The Billion Dollar Question: Physical Therapy, If Not Now Then When?

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Top 5 Fridays! 5 Things in Physical Therapy We Cannot Ignore Anymore!

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This post… has been a long time coming. It’s needed. It will not be comfortable. And, it shouldn’t be! If you’ve read any of the below posts… 3 Positive Culture Shifts PTs NEED To Make 3 Business Competencies PTs NEED To Know And, this post from March of last year:  Bridging The Gap . You know what I’m about, and, you know for the most part that I nigh annoyingly positive, constructively inclined, and inherently optimistic. Rarely, do I flat out say something needs to stop. Well… today is one of those rare days. 5 Things in Physical Therapy We CANNOT Ignore Anymore 1. The Debt It isn’t just because there are, for the most part, daily online conversations about the tremendous student debt happening in the field of allied rehab therapy. It’s not just because I get regularly flooded by questions in my many inboxes on the matter of personal finance and career path. The reason we NEED to talk about the debt, isn’t even for the sake of student debt, itself. I believe it...
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Real-Time Visualization of Joint Cavitation

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How do you explain to patients what the cracking/popping sound is when you manipulate them? How about when they stretch or move on their own and get their own audible cracks? You can find anything on youtube, while looking for recent articles on Cavitation, I found a great youtube video showing a the cavitation in real-time. I normally describe the cavitation as a negative pressure within the fluid filled joint capsule. The negative pressure forms a gas bubble, which is normally diffused into the synovial fluid, then pops from the movement or distraction of the two surfaces coming apart. I usually use my two hands clapsed together and pull them apart to create a suction effect. I may now just show them this video instead! Key Points cavitation is normal you can only get it with movement it doesn't put anything back into place the decrease in tone/tension and increase in mobility should be reinforced continuously until it's the new normal patient's don't n...
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Calorie Restriction and Physical Therapy

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By Dr. Sean M. Wells, DPT, PT, OCS, ATC/L, CSCS, NSCA-CPT, CNPT, Cert-DN Diet crazes come and go in the hopes to correct health issues and for weight loss. Many diets are merely fads, not backed by evidence, and/or offer only short-term solutions. One dietary pattern that stands out from the pack is calorie restriction (CR), especially in regards to data on longevity. I have 2 peer-review publications in the area of CR and intermittent fasting, so I can share both the data and experiences of this diet. Let's take a quick look at calorie restriction and what physical therapists (PTs) need to know! Calorie restriction is a dietary regimen where a person consumes typically 25-40% less calories than usual. In order to accomplish this calorie deficit a person must know their total daily caloric needs over several days. Calculating 25-40% of this total calorie needs a client can then reduce their calorie content of each meal in order to hit their calorie deficit. Usually there is...
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