it happen, and you’ll be great at it and it will help people in society.” – ANNIE Alan Alan Lee serves as the telehealth lead for the APTA Frontiers in Rehabilitation Science and Technology (FiRST) Council and the APTA HPA’s technology SIG Vice Director. Alan and Jimmy hosted the Technopalooza event at CSM 2020 in Denver. Listen to that CSM LIVE! here: https://www.ptpintcast.com/2020/04/22/technopalooza-live-from-csm-denver/?fbclid=IwAR3FlrfA2hpwoH3E4D79mw70qqDwe1BLfx0b7PLDFDU0PY_CApTd_xjxURM Alan believes telehealth is a way of practicing that should be permanent in the future by incorporating it into all practices, teaching it in education, and increasing research to determine the effectiveness of telehealth in physical therapy. QUOTES 39:18 “We need to collaborate with interprofessional telehealth and telemedicine providers to really help society in addressing the societal needs including diversity, equity, and inclusion of those areas that are really underserved.” – ALAN 37:21 “Telehealth is a team sport. It needs all of us.” – ALAN PARTING SHOT 32:03 “We are professionals of being together in the community. Telehealth is just one component of what we do.” – ALAN Chris Chris Reed is the CFO of Agile Physical Therapy in the bay area of California and the chair of the government affairs committee of the CPTA. With his increased involvement in PT advocacy, Chris emphasizes why physical therapists should understand the “laws of the land.” The FSBPT contains the laws and regulations of practicing telehealth in all 50 states. Check out those here: ·  https://www.fsbpt.org/Free-Resources/Regulatory-Resources/Telehealth-in-Physical-Therapy · http://telerehab.pitt.edu/ojs/index.php/Telerehab/article/view/6269 At Agile Physical Therapy, Chris uses outcome measures to track the effectiveness of using telehealth in physical therapy. PARTING SHOT 6:30 “Telehealth isn’t something to be afraid of. It is a tool that we can use to do the things that we do everyday.” – CHRISTo register for this webinar, check out CPTA: Long Beach South Bay District June 30th 6-8 pm.

Will Humphreys is a physical therapist, entrepreneur, author, and speaker. Will coaches business owners and physical therapists across the country to his knowledge and belief of profitability. If you thought that was all, Will created a medical billing and consulting company called In the Black this past April. Will tells us about the events he endured to ultimately choose his path in physical therapy and becoming a physical therapist. Will goes further in how his past has shaped who he is today and describes the entrepreneur’s mindset: learn, endure, and lead. He discusses the difficulty starting his company Rise Rehab back in 2003 but mentions that even though that was the most difficult situation he had to endure, it is possible with work. In 2018, Rise merged with now Empower Physical Therapy. He gives us a clear understanding on what “profitability unlocks possibility” means and how this benefits the entrepreneur and current physical therapists. One topic Will coaches about is the 5 Pillars of Profitability: 1.       Reliability and transparency 2.       Consistency 3.       Efficiency 4.       Stability 5.       Predictability Will has created a YouTube channel to assist business owners, PTs, new graduates, and students on success in our industry. Take a listen here: https://www.youtube.com/channel/UCd9MwDrfXzXbDjnEqRCW8wA Will describes to us the Core Four (heart, mind, body, spirit) and how he believes working on yourself everyday leads to success.

Daniel Chelette of the PGA Tour Player Performance Center talks: His work on the PGA tour. How he got the opportunity What they do there as a team Related concepts of professional development, professional growth and navigate early career challenges and an early PT professional Components of the role played as a PT in professional golf Be guided by your passions and your interests when establishing short term and long-term career goals Career paths are subject to change and don't typically stick to the script you originally put together

Kyle Covington, PT, DPT, PhD is a professor at Duke University in their PT program and he's the Vice-Speaker of the House for the APTA Board of Directors. Each year delegates from around the country come together for the House of Delegates to help shape the profession of Physical Therapy. What happens there, might not be something that you hang on every word of. Fortunately for us we have Kyle Covington to breakdown the big happenings at this years house of delegates. We coverDuke University's "House of Dukelegates" programHow the APTA's House of Delegates structure and functionWhat his role as Vice-Speaker entails From the 2020 House of Delegates we coverTelehealth ChargeAPTA Behavioral & Mental Health PositionAPTA's Transparency of Accredited Physical Therapy Education ProgramsAPTA Standards of Practice changesWhy you should care about APTA and the House of DelegatesHow you can get more involved https://www.apta.org/PTinMotion/News/2020/6/10/HouseRecap/

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

We talk with #FreshPT Andy Seraphin who has worked with youth soccer community program club AC Fairhill. AC Fairhill is a youth soccer club that provides opportunity to everyone regardless of socioeconomic status PTs can play a major role in improving the health and well being in communities of color Andy shows us how and why. Andy is currently running a fundraiser to purchase new equipment, uniforms, and fund transportation. Donate here: https://www.gofundme.com/f/ac-fairhill-a-campaign-for-youth-prosperity?utm_medium=copy_link&utm_source=customer&utm_campaign=p_lico+share-sheet

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 

Leslie Waltke giving tactical tips for working with patients during and after a cancer diagnosis.

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/

Joe Reinke of www.FITBUx.com talks loans, making/saving money and having a plan that works for you.

Sharif Zeid from MW Therapy https://www.mwtherapy.com/ breaks down the NEED TO HAVES and the NICE TO HAVES for your practice EMR. Sharif has been working with in the health IT space for over 15 years spending the bulk of that working with PT practices. He is a business director at MWTherapy, which is a complete PT software package, where he works on many different things including communicating with many PTs and staff on a daily basis. https://twitter.com/mwtherapy

Got a chance to talk to Eric Legrand (https://ericlegrand52.com/) about his 10th annual A Walk to Believe event (https://give.reeve.org/event/2020-a-walk-to-believe/e275787) To join the show's fundraising page click here: https://give.reeve.org/team/298927

HPA The Catalyst (https://www.aptahpa.org/) President Matt Mesibov and Vice President Karen Hughes come on to talk about the surge of information (and misinformation) around COVID-19. We cover: 1. The impact of COVID-19 on our profession 2. Amid this crisis we have had a surge in membership and engagement... why?! 3. The uniqueness of HPA The Catalyst inclusivity and innovation 1. COVID Impact: Recognizing the need for resources for our profession and began to collaborate on clinical and non-clinical resources. e.g - webinars, telehealth vendor resource,  collaboration with APTA and other components. 2. Membership growth- at a time when Maslow's hierarchy is dominating our lives to survive - i.e. what are my basic needs? , we have seen more historical membership growth and engagement in learning, participating and developing material to share with our colleagues- awesome networking people -  3. Innovation/Inclusivity of our section - ground up section - we give our members a platform to belong and adds value to each professionals life by allowing the individual and group  to flourish in their specific areas that impacts their quality of life and professionalism - ie.catalyst groups- beyond clinical, pt proud, pro-bono, tech sig, global health sig, lamp leadership & lamp management, payment and practice, research, publications, and programming

Angela Campbell and Sharon Gorman were instrumental in creating the PACER Project - Post Acute COVID-19 Exercise Rehabilitation. Angela is the president of the cardio vascular and pulmonary section of the APTA and Sharon is the president of the acute care section of the APTA. We talked about all of the free valuable resources available for treating patients post COVID. Find out more here: https://learningcenter.apta.org/student/mycourse.aspx?id=f4b7ebc7-bdbd-4808-814c-c875c8aee805 CVP YouTube channel featuring all the PACER courses:https://www.youtube.com/channel/UCJR0p2186h3OYPfnavgjfHQ

Chris Hughes the OP editor at the Academy of Orthopaedic Physical Therapy (www.orthopt.org) gives us the overview of the current concepts of Orthopaedic Physical Therapy. Listen to learn more about: Resources and service opportunities available through the Academy of Orthopaedic Physical TherapyHow the ISC Current Concepts series for professional development can help YOU prepare for the OCS examinationWhy having a "dying to know" attitude can make you a better clinician WIN Access to Current Concepts of Orthopaedic Physical Therapy here: https://www.orthopt.org/

Ben is the founder of Mobile Measures, a mobile app designed for physical therapists to optimize the use of functional outcome measures. He is also a physical therapist at the Hospital of the University of Pennsylvania where he still practices full time. Mobile Measures is a mobile app that helps PTs measure patient outcomes. It provides access to high-quality patient assessment tools that are proven to measure critical aspects of patient health/functional status including risk of falling, hospitalization, frailty, and much more. The app guides users to the best test to use for over 40 different patient populations, it automatically calculates scores, offers immediate interpretation of the results, and uploads the results into your documentation. Users can visualize the impact of their patient’s condition, track progress, and determine the effectiveness of treatments directly at the point of care! www.mobilemeasures.org As the current trend in healthcare is moving toward value-based payment plans, physical therapists need to find new ways to prove the value of their services and improve the efficiency and effectiveness of delivering high-quality evidence based care. Mobile Measures is designed to do just that. Outcome measures play a key role in clinical decision making, improving patient outcomes and quality of life, and reducing healthcare costs for patients and organizations. Although the benefits of using outcome measures has been recognized for many years, they are not routinely and effectively being used in daily practice because of barriers related to time, knowledge, and ready access to information at the point of care. Mobile Measures provides all of the tools needed to overcome these barriers and maximize the benefits that outcome measures provide.

Sandy Billinger is an Associate Professor at an academic medical center and lead a research laboratory. She serves as the Neurovascular Division Director, KU Alzheimer's Disease Center and I is an educator in the classroom teaching Cardiopulmonary PT and a mentor for trainees. Sandy is dental assistant turned academic who almost chose cardiac rehabilitation research instead of stroke recovery research. She enjoys her research and mentoring role that she did a Walk Across Kansas with her son to raise money to purchase unique equipment for an idea she had to assess brain health after stroke. Five years later, she and her lab team were the first in the world to publish on this methodology, Middle Cerebral Artery Dynamic Response during Moderate Intensity Exercise. What we cover: Stroke recovery research Novel methodology for measuring cerebrovascular function during exercise Career path Roles/thoughts on mentoring Value of DPT students collaborating with me in research

National Advocacy Dinners… or NADS.  You’ve probably seen people talking about them online. Hashtag APTAnad Well, the team at PT Pintcast knew a LITTLE bit about what NAD’s were… I mean, the word advocacy is in the title, and then there’s the word DINNER! Who doesn’t like dinner?! …. But we wanted to look a little deeper at the ingredients that make up these events and see how they’re cooked, just before this year’s event.  Which will be served this Saturday May 9th at 7pm eastern.  https://www.facebook.com/APTAStudents/ https://www.apta.org/AdvocacyDinner/

Veena Somareddy is the CEO/CTO of Neuro Rehab VR. They build virtual reality therapy products for Physical and Occupational therapy clinics, Hospitals, Patients who have suffered a stroke, TBI, SPI and other neuro diseases https://www.neurorehabvr.com/ We cover:How VR is disrupting the PT, OT industry with virtual reality therapyHow our patients and therapists are responding to the tech and how the data analytics helps with precise tracking of patient progressWith Covid-19, Telemedicine even in PT is going to be an important way of Therapy soon and would like to talk about how this tech can help PTs continue to keep in touch with their patients Virtual Reality:Increases patient engagement & motivation with virtual reality for physical therapyPatient and PT experiences with VR and Data Analytics for progress tracking Listen and learn how:Understand the benefits of virtual reality technology, how they can integrate it into their practice.Increase patient engagement, motivation and also ROI for their clinicsExplore new ways of keeping in touch with their patients remotely at a time of crises where they have to practice social distancing when PT is all about being in close contact with patients 

Project 11 and Pacer with Johnny Owens and Larry Cahalin The APTA Pacer Project - Post-Acute Covid-19 Exercise and Rehabilitation (PACER) Project brings together multiple components in the form of multiple online learning modules for a variety of topics that will be needed in patients post COVID19. Johnny Owens and Larry Cahalin are collaborating on a Blood Flow Restriction component that we dive into. Johnny sticks around the show to talk about Project 11 - a feature on ESPN documenting the injury and recovery of the Washington Redskins Quarterback Alex Smith. The feature is hosted by physical therapist and ESPN head injury analyst Stephanie Bell. Johnny was part of the recovery team for Alex, along with another former guest of PT Pintcast Seth Blee.

Patrick Berner is a Physical Therapist and Registered Dietician who speaks regularly on the topics of nutrition and health. We all eat certain foods for a reason. Whether it be preference, what we grew up eating, our culture, but even our access to foods.It's important to know these reasons and the fact that we are all different in order to go any further in integrating nutrition into PT practice.  We can talk about what is "healthy" all day, but if it doesn't fit into someone's life or they don't know how to make it fit, then it's all for none. We cover:What I eat will never look identical to what you eat.My access to food will differ from a majority of people.Knowing the reason behind behaviors and nutritional determinants sets up future success.

No stranger to the show Erik Meira comes back on to talk about the American Academy of Sports Physical Therapy. https://spts.org/ http://aptaapps.apta.org/componentconnection/profile.aspx?compcode=F&UniqueKey=

Erica Michitsch is a pelvic floor and orthopedic physical therapist. She owns Solstice Physio (www.solsticept.com) in Midtown Manhattan and Long Island.  COVID-19 hit and she had to adapt to Telehealth treatment in an intimate setting, learning how to bill/charge patients, and with navigating technology to best benefit the patient.  Full Disclosure - Erica was very resistant to telehealth at first, but has come to love it. We hear how she converted her entire business from the epicenter of a pandemic while thriving.

Physical Therapist and Boss Lady Megan Brown owns Mind the Mat - a thriving Pilates and Yoga studio in Alexandria Virginia shares how she went from in person treatment and classes as her main business to dancing in bunny ears to Beyonce on Easter via webcam. Megan and her team had many of the same struggles and limitations as fellow Physical Therapists across the world, but what they did with it was unique. We learn how Mind the Mat pivoted to not only stay in business, but thrive in a time of a global pandemic that has prevented in person treatment and classes. https://www.mindthemat.com/ http://www.instagram.com/mindthemat

We went live @ CSM in Denver with some new and some familiar voices. On the show for the first time is Jason Steer with his former student Matt Tuttle who's a friend of the show. Jason currently serves as a physical therapist for a special operations unit in the U.S. Army. He has been a member of a multidisciplinary team for most of his career which began in the athletic training room at the University of South Dakota in 1995. After receiving his Master’s degree in Physical Therapy in 2000, he was able to spend 3 years with the Los Angeles Dodgers and 4 years with the Seattle Mariners working side by side with esteemed physicians, physical therapists, athletic trainers, and strength and conditioning professionals. Also back again is Krystyna Holland who tells us more about her origin story as a Physical Therapist, one that almost prevented her from becoming a PT altogether.

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.

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/

Telehealth in rehab therapy: How it can be leveraged for patient care and why PT's should use this opportunity to advocate for permanent telehealth coverage expansion. What PT's need to know regarding billing etc. It's all a moving target right now. Business continuity: What PT's need to know to keep their businesses running during times of uncertainty and hardship, including patient communications, employee support, company culture/morale and more. Links from WEB PT: https://www.webpt.com/resources/webinars/telehealth-and-continuity-strategies-for-pts-ots-and-slps-during-crisis/?utm_medium=web&utm_source=blog&utm_content=slider_ad_webinar_telehealth_and_continuity&utm_campaign=blog

Zach Gabor runs The Level up Initiative an online educational company focusing on freemium mentorship focusing on critical thinking and communication skills. Zak Gabor is a practicing PT for Boston PT and Wellness, and is also the founder of The Level Up Initiative, an online educational platform that focuses on improving student and new graduates critical thinking and communication skills. Their premier product is a "Freemium" mentorship that runs twice a year, and has around 400 enrollees per cohort! Visit thelevelupinitiative.com for more details. - Using a free mentorship platform as a trojan horse for academic reform- The importance of critical thinking and intellectual humility as core values of the healthcare industry- How strong critical thinking and communication skills translate into truly effective clinical practice 1. The elephant in the room - academic reform. We all know the boards are teaching to outdated concepts, we all know we need to do better. But it is not so simple to restructure deeply rooted academic tradition. How can we move the needle forward in a collaborative, constructive, and meaningful way? We have some ideas... 2. Critical thinking and intellectual humility as a key core value for the healthcare industry. Unfortunately, our own cognitive inflexibility has in part contributed to the current healthcare mess we are in. We hold ideas and even if those ideas are challenged with robust evidence, we have been un able to let go of deeply rooted dogmas despite the evidence it can have a negative impact on healthcare delivery. How do we truly practice intellectual humility? 3. How does critical thinking and communication translate into clinical excellence? Well I will put it simply. A truly effective clinician should be able to truly listen, connect, and synthesize information to create an informed plan of care. If you are up to date with your clinical understandings and frameworks, and pair that with a strong ability to influence and inspire your patients to take action...well, that's powerful, and pretty much all you need. And will also set you up to be a BEAST with telehealth. I would ask the question: do we really NEED manual therapy as our premier service we provide?  These speak to pain points that a lot of students and new grads feel but don't always openly discuss because it is taboo to speak up against deeply rooted institutions and beliefs. It can transform healthcareIt can decrease clinician burn out.It can set up to be successful and more flexible in the future when things change.

After being diagnosed with Stage II cancer in his last year of PT school, Scott Capozza initially wanted nothing to do with cancer care professionally.  However, he’s come to learn that the best way he can give back to the cancer community is by helping fellow cancer survivors.  Through rehab and individually tailored exercise programs, cancer patients and long term survivors can overcome many of the physical side effects caused by treatment. What is a cancer survivorWhat are some common side effects from treatment How can rehab and exercise help cancer patients better deal with side effects (in prehab, during treatment, and in long term survivorship)How PTs interested in oncology rehab can get more involved  Side effects from cancer treatments are well documented and wide spread.  Early rehab intervention (prehab, during treatment) helps limit potential side effects while giving the cancer patient some sense of control of their health.  Survivors also require rehab following completion of treatment to safely exercise and screen for long term side effects like balance issues, muscle weakness and lymphedema. There will be an estimated 17 million cancer survivors in the US in 2020.  No matter what setting you practice PT in, you will encounter a cancer survivor and you need to be prepared to treat them safely and effectively Cancer survivors experience many physical short and long term side effects from life-saving treatment.Physical therapists can address many of these side effects throughout the cancer trajectoryPhysical therapist should actively advocate for increased access to rehab for all cancer patients and long term survivors

We talk to Trent Harrison who's the Residency Coordinator at Brooks IHL and the Creator of an Online Education Platform, PhysioNexus. On Twitter: https://twitter.com/tcharrisondpt Our Guest Trent is an Orthopaedic Certified specialist & fellow of AAOMPT.  An Orthopaedic residency coordinator for Brooks Rehab for over 5 years.  Self-taught web designer & video editor all for the purpose of creating a new online community hub for Physical Therapy education & collaboration.   Very much into the concept of culture development.  Was an anthropology major, spent first career overseas in Japan as an English Teacher/Bartender studying Japanese intensively at Waseda University.  Came back to pursue a career in Healthcare.  Has been on both the membership committees of Academy of Orthopaedic Therapy (APTA) & AAOMPT (was also the chair of the Membership & media relations committee).  This all highlighted the need for increased educational cultural development outside of the typical social media platforms. We talk about: How people currently approach learning subjects or topics.  How people currently discuss cases and try to work with their colleagues on learning information.  How most of this does not involve a roadmap, reflection, or mentorship.  How Physionexus is hoping to tap into those things.  Also how important mentorship and reflection are and that’s in essence what Residency truly is about. Current Education practices -> memorize, cram, piecemeal, reactionary.  Best methods -> scope topics, chunk information, space repetition, interleaving of topics, REFLECTION!  People are just doing it wrong, and most of it is habit.  Need to tap into habit forming concepts for the good of the profession. Takeaway points: Proper learning techniques will foster improved overall understanding of the profession.  Hopefully it begins to decrease practice variance.  I created Physionexus to try and improve outcome tracking, decrease practice variance, have a supportive nurturing location for conversation that would in turn act as a repository of information for others to learn off of. In addition to all of that utilizing educational tracks with proper education techniques to then improve our knowledge base. Current education techniques are poor habits that feel good, but aren’t storing informationCurrent online educational hubs involve expense lecture based tracts that dont help with reflection & implementationCurrent social media & community usually is fleeting, meaning that information isn’t stored for others, and it usually can be way too polarizing.

Anang Chokshi is a physical therapist who left traditional care to help start a digital healthcare company in San Diego over 7 years ago, Reflexion Health. As their Chief Clinical Officer he has been able to use his clinical background to build an organization that is using sensor technology and telemedicine to deliver care that is convenient for patients while providing clinicians greater insight into the recovery process. We talked about why we should be embracing telehealth and technology into our practice in the future. Translating telehealth research into practical application of telehealthHow to use telehealth in today's healthcare beyond the B2C modelTelehealth doesn't mean less careTelehealth still uses your greatest skill as a clinician, observation and clinical reasoning/decision making   This is important because if physical therapy doesn't embrace telehealth, there will be companies that offer pseudo therapy to our patients. We covered: Understanding the opportunitiesPatient centric and focused careUnderstanding the legalities of your PT state board Connect with Anang:Twitter: @AnangChokshiDPTInstagram: @AnangChokshi

We were lucky enough to be present to hear these two ladies deliver inspiring TED-like talks at the Tri-State PT conference in Las Vegas. Megan Fisher Megan Fisher a Paralympic gold, silver, and bronze medalist from the Rio 2016 and London 2012 Games, a ten-time world champion, and retired member of Team USA. Her road to success has not been easy. At 19 years old she was involved in a tragic car accident that nearly killed her; leaving her in a coma and stealing the lower half of her left leg. After the accident, Meg fought to overcome relatively simple challenges, like eating, standing, and relearning how to walk.  Incredibly, less than a year after the loss of her leg, Meg returned to college and finished her first triathlon.  That one race proved to her that she could overcome any obstacle. Meg continues to explore her own physical boundaries.  She uses these experiences to inspire and motivate as well as to raise awareness for a wide variety of causes and organizations. Today, she works as a Doctor of Physical Therapy, athletic performance coach, motivational speaker, and is in hot pursuit of other opportunities that demonstrate the capacity of the human body and spirit.    Amanda Boxtel. On February 27th, 1992 a freak skiing accident rendered Amanda a paraplegic. On that fateful day, at the age of 24, Amanda’s life took a dramatic turn and her dance on wheels began. It happened in a split second while downhill skiing – she somersaulted, an electric current ricocheted through her legs, and instantly she knew she was paralyzed. Since sustaining a permanent spinal cord injury, Amanda has become a strong advocate for people with disabilities and has been involved in community and outreach projects that aim to improve the lives of individuals with disabilities. Amanda presents from her bionic exoskeleton suit, walking across the stage and demonstrating to her audiences the power of bionic technology. She is a passionate and dynamic motivational speaker who captivates her audiences with her stories, weaves in the valuable lessons she has learned along the way, and warms their hearts with laughter and compassion. She focuses her energy to present fresh material in a polished style. She has been featured as a speaker at numerous conferences and venues including TED2011, TEDx San Antonio, TEDxDU, TEDxSF, The Aspen Ideas Festival, 20th Century Fox Studios, Aspen Brain Forum, and Singularity University’s European Summit. Amanda’s overall message is one of never giving up in pursuit of the best quality of life possible. From her life experiences, she has a greater sense of healing and that transformation occurs from within. She believes in the divine connectedness to all things and she aspires to help make the world a better place for future generations. Amanda currently serves as Executive Director for Bridging Bionics Foundation, which aims to bridge human mobility with exoskeletons and bionic technology. In her spare time she enjoys writing, painting and drawing. She lives near Aspen in Basalt, Colorado. 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 

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 

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 modelIndependent contractorOne on one appts Contracts with private clubsTravels to and treats at homes, offices, gyms, private country/city clubsFlexibility in scheduleHow 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 PopulationUtilizing Intrinsic Motivation and External Focus of Attention in a Patient with Cerebellar AtaxiaChanges 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

Arielle Giordano is the Associate Director of Physical Therapy and Residency Director at the University of Delaware. We talked about a Clinical Practice Guideline (CPG) that will be published in early spring on the rehabilitation of concussion. This will will help to point us in the direction of how to treat concussion, what to look for and what tools are necessary.  Other guidelines focus on Primary Care, Sideline evaluation or Emergency department procedures but not treatment in those with chronic symptoms using Physical Therapy. The neck and the vestibular system are large areas of focus which we be reviewed in the Academy of Orthopedics Annual conference. Arielle will be presenting at the Annual Orthopedic Meeting from the Academy of Orthopaedic Physical Therapy April 3-4 in Minneapolis Minnesota. We got into the large focus on concussion treatment being brought to the forefront by the media, especially in football and collision sports. Many children play sports which is causing parents to focus on whether they should allow their son or daughter to play in these sports.  Concussion is even more prevalent in all age ranges due to motor vehicle collision, assaults and falls. Our conversation focused on: ResourcesPerceptionOutcomes Connect with Arielle:Twitter: @AirelleGiordanoInstagram: @airellehunter

We talked to Ellen Hillegass and Kayla Black about all things CSM Cardio Pulmonary presentations. Ellen is presenting with Kayla in a preconference event: CP-1544 - Advanced Clinical Practice in Cardiopulmonary Physical Therapy: Are You Practicing Best Practice? As well as twice more during the conference CP-1576 - Cardiovascular and Pulmonary Residency Forum: Interesting Case Studies Presented By Residents CP-1754 - Pulmonary Hypertension: What, Who, Why, How, When? In this episode we cover: Advanced clinical practice: that is where we want all clinicians to aspire to! Pulmonary hypertension: much more prevalent...people need to understand it Cardiopulmonary Residency: helps raise practice, case studies will help those studying for boards and trying to advance their clinical knowledge and the residents have an opportunity to present at a national conference! Most of our PT patients have SOME sort of cardiopulmonary dysfunction and all practitioners need to address this area of PT clinical practice. 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 

PEDro stands for Physiotherapy Evidence Database,  It’s 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. In this episode we talk to Professor for Health Innovation at the University of Exeter Sallie Lamb about SARAH, or Strengthening and Stretching for Rheumatoid Arthritis of the Hand Trial (SARAH) Trial Team It appeared in Lancet 2015 Jan 31;385(9966):421-429. https://www.youtube.com/watch?v=O69MRinEw_Q&feature=emb_logo More about Sallie Lamb. Sallie has a long-standing interest in clinical trials, medical statistics and, rehabilitation of musculoskeletal and chronic conditions in older people. She works with clinicians to develop pragmatic clinical trial designs to capture the effectiveness and cost-effectiveness of a variety of health interventions. She is the Chief Investigator for a number of trials of rehabilitation interventions.  Disease-modifying biological agents and other drug regimens have substantially improved control of disease activity and joint damage in people with rheumatoid arthritis of the hand. However, commensurate changes in function and quality of life are not always noted. Tailored hand exercises might provide additional improvements, but evidence is lacking. We estimated the effectiveness and cost-effectiveness of tailored hand exercises in addition to usual care during 12 months.  We have shown that a tailored hand exercise program is a worthwhile, low-cost intervention to provide as an adjunct to various drug regimens. Maximisation of the benefits of biological and DMARD regimens in terms of function, disability, and health-related quality of life should be an important treatment aim. Improvements in overall hand function were 36 points (95% CI 15 to 57) in the usual care group and 79 points (60 to 99) in the exercise group (mean difference between groups 43, 95% CI 15 to 71; p = 0.0028). Pain, drug regimens, and health-care resource use were stable for 12 months, with no difference between the groups. No serious adverse events associated with the treatment were recorded. The cost of tailored hand exercise was 156 per person; cost per quality-adjusted life-year was Great British Pounds 9,549 with the EQ-5D (Great British Pounds 17,941 with imputation for missing data).

Steve Gleason was given the Congressional Gold Medal, and that is a big deal. We get to hear Steve accept his award in his own words, in his own voice. And that is a major reason that he's being given this award. Steve created and pushed through the Steve Gleason Enduring Voices act which made sure that persons with degenerative diseases would have access to Speech Generating Devices. Quite literally making sure that people living with ALS and other diseases never lose their voice. Only 163 people in American history have been given this award and Steve is the first former NFL player to receive it. You might know him as a former football player that blocked a punt against the Falcons, but the reason you get a medal like this is because you put your head down and focus on a singular vision. And Steve and his team have done just that making sure persons with living with ALS and their families lead productive and purposeful lives. Drew Brees spoke about is friend and former teammate at the ceremony in Washington D.C. Drew's message was about watching Steve turn tragedy into triumph on the field, but most importantly off of the field. If you hear this and are moved by his words and his Team we ask you to do all or some fo these three things: 1 - Donate to his organization @ TeamGleason.org 2 - Watch his Documentary, "Gleason." It's on Amazon and if you have prime it’s FREE! 3 - Follow them on social media to see and maybe join their TEAM helping those with ALS and their families live better lives. On Instagram: @TeamGleason On Twitter: @TeamGleason "Finding ways to make life meaningful and purposeful and rewarding, doing the activities that you love and spending time with the people that you love - I think that's the meaning of this human experience." -SG

Krystyna Holland - Owner and Physical Therapist at Inclusive Care, LLC, Staff Physical Therapist at Denver Health - part of an Integrated Pelvic Health Team and a Post-Op Vaginoplasty TeamInclusive Care, LLC, Denver Health Hospital Authority Krystyna@InclusiveCareLLC.com Twitter Handle@tynasaurusrex Instagram@Krystyna.Holland Dr. Krystyna Holland is a pelvic floor physical therapist whose journey to being a provider started as a patient. Frustrations with her own medical treatment drove her to open Inclusive Care, a physical therapy practice in Denver, Colorado. There she provides affirming care to individuals experiencing painful sex, and other pelvic floor dysfunction. Pelvic Floor PT should be about more than decreasing pain - it should be about increasing pleasure; How to talk to patients about sex in a professional way    What being a patient taught me about the medical system and the way that providers mess it up    Providing affirming care - tips and trips for treating transgender, intersex and gender nonbinary clients   Pelvic Floor PT should be about more than decreasing pain - it should be about increasing pleasure; How to talk to patients about sex in a professional way.  Pelvic floor physical therapy often has the singular goal of decreasing pain with penetration, usually done with a specific approach of manual therapy, what people perceive to be trigger point release, and graded exposure to stimulus. For people who are having painful intercourse, their experience is made up of much more than their muscular tone - how can we bridge the gap from painfree to pleasurable professionally?   What being a patient taught me about the medical system and the way that providers mess it up We talk about patient behaviors such as anxious tendencies and pain catastrophization like they are inherent characteristics of the individual, not as coping mechanisms shaped by life experience. How can we increase patient engagement and improve outcomes for them by understanding (and explaining to them!) their behaviors and experiences as evolutionarily beneficial protective mechanisms in overdrive? Who is to blame and what is there to do when your patient isn't responding as you expect?    Providing affirming care - tips and trips for treating transgender, intersex and gender nonbinary clients There are huge healthcare discrepancies in care for members of the LGBTQIA+ community, especially the latter half - transgender, intersex, and gender non-conforming individuals. What assumptions are you (unintentionally!) bringing to the encounter, and how can you sidestep them to provide affirming care without doing harm?  Pelvic Floor PT should be about more than decreasing pain - it should be about increasing pleasure; How to talk to patients about sex in a professional way - Sex is an ADL and we have nationally crappy education regarding what is "normal" and how to talk about it professionally.   What being a patient taught me about the medical system and the way that providers mess it up - Providers typically got into the field to care for patients and help people. They often end up frustrated when they feel unable to assist and can't put their finger on why. The expression of this frustration and, often, subsequent ambivalence, has long reaching impacts on the patient.   Providing affirming care - tips and trips for treating transgender, intersex and gender nonbinary clients - Transgender healthcare has been shown in the research to be incredibly lacking; in providers that feel confident in providing care, in patients trusting providers to provide care, and in patients' access to care. Normalizing and providing providers with tools to feel confident in unfamiliar encounters may be able to decrease the perpetuation of medical trauma in a population that is, statistically, already highly traumatized. People are trusting the medical system to help them and experiencing medical trauma instead.

We talk to Alicia Hosmer, APTA's Senior Director of Brand Strategy who is leading the rebrand for the association. Why APTA is rebranding? And why members and potential members should care? Rebranding is about much more than a new look. Our brand will encourage us to act for impact, better highlighting APTA’s leadership role on behalf of members and future members. APTA's rebrand is about making our association more accessible for our members - so they can more easily identify the resources and communities that will help them thrive. Rebranding is much more than a new logo. It's about maturing as an organization and maximizing our potential as the trusted leader of the profession. The rebranding process will happen over several years. We are launching phase 1 of the APTA national brand in June 2020. Components are aligning at their own pace and not required to align. Rebranding is much more than a new logo. It's about maturing as an organization and maximizing our potential as the trusted leader of the profession. Alicia is passionate about the power of storytelling, teamwork, and mission-driven organizations. She loves sharing a great meal with friends, especially when she doesn't have to cook it. Biking to work and skiing with her family are just a few of the ways she stays physical active. If driving her kids to baseball and hockey were a sport, she'd have reached professional status several years ago.

Jason Craig is a Physical Therapy professor at Marymount University. He's been leading service learning trips for the PT program there for years to Costa Rica and Nicaragua to help provide Physical Therapy for the underserved along side PT students. Their next trip will be something different. Their goal, on top of delivering PT, is to build a house for a Maria Jose and her family. Story:  https://www.marymount.edu/Academics/Malek-School-of-Health-Professions/Graduate-Programs/Physical-Therapy-(D-P-T-)/News-Activities Fundraising Page: https://securelb.imodules.com/s/1743/alumni/index.aspx?sid=1743&gid=2&pgid=582&cid=1328&bledit=1&dids=105

PEDro stands for Physiotherapy Evidence Database,  It’s 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/ Here we looked at HIHO Randomized Clinical Trial with Mark Buhagiar. 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. In this episode we talk to Mark about the trial in Jama, from them, "Which was randomized and included 165 adults after total knee arthroplasty and 10 days of hospital inpatient rehabilitation followed by an 8-week, clinician-monitored, home-based program or home-based program only and were compared with an observation group of 87 patients who also participated in the home-based program. In the end, they found no significant difference in the 6-minute walk test between any of the groups at the primary end point of 26 weeks." Meaning  For adults undergoing uncomplicated total knee arthroplasty, inpatient rehabilitation did not improve mobility compared with a monitored home program. - Find the paper in full here: https://jamanetwork.com/journals/jama/fullarticle/2610335 HIHO video here: https://www.youtube.com/watch?v=yRS04W4fax0

Johnny Owens comes back on the show to talk BFR, where Owens Recovery Science has gone since the first time on the show (spoiler alert it's exploded!) What is now, new and the future of Blood Flow Restriction Rehabilitation Training. 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 

Chad Cook came on the show to talk about a paper that was submitted to a ... less than reputable journal. The goal was to show that literally anything can get submitted and published when predatory journals are involved. But what are the consequences short and long term?

We talked to Access.Earth founder Matt McCann about the app he created. It lets users rate and share the accessibility of locations around the world. Using his first hand experience with having Cerebral Palsy Matthew set up Access Earth to help provide accessible information for everyone. Since then Matthew has presented at the UN and is part of the Irish Human Rights Equality Commission's Disability Advisory Committee. The importance of accessibility information for everyday lifeThe rise of accessible tourismSmart cities helping to improve  inclusionCSR and how companies can have lasting community impact

Next up on the TOP 5 clinical trials from PEDRO is AVERT Efficacy and safety of very early mobilisation within 24 h of stroke onset (AVERT): a randomised controlled trial. You can find it in the lancet from July 2015, and the link to it is in the show notes of this episode. We talk with Professor Julie Bernhardt is co-leader of The Florey's Stroke theme, and leads the AVERT Early Intervention Research Program. The background for avert is:   Early mobilisation after stroke is thought to contribute to the effects of stroke-unit care; however, the intervention is poorly defined and not underpinned by strong evidence. We aimed to compare the effectiveness of frequent, higher dose, very early mobilisation with usual care after stroke. Link for article: https://www.ncbi.nlm.nih.gov/pubmed/25892679 Link for video about AVERT: https://youtu.be/-P4fR04oRCc

Hannah Cook & Kaitlyn Mital are two students in a growing movement that are creating their own professional meetings. Costs of travel and conferences are high, especially on a student budget, PT students have taken it upon themselves to create their own conclaves. We talked to them for the background on the process.

PDPM and PDGM are giving PTs and PTA's stress. The Academy of Geriatric Physical Therapists, Home Health Section and the Section on Health Policy & Administration within the APTA got together to create resources for the profession. Ellen Strunk came on to break it down for us. Here are links to the resources mentioned in the show: APTA PDPM website:  http://www.apta.org/PDPM/ APTA PDGM website: http://www.apta.org/pdgm/ APTA website on Postacute Care Reform:  http://www.apta.org/PostacuteCareReform/ Academy of Geriatric Physical Therapy (AGPT) PDGM and PDPM website:  https://geriatricspt.org/practice/payment-policy-and-advocacy.cfm? Health Policy Administration- The Catalyst website Webinars at https://www.aptahpa.org/events/event_list.aspPayment and Practice Resources at https://www.aptahpa.org/page/PracticeResources Home Health section website: https://www.homehealthsection.org/

PEDro stands for Physiotherapy Evidence Database,  It’s 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. First up… is Fashion?  It’s not about clothes or looking good… thank goodness or I’d be WELL out of my element, but this Fashion UK trial’s title was:  Hip arthroscopy versus best conservative care for the treatment of femoroacetabular impingement syndrome (UK FASHIoN): a multi-centre randomized controlled trial  - if you had scrabble letters you’d find FASHION UK in there somewhere and let’s be honest, FASHIO UK was easier to remember than…. Wait what was that title again? Link to Fashion UK: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)31202-9/fulltext  Link to Fashion UK video:  https://youtu.be/ZtMBCCsKnWE Link to Personalize Hip Protocol: https://bjsm.bmj.com/content/50/19/1217 Link to iHOT 33: https://www.physio-pedia.com/International_Hip_Outcome_Tool_(iHOT) 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 went to THE Ohio State University Physical Therapy program and talked with great faculty and leadings students in this 2 part episode. Episode 2 feature Paul Tadak & Kara Carpenter & Kristen Cook.

We went to THE Ohio State University Physical Therapy program and talked with great faculty and leadings students in this 2 part episode. Episode 1 features Mike Martin, Kayla Harris and Morgan Alexander

We talked with Physical Therapist Chris Mamula who is somewhat of an expert on financial independence. Chris retired at 41 years old and now writes, podcasts and blogs about how you can do that too. We covered: What can PTs or other professionals do to achieve financial independence (FI) quickly.Why should you pursue FI even if (and especially if) you love your job.How can you reframe the idea of saving as sacrifice to viewing saving as security, options and freedom.What did my life look like while saving toward FI.Why retirement was the wrong goal for me and likely is for you as well.

We talked with Physical Therapist Suzanne O'Neal. Suzanne is an assistant professor in the DPT program at Midwestern University and a neuro nerd and huge proponent of community service. She's also a Clinical Director for Special Olympics Arizona. In that role, she help's to coordinate free PT screenings for Special Olympic athletes at various state games. We covered: Why is community service so important? And why is it important to start fostering this belief in PT education?  What are the Special Olympics FUNfitness PT screenings?Who is involved in the screenings?  How did she get involved in Special Olympics?How can YOU get involved?

We got to talk to Matt Tuttle one of the Physical Therapists for the Denver Nuggets. Topics we hit on were: Pain Science EducationSleepWearablesLoad ManagementBlood Flow Restriction Training And Matt referred to an episode of the BJSM podcast, here's that link: https://podcasts.apple.com/us/podcast/you-cant-use-bad-data-to-guide-training-decisions-load/id330966919?i=1000448807259 We mentioned a great video Matt was featured in on Pain Science take a look at that here: https://www.youtube.com/watch?v=DeIkkD-UlsE Sponsors of the show: Aureus Medical Staffing - OwensRecoveryScience.com - NUStep.com  RockTape.com  -

The 3rd part in a 3 part series recorded live at APTA's National Student Conclave we talk to... me. I mean, PT Pintcast creator Jimmy McKay. How did a rock radio DJ become a Physical Therapist who then became a Physical Therapy podcaster? Take a listen to find out.

ThrowBackThursday we go back to 2016's National Student Conclave in Miami Florida where the keynote speaker was Scott Chesney.  Scott tells his amazing story, the theme of his keynote address that anything is possible.  He shares insight & words to live by, and the game changing wheels on his chair. Scott's Bio: Scott Chesney, a two-time world traveler and a navigator of life with paralysis for over two decades, has presented to over one million people in 38 countries. After awakening to paralysis at the age of 15 from a sudden spinal stroke, Scott has amassed a resume of transformational experiences, powerful insights, and inspiring stories that cut to the core of the human spirit. He has become a nationally and internationally recognized workshop and keynote presenter, and his positive and inspiring messages have changed countless lives. His insights have been coveted and applauded by Fortune 500 corporations, hospitals/rehab centers, associations, sports' teams, audiences at The United Nations, The Pentagon and the FBI, colleges and universities, and K-12 schools. Realizing that his audience members wanted more personal guidance after his presentations, Scott became a professional Life Coach in which he combines transformational techniques and strategies that he learned from his world travels and continues to practice himself today to help people create personalized blueprints for navigating life happily and successfully. As a person who skydives, walks on hot coals on his hands, para-sails, and continues to engage in many other adventures around the world, Scott prides himself of living life to its fullest and encourages and trains audiences and clients to do the same. In addition to keeping a busy speaking and coaching schedule, Scott became President of Raise Hope Foundation in ©2014 that trains, mentors, and places people with disabilities and veterans for competitive careers in financial services. He is also an Ambassador for the Christopher and Dana Reeve Foundation, an Ambassador for Kessler Foundation, a member of the Seton Hall University Leadership Advisory Council, a member of the Board of Trustees for The Knowles Foundation and a member of the National Speakers Association (NSA). He has also served on the Board of Trustees for Children's Specialized Hospital. Scott graduated from Seton Hall University in 1992 with a B.A. degree in Communications. Scott is married, has two children, and resides in New Jersey. PT Pintcast is proudly poured by Aureus Medical Therapy Team. Travel & direct hire opportunities nationwide.

CMS has released a ruling that will reduce payment to Physical Therapists by 8% in the coming year. We take stock on what this means now and in the future and what WE can do about it as a profession.

From APTA's National Student Conclave we talk with Josh D'Angelo about the things he's created in his PT career. Notably, PT Day of Service, Move Together and Movement X. How did Josh go from an idea, to a full on worldwide movement... again and again?

Recorded live from the APTA National Student Conclave with The Movement Maestro. She is a Physical Therapist who flies around the world as an instructor for Rock Tape as well as her own Movement Courses... and the whole time she brings you along for the ride via her cell phone. She’s grown her digital brand to more than 60,000 followers and she’s leveraged that to be able to create her own career... from scratch. 

A few years ago I got the chance to give an "Ignite" talk at the APTA National Student Conclave. A 5 min talk on one topic where your slides change on you automatically every 20 seconds... so you've gotta keep it QUICK and to the POINT! I talked about how communication is currency, it has value and you need to treat is as such. Both directly with patients and with the public at large.

We talked with researchers Timo Klein and Chris Askew from the VasoActive Research Group about a recent publication in Medicine & Science in Sports & Exercise titled Cerebral Blood Flow during Interval and Continuous Exercise in Young and Old Men. Link to paper here: https://www.ncbi.nlm.nih.gov/pubmed/30768552 Great insight into what happens to blood flow inside the brain when young men vs older men perform interval or continuous exercise. Implications for physical therapists working with older adults as well as what types of exercises should we be performing throughout the aging spectrum.

We look inside the Home Health Section of the APTA with president Dee Kornetti. Website: https://www.homehealthsection.org/ Profile: http://aptaapps.apta.org/componentconnection/profile.aspx?compcode=B&UniqueKey= Brochure: https://www.apta.org/uploadedFiles/APTAorg/About_Us/Chapters_and_Sections/Sections/HomeHealthSectionBrochure.pdf Twitter: https://twitter.com/HomeHealthAPTA Facebook: https://www.facebook.com/HomeHealthAPTA/

We look into the Academy of Clinical Electrophysiology & Wound Management with current president Karen Gibbs. We look into their Special Interest Groups (SIGs) as well as their clinical certifications. Website: https://www.acewm.org/ Profile: http://aptaapps.apta.org/componentconnection/profile.aspx?compcode=K&UniqueKey= Brochure: http://www.apta.org/uploadedFiles/APTAorg/About_Us/Chapters_and_Sections/Sections/ElectroSectionBrochure.pdf Twitter: https://twitter.com/womens_pt Facebook: https://www.facebook.com/APTAACEWM

We look into the Private Practice Section (PPS) of the APTA with member Jerry Durham. What goes into the section and most importantly, what can you get out of it as a member? Website: https://ppsapta.org Profile: http://aptaapps.apta.org/componentconnection/profile.aspx?compcode=E&UniqueKey= Brochure: https://www.apta.org/uploadedFiles/APTAorg/About_Us/Chapters_and_Sections/Sections/PPSBrochure.pdf Twitter: https://twitter.com/PPS_APTA Facebook: https://www.facebook.com/PrivatePracticeSection

We look into the Women's Health Section of the APTA... or after a long awaited name change the Academy of Pelvic Health Physical Therapy with current president Carrie Pagliano Website: https://www.womenshealthapta.org/ Profile: http://aptaapps.apta.org/componentconnection/profile.aspx?compcode=M&UniqueKey= Brochure: https://www.apta.org/uploadedFiles/APTAorg/About_Us/Chapters_and_Sections/Sections/WomensSectionBrochure.pdf Twitter: https://twitter.com/womens_pt Facebook: https://www.facebook.com/womens.health.PT

We talk to Melissa Hoffman and Karla Bell from the Health Policy and Administration sections PT Proud committee. Website: https://www.ptproud.org/ Profile:http://www.apta.org/apta/components/public/componentprofile.aspx?navID=10737421970&compcode=Y Brochure: https://www.apta.org/uploadedFiles/APTAorg/About_Us/Chapters_and_Sections/Sections/HealthPolicySectionBrochure.pdf Twitter: https://twitter.com/ptproudapta Facebook: https://www.facebook.com/PTProud/

We look into the Health Policy and Administration section of the APTA. AKA The Catalyst with their President Matt Mesibov Website: https://www.aptahpa.org/ Profile: http://aptaapps.apta.org/componentconnection/profile.aspx?compcode=Y&UniqueKey= Brochure: http://www.apta.org/uploadedFiles/APTAorg/About_Us/Chapters_and_Sections/Sections/FederalSectionBrochure.pdf Twitter: https://twitter.com/HPAAPTA Facebook: https://www.facebook.com/HPATheCatalyst/

We look into the Academy of Orthopedic Physical Therapy with their President Joe Donnelly. Website: https://www.orthopt.org/ Profile: http://aptaapps.apta.org/componentconnection/profile.aspx?compcode=R&UniqueKey= Brochure: https://www.apta.org/uploadedFiles/APTAorg/About_Us/Chapters_and_Sections/Sections/OrthoSectionBrochure.pdf Twitter: https://twitter.com/OrthopaedicAPTA Facebook: https://www.facebook.com/OrthopaedicAPTA/

We look inside the APTA's Section on Research with Julie Tilson Total Members: 4,344 Website: www.PTResearch.org Twitter: https://twitter.com/ResearchAPTA Facebook: https://www.facebook.com/researchsection/ Special Interest Groups Biomechanics ResearchEarly Career ResearchersEvidence Based PracticeQualitative Research

We talked to Brynn Rooney and Kayla Epperson about a new Sports PT webinar series they're releasing this month that's focused at PT students and New Grads. You can find the series here: https://www.withinreachhealth.com/current-programs-overview This monthly webinar series is for student physical therapists looking to grow their knowledge and confidence in sports physical therapy. Over the course of twelve months, club members will learn about sport-specific physical therapy topics directly applicable to clinical practice. Each once-monthly webinar will blend didactic content with clinical cases and Q&A. Participants will gain membership to a private Facebook group for further networking and conversation.

We talk with Meredith Castin, creator of TheNonClinicalPT.com is the #1 resource for PTs, OTs, SLPs, and assistants seeking non-clinical healthcare careers. It was created by Meredith Castin, PT, DPT in 2017, and has grown from a simple reference page to a thriving community filled with inspiring, forward-thinking rehab professionals committed to improving healthcare.

We look into the Federal Section of the APTA with Mark Havran. Website: http://federalpt.org/ Profile: http://aptaapps.apta.org/componentconnection/profile.aspx?compcode=R&UniqueKey= Brochure: http://www.apta.org/uploadedFiles/APTAorg/About_Us/Chapters_and_Sections/Sections/FederalSectionBrochure.pdf Twitter: https://twitter.com/FederalPT Facebook: https://www.facebook.com/Federal-Section-APTA-110186255743455/

Hybrid professionals are hiding among us, and Sarahbeth Berk is one of them! And... you might be too! After this episode, her website MoreThanMyTitle.com is where you should start crafting your hybrid identity. Sarabeth is on a crusade to share this idea with the world. She thinks it matters to the gig economy, millennials, freelancers, independent contractors, people in career transition, and people who work inside of big companies and wear multiple hats. Recruiters should know how to look for hybrids, and managers should know how to train and retain them on their teams. In today’s society, the most successful professionals don’t just do more than one thing. They blend and combine multiple professional identities together, making them more than their titles!   This is a career lesson in audio form, the profession of physical therapists needs more hybrids!

We spotlight the Academy of Oncologic Physical Therapy with Dr. Steve Morris from Wingate University. Current Member: 1,407 Website: http://www.oncologypt.org/ Twitter: https://twitter.com/aptaoncologypt Facebook: https://www.facebook.com/AcademyofOncPT Journal: https://journals.lww.com/rehabonc/pages/default.aspx

PT month spotlight turns to the Academy of Geriatric Physical Therapists with VP Cathy Ciolek. Current members: 5,549 Website: http://www.geriatricspt.org Twitter: https://twitter.com/APTA_Geriatrics Journal: https://journals.lww.com/jgpt/pages/default.aspx

We get the inside scoop on #TravelPT from Jared Casazza from Fifth Wheel PT - fifthwheelpt.com. Jared will be presenting at APTA's NSC in New Mexico this October on the topic so we went inside his presentation for a sneak peek.

During PT month we are highlighting each section of the APTA. We start with the Cardiovascular and Pulmonary section with VP Pam Bartlo. Current members: 1,612 Website: https://www.cardiopt.org/ Twitter: https://twitter.com/aptacvp?lang=en Journal: https://journals.lww.com/cptj/pages/default.aspx Podcast: https://podcasts.apple.com/us/podcast/cardiopulmonary-physical-therapy-journal-cardiopulmonary/id1193694143

We talked to Kyle Stapleton and Rachel Granzow, two PT students heading to the National Student Conclave this year in Albuquerque New Mexico. We walk you through the programming and social events you can't miss this year. Website for the conference: http://www.apta.org/nsc/ Programming Overview: http://www.apta.org/NSC/Programming/ Registration: http://www.apta.org/NSC/Registration/

HHS released its National Youth Sports Strategy. APTA worked with members to submit comments to HHS on its initial youth sports participation request for information as well as the draft youth sports strategy released over the summer. We talked to Kara Gainer & Hadiya Green Guerrero from APTA about: What the strategy is. How the APTA was able to comment on it before it came out. And how YOU can help implement it with your patients and community. Take a look at the full document here: http://health.gov/paguidelines/youth-sports-strategy

We go WAY back on #TBT with episode #36 that featured Kory Zimney. Recorded live at National Student Conclave in Omaha Nebraska when Kory presented and asked "Does Hurt Equal Harm?" We had to know the answer and now you can to.

Rich Willy is the lead author on a new CPG for Patellafemoral Pain from JOSPT. You can get it open access here: https://www.jospt.org/doi/full/10.2519/jospt.2019.0302 pRich gives us the overview of the CPG

Liz Goldberg, MD, ScM is a practicing emergency medicine physician and an NIH-funded researcher on fall prevention. She is passionate about improving the care of older adults who seek acute care. Her GAPcare (The Geriatric Acute and Post-Acute Fall Prevention Intervention) study brings together health professionals - physical therapists, pharmacists, physicians, and nurses - to work together to prevent recurrent falls in older adults who present to the emergency department. Her newest research, GAPcare II, leverages sensors in the Apple Watch to obtain at-home measures of gait and function in older adults. How to build multidisciplinary teams that work together in the emergency department The anatomy/core of a brief PT intervention to prevent recurrent falls in emergency department patients Why your (PT) skills are essential in the EDs of tomorrow Dr Goldberg on Twitter: https://twitter.com/emupdate

Jay Dicharry comes back on the show to talk about a product he just released called a MOBO board. Which focuses on concepts of strength training the foot in athletes. Take a look or get yours here MOBO and for YOU (yes you!) get 10% off with promo code: PTPINTCAST10 (all caps) ;-) you're welcome! Jay's Website Twitter: https://twitter.com/ReboundPhysio

We talked to Duke's Steve George about Pain Perception over a Boddingtons Ale in 2016 and wanted to bring it back up again because of his insight during Pain Awareness Month.

The National Council on Aging's Senior Director Kathleen Cameron talks Falls Prevention Awareness Day. The NCOA has tools and resources available and tries to educate the public about how to prevent falls each year on the first day of... Fall. This year it's September 23rd. Find the NCOA's resources here: https://www.ncoa.org/healthy-aging/falls-prevention/falls-prevention-awareness-day/?utm_source=ncoa&utm_medium=homepage This was originally aired on another podcast that Pintcast host Jimmy McKay produces - FOXcast PT. But we thought the content was so great we wanted to share it again.

Great insightful conversation with Jason Silvernail about treating those in pain with communication. But more HOW we approach those people and where treating them might fall short on the provider end. Show as always brought to you by Aureus the leaders in #TravelPT www.AureusMedical.com

We talked to Maggie in March of 2019 when she was working on her documentary, "The Great Now What?" about her journey as a stroke survivor. Maggie talks about the things she's lost, a fiancee, a job, freedom. And the things she's gained, chronic pain, a new outlet for her art the chance to share a message.

We talked with PT Jarod Hall who loves talking and teaching other clinicians about pain. We threw out the challenge to Jarod and asked him to give us the Top 5 things EVERY PT should know about Pain and here's his list. Find Jarod online: On Twitter: @Jarod_Hall On Instagram: @drjarodhalldpt

We talked with London Physio Ben Cormack about pain and the visual analog scale and how patients reporting of pain can actually be an indication of other factors. We talk about pain, treatment methods and the biopsychosocial model. Ben is a musculoskeletal therapist with a clinical background in sports therapy, rehabilitation, pain science & exercise stretching back 15 years. He specializes in a movement & exercise based approach with a strong education component and patient centered focus. Ben is a popular international presenter who has delivered conferences presentations and courses all over the world. He's a co-host on the Clinical Thinker Podcast Website here On Twitter @CorKinetic

Katie Siengsukon is a Physical Therapist and researcher at the Kansas University Medical Center where she is the director of the Sleep, Health, and Wellness Laboratory. Her line of research seeks to understand how sleep impacts function, learning, and overall health particularly with aging and in those with neurological conditions. She possesses a clinical background in outpatient physical therapy treating individuals with musculoskeletal and neurologic injury. Her passion as a PT is helping people sleep better. On twitter @KatieSleepPT Find her bio here

The Ouchie app allows those living with chronic pain to take control of their pain through sound data driven ideas & social support. We talked to Rachel Trobman the founder of Ouchie about what it can do with the relationship between a patient their chronic pain and their PT. Ouchie allows patients to track their pain, connect with others experiencing similar symptoms, learn and use evidence based interventions like meditation and exercise and earn actual prizes by interacting and using the app! And as a Physical Therapist you can be reimbursed for having your patients use it while you monitor their progress. www.Ouchie.com On twitter @Ouchie

Jimmy talked with Ongwen Martin from his home in Nairobi Kenya. Ongwen talked about what PT looks like in Kenya, what tools he uses to stay up to date on the profession and what he hopes is the future of PT in his country. The show is brewed by Aureus Medical Staffing the leaders in #Travel PT.Want to travel the country and be a PT? Talk to Aureus here. We wanted to say thanks to them for helping to support the show.

We saw a patient case shared by Naveed Shan and the ramifications of him NOT asking some simple questions could have lead to a patient's death. But fortunately for everyone involved Naveed is a PT who keeps asking questions when things just don't seem right. Take a listen to his clinical case that happened where Naveed works, in the Emergency Department at Banner Health in Phoenix Arizona.

The name Adam Meakins always causes a stir in the profession of Physiotherapy (Physical Therapy for us Yanks). We caught up with Adam last year at this time and wanted to bring back his thoughts on manual therapy. At the time that was the topic of discussion on the social media platforms and true to form Adam didn't hold back. A year later Adam is actually facing some increased scrutiny from his UK governing body about his word selection on social media. We hope for a great outcome where everyone wins in this situation.

WEB PT released it's 3rd annual "State of Rehab Therapy" insight. A 30+ page deep dive into statistics and insights from more than 6,000 responses across the profession. We caught up with Heidi and looked at the responses and trends that stood out from their report. Download the report for free here

Download free NPTE Flashcards: https://aureusmedical.com/nptestudycast.aspx

We talked with Kathy Shirley who's been a PT for 38 YEARS! She's seen trends in PT come and go... and come back again. We talked about incorporating mental health coaching in her practice, how we might be a part of ageism internally and why we need to focus on treating BPPV no matter where we practice. The show is poured by Aureus Medical Staffing, if you want to jump into Travel PT find them at www.AureusMedical.com

Kara Gainer and Heather Smith of the APTA talk us through proposed changes in Medicare payment structures and an update on MIPS.

We talked with Bob Rowe who is the Executive Director of Brooks IHL at Brooks Rehabilitation located in Jacksonville, FL. In addition to developing and managing the current and future residency/fellowship programs within Brooks Rehabilitation, he assists in coordinating and promoting professional development opportunities for the Brooks clinical staff. Jamie Dyson has been an APTA member since 1988 and an FPTA member since 1992 when he moved to Florida from Boston. He received his BS in Physical Therapy from Northeastern University and his T-DPT from A.T. Still University. He has worked at Orlando Regional Medical Center (ORMC) since moving to Florida in the level 1 trauma center. He was a rehabilitationsupervisor for 20 over the orthopedic, trauma and cardiac centers with a specialty in intensive care and burns and has recently taken the position of rehabilitation educator. Joe Donnelly is a Clinical Professor and Director of Post-professional Education at Mercer University Department of Physical Therapy. He is an advocate for his patients and has served the profession for 35 years.  He was recently recognized as a GA Healthcare Hero by the Atlanta Business Chronicle for his role in elevating the level of practice of physical therapy in the state and adding over 40 board-certified specialists in orthopedic, neurologic and Cardiovascular and Pulmonary Physical Therapy. He is a strong influencer and catalyst for change at the grassroots level for the profession.

This is a #TBT episode from last year when we were live at the NEXT conference in Orlando Florida. We talked to Mary Elizabeth Parker who is a clinical associate professor at the Texas State PT program. We got into her presentation that year which talked about where the Physical Therapy profession comes into play on the topic of genomics. Mary's Bio:

Alan M. Jette, PT, PhD, MPH, FAPTA, is Professor of Interprofessional Studies in the PhD in Rehabilitation Sciences program and in the Department of Physical Therapy at the MGH Institute. He is also the editor-in-chief of Physical Therapy (PTJ), the scientific journal of the American Physical Therapy Association (APTA) as well as the host of the PTJ podcast. Dr. Jette is a physical therapist and an internationally recognized expert in the measurement of function and disability. He has developed numerous instruments that assess function and disability and has published numerous articles on these topics in the rehabilitation, geriatrics, and public health literature. Over the past 30 years, Dr. Jette has received a total of 54 grants and fellowships from such agencies as National Institutes of Health (multiple divisions), Robert Wood Johnson Foundation and the National Arthritis Foundation. He also currently directs the Boston Rehabilitation Outcomes Measurement Center, funded by the NIH National Center for Medical Rehabilitation Research. The center is a collaborative of local institutions that will provide rehabilitation researchers with the most up-to-date outcome measurement tools

We talk with Alan Lee on Telehealth, where we are as a profession and where we're going (quickly). Alan is a professor of physical therapy at Mount Saint Mary's University with a research interest in Telehealth. Alan maintains clinical practice at Scripps Mercy Hospital in San Diego with dual board certifications in geriatrics and wound management. Alan will be presenting, amongst others, on Telehealth at the Tri-State Physical Therapy conference on October 11-13 2019 in Las Vegas Nevada. Ticket information can be found here

We talked to 2 SPTs about the Tri-State PT conference coming up on October 11-13th in Las Vegas! Juliette Dassinger and Shivani Suklikar break down what's going on in Vegas during the conference. Important links! Win your way into the conference here: https://contest.app.do/vegas Information about the PTDOS Shoe Drive: https://empower.betherippl.com/rippl-sneaker-bag30411326 Register for the conference:California: https://staging-cpta.site-ym.com/page/TRI-StatePTConferenceArizona: https://aptaaz.org/events/2019/10/12/default-calendar/2019-fall-tri-state-conferenceNevada: https://www.nvapta.org/event/tristateconference

We talked to Raine & Bill while at the Brooks IHL Scholarly Symposium in Jacksonville Florida. Raine is the Director of Research at Brooks Rehabilitation and Adjunct Faculty at the University of North Florida. He is also on faculty in the Brooks IHL Residency and Fellowship Program. He works to integrate clinical research and clinical practice, and doing what he can to help develop the next generation of clinical leaders. Bill is the Program Director for the DPT program at the University of Florida.   And serves the APTA as chair of the HoD Reference Committee for the 2020 HoD.

We talked to Josh Funk and PT from Rehab2Perform about community and how he builds it in and around his clinic.

We talked with Brad Cooper who's been writing for the APTA for years now about a recent publication in APTA's Perspectives Magazine. He gave 10 book titles that helped to shape his career and gave insight for each on what they brought to him. Brad's Bio: Brad is a nationally-recognized thought leader in the health and wellness industry.  He is the author of four books, a Licensed Physical Therapist, Certified Athletic Trainer and highly sought-after speaker. Brad has been a lifelong student of, and catalyst for, optimal human performance. In his 20’s, he earned a Masters in Physical Therapy, which he used to treat patients across the spectrum of orthopedic/neurological diagnoses.  Then, in his 30’s, he earned an MBA, wrote three books, moved into a vice president of operations role and worked to expand upon his clinical leadership knowledge/understanding (while continuing to treat patients).  When Brad hit his 40’s, he became CEO of US Corporate Wellness, Co-founder of Catalyst Coaching Institute, wrote a fourth book and was generously identified by several publications as “The World’s Fittest CEO.”  Now in his 50’s, he continues his CEO role while simultaneously pursuing a PhD with research focusing on mental toughness and how it can be applied in the real world. Along the way, he’s fallen deeper in love with his bride of 27 years, treasured being a dad to three incredible kids, secured two US Patents, completed 11 Ironmans (4 times at Kona), won the Race Across America, been featured in a film shown nationwide and spoken professionally in all 50 states to a wide range of organizations. 

We get to the bottom of what clinical informatics and health informatics is and why Physical Therapist Stephanie Glick decided to shift her focus to where there as a Non-Clinical PT! Read more about Stephanie at the NonClincalPT.com here: https://thenonclinicalpt.com/clinical-informatics-specialist/

This throw back episode was recorded at the 10 year anniversary of the Graham Sessions - a small conference hosted by the APTA's Private Practice Section. The setting is a small group (about 150 attendees) where there is only ONE rule. What's said there can leave, but you can't attribute any comment, quote or idea to a person. The goal being that people can say what they want, without a filter and get ideas into the profession to start to change it from the inside. It was recorded live in San Diego with Co-Host Karen Litzy of the Healthy, Wealthy, & Smart podcast Listen to how this event got started from the founders of this super secret, possibly difficult to find, and definitely hard to explain Sessions for the 10th anniversary. We talk where we've been, where PT is headed, and the rules of Fight Club. PT Pintcast proudly poured by Aureus Medical. Travel & direct hire opportunities nationwide.

PT Pintcast host Jimmy McKay, PT, DPT was asked by the APTA's Student Assembly to take part in a Twitter XChange. He answered questions live about building your professional brand, communicating as a physical therapist and how and when to start learning your communication skills as a PT.

ACL injury & repeat injury in youth athletes with Eric & Elliot Greenburg | 2 hrs ago 0:00 - 05:14 Hi, I'm Alexa. You can now hear PT podcast. Using me just say, hey Alexa, launched PT, pint cast, or you could be nice and try saying, please for lunch, what is being polite? Dead these days to your episodes, just say, hey Alexa, launch PT pint cast, maybe throw in a please. At the end my monitor the -tudents are they need to be the change in practice. They need to be that Cadillac in the clinic. Don't go into finicky the things that the clinic is doing if they're things that you don't necessarily jive with e that change. Bring the new culture two out there who, who may not know what is new in the research realm. So I really in power them to be that catalyst that change of the freshen taking your from the academic side of things into clinical practice. Get a chance to talk to the greenberg's. Eric in Elliot Greenberg. No relation. They had a couple of publications about ACL rehab and best practices. We. Best practices, but are those best practices being put into practice? So did there. So they took a look at it from an orthopedic surgeon perspective, physical therapist, perspective, and really, ultimately wanted to see why or why not those best practices were being actually utilized. So we took a talk with those two guys at the same time in this episode take a listen. I think it's got insights beyond just ACL rehab, right? Re really insights into where's the fall off in best practice to actual practice. So we're going to get into that with these guys episode brought to you by Owens recovery, science, a single source for PT's looking for certification in personalized blood flow, restriction rehabilitation training and the equipment, you need to apply in your clinical practice Zach Ephron on social media, just see. And he's going through ACL rehab, and using har-. So that's, that's kind of cool to see in the mainstream, and he did a little shout to his great physical therapist athletic trainers going through rehab. So check it out, Owens recovery science dot com. If you'd like to get certified. And grab that equipment, we do want to let you know, we have another podcast that's been launched. N. P T E, study cast, helping students study for the board exams. So check it out wherever podcast or heard. I tunes Google play Spotify. N P, T E, study cast, it is brought to you by our friends at Arias medical staffing without them. We wouldn't be able to bring it to you. We also have free downloadable study guides for each of the episodes short to the point episodes between three and nine minutes on average about the one hundred fifty most asked about path on the N P. So check that out. N P T study cast, now available ever podcast, hurt the best conversations happen at happy hour, welcome to hours forum award. This is the P T podcasts, here's your host, physical therapist, Jimmy MacKay the best conversations happen at happy hour. Welcome two hours your next episode of PT podcast starch right now bring it into to grow. Converge do not get confused. They are not related Elliott and Eric Greenberg. Welcome to the show guys. I'd give negative. Thanks. I have an excellent art. So we'll start with Elliott Elliott. What's, what's your background, which are the audience know about you about what, what you do in your daily life daily life? I've kind of limit role. I work at children's Philadelphia about three-quarters clinician, and about one quarter researcher here special interest in knee, and shoulder injuries particular ACL's, because what I see a lot of glad heavy Elliott and Eric. What's your superhero back story here, backdoor, the right now? I'm on Long Island and I may. In Europe, at the New York technology where I even the curriculum, it'd be program, but also treat the NYC athlete. And my current interest include working with obviously the population with lower injuries and running related injury. Excellent.

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

We talk to Lauren Kealy who's a Non-Clinical PT. She is a health care strategist... we get to figure out what THAT means and take a further look into the world of PTs working in non-clinical roles. Check out her full article here: https://thenonclinicalpt.com/healthcare-strategist-lauren-kealy/ from www.TheNonclinicalPT.com

We talk to Rob Vining who is a Telehealth PT leader. Rob has a podcast dedicated to the topic (https://podcasts.apple.com/us/podcast/telehealth-20-podcast/id1387212131) as well as a facebook group (https://www.facebook.com/groups/TelehealthPTs/?ref=share) that shares ideas and concepts on the topic within the profession.

We talk to Steve Dischiavi about a recent viewpoint he helped write in JOSPT on dynamic knee valgus and the relation to injury.

For more information about Ellen at The Non-Clinical PT here: https://thenonclinicalpt.com/clinical-program-manager/

We talk Limb Loss Awareness Month with PT Sam Kelokates a PT with Fox Rehabilitation. What you can do as a PT to prevent Limb Loss in your patients, what the effects of Limb Loss and Limb Difference can do to individuals and some personal insights and stats of Limb Loss. Follow Sam on twitter @5PhantomFingers

David Putrino digs into two guys who were trying to communicate nutrition science on the Joe Rogan show. But they fell prey to many of the pitfalls that people wind up falling into when trying to talk about science in public. David breaks down what went wrong, and what could have gone right.

Wanna thank Brooks rehabilitation there institute of higher learning for sponsoring the show. Residency and fellowship opportunities is what they offer check them out at Brooks, IHL dot org. Also hosting their fourth annual scholarly symposium that's going on June twenty second in Jacksonville, Florida information about the symposium can be found at Brooks. I h l dot org. Keynote presentation this year by the editor of p t j Allan jetty. I'll be on hand doing some talks and some live podcasting looking for C E U's into expand your knowledge base. Look, no further than Brooks, IHL dot org. Was lucky enough to be invited to the North Carolina physical Therapy Association annual conference students put this programming on himself. Last year was Duke got a chance to be there and this year at Elon university. So actually break this up into two parts it was a little longer. Listen to a couple of interviews. Listen to our first two interviews in part one. And we'll follow it up with two hundred years in part to just a lot of excitement. Seeing a lot of students do this and putting on their own conferences that their own program doing it all themselves so excited to see the next generation of physical, therapists, taking the pawn themselves to decide what they're learning and how they're learning it and super set of that they're actually choosing to learn together. So a bunch of North Carolina PT programs are represented a lot of good fun. And take a listen, get some great advice for some people in our profession. First round is brought to you by Owens recovery. Science a single source for looking for certification personalized blood flow restriction. Nation training and the equipment you need to apply. Find them online at Owens recovery. Science dot com. Ladies and gentlemen. Our next guest is a at the Greg odd center for physical therapy, sports, performance leader, and multinational and state committees. And task forces husband, his father beautiful daughter here for well-stoked. What's your what's your three sentence? Bio a passionate physical therapists with drive to not only progress himself, but colleagues and peers to do whatever that is that they want to do typically in situations where they've been told they can't have a lot of experiences with being being told. No. So by who you know. And this is a great place to get this conversation because. Because it's the only place they're going to give us a have a conversation being being roomful students as a student. You get you get told a lot. If you go to conferences, where there's physical therapist there is sometimes if you want to insert yourself into a situation, they say you can't do that. You're just a student or you can't participate. You're just a student or even even as you become a clinician that you're you're pretty green behind the waited for a couple of years. It's not the things you want to hear when you're being told in conferences, and classes, you know, follow your dreams, which you want to do it so easy, then you get out in the in the field, and they're like, Nope. Can't do that a lot of red tape. So that that drives me that's the fire beneath everything that I want to do that. I try to do is you don't tell me. No. You know? Come from a pretty humble family. And my dad was in the police my mom's a teacher, and they were able to send me to school without loans people here for the parents on that one. Who's your role model? My sister, my baby sister when I say baby sister, she's twenty two. But to meet us, my baby sister talking about someone who was told. No couldn't do something. My sister's the only living soul survivor of the most deadliest fungal infection in the world pause what? Yeah. Right. Big mouthful Schwartz story. She and her best friend Roan the way to the beach right after high school graduation went out towards Fort Bragg, down towards the coast, big big military base and were t-boned by humvee at that point.

Wanna thank Brooks rehabilitation there institute of higher learning for sponsoring the show. Residency and fellowship opportunities is what they offer check them out at Brooks, IHL dot org. Also hosting their fourth annual scholarly symposium that's going on June twenty second in Jacksonville, Florida information about the symposium can be found at Brooks H, L dot org. Keynote presentation this year by the editor of p t j Allan jetty. I'll be on hand doing some talks and some live podcasting looking for C E us into expand your knowledge base. Look, no further than Brooks, IHL dot org. Was lucky enough to be invited to the North Carolina physical Therapy Association. They're like annual conference students put this programming on himself. Last year was at Duke got a chance to be there and this year at Elon university. So we'll actually break this up into a two parter since it was a little longer. Listen to a couple of interviews. Listen to our first two interviews in part one. And we'll follow it up with two hundred years in part to just a lot of excitement. Seeing a lot of students do this and putting on their own conferences that their own program doing it all themselves so excited to see the next generation of physical, therapists, taking the pawn themselves to decide what they're learning and how they're learning it and super excited to see that they're actually choosing to learn together. So a bunch of North Carolina PT programs are represented a lot of good fun. And take a listen got some great advice for some people in our profession. First round is brought to you by Owens recovery. Science a single source for looking for certification and personalized blood flow restriction rehabilitate. Training and the equipment you need to apply. Find them online at Owens recovery. Science dot com. Let's rock and roll. Here. We go. The best conversations happen at happy hour. Welcome two hours. This is the P T typecast. Here's your host, physical therapist, Jimmy MacKay. Gentlemen. We are live at Elon university in Ilan, North Carolina. Their motto here Newman, Lumine it rhymes. It means vine light their colors, maroon and gold and their mascot is the Phoenix forever. Reborn. Wanna thank North Carolina physical Therapy Association as well their students special interest group for putting on the second. Stay conclave, Jen Beatty for being the grand poobah this shindig. Thanks, jen. Yeah. So we're graduate live show, and we've got to get our guests. So let's bring our guests out right now. Our guest lives at works at Charlotte. North Carolina got his DVD. From Winston Salem university is currently working with on college patient, endurance athletes. Ladies jets, doctor clicks Fano. Well, played on the music. Clint welcome back to the stage. Man. Oh, it's great to be here. Likes your energy for the audience. Not in the room. The kind of keynote thing here. I did I energy bringing it. That's right. Yeah. I was asked to be the keynote speaker for this wonderful event and had an awesome time delivering earlier today. All right. So for people not in the room. What were the big points? Like what what's what are you? What were you passionate enough about when asked when given a stage in front of a bunch of students and physical therapist assistant students where PTA students. And just so you guys know for in the room and not in the room. The PTA doesn't stand for physical, therapists. That's the profession and you're in it. So I'm not ignoring you. Okay. But you let me down there. First second. I'm not ignoring you in. You're almost ignoring me. Roundabout long questions when you're asked. Hey, come talk to, you know, the future of the profession would you land on a why the big thing was the professional development? How do we take students from their third year of school after their affiliations? They pass the licensing exam. How do we get them? Or how do they get into the clinicals or the into the jobs?

In this episode we swap podcast feeds in order to confuse the crap out of you and see if anyone reads the show notes. Hint: Take a look at the release date. For real, listen to the episode though. More info at https://www.ptpintcast.com

Transcript I want to thank the state of North Carolina for inviting us to their student conclave the nice gathering of students at Elon university this past weekend full day of conference program actually organized by the students themselves. We got to town before had ourselves a PT pub night decided to bring the microphone to the bar. And we asked students from schools all across North Carolina. The same three questions to get some insight into what students are thinking before they go on a clinical Felicien three questions were what's one thing. They're going to do to prepare for clinical affiliation. What's one thing that they're really really looking forward to and one thing that they're really scared about goal is to get some students inside about each other. And maybe some CI's out there to learn what's going on inside the head of those students before they get to clinic. The first round is brought to you by Owens recovery. Science a single source for PT looking for certification in personalized blood flow, restriction, rehabilitation training and the equipment. You need. Need to apply. Find them online at Owens recovery. Science dot com and find Johnny and his team around the world teaching this. Broadcasting physical therapists around the world is this is the PT pine cast. May I introduce you? Here's your host, physical therapist, Jimmy MacKay. Night at the North Carolina student conclave, we are in Elon North Carolina just damage free for Milan university at the PTO PubMed the night before the conclave start students rolling in right now as you can tell in the background lot of lot of pints and a lot of conversations about PT and the stuff they love and hate about PT school and one of those things that comes up doing your clinical billion. So we're gonna ask the same three questions to all the students tonight. What are you most looking forward to what are you most afraid of and how will you prepare for your clinical Viliame the goal being students will learn from each other. Maybe some CI's will learn about some insight in terms of what students are thinking before they come to them and clinic so four hundred affiliation. What's the most important thing that you'll do to prepare yourself on whatever you're about to go into like Ortho? I try to rush up on my skills. No your limits. I don't know what I don't know. I don't know what I don't know. Look it up if it's. Easy figure it out. It is not easy. Ask for your CI practice. How I wanna talk to. I think the most important thing is connecting with the patient like one on one and knowing them more than their prognosis in her diagnosis. I wouldn't know who they are. And I wanna remember that forever. Well of that people I in communication, which is close to my heart that not only shadow a person that you respect their mindset about how to treat patients, and then try to form how you're going to interact and actually set up a plan before you go is the most important thing, I do is review topics and interact with my patients so kind of being able to get permanent full tank instead of an empty tank. But we'll take it practice with some classmates and just get more comfortable comparable with being hands on you have to be a PT. If you're not in the wrong profession, I think it would be to get used to whatever patient population. That affiliation. Sees you. Gotta know the population before you get there. You're also just not knowing what you're doing and getting in there and thinking, you're CIA is gonna want you to do something that you can't do and you're gonna feel bad about it. They won't do that. I promise. No. They won't. No, not at all like looking over old notes and stuff like that, maybe reaching out to professors and things things like that. Just kind of getting a feel for how environments going look practice. My manual therapy on my classmates, so after class on the weekends. We go in hang out in the classroom, and we practice on each other different techniques...

Transcript Hey, what's going on? We'll get some things cooking over here. Checkout pint cast dot com. A brand new store that features. Pint glasses beer coasters. And of course, laptop decals, we've got stuff like the, I heart PT stickers. Anatomically. Correct. Heart course, neuro PT, sports, PT decals. Check those out and thrown laptop and show off what you do. And how you do it at PT pint cast dot com. Look for the store this episode something different taking a look at a p t who's doing something a little bit out of the ordinary on the side drew Seminole he's a professional athlete currently playing in the professional cross leak. We get into that. What is life is like a balancing? Both of those episode is brought to you by owns recovery. Science a single source for PT's looking for certification in personalized blood flow restriction rehabilitation training and the equipment to apply it owns recovery. Science own this. Leading the field in research on BF ours. Check them out online at Owens recovery. Science dot com. Broadcasting physical therapists around the world is this is the PT pine cast. May I introduce to introduce you. Here's your host, physical therapist, Jimmy McKay. Podcast Beth conversation happened at happy hour. Welcome to our. I wanna welcome through to show. Juca? Welcome to the program. Hey, jamie. Thanks for having me. I really we were almost classmate applied to Nazareth college. We were talking just before we hit the record button. I went to undergrad in western New York, and you went to Nazareth, which anybody knows in Rochester. And I got accepted to Nazereth, and it was all set to go there. And I was psyched there's nothing against neither death loved it. I just wanted to be a little bit closer to family and friends. So I took a different route. But we were almost classmates you graduated Nazar in what seventeen can be useful in seventeen. So we were this close from Ardy known each other, drew. Mall world small missing good opportunity. But and I know Fiji. Well, yeah. All right. So let's go into your store. We had a couple of our listeners reach out and say, hey, check, this guy out they wanted to find out some more about us. So they they kind of gave me a little bit of your back story did your bachelor of science Nazereth and Rochester, along with your DP, but outside of being a physical therapist, drew. You do something a little bit uncommon, and your professional athlete talk about that a little bit. Let the audience know. Yeah. So I'm playing across and it was in fifth grade played played other sports wrestled played hockey and the whole life, and I was in high school getting ready to be recruited and doing that whole Email coaches, try to go into college and end up going to address which, you know, found out at a p t program, and that's kinda how I got involved through that room, and as I was going through school. I just kept play in my artists. And then eventually, you know, one of my teammates at the time goes once you sign up for a draft. And I never. Thought that some d three small school d three guy would you know, make it and the L and then eventually I got picked up in like a waiver wire sort of situation and a couple games into my first season. I ended up getting a start and and their amps I've been playing ever since being a little modest mean you're in the all star game as well. Yeah. Yeah. That was two years ago. That's not too shabby from going from waiver wire pickup to to get the start to, you know, make it an all star game is pretty cool. So talking about I mean familiar with the cross, but not so much major league across how does it work in terms of like, you said you went from a smaller program like Nazar? How does someone make it there is it just a tryout is scouting a little bit of both? Yeah. Livable's every team. You know? I mean, they a, you know in the realm of professional sports, major league lacrosse, and even the cross in general is a little bit of smaller niche...

Transcript Before we get started. If you're in the state of North Carolina, we're headed to North Carolina State student conclave all these dudes getting together Elon university. If you're out there, make sure to say, hi, always great to have this guy on the show. Danny comes on the program. Dude wrote a book we get into what it's called. It's an explicit title. Very naughty. We may get to play with the belief out button. A few times in this episode. And just so you know, we mentioned at during the episode how to win it or give it away copies of his book plus a chance to get a one on one phone call. If you're thinking about jumping into biz PT opened a cash practice much like Danny and the people he works with. So stay tuned info to win that book in the consultation. Call all in the episode first round is brought to you by Owens recovery. Science a single source for PT's looking for certification in personalized blood flow restriction rehabilitation training, Johnny and his team. They're on the forefront. Doing the research testing releasing the papers about this stuff there. The goldstein. Wondered check them out online at Owens recovery. Science dot com. Broadcasting physical therapists around the world is this is the PT past. May I introduce to introduce you. Here's your host physical therapist Jimmy MacKay back on the show, host of the podcast and founder of athletes potential in Atlanta and Decatur Georgia. Adel comeback show, ma'am. Yes. Jimmy. Thank you so much for having me on again it easily my favorite podcast to be on good job of like interviewing people and just so like team listen to south you, and it's also cool. I don't know if I have a record in anything else. But when I told my I'm gonna tell my wife about this. And I she's gonna find me more tractive. Honestly, that's what I bring table. You bring that. Mabel up here. More attractive, but we gotta add something else to your resume. I mean, we should also let people know you do business coaching specifically within the world of physical therapy. But now, author I'll be honest, Pat myself on the back when I read a book, and you went out, and you wrote a book. Yeah. For somebody that also I have probably about fifty books that I'm halfway through have way through media. And I told my wife I was like, but if you add up the fifty percent of all of them, I'm through twenty five. Good. That's pretty good. Yeah. It's pretty solid. I just quick to kind of move on to something else. So the fact that actually sat down and for eight months put together my thought process on what I've learned in business. So for in particular in the cash practice realm is an interesting to me that actually you know, was able to finish it. But also, it's it's something that I think that will be there and my kids can pick it up and not granted the titles of extreme. But they're no they're no strangers to f word in the house, by the way, they they can use it in context, and they're five and seven I mean, they can read and they can see like, oh, man. Mom and dad like, wow, they did this thing. And you know, they started this business. And I kinda talk about how I got started. I have kind of like an interesting story about how we left the military and went into business that we knew nothing about and some of the mistakes we made along the way which is a lot and hopefully people can learn from that. And then we really dive into stages of a cash practice, which I think are important in. No because I look at like martial arts. You know, you don't just go one day and say, okay, I'm just going to get a black belt. You may think that, but you know, you go and you. For a while. And then you get a blue belt, and you get a purple belt. And then you have these stages along the way this show that you're improving your learning new things, and you should celebrate those. So for me, I thought it was important to define the stage of cash practice, then to go through the two main kind of linchpins that ...

Transcript Do you wanna know the truth or do you want to have been right? And the best way to do. That is to continuously ask yourself what other explanations, you could find for anything that you believe how else could you see the world or see a particular thing that that you're witnessing. You know, whether it's in the clinic, and you're watching the the results of an intervention. How are all the ways you can explain those results and be as crazy as you want? I mean, the whole idea there is, you know, it's okay to be thinking and just to be throwing ideas out because a lot of times, you'll some across something that all of a sudden that actually is more likely, and that would change the way I would use this intervention. Keep things thinking. No stranger to show as guest today is Eric Mera. Eric was one of our very first guest. When we started this crazy show back in two thousand fifteen. He's also got his own show called PT inquest. We talk about that what goes into us programming than the pitfalls of that. And some different ways to to look at things that you probably look at a lot. That's I think what Eric's best at is highlighting those things and letting you see things differently. He he's great at that show's brought to you by Owens recovery. Science can't say enough about Johnny Owens and his team. They're just a great organization if you're looking to get certified and personalized blood flow restriction rehabilitation training. Plus, they they have the equipment you need to apply that plus what they also have for free is the research. They're the guys doing the research on this. They're leading the field all around the world. So check out what they have going on at Owens recovery. Science dot com. Broadcasting to physical therapists around the world is this is the PT pine cast. May I introduce me to introduce you to here's your host, physical therapist, Jimmy MacKay. Best conversations happen at happy hour. Welcome two hours. No stranger to the program. Back on the show is Eric Mera. Eric thanks for coming back, man. Hey, thanks for having me back. I always enjoy chatting with you Jimmy and just for the audience's knowledge because we're we did this yesterday and failed computer messed up and didn't record the conversation full. So I was like man we had such a great conversation. That was a great driver on. Let's do it again. So for the audience take two, it's okay. I don't I don't remember many conversations. I have anyway. So yeah, we wanted to want to bring you on. If anybody doesn't know Eric in his work. He's got his own podcast called P T inquest. You can find that wherever podcasts are sold. And by Seoul. We mean giving away for free, which is itchy and you're on Spotify. We found out. That's right. Yeah. When we try to record this the first time, you're asking me about and I was like, I don't think I'm on Spotify. But yeah, I've actually been on Spotify. For awhile apparent when people find that you have podcast for me to like. Okay. Cool. Your dork. What's your show about that was kind of like ask? When people ask you about PT inquest. What are you? What do you tell? Oh, ours is a very specific show. I do it with j w Matheson, it's a I like to describe it as a online journal club. So we get an article we the the two of us up over Skype, and we just talk about the article what it says what it doesn't say. You know, Jay w I h have over twenty years of experience as cynical therapists. And we've always been pretty tight with the with research in general and studying research, and so just having that that background of seeing a lot of papers for a couple of decades. Now, we can really give a lot of insight into into what emerging research is trying to accomplish. And how it how it kind of is interpreted in the context of previous research while you're like the guy from the matrix in the beginning when Neil I wakes up. He sees the screen, and it's all ones and zeroes.

Excited to be invited to Quinnipiac university to talk with faculty, Chair Katherine Harris, Professors Duane Scotti and Jay Meyerson and second year student Courtney Kent. We talked ethical practice, how to bring knowledge from class room to clinic and how to make your own career path. Then we went and hand a bunch of beers.