#PTonICE Daily Show

Dr. Zac Morgan, Spine Division Leader, discusses the gap between social media and clinical practice, importance of real mentorship over influencers, and having humility in manual therapy. Topics include navigating social media influence on manual therapy, replicability in manual therapy studies for back pain, enhancing methodology, and improving manual therapy skills through mentorship.

Dr. Jessica Gingerich // #ICEPelvic // www.ptonice.com  In today's episode of the PT on ICE Daily Show, #ICEPelvic faculty member Jessica Gingerich discusses the kipping pull-up as well as modifications to maintain kipping for pregnant athletes & reintroducing kipping sooner for postpartum athletes. Take a listen to learn how to better serve this population of patients & athletes or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about our live pregnancy and postpartum physical therapy courses or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. Are you looking for more information on how to keep lifting weights while pregnant? Check out the ICE Pelvic bi-weekly newsletter! EPISODE TRANSCRIPTION INTROHey everybody, Alan here. Currently I have the pleasure of serving as their Chief Operating Officer here at ICE. Before we jump into today's episode of the PTI Nice Daily Show, let's give a shout out to our sponsor Jane, a clinic management software and EMR. Whether you're just starting to do your research or you've been contemplating switching your software for a while now, the Jane team understands that this process can feel intimidating. That's why their goal is to provide you with the onboarding resources you need to make your switch as smooth as possible. Jane offers personalized calls to set up your account, a free date import, and a variety of online resources to get you up and running quickly once you switch. And if you need a helping hand along the way, you'll have access to unlimited phone, email, and chat support included in your Jane subscription. If you're interested in learning more, you want to book a one-on-one demo, you can head on over to jane.app.switch. And if you decide to make the switch, don't forget to use the code ICEPT1MO at signup to receive a one-month free grace period on your new Jane account. JESSICA GINGERICH Good morning! Sorry for the late start. Welcome to the PT on Ice Daily Show. My name is Dr. Jessica Gingrich, and I am on faculty with the Pelvic Division here at ICE. My goal for today is going to be expanding on my last podcast that was about gymnastics during pregnancy, and really during the postpartum phase as well. So just a quick review of what defines gymnastics. It is a broad term that encompasses many movements and is utilized in many different sports like gymnastics, cheerleading, yoga, trampoline, and also CrossFit. So today I'm going to expand on the kipping pull-up rather than just a strict pull-up. WHAT IS KIPPING? Kipping is the act of using momentum to help drive certain movements. So we will see this on the rig, on the rings, and even during some handstand movements. So during pull-ups on the rig or the rings, kipping is using your lats and your core to drive into a hollow position, so that looks like a C, and then pulling into an arch position, which would be the opposite range of motion. This taxes the core through active muscle contraction, as well as putting the anterior core on a stretch. We often see coning and doming during the hollow or arch position as it stresses the anterior core during both movements. We see this during pregnancy and postpartum, but we also see this in other populations as well. Now, this is often communicated as something that is bad or dangerous, especially in the pregnant and postpartum women. And just remember, we want to help redefine that language as more of preparedness versus dangerous. Is your client prepared from a musculoskeletal standpoint to perform said movement. This is a less aggressive way of communicating. And remember, we don't want to induce fear around movement ever, but especially in this already vulnerable population of people. WHY IS CONING & DOMING WITH KIPPING SEENAS DANGEROUS? Now, let's unpack why coning and doming is seen as dangerous. So this was based on what we didn't know. a recommendation that came about because we didn't have research, so we erred on the side of caution, especially in the pregnant and postpartum world. We now know that coning is going to happen, and this is because of a mismanagement of pressure in that core canister. Mismanagement of pressure does not only happen in pregnancy and postpartum. It happens in all populations. We see coning and doming, and we use those words interchangeably by the way, in all populations like men, babies, and nulliparous women. That is just someone who has not given birth. Now, with this mismanagement of pressure, there are ways to optimize core recruitment to decrease objective coning or doming and increase co-contraction of the obliques, transverse abdominis, and rectus abdominis. However, you will see that many of your clients don't really care. They don't really take our advice on how to optimize their core. So will they hurt themselves? The short answer is no, they're not going to hurt themselves. Depending on overall core strength and preparedness of a particular task, they may be more susceptible to injury, but we're not scared of injury, right? We know how to rehab injury. What we don't want is to create fear around movement. So how do we negate this? ELIMINATE FEAR AROUND KIPPING So first and foremost, we eliminate fear. So, this can be difficult as mom, grandma, a random dude at the gym, friends, and really most commonly what we are starting to see now with Instagram is the fitness influencer that doesn't know the research. Telling your client that they shouldn't do certain movements. We train their core before, during, and after pregnancy. This includes more than just dead bugs, bird dogs, supine TA contractions, et cetera. Furthermore, we show them modifications in the gym to keep them on the rig and closely mimicking the stimulus of the workout when it comes to kipping pull-ups. The biggest point to make is your client maintains points of performance. This could be during any core movement, but specifically, kipping pull-ups is going to be, are they able to maintain the hollow position? If they are able to maintain that, then we let them go. Do your kipping pull-ups, whether you're coning or you're not. So the points of performance are going to be scapular depression and opposed to your pelvic tilt or that hollow position. This can be maintained. Can this be maintained throughout the pole? If they cannot maintain that, A, they're not going to hurt themselves if they continue. However, if you are educating around core optimizing strategies, then we modify. Modifications can look like feet supported kipping pull-ups, so that could be on the ground with a rack chin or with a box. Single foot supported kipping pull-ups, same thing, most of the time is done on a box so that other leg can hang off the box. Or they can further regress to feet supported strict pull-ups, known as the rack chin. There is always an option to decrease reps or rounds while we are choosing to modify that mimics the stimulus as well. When we choose a foot supported option, we are maintaining the kipping movement throughout a period of time rather than eliminating it. So we are saying, try this to maintain your pulling strength rather than eliminating it completely. This way they have more time or I guess less time between when they come off the rig during pregnancy and get back to it in that postpartum time. So to recap, change your language in the clinic, deal hope not fear. Bring attention to social media and how really we can't trust everything that we see and this may be showing your clients who to unfollow or who to mute in real time in the clinic. You should do the same thing for yourself and also report misinformation. So just like your client is going to be influenced by things that they see, so will you. The human body is resilient, and it does not stop being resilient once they become pregnant. Help your clients understand that. They will move with less fear, and they will come to you if they're unsure, or if they're having pain or symptoms. And so therefore, you're gonna be keeping them in the gym. And we want that, right? We want them to come to someone who is gonna encourage exercise throughout the lifespan, and that includes pregnancy and postpartum. Use modifications as necessary or if your client wants to. Remember that it may not be, they may want to use a modification because they feel better doing it. That's okay as well. Train their core in all positions and all ranges and prepare them for what life is. Prepare them for beyond what life is going to throw at them. Now, as always, we're gonna end with some courses. So if you head over to PTOnIce.com to check out our upcoming courses. In our live course, we dive into pull-ups, we dive into rig work and gymnastics. So if this is something that you wanna better your skills at, head over to PTOnIce.com to sign up. I hope you guys enjoy the rest of your week and I will see you next time. OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CEUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.

Alan Fredendall, Fitness Athlete Division Leader, discusses the ongoing debate over kipping movements in recreational fitness despite limited evidence. Topics include safety, efficacy, and the importance of progression from strict to kipping exercises for optimal performance and injury prevention.

Dr. Jeff Moore // #LeadershipThursday // www.ptonice.com  In today's episode of the PT on ICE Daily Show, ICE Chief Executive Officer Jeff Moore discusses pursuing mentorship with individuals who are not too far removed from your current situation so that they can best understand your needs & optimize a path to facilitate your growth. Jeff argues that often, individuals seek mentorship from those so far removed that they can no longer understand what it is like to be in that situation or the steps needed to continue to see growth. Take a listen to the podcast episode or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about courses designed to start your own practice, check out our Brick by Brick practice management course or our online physical therapy courses, check out our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. EPISODE TRANSCRIPTION JEFF MOOREAll right crew, what's up? Welcome back to the PT on ICE Daily Show. I am Dr. Jeff Moore, currently serving as the CEO of ICE and always thrilled to be here on a Leadership Thursday, which of course is a Gut Check Thursday. The open is over. We are back in business with Gut Check Thursday and we've got a doozy. We've got every two minutes, you're going to do 15 calories on the bike, and then you're going to do as many thrusters as possible in the remainder of that two minute time period. at the weights of 135 for the gents and 95 for the gals. Then you're going to keep repeating that, right? Every two minutes you've got to get your 15-12 cal on the bike done before you start knocking out thrusters. The workout is over at 30 thrusters. I just did this the other day. I finished in the 7th round, 13 minutes and change. It's rough. There's not a lot of rest by not a lot I mean none. Think about scaling that weight if you're not getting over 5 reps in those first rounds. If you don't feel that's doable, maybe knock a few pounds off or you might be there. for a while because that bike only chews up more time as you get more fatigued. So give that a bit of thought. It's a wonderful workout. Make sure you tag us, Ice Fisio, Ice Train. Love watching you do all these workouts and sharing them across our social media platforms. Team, welcome to Gut Check Thursday. Welcome to Gut Check Thursday and welcome to Leadership Thursday. where I want to share a huge hack on mentorship that I think is so underappreciated. So the title of today's episode is Optimization via Degrees of Separation. Speaking of mentorship, and the hack that I want to share with you is how to recognize who you should learn from and who you should be teaching. An area that is incredibly plagued by low intention. The organization of that is not something people give a ton of thought to. It's plagued by low intention and one very common mistake. A COMMON MISTAKE OF MENTORSHIP: FOLLOWING THE LEADER So let's open with that common mistake. The common mistake in this, in the space is that most people think they want to learn from the star player or the leader of the organization or the person who they recognized that brought their attention to that area. They think they want to learn from that key person. You almost never do. Who you, you might want to work in their system, right? Like that absolutely makes sense. You might want to move towards their position. That totally makes sense. But who you want to learn from is very rarely that individual. You want to find someone who can over deliver for you and it will almost never be that person. The principle that we're talking about in today's episode is that you can talk across a river, you can yell across a lake, but you can't hear each other across the ocean. What I mean by that is the farther apart you are in knowledge and experience, the less effective the mentoring relationship. Now, the classic example here is when somebody says, oh, I had this great physics teacher, right? They were brilliant, but they couldn't relate to us. They couldn't teach as well as entry-level students, okay? This is not because of their intelligence. Generally, that's what it's blamed on, right? This person was too smart to be able to relate to us. That's almost never the case, right? SEPARATION FROM LEARNING PREVENTS SOLID MENTORSHIP It's because of separation. So many kinds of separation that make it more like an ocean than a river. Examples of that separation are the amount of knowledge this person has. That is not so much speaking to their intelligence, but they have simply accumulated a tremendous amount of knowledge over so many years that they can't understand anymore what it's like to look at a new concept in the absence of having that knowledge. because they have so much and they've had it for so long. They can't remember what it was like not to have it and what trying to learn a new concept feels like in the absence of it. They simply cannot put themselves back in that position. They can't relate to your phase of life. They can't remember what it was like when their other parts of their life beyond the professional stuff looked and felt like yours does because theirs looks nothing like that anymore. Other responsibilities. These people, that physics professor for example, is thinking about their research. They're thinking about building their team right well above and beyond the classroom. There's other areas that not only have some of their attention but arguably probably have more of their attention because as they've gained seniority that is where their unique role is probably most dependent upon. So that's what they're thinking about all the time. It's where a lot of their focus is. But when you add in all of these degrees of separation, the amount of knowledge, the phase of life, all these other responsibilities, that's what creates the ocean. And getting across that for a quality mentorship relationship is simply impossible. I can give you a personal example of this. My most effective phase of teaching physical therapists how to get better at physical therapy was when I was in the clinic about 25 hours a week. That was the sweet spot. I remember being in that sweet spot. I was one degree of separation. away from the people I was teaching. Yet, I had enough time out of clinic that I could mold and form my course and put good intention into the content That was the sweet spot. I was just removed enough from full-time clinic that I could really craft the message, but I was in it enough and I was still in phase of life enough that I totally understood exactly what these people needed to hear and what was going to have the greatest impact. When my role in the company shifted, my ability to teach clinical content noticeably declined. Oh that's better that's better because it just they had all the antidotes you could feel the fact that they just faced the same problem it was so much more relatable all the small changes in the profession they were in in and are in lockstep with and you could just feel the real. And that made it come across so much more applicable and so much more relatable. So I noticed as I began to move away and get a bit more separation, my ability to relate and be effective was significantly altered. This should guide you. This principle should guide who you look to for mentorship and who you look to mentor. You want the person who was where you are two to three years ago. That's the sweet spot. When you get in this organization you're excited about, you do not want to learn from the most veteran, clinician, person, team member. REACH UP THE LADDER BY ONE RUNG You want to learn very specifically from the person who was where you currently are two to three years ago. That's the sweet spot. So don't get enamored on trying to maybe look at it as reaching up, right? And try to make that relationship. You really want to reach up, but just one ladder rung, because that's going to be the river. That's going to be the most effective communication mentorship relationship. Now, similarly, you want to teach people who are only two to three years behind you. who are in situations that you very recently were in. So give that some really serious thought, right? Is there somebody you're currently teaching leading that really you should be passing that off to somebody who's a bit more closely connected to where all of those different components in that person's life are existing? Have you been hanging on to some relationships too long, or does the system need to be reshuffled where you're a bit more intentional about that time domain when you're looking at these mentoring relationships? This is not, by the way, just true in professional or clinical practice, right? It's true literally everywhere. Think about it in the gym. The athlete who just learned muscle ups is often the most effective person at helping you get your first one. Why? Because when you ask the person who knocks out 12 to 15 unbroken without thinking about it, that last part's the problem. They don't have to think about it, right? So it's very hard because they kind of say things like, I don't know, man, I just do it, right? Now don't mishear me. There are some amazing experienced coaches that have a truly unique ability to still break it down for you. But there is something to be said that once it gets so natural, once it requires so little thought, it's a bit tough to instruct somebody who is just learning their very first one. It is so true in music, right? When you're learning the guitar, somebody who just mastered their scales is an amazing person to show you how to sit and how to hold the guitar, the fundamentals. Because again, the person who has true virtuosity is going to say things like, dude, I don't know, man. I just kind of feel it out, right? I can play it by ear. Well, cool. I can't. So right now I need somebody who can understand what it's like to not be able to. EVALUATE YOUR MENTORSHIP SYSTEMS ON A DEEPER LEVEL My call to action for all of you on Leadership Thursday is to begin to evaluate your mentorship systems using the one degree of separation rule. You want people teaching people who were where the learner is just a couple years ago. When you go into a system, don't think it's awesome to learn from the person who's been around the longest. Think it's awesome to learn from the person who most recently solved your specific problem. And that person was where you are two to three years ago. Change these mentorship relationships from a time domain and you will drastically alter their efficiency. Give it some thought team. We are off for Easter weekend and then we are coming back with 13 live courses next weekend. all over the map. Actually the next couple weekends we've got about a dozen or more courses on tons of spots to check out PT on Ice live classes. Go to PTOnIce.com. You'll see them all right there. April 6th, 7th, the following week. Tons of options. Wherever you are, we probably are. Jump into all the fun team. Have an awesome Thursday. We'll see you next week. OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CEUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.  

Dr. Brian Melrose discusses loading the lumbar spine in all planes for rehab, including anti-flexion, anti-rotation, and anti-sidebending exercises. He shares a progression sequence from plank-based loading to using external resistance, culminating in intentionally loading the spine in suboptimal positions.

Dr. April Dominick from #ICEPelvic discusses tackling the pelvic floor knowledge gap in the community to prevent formal PT needs. She emphasizes the importance of prehab education to serve patients & athletes better. The podcast dives into strategies for educating various groups on pelvic health to enhance overall well-being and prevent dysfunction.

Exploring the practical application of split squats in addressing leg strength deficits and asymmetries, with a focus on improving athletic performance through single-leg exercises like the Bulgarian split squat. Discover the benefits and progressions of split squats for strength building, including techniques to enhance muscle targeting and range of motion. Explore diverse variations of split squats, from foot elevation to shrimp squats, to address muscle imbalances and enhance overall strength.

The podcast discusses the relationship between value and price in physical therapy services, emphasizing the importance of determining rates based on unique value. It explores factors like costs, profit, and SWOT analysis for effective pricing strategies. The dynamic between price and value is explored, advocating for adjusting prices based on increasing value and delivering services ethically.

Explore the gap between diagnosis and prognosis in healthcare, emphasizing the importance of clarity for patients. Learn about managing conditions like degenerative joint disease and osteoporosis, and the impact of uncertainty on patient decision-making. Discover how to empower patients with context and educational courses on exercise prescription and geriatric conversations.

Exploring the balance between patient engagement and effective treatment in physical therapy. Emphasizing precise exercise prescription for patient progress. Highlighting the importance of progressive overload and tailored rehab prescriptions. Advocating for gradual strength training and exercise variety for better results.