Every New Year it is customary for us to make resolutions in order to improve some aspect of our life. Today it is my desire to address the physical resolutions such as losing weight, increasing activity level, participating in a new sport, resuming a sport and/or returning to sports after injury.
In 2015 Missing Link Physical Therapy (MLPT) wants to focus on injury prevention for persons in the community as a whole; from the professional athlete to the 80 year old who likes to participate in recreational activities. As Physical Therapists we have used the techniques of range of motion, strength and sports specific exercises to predict whether individuals are ready to return to their specific sporting activities. However, research reveals that these techniques are not 100% effective and some individuals develop new injuries or have a recurrence of the old injury. Consequently, it is essential that we perform a Musculoskeletal Physical Assessment that will continue to assess range of motion and strengthen in addition to the performance of a Functional Movement Screen (FMS) and Y Balance Testing (YBT).
One might ask: Why is this Physical Assessment important? Research has shown that the right to left asymmetries can lead to abnormal stressors on the body resulting in injury over time. This evaluation enables us to assess asymmetries from right to left, assess the effects of past injuries on the body, and the effects injuries have contributed with regards to motor recruitment/proprioception. Think about the effects of an ankle or knee injury on your body. Wouldn’t it be great to have a test that reveals these imbalances and predicts risk for injuries?
The FMS and YBT are tests that show risk for injury. With regard to the YBT we can predict injuries based on gender, age and the specific sport undertaken by the individual. These tests give the clients an objective result on the risk for injury based on their specific sporting activity. THIS ASSESSMENT IS PROVIDED AT MLPT.
In the New Year we encourage you to exercise!! Visit MLPT to have your Musculoskeletal Physical Assessment and we shall be happy to guide you towards increased activity/improved performance with decreased risk of injury.
Below are articles to substantiate the testing we are providing:
- Butler RJ , Lehr ME, Fink M, Kiesel KB, Plisky PJ. Dynamic Balance Performance and Noncontact Lower Extremity Injury in College Football Players: An Initial Study. Sports Health. 2013
- Gorman et al 2012
- Westrick et al 2012
- Gribble PA, Hertel J, Plisky PJ. Using the Star Excursion Balance Test to Assess Dynamic Postural Control Deficits and Outcomes in Lower Extremity Injury – A Literature and Systematic Review.J Athl Train. 2012;47(3):339-57.
- Olivier B1, Stewart AV, Olorunju SA, McKinon W. Static and dynamic balance ability, lumbo-pelvic movement control and injury incidence in cricket pace bowlers. J Sci Med Sport. 2013
- Butler 2013
If you wish to schedule your Physical Assessment please call or email us at (703) 858- 5070; firstname.lastname@example.org
As a young Physical Therapist growing in experience and knowledge I question our effectiveness in the healthcare setting. I don’t mean to generalize everyone, but I think we have lost the love for people. We have lost the sympathy and empathy on which healthcare was built on. Because of financial restraints we have cut the time spent with patients. Along with the time lost we have lost the ability to perform personalized care. I am not an exception and have been guilty of this; and with the loss of personalized treatment I believe that outcomes are not optimized. Being a healthcare professional does not only mean giving the right drug or correct treatment. By building an intimate relationship with your patient, a relationship of trust can actually enhance the affect of the drug or treatment provided. Yes, there is no research to show this, but through my clinical experience I have seen first hand that a combination of the right treatment and good relationship have positive outcomes. Conversely, the right treatment with flawed patient interaction showed poor clinical outcomes.
I don’t believe that we are going to heal everyone, but I do believe that we can optimize the quality of life and function of individuals with more TIME. I believe that with more individual time we can change peoples lives and we can ‘LOVE’ them more. We can be better at achieving the functional goals of the patient instead of priortitizing our own clinical goals with the time we have. I believe that with more time there will be less money spent overall and better utilization of our patients’ healthcare dollars.
In my young Physical Therapy practice there is a common trend of people coming to therapy only once a week. This is because with a one hour treatment focused on individualized care we are able to achieve the goals of the patient in a timely manner. People are, over time, paying less and also spending less time away from their overall ‘dysfuntion’. Individuals are optimizing their function and becoming an active part of society.
Our chronic population needs more individualized time as we are not only dealing with the physical affects of pain, but also the psychosocial aspects. We need to continue to challenge insurance companies on reimbursement for our respective skill sets. We are worth more!! We need to get back to patient centered healthcare where outcomes, quality of life and function are our primary goal. This is my utopia because I see it is possible with what I do on a daily basis. Patients and clients will testify to my ‘crazy talk!!’ The missing link to healthcare is not necessarily the next super drug, surgical technique or diet but rather the intangibles that cost us nothing. It is the eye contact, smile, attention, hug, holding of a hand… the list goes on! I challenge all those who are in healthcare to try this and see what your outcomes are. See the reaction that is driven from it.
Let’s love each other and the healing will follow.
What is Missing Link Physical Therapy (MLPT)?? (MLPT) is a fee for service Physical Therapy Clinic focused on improving the function of patients in a timely fashion. We provide Physical Therapy services on a one on one basis in a private treatment room setting. The time you spend at MLPT is all yours. We also provide massage and personal training services (with specialty in restoring movement and decreasing injury for those in the performing arts).
This is the place where ‘Mind, Body and Soul Connect,’ MLPT focuses not only on the individuals mechanical deficits but we also focus of the emotional and psychosocial reasons for an individuals pain as this can contribute to chronic pain. So how do we accomplish the ‘Mind’ and ‘Soul’ aspects of care? Well first we love on you!!! This is important because by caring and providing a loving environment we are able to calm that nervous system down thereby decreasing pain and also the anxiety driven by pain. We also collaborate with other health care professionals when we feel their services will be complimentary to ours such as Clinical Social Worker’s, Personal Trainers, Orthopedic surgeons and the list goes on.
We have created this blog to inform the community about their health care options and to let individuals understand that they don’t have to live in pain. During the course of a series of blogs we will address common acute/chronic injuries we see and have been successful in treating. We will also share our philosophical views on healthcare and ways we can improve outcomes and not over utilize resources.
We hope you continue to follow us on the path of healthy living and a healthy lifestyle. COME JOIN US AND HEAL WITH US!!