PT Elevated

This week Jen Uschold EIM’s lifestyle medicine program director joins us to give an overview of lifestyle medicine. She highlights how lifestyle medicine uses everyday behaviors, topics, and tools that do not cost money and take minimal effort to create powerful changes in our health. Listen and learn more about lifestyle medicine. Helpful research and training: update Introduction to Lifestyle Medicine Lifestyle Nutrition Lifestyle Medicine and Emotional Health Promoting Health and Human Experience Certification in Lifestyle Medicine Ad Info: Since you’re listening to this podcast, there’s a pretty good chance you’re the type of clinician who is always learning. One great way to learn more and earn CEUs is Evidence In Motion’s huge selection of courses. Choose from topics ranging from MSK management and pelvic health, to dry needling and pain science. Get back to hands-on learning by finding an in-person weekend intensive. Or if you prefer online learning, opt for a virtual lab or online option. You can save 10% on courses as a PT Elevated Podcast listener. Just use the promo code PODCAST10 at checkout. You can find the promo code and a link to courses in the show notes. Connect with us on socials:Jen Uschold on LinkedIn@ZimneyKJ on Twitter @PMintkenDPT on Twitter EIM Website - EvidenceInMotion.com

In this season’s final episode, we reflect on our clinical discussions we had throughout the season. Join Kory, JJ & Paul as they discuss the expert guests’ clinical perspectives, they that were helpful for new clinicians. They also expand on guests that are speakers at the upcoming Align Conference, August 26-28. More Links: Catch up on all the episodes Host Kory Zimney on Twitter: @ZimneyKY Host Paul Mintken on Twitter: @PMinktkenDPT Host JJ Thompson on Instagram: @primalphyicaltherapy   Ad Info: We are excited to be back in person and back to hands-on learning for the 2022 Align Conference. This year you can join an all-star lineup of speakers in Dallas, Texas, August 26 through the 28. The labs and lectures focus on sharpening the physical, hands-on treatments essential to patient care. Save 5% on registration as a PT Elevated Podcast listener. Visit alignconference.com and use the promo code PTELEVATED at checkout.  You can find the promo code and a link to the website in the show notes. We can’t wait to see you!

Welcome back to a NEW season of PT Elevated where we are broadening our topics to include more researchers but still focusing on topics that you can use in your clinic every day. This season some of our speakers are guests who will be live in-person at the EIM Align Conference this August 26-28 in Dallas, Texas. On our eleventh episode of season 3, Heidi Moyer, PT, DPT, GCS, CEEAA a Board-Certified Clinical Specialist in Geriatric Physical Therapy (GCS) and a Certified Exercise Expert in Aging Adults (CEEAA) joins us! Heidi is the Program director for Evidence In Motion’s Geriatric Certification Program currently. She has previous teaching experience with EIM, Illinois Physical Therapy Association, and for conferences such as National Student Conclave and Combined Sections Meeting. Heidi is an active APTA Geriatrics member, serving as a leader in multiple roles for APTA Geriatrics with the State Advocate Program and Balance and Falls Special Interest Group (BFSIG) as well as for the Illinois Physical Therapy Association, where they are the active chair of the IPTA Geriatric Special Interest Group (GeriSIG). We are so lucky to have her joining us at the Align conference this year!   Heidi’s Align Session Preview: Heidi will be presenting at the conference during lab 6, “Move Well and OPTIMIZE Always,” alongside Teresa Schuemann, PT, DPT, ATC, CSCS, SCS & Jennifer Stone, PT, DPT, OCS, PHC. The lab is hands-on and interactive. Its goal is to look at the maximization optimization of management and assessment and screening over of athletes across the life span. They will be looking at how you can optimize the performance of athletes across the lifespan, starting at the screening process, then assessment and management. Heidi will be talking about the importance of plyometrics in training older adults and particularly in athletes that are in a plyometrics sport. As well as looking at the senior fitness examination and how you can integrate that in your practice to give you a guidance to how to manage older adults that are athletes.   This lab will be presented twice on Friday, once in the morning, once in the afternoon and once on Sunday, in the morning. Here are some of the highlights: In this episode Heidi expands on her experience working in geriatric physical therapy and becoming a geriatric certified clinical specialist. Heidi does say that you do have to be a jack of all trades because you are not just studying one body system or one joint in the body when looking at our older adults. The geriatric population can be present anywhere. She says her favorite geriatric topic to look at is health promotion and wellness and trying to get people moving long after we discharge them. She is very interested in keeping the geriatric population active and healthy. She also is interested in the topic of ageism. Whether that is self-ageism or ageism reflected from someone else.   Heidi completed her Certified Exercise Expert for Aging Adults (CEEAA) through the geriatrics academy through the American Physical Therapy Association (APTA). It consists of 3-weekend intensive that included, assessment, interventions, and lastly special populations. There was then a written exam and a practical exam. The whole focus was to provide hand-on skills to be able to get access to outcome measures and get facetime with experts in the field within APTA geriatrics to learn about some of these test and measures that are not taught in entry level DPT programs. Heidi says it was a great way to get clinical skills, to see changes in management with her patients, trace progress closely and more.   Heidi says medication reconciliation is within the scope for physical therapists to perform for patients and serves as a safety net to make sure the medications are doing what they are supposed to do. Heidi works hybrid home health currently and the medication reconciliation is her least favorite part. Heidi expands on career negative habits she picked up on and has broken over the years of practicing in the clinic, the fall risk assessment and handling patient falls, using the available assessment tools and more!   Heidi’s Clinical Pearl for Physical Therapist working with Pharmacist– “If you have an interest in older adults and working with the geriatric population jump on the continuing education train. While the entry level DPT curriculum is obviously good enough to get us pass the exam, it is not sufficient to be an excellent clinician when working with older adults. If geriatrics is your passion or if you are in a setting where you do not have a choice and you must see patients of Medicare age, get into some continuing education classes, and make yourself comfortable. We are dealing with human lives and livelihoods and quality of life. We do not want to take that lightly. Do not be afraid to learn more, you are going to have to if you want to work with older adults.” Helpful research and training: Geriatric Certification Introduction to Geriatric Rehabilitation Geriatric Cardiovascular & Pulmonary Exercise Prescription in Geriatric Rehab Regulatory, Legal, and Policy Issues in Geriatric Rehabilitation Geriatric Related Neurological Conditions Management of Geriatric Musculoskeletal Conditions Integumentary Conditions Certified Exercise Expert for Aging Adults – American Physical Therapy Association High-Intensity Resistance and Impact Training Improves Bone Mineral Density and Physical Function in Postmenopausal Women With Osteopenia and Osteoporosis: The LIFTMOR Randomized Controlled Trial   Ad Info: We are excited to be back in person and back to hands-on learning for the 2022 Align Conference. This year you can join an all-star lineup of speakers in Dallas, Texas, August 26 through the 28. The labs and lectures focus on sharpening the physical, hands-on treatments essential to patient care. Save 5% on registration as a PT Elevated Podcast listener. Visit alignconference.com and use the promo code PTELEVATED at checkout.  You can find the promo code and a link to the website in the show notes. We can’t wait to see you! Connect with us on socials:@ZimneyKJ on Twitter @PMintkenDPT on Twitter Align Conference 2022, Website

Welcome back to a NEW season of PT Elevated where we are broadening our topics to include more researchers but still focusing on topics that you can use in your clinic every day. This season some of our speakers are guests who will be live in-person at the EIM Align Conference this August 26-28 in Dallas, Texas.   On our tenth episode of season 3, Veronica Riera-Gilley is a holistic pharmacist and owner of Prairie Fire Pharmacy Consulting and Functional Medicine Pharmacist with Pharm to Table. Her passion is to maximize health with minimal medication. She is Board-Certified Geriatric Pharmacist, Advanced Mind Body Medicine Practitioner, Certified Lifestyle Coach, and Adaptive Yoga Instructor who helps people embrace healthy living, aging, and dying.   In 2004 Veronica earned her Doctor of Pharmacy from Southwestern Oklahoma State University in 2004. Her journey into pharmacy began with the death of a close family friend. The family friend suffered a traumatic brain injury and was then put on a long list of medications. The side effects of the medication were not tolerable for her. She spoke to her physician and said she could not continue like this and was told that this was her new normal and to deal with it. She was given no guidance and continued the medication and shortly after she died of suicide. Veronica became a pharmacist because she wanted to be the healthcare professional that this family friend really needed, someone that could be the voice of reason and say that there are always other options, other ways to do things. That there are safer ways of using medications than others. Sometimes the answer is more medication and sometimes it is no medication at all. That is why Veronica is a pharmacist she wants to be that health care provider for patients who are sick and tired of being sick and tired and want to find a way outside of the pill box. In this episode they expand on what holistic healthcare is and what being a holistic pharmacist is, medication, when it is necessary and when it isn’t, how clinicians can benefit from utilizing a pharmacist and more!   Here are some of the highlights: Holistic healthcare looks at the whole person and we treat not just the symptoms but the root cause of the problem. Functional medicine is that framework to ask that question of why are you having this symptom? Conventional medicine has often prescribed in medication a pill for every ill.  Functional medicine says why are you having this symptom and what is the root cause? How are we going to treat that? It is not always something that comes back to a nutrition deficiency or some other physiologic thing going on in the body. Sometimes it is a emotional or spiritual. The holistic approach to health care is looking at the whole person not only at their physiologic needs but their spiritual and emotional needs as well and giving credit to all of it. When Veronica was in pharmacy school, she was taught that Lifestyle and nutrition is the core of health. When lifestyle and nutrition failed, they were told to use medication. She gets excited when a patient comes in with an ailment that requires them to be on a long-term medication. Veronica says we need to be having the deep prescribing conversations with our patients, this is the planed and supervised process of discontinuing or reducing dosages. She says we should be having these conversations with our patients because most of these medications are band aids and not cures. They are buying us time to make those lifestyle changes are bodies are asking us to make. Poly pharmacy is using multiple medications at once. The greater the medications you use at once the greater the likelihood of having medication related harm or drug interactions. Veronica says she thinks It is important that we find ways for patients to reduce their medication burden for their long term safety. Food as Medicine and Functional Medicine gave her more tools in her toolbox to help her guide her patients on how to reduce her medicine needs and improve their health without reaching for more pills. Listen and learn how Veronica works with patients to reduce medications they are on. Veronica’s Clinical Pearl for Physical Therapist working with Pharmacist– “I want to give a shout out to all our physical therapists and occupational therapists. I think that you are some of the professionals with the best skills to help our patients with gaining the skills that they need to reduce their medication needs. Learning how to move their bodies more efficiently and how to improve their cardiac health and manage their pain are all skills that you have to offer our patients and help them navigate life with a lower medication burden. So thank you for having a different skillset to bring to our patients that they really need to be able to have maximum health with minimum medication.” Helpful research and training: EIM Lifestyle Nutrition Course Introduction to Lifestyle Medicine Course Lifestyle Medicine and Emotional Health Certification in Lifestyle Medicine Lifestyle Medicine Certificate: Real World Application with Jessica Baker Take 5! Reasons to Add Lifestyle Medicine to Your Practice   Ad Info: We are excited to be back in person and back to hands-on learning for the 2022 Align Conference. This year you can join an all-star lineup of speakers in Dallas, Texas, August 26 through the 28. The labs and lectures focus on sharpening the physical, hands-on treatments essential to patient care. Save 5% on registration as a PT Elevated Podcast listener. Visit alignconference.com and use the promo code PTELEVATED at checkout.  You can find the promo code and a link to the website in the show notes. We can’t wait to see you! Connect with us on socials:@ZimneyKJ on Twitter @PMintkenDPT on Twitter Veronica Riera-Gilley, LinkedIn Prairie Fire Pharmacy Consulting Prairie Fire Pharmacy Consulting Align Conference 2022, Website

Welcome back to a NEW season of PT Elevated where we are broadening our topics to include more researchers but still focusing on topics that you can use in your clinic every day. This season some of our speakers are guests who will be live in-person at the EIM Align Conference this August 26-28 in Dallas, Texas. On our ninth episode of season 3, Brent Anderson, PhD, PT, OCS, PMA®-CPT, owner and Founder of Polestar Pilates and Co-founder of Runity.run joins! He is a former dancer and been a PT for over 30 years. He is also a world lecturer and educator. He first opened Anderson Physical Therapy (APT) in Sacramento, CA. It was one of the first physical therapy centers specializing in Pilates based rehabilitation and performance enhancement. By 1994, a second APT facility was integrating Pilates into rehabilitation, dance medicine, cross-training, and wellness. Rehabilitation and Pilates practitioners from around the world visited Sacramento to observe and study this exciting new treatment approach. By 1997, Brent moved his practice to Miami, FL from 3,000 to 12,000 square feet of space. A Doctor of Physical Therapy and orthopedic certified specialist for more than 13 years, Brent is a leading authority in performing arts medicine and Pilates-evolved techniques for rehabilitation. He lectures nationally and internationally at symposia as well as consults with professional dance companies, schools, and observatories throughout the world. In this episode Brent expands on his extensive background between teaching and business. They discuss movement how Brent uses Pilates in that aspect, the benefits of getting into active movement, general misconceptions about pilates people have and more! Here are some of the highlights: Brent says sometimes he thinks the number of hats we wear has a direct correlation with how old we are. If we have stayed active, if we are pursuing new information then it is like our hats will continue to grow.”   Brent danced semi-professionally years ago, while he was in physical therapy school at UC San Francisco 35 years ago, he was taking dance class and his dance teacher told him about pilates. She told him to check it out the new dance medicine center at St. Francisco Hospital and he fell in love with it immediately. He met his partner Elizabeth who was his partner in Polestar pilates for 10 years. They traveled around and introduced pilates to the rehabilitation world. Brent then moved to Sacramento to have his own physical therapy practice. At that time, they introduced pilates education in a formal education way to be able to be certified in pilates in 1992. Polestar Pilates is in 67 countries with 16,000 graduates today.

Welcome back to a NEW season of PT Elevated where we are broadening our topics to include more researchers but still focusing on topics that you can use in your clinic every day. This season some of our speakers were guests who will be live in-person at the EIM Align Conference this August 26-28 in Dallas, Texas. On our eighth episode of season 3, Dan Rhon, PT, DPT, DSc, PhD joins! Dan is currently a physical therapist, professor and research director for the DScPT Faculty at Bellin College. He graduated from Baylor University with his master’s in physical therapy, followed by a DPT from Temple University and DSc from Baylor University. He completed a clinical fellowship at Brooke Army Medical Center (orthopaedic manual physical therapy) and a postdoctoral research fellowship at the University of Utah. He has served as the Director of Research, Department of Physical Medicine & Rehabilitation, Madigan Army Medical Center, and both the Director of Physical Therapy and then the Director of Clinical Outcomes Research at the Center for the Intrepid, Brooke Army Medical Center. He has over 50 publications indexed in Medline/PUBMed and he has received collectively over $10 million in research funding from the National Institutes of Health (NIH) and the U.S. Congressionally Directed Medical Research Program (CDMRP). Dan currently does primarily research in the military health system & a couple of academic programs mentioned above.    In this episode they discuss some of the impactful trials Dan has led, like comparing cortisone injections in physical therapy in patients with shoulder pain and knee osteoarthritis. They also discuss the new trial Dan is undertaking looking at lifestyle and behavior change and how it is at the core of our health and holistic health and what it is. Dan says after you have been in clinical practice for a while you know that change and behavior is extremely difficult to get to happen by just saying something and telling people to do something. When you run a trial, you are trying to get the patients to respond in a certain way and be compliant because this is the care that you believe is optimal and you just need them to do it. But equally as challenging is you try to get clinicians to deliver certain type of care. Listen and find out things Dan believe play into behavior change and what he thinks about educating patients to promote behavior change & more! Here are some of the highlights: Dan says after you have been in clinical practice for a while you know that change and behavior is extremely difficult to get to happen by just saying something and telling people to do something. When you run a trial, you are trying to get the patients to respond in a certain way and be compliant because this is the care that you believe is optimal and you just need them to do it. But equally as challenging is you try to get clinicians to deliver certain type of care. Listen and find out things Dan believe play into behavior change and what he thinks about educating patients to promote behavior change. Dan’s Clinical Pearl – “The focus on the psychological piece with our patients and understanding that. I think every clinician should almost be a psychologist. We all need models to work under, but I do not think I appreciated the communication piece, the therapeutic alliance, the spending a little less time if I must prioritize my time, on an exam and spend a little bit more time listening to a patient and just how powerful that piece of it is. Becoming less mechanical tends to pay off more in the long run. I didn’t realize how powerful that connection was earlier on and realized as I get patients that are not getting better, what I could do better and what I am doing wrong. Just trying to understand patients and where they are coming from a little bit better.” Helpful research and training: DScPT Faculty at Bellin College   Ad Info: We are excited to be back in person and back to hands-on learning for the 2022 Align Conference. This year you can join an all-star lineup of speakers in Dallas, Texas, August 26 through the 28. The labs and lectures focus on sharpening the physical, hands-on treatments essential to patient care. Save 5% on registration as a PT Elevated Podcast listener. Visit alignconference.com and use the promo code PTELEVATED at checkout.  You can find the promo code and a link to the website in the show notes. We can’t wait to see you! Connect with us on socials:@ZimneyKJ on Twitter @PMintkenDPT on Twitter @danrhon, on Twitter @clinicrelevant, Runs account on Twitter Align Conference 2022, Website

Welcome back to a NEW season of PT Elevated where we are broadening our topics to include more researchers but still focusing on topics that you can use in your clinic every day. This season some of our speakers join us as guests that will be live in-person at the EIM Align Conference this August 26-28 in Dallas, Texas. On our seventh episode of season 3, Lori Michener, PT, PhD, ATC, FAPTA, joins to discuss the high-value treatment she has conducted for shoulder pain. Lori has been a professor at the University of Southern California in the Division of Biokinesiology & Physical Therapy for 7 years and is also a director at the University of Southern California Clinical Biomechanics Orthopedic and Sports Outcomes Research. At the beginning of her career, Lori trained as an athletic trainer and a physical therapist then went into college athletics and taught for six years in a typical undergraduate institution. She taught athletic training and pre-med, pre-physical therapy, and pre-occupational therapy students. She says it was a great opportunity for her to learn how to be a teacher. She then went back and got her PhD in biomechanics and orthopaedics at Hahnemann now Drexel University and taught for 15 years at Virginia Commonwealth University. Now she has been in Southern California for the last 7 years at the University of Southern California. In this episode, they focus on why she chose to focus on the shoulder for her speciality area of study. They also discuss the decision of pursuing a Ph.D. and how she came to the conclusion to do so and more! Here are some of the highlights: Lori says no matter what area you are interested in if you have questions about pursuing a Ph.D. reach out to her and she is happy to talk about it. She says it took her about 2 years to come to the decision that she wanted to get her Ph.D. The advice she gives to anyone looking to pursue their Ph.D. program is to explore a lot of different programs because they are all different. Paul asks Lori what outcome measures she thinks we should be using to measure our patients with shoulder pain? Lori lists several tests she has used and for what over the years: The Penn Shoulder Score (PPS) – a condition-specific self-report measure. It is a 100-point scale that consists of 3 subscales, including pain, satisfaction, and function The American Shoulder and Elbow Surgeons Shoulder Score (ASES) which is a mixed outcome reporting measure. It has 10 questions but some of the questions can be limited depending upon the patient's abilities. Shoulder Pain and Disability Index (SPADI), which is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain consists of five questions regarding the severity of an individual’s pain. Functional activities are assessed with eight questions designed to measure the degree of difficulty an individual has with various activities of daily living that require upper-extremity use. The DASH outcome measure – the disabilities of the arm, shoulder, and hand questionnaire is a 30-item questionnaire that looks at the ability of a patient to perform certain upper extremity activities. The questionnaire is a self-report questionnaire that patients can rate difficulty and interference with daily life on a 5-point Likert scale. Patient Satisfaction Score– a direct question, how satisfied are you with the use of your shoulder presently? 100 is full, 0 is not satisfied. Some of these outcome measures use legacy measure, some are specific questionnaires if your legacy measure does not capture that and then some anchor patient acceptable symptom state or patient satisfaction with the use of your body part that is injured. Lori’s Clinical Pearl – “I wish I would have known that connecting with the patient is more important than what you’re doing with the patient. I don’t think there is a magical set of exercises or manual therapy you can do, how you connect with the patient and deliver care is more important. I try to remember that when I walk in the door, I am in patient mode and the shield is up and I am present with the patient. Your behavior and how you are doing it can change how the patient responds.” Helpful research and training: University of Southern California in the Division of Biokinesiology & Physical Therapy. University of Southern California Clinical Biomechanics Orthopedic and Sports Outcomes Research Management of the Shoulder and Elbow Surgery versus Physical Therapy for Shoulder Impingement   Ad Info: We are excited to be back in person and back to hands-on learning for the 2022 Align Conference. This year you can join an all-star lineup of speakers in Dallas, Texas, August 26 through the 28. The labs and lectures focus on sharpening the physical, hands-on treatments essential to patient care. Save 5% on registration as a PT Elevated Podcast listener. Visit alignconference.com and use the promo code PTELEVATED at checkout.  You can find the promo code and a link to the website in the show notes. We can’t wait to see you! Connect with us on socials:@ZimneyKJ on Twitter @PMintkenDPT on Twitter @LoriMichener on Twitter @lorimw7 on Instagram Align Conference 2022, Website

Welcome back to a NEW season of PT Elevated where we are broadening our topics to include more researchers but still focusing on topics that you can use in your clinic every day. This season we will have some of our speakers as guests who will be live in-person at the EIM Align Conference this August 26-28 in Dallas, Texas. On our sixth episode of season 3, guest David Bruton Jr., DPT joins! David is an Align Conference keynote speaker this year! He is a former professional football player in the NFL for 8 years 7 with the Broncos and 1 with the Washington Football Team, from 2009-2016. David played at the University of Notre Dame where he graduated with two degrees, political science, and sociology, in 2009. He is a member of the CU Physical Therapy Scholarship Board, Founder of Bruton's Books, and an advocate for change. He graduated from the University of Colorado DPT program in December 2021 and owner of Between the Lines Physical Therapy, helping people return to their game! In this episode they focus on what led David to decide to become a physical therapist, why physical therapy always played a huge role in David’s life, his unique role having experienced concussion protocols playing in the NFL, and speaking about them to the senate and more! Here are some of the highlights:David has always enjoyed reading especially when he was injured and couldn’t practice in the NFL. He always enjoyed a good book that expanded his mind. In 2015 he wanted to expand his volunteer role in the NFL community with literacy and he wanted to have an impact at the ground level with something that was more his passion. He wanted to be involved in the project. Since he established and founded his foundation, Bruton’s Books, they have been able to conduct multiple projects to create opportunities for Colorado’s Youth. Their mission is to help low-income children in grades K-3 become strong readers through tutoring and providing books to underfunded schools, libraries, and classrooms. David has opened his own clinic, Between The Lines Physical Therapy. Where they are always, “Focusing Between the Lines,” and truly know what it’s like to compete “Between the Lines.” They say, “This gives us a unique perspective on what physical therapy means to the patient, and more importantly, how we as a team, can deliver effective treatments and therapies to get you back in your game. Trust our team to help get you back in peak performance.” They offer performance care to take your game to the next level, preventative care so you can stay ahead and prevent injury and physical therapy to recover and return to your game. David’s Clinical Pearl – “One of the biggest things as a new grad that I learned is that your evaluation does not have to be 100% complete in that first session. Keeping in mind you don’t have to get everything right on the first time. Keep a working hypothesis and be able to evolve it and work on it throughout the evaluation. Accept the improbable, be ready to react and adapt.” Helpful research and training: Advanced Principles of Patient-Client Management: Called to Care Bruton’s Books, Website Ad Info: We are excited to be back in person and back to hands-on learning for the 2022 Align Conference. This year you can join an all-star lineup of speakers in Dallas, Texas, August 26 through the 28. The labs and lectures focus on sharpening the physical, hands-on treatments essential to patient care. Save 5% on registration as a PT Elevated Podcast listener. Visit alignconference.com and use the promo code PTELEVATED at checkout.  You can find the promo code and a link to the website in the show notes. We can’t wait to see you! Connect with us on socials:@ZimneyKJ on Twitter @PMintkenDPT on Twitter @D_Brut30, on Twitter @d_brutjr30, on Instagram @BrutonsBooks, on Twitter Between The Lines Physical Therapy, Website David Bruton, Align Conference Website Align Conference 2022, Website

Welcome back to a NEW season of PT Elevated where we are broadening our topics to include more researchers but still focusing on topics that you can use in your clinic every day. This season we will have some of our speakers as guests who will be live in-person at the EIM Align Conference this August 26-28 in Dallas, Texas. On our fifth episode of season 3, guest DeAndre Caldwell, DPT, ATC, MDT, TPS and Jessie Podolak, PT, DPT, FPS join us. This episode will dive into the concept of spirituality and pain and how that might fit into practice. They both will be speaking at the Align conference in August. Jessie is the Program Director for EIM’s Pain Science Fellowship, and she owns and operates her community’s first direct-pay physical therapy practice, seeing a variety of patients with acute and chronic pain conditions. DeAndre is a physical therapy program manager at ChristianaCare Rehabilitation Services in Smyrna, DE. He is passionate about treating those with low back pain and chronic pain. They focus their discussion on DeAndre and Jessie’s Align conference speaker topic, “Beyond Taboo: Accessing Spirituality to Enhance Healing,” integrating that into the clinic, the biopsychosocial model and more!     Here are some of the highlights: DeAndre talks about the biopsychosocial model and how it is interesting that spiritual is not part of it, it seems like it is missing. Often someone’s spiritual make up is part of them. When you talk to patients you can hear it is engrained in them, but it is now engrained in us to not talk about politics or religion at work or at school from childhood. DeAndre thinks what happens is when patients get to the clinic that way of thinking is still there so they are bringing themselves but part of them is missing so they aren’t being their authentic selves because they have a feeling they can’t talk about certain things in the clinic. He says that goes for clinicians as well. When asked how they integrate spirituality into the clinic Jessie says integrating open ended questions for patients like, “Where do you draw strength from?” can help. She says we are so used to asking clients for impairments and what is wrong and what are you struggling with? But when we lean into green flags like questions, What is good in your life? Where do you have hope? What gives you hope? Even asking patients what their goals are, Jessie says she usually asks patients about goals and asks for a fun goal and a functional goal and sometimes she says clients will say things that will shock you and you have to maintain that unconditional positive regard for the human before you? DeAndre’s Clinical Pearl – “The power of coming to work your authentic self, show up as who you are. There is a scripture that says do not hide your light under a bushel. Be yourself and let your light shine and if that light is reflected,  great you guys can explore that, if not, either way you are still going to have a good interaction. Just let your light shine and be your authentic self.” Jessie’s Clinical Pearl – “I hope all our young clinicians are already doing this but take care of yourself, recognize this is a part of our health. Take care of our physical health and mental health because we cannot pour from an empty cup. One of the things that has filled my cup is connection to other people and to something bigger than myself. Get to know yourself, you deserve to take the time that it takes to sit with people that you love, that build you up and with a creator that loves you.” Helpful research and training: Online: Therapeutic Neuroscience Education Therapeutic Neuroscience Education Advanced Therapeutic Neuroscience Education: Focus on Function   Ad Info: We are excited to be back in person and back to hands-on learning for the 2022 Align Conference. This year you can join an all-star lineup of speakers in Dallas, Texas, August 26 through the 28. The labs and lectures focus on sharpening the physical, hands-on treatments essential to patient care. Save 5% on registration as a PT Elevated Podcast listener. Visit alignconference.com and use the promo code PTELEVATED at checkout.  You can find the promo code and a link to the website in the show notes. We can’t wait to see you!   Connect with us on socials:@ZimneyKJ on Twitter @PMintkenDPT on Twitter @DrCaldwellpt, on Twitter Jessie Podolak, Align Conference Website DeaAndre Caldwell, Align Conference Website Align Conference 2022, Website

Welcome back to a NEW season of PT Elevated where we are broadening our topics to include more researchers but still focusing on topics that you can use in your clinic every day. This season we will have some of our speakers as guests who will be live in person at the EIM Align Conference this August 26-28 in Dallas, Texas. On our fourth episode of season 3, guest Rob Manske, PT, DPT, MPT, Med, SCS, ATC, CSCS, who is a Professor and former Chair in the Doctoral Physical Therapy Program at Wichita State University in Wichita, Kansas joins us. In addition to his full-time faculty appointment, Rob is a physical therapist and athletic trainer for Ascension Via Christi Health and serves as a Teaching Associate at the University of Kansas Medical Center Department of Rehabilitation Sciences in Kansas City, and the Department of Community Medicine for the Via Christi Family Practice Sports Medicine Residency Program. Most importantly Rob continues to practice weekly – spending approximately 10 hours per week treating a variety of knee and shoulder conditions! Rob graduated from WSU in 1991 with a Bachelor of Arts in Physical Education, a Master of Physical Therapy degree in 1994, and further earned a Master of Education degree in Physical Education in 2000. He received his DPT from the Massachusetts General Institute of Health Professions in 2006. Rob has been an APTA Board Certified Sports Physical Therapist since 2002. Rob is also a Certified Strength and Conditioning Specialist (CSCS) through the National Strength and Conditioning Association, and a Certified  Athletic Trainer (ATC) through the National Athletic Trainers Association. Rob has been nominated and received numerous awards for excellence in teaching at the local, state, and national levels – receiving the APTA sports award in 2018. To date, Rob has edited/published 12 books, multiple chapters, articles, and home study courses related to orthopedic and sports rehabilitation They focus their discussion on shoulder disorders, lab techniques, special and functional tests, Rob’s Align Conference topics & more!   Here are some of the highlights:Rob shares how he felt right when he got out of physical therapy school for the first time in three years, he was really struggling to feel like he was helping people to feel better. He thinks the beauty of the PT profession is if you keep trying and learning, as you get older you become better and more skilled and not so frustrated as you were early on in your career. Mark also says doing fellowship helped him tremendously. Rob says today physical therapy students have more information to learn than when he was in physical therapy school and that students are overloaded and when they graduate it takes them a couple of years to figure out what they are doing. He says as a student you must be intentional and learn the order of things and suggests that you need to do that work best for you as a clinician, like how to problem solve and learn what questions to ask your patients. You must learn how to listen. The biggest mistake that clinicians make is not listening to their patients Rob stresses. Rob says he learned the ability to have a sound clinical examination process and all the things he didn’t learn in school that they are teaching now by continuing to practice, reading about clinical reasoning, and continuing working. Rob thinks the return to sport testing is not done as often as it should be for upper extremity patients and there are a lot of them offered that could be done.   Rob’s Align Session Preview: Rob will be talking about special testing, and how it gets a lot of criticism specifically shoulder special testing. He helped Dave Magee on the latest edition of the Orthopedic Physical Assessment, 7th Edition, Rob admits he may be a little biased toward special testing. He says if you look at a lot of different special tests that are done throughout the body, they really are not that great at speciosity. They are better at detecting sensitivity and ruling out the bad things. According to Rob shoulder issues probably are not going to kill you so shoulder special tests are there to help aid him to the conclusion of the root cause of the patients.  issue is. He will expand upon those test types at the Align Conference.   Rob’s Clinical Pearl – Everybody has a certain way that they treat things, my way of treating is not the only way of treating to get somebody better, it works for me, and your way works for you and if your patient is getting better, I think that is great. I’ve learned you must listen to the patient; you must determine what is not working, and you have to be able to self-reflect on what you are doing with the patient and what they are doing and if it is working or not. The older I get the way more conservative I am. I am very systemic and start off very simple and work to a more complex approach with my patients. I would rather not set my patients back weeks to try to gain a week. Listen to your patient. Be nice, and be kind to your patients. You should see it as an honor that patients come see you. People that are hurt and in pain are coming to you to try to help them. Even if you do not agree with the patient, you can still be nice. Truly want to help the patient. Patients know if you are there just to get a paycheck and you are going through the motions or if you really care about them and want them to get better. If you really care about people, you want your patients to get better, that means you like your patients and I think then you are going to be a way better clinician and more likely a way happier satisfied one!   Helpful research and training: Orthopedic Physical Assessment, 7th Edition Management of the Shoulder and Elbow, EIM Course Discounted Therapeutic Neuroscience Education –with OPTP, EIM Course Management of Upper Extremity Disorders, EIM Course Sports Physical Therapy Certification, EIM Program Sports Physical Therapy Residency, EIM Residency Orthopaedic Certification, Program   Ad Info: We are excited to be back in person and back to hands-on learning for the 2022 Align Conference. This year you can join an all-star lineup of speakers in Dallas, Texas, August 26 through the 28. The labs and lectures focus on sharpening the physical, hands-on treatments essential to patient care. Save 5% on registration as a PT Elevated Podcast listener. Visit alignconference.com and use the promo code PTELEVATED at checkout.  You can find the promo code and a link to the website in the show notes. We can’t wait to see you!   Connect with us on socials:@Robptatcscs, on Twitter @robert_manske on Instagram@ZimneyKJ on Twitter @PMintkenDPT on Twitter Rob Manske, Align Conference Website Align Conference 2022, Website Evidence In Motion, Website