Kettlebell Press for Rotatory Instability

Thanks to Brian Schiff for this idea! Here is a great corrective exercise for rotatory instability.

This could be a great alternative to someone who scores a asymmetrically on the RS test of the FMS. However, if that is not your screen, people who note asymmetry or difficulty with a Pallof press, Baby Get up, or any test of rotatory stability competence would benefit from this.
Kettlebell Press for Rotatory Instability
Progressions
– bottoms up
– straighten knees
– various degrees of hip flexion
Regressions
– lighter bell
– theraband (or even no weight)
– feet on the ground

It’s harder than it looks! Try it and let me know what you think!

Interested in live cases where I apply this approach and integrate it with pain science, manual therapy, repeated motions, IASTM, with emphasis on patient education? Check out Modern Manual Therapy!

Keeping it Eclectic…

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Demystify ICD-10 with a Free WebPT Webinar

ICD 10 WebPT bootcamp for physical therapy

Are you ready for the transition to ICD-10?  Sign up for a free one hour webinar through WebPT on 31 August to take the mystery out of transitioning to ICD-10!

ICD-10 is the “International Statistical Classification of Diseases and Related Health Problems 10th Revision”. The transition to using ICD-10 is required for everyone in the USA covered by the Health Insurance Portability Accountability Act (HIPAA). The count down is officially on with just under six weeks to go until the compliance deadline of 1 October.

All this month our partners at WebPT have been covering ICD-10 on their blog as well as here on Physiospot to help you prepare.  This week’s webinar will help you to incorporate ICD-10 into your evaluations. It will increase the specificity of coding and teach how to use external codes to more thoroughly define the patient’s conditions.

Find out more from the Centers for Medicare and Medicaid Services who have also published this very helpful Quick Start Guide which outlines 5 steps health care professionals should take to prepare for ICD-10.

Sign up for the FREE webinar

Top 5 Fridays! 5 Resume Must Haves for Healthcare #BizPT #DPTstudent

 

 

Thanks again to my partner Dr. Ben Fung over at UpDoc Media for this great post!

Regardless if you are a new grad, recent grad, or seasoned professional, let’s get a few things straight. Despite small differences in the practices of the physician, nursing, rehab therapy, ancillary, support, and facility professions, no one cares about where you went to school, what your GPA was, what you other test scores were, or anything else. There are over 200 PT schools, nearly 2000 nursing programs, and roughly 150 medical schools in the United States. I can guarantee that no hiring manager knows all of them.

Chances are, unless you went to a big name university, no one will know or care about where you went to school. Rather, they will be more interested with where you did your clinical rotations. This leads us to our first tip – click here to keep reading on UpDoc Media.

 

 

ICD-10 Bootcamp: Coding Exercises for PTs

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Description

The purpose of this free one hour online course presented by WebPT is to get you ready for transitioning to ICD-10. Listed goals include:

-Incorporate ICD-10 into your patient evaluation process.
-Navigate your way through the ICD-10 code set.
-Code PT, OT, and SLP patient diagnoses to the highest possible level of specificity.
-Use external cause codes to more thoroughly describe a patient’s condition.

Dates

August 31, 2015, 9:00 AM PDT / 12:00 PM EDT

Duration

1 hour

Cost

FREE

Venue

Online

Contact

Emily Ely

Tel.

USA: 866-221-1870 x 309

Email

emily.ely@webpt.com

Link

https://www.webpt.com/resources/webinars/icd-10-bootcamp-coding-exercises-for-pts-and-ots

Comprehensive Shockwave Training

Shockwave Therapy

Description

DJO Global are hosting a Shockwave (RPW) workshop on Wednesday 25th November in Guildford.

Aim: By the end of this course you should be able to demonstrate competency in the prescription and application of Radial Shockwave. A non invasive treatment solution that offers enhancement and resetting of the healing pattern to reduce pain.

Clinical research supporting physical effects including:
-Tendinopathies
-Pain Reduction
-Increased Tissue Metabolism
-Revascularisation
-Tissue Healing and Regeneration

All delegates will be provided with 6 hours of certificated CPD and a Shockwave information pack as well as food and refreshments.

Note: Highly practical elements, please bring suitable attire.

Tutor

Cliff Eaton

Dates

25th November

Duration

1 day (10am-4pm)

Cost

£75.00 (65.00 Early Bird Rate)

Location

Guildford

Contact

Amy Connolly

Tel.

01483 470249

Email

amy.connolly@djoglobal.com

Link

http://www.djoed.co.uk/cpd-shockwave.html

Thursday Thoughts: The Importance of Dissociation with Movement



Thanks to my colleague, former student and balance freak extraordinaire, Dr. Lee Krol, DPT for asking this question. What is my take on dissociation?

Like most concepts that are ingrained in our profession and fitness in general, I look at dissociation as multifaceted.

The old school take on dissociation and why it’s important

Pain alters motor control. With this in mind, movement patterns often become jumbled and coordinated, smooth movement without compensation is lacking. Therapists have success with motor control strategies because you end up reinforcing patterns that are most likely already ingrained. We are not talking about skill acquisition but something easier, like restoring head on neck movement without trunk movement or restoring hip hinge without excessive lumbar flexion. Re-learning these patterns is important to get away from the compensatory patterns that are often associated with pain, or are just plain inefficient for more demanding tasks than AROM.

Where it goes wrong

– patients have the belief that x-movement (often lumbar spine flexion or anything outside of neutral is harmful)
– the take is decidely mechanical

– as in, moving your hips will “spare” your back

– this message is incorrect because of the way dissociation really works


New school take on dissociation

Like most things I discuss in The Eclectic Approach, dissociation is not purely mechanical. When I think “dissociation” I think removing an association of threat and/or pain with a movement pattern or static position. Novel techniques, patient education, removing misconceptions of imaging, can all dissociate threat from activity or position. I think traditional motor control works this way as well, by dissociating the neurotag associated with the movement pattern.

Once this occurs, make sure to

– Reeducate on other movements
– make the the patient understands all movements and positions should be attainable
– provocative movements and positions should only be avoided for so long
– being pain free, but avoiding lumbar flexion for example, is not full restoration of function.


In summary, like many things, the reasons why things like corrective exercise and motor control strategies work are most likely not mechanical.

Interested in live cases where I apply this approach and integrate it with pain science, manual therapy, repeated motions, IASTM, with emphasis on patient education? Check out Modern Manual Therapy!

Keeping it Eclectic…

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Business, Bourbon, and yes, a little Baseball #BizPT #SolvePT


The most dangerous phrase in human language is “we’ve always done it this way”

This past weekend I had the opportunity to attend a one-day workshop with out-of-network private practice clinic owner and Twitter personality extraordinaire, Jerry Durham (@Jerry_DurhamPT), located at Entropy Physical Therapy in Chicago (@EntropyPhysio). (If you’re curious about who’s who in the photo, I’m the one with more hair). Without giving away too much of the content from the class, here are some takeaways from the weekend:
I had my windows down the entire drive from O’Hare to my hotel downtown and the entire city of Chicago smelled like a wonderful combination of pizza and bacon. I don’t know if it’s like that all the time, but that was pretty sweet.
Chicago is a vibrant city: even early in the morning, lots of young people around, jogging, walking, dog walking; there are bike lanes, lots of bars/restaurants, not too many chains as far as I could tell.
Entropy Physical Therapy has a very cool space with a great feel to it: Co-owned by Sandy Hilton (@SandyHiltonPT) and Sarah Haag (@SarahHaagPT)–brick wall, large wooden beams, wood floor
They provide really good coffee!
Jerry confirmed that he has a chip implanted in his brain that converts his thoughts directly to Tweets
It was great to meet some of the Twitter physio community in person
Gene Shirokobrod (@therapyinsiders, @updocmedia) is hustlin’
Jerry knows how to have fun: his previous two days included front row at Kid Rock in Detroit followed by an afternoon Cubs game
It turned out to be an international conference, thanks to the presence of Jason Bellefleur (@JasonBPT) and his wife from Ottowa, Canada.
Justin Dunaway (@DrDunaway) and Morgan Denny, co-founders of STAND, The Haiti Project (@STANDHaiti), spoke a few minutes about their organization. They just started a Kickstarter campaign to raise $10,000 to produce a video to help with their fundraising and marketing efforts. I encourage everyone to donate to this wonderful cause.
“We cannot solve our problems with the same level of thinking that created them”–Albert Einstein
Almost half the attendees at the workshop were DPT students
Michigan and Ohio State students can actually share a hostel room and hang out for several hours without breaking out into a brawl
If these third-year PT students are any indication, our profession’s future should be moving in the right direction (@RyanSmith_ATC, @tuckerfurbush, @Mbabock_21, @the_caitk)
Sandy Hilton and Adam Meakins (@AdamMeakins) are kindred spirits. I should learn to avoid arguments with either of them in the future
Old ways of thinking were challenged
“Get comfortable with being uncomfortable”
“You don’t run a physical therapy business–you run a business that provides physical therapy”
“Hell, there are no rules here–we’re trying to accomplish something”–Thomas Edison
*2011 Systematic Review by Hush et al in PT Journal: measured customer satisfaction with PT across North America:  #1–Empathy. Surprisingly, outcomes had little correlation with customer satisfaction
“Interpersonal attributes and the process of care were the key determinants to pt satisfaction.
Satisfied pts are more likely to adhere to treatment, benefit from healthcare, and have a higher quality of life” 
(contact me if you would like me to email you full article)
Over 50% of pts surveyed believe that the health care system misses the mark on delivering care. What was deemed important: providers who take their time during an appointment, providers who are easily accessible, and     providers who exhibit good bedside manner and demonstrate knowledge and technical proficiency
Alan Siegel–Simple: “putting patients first drives both a company’s favorability and perception of value when it comes to healthcare”
So, what are we selling? Physical therapy?
What is your UVP? (unique value proposition)
The customer wants value, and value is in the eye of the beholder
The right formula has people in it.  It’s not about the product–it’s the people providing the product!
What do patients value the most about their physical therapy experience?
  • knowledgeable therapist
  • instructions received were clear
  • appointments were on time with minimal wait
  • friendly staff
  • physician recommended clinic (would it be the same if ANYONE recommended)?
2 out of 3 people surveyed cite customer service as main area of dissatisfaction when it comes to healthcare
The workshop summed up in three words: “Relationship-Centered Care!” 
I’ve developed an appreciation for Bourbon (Bulleit is very smooth)
2 am is waaaay past my bedtime
Parking tickets in Chicago are $75
I’ll be back
“The person who says it cannot be done should not interrupt the person who is doing it”–Chinese Proverb (and Jerry is doing it, folks)
As always, thanks for reading. Comments and discussion encouraged!
Interested in live cases where I apply this approach and integrate it with pain science, manual therapy, repeated motions, IASTM, with emphasis on patient education? Check out Modern Manual Therapy!

Keeping it Eclectic…

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Subscribe to our mailing list and get the free ebook – The Rules of the Reset