Role of the Physical Therapist Sports PT Staff

“Let our team take care of your team” Libby Kestel PT, SCS, MBA Ed Crowley PT, ATC Dick Evans PT, OCS Joel Lee PT Paul Pursley PT, SCS Katie Ryan PTA Kolleen Shields PT Glenn Williams PhD, PT, ATC, SCS

It’s a good team ~150 Combined years of experience 6 APTA certified specialists (2 OCS, 1 PTA) 3/14 SCS in Iowa Continuing Education APTA Dues

It’s a good team Positions held/ holding  Director of AT Services (UI)  Chairperson for SE District of IPTA (x3)  District Director (x2)  IPTA Foundation President  Iowa House of Delegates  Board of AT Examiners  Board of PT Examiners  President, American Society of Shoulder and Elbow Therapists

Education Certificate BS MPT or MSPT DPT

Practice of Physical Therapy The Past Direct Access

Practice of Physical Therapy The Present

Physical Therapy Practice The Future APTA Vision 2020 By 2020, physical therapy will be provided by physical therapists who are doctors of physical therapy, recognized by consumers and other health care professionals as the practitioners of choice to whom consumers have direct access for the diagnosis of, interventions for, and prevention of impairments, functional limitations, and disabilities related to movement, function, and health.

Chances of Achieving Vision 2020

“Autonomous Practice” ?

Definition of "Autonomous Practice" Adopted In light of APTA's movement toward realizing Vision 2020, an operational definition of "autonomous practice" was adopted during the March Board of Directors meeting. Vision 2020 states, "Physical therapists will be practitioners of choice in clients’ health networks and will hold all privileges of autonomous practice." Board members agreed, however, that the term "autonomous practice" and the related term "autonomous physical therapist practitioner" needed clarification to ensure that the Association’s efforts toward this realization are consistent.Vision 2020 The definitions adopted by the Board are as follows: "Autonomous physical therapist practice is practice characterized by independent, self-determined, professional judgment and action. "An autonomous physical therapist practitioner, within the scope of practice defined by the Guide to Physical Therapist Practice, provides physical therapy services to patients/clients who have direct and unrestricted access to their services, and may refer as appropriate to other health care providers and other professionals and for diagnostic tests." The Board directed APTA staff to identify competencies of the autonomous physical therapist practitioner, using A Normative Model of Physical Therapist Professional Education, the Guide to Physical Therapist Practice, other Association documents, and expert member input. A report is due to the November 2001 Board of Directors meeting.

Practice of Physical Therapy What PT’s Do Relieve Pain  Modalities, Manual Techniques, Education Improve ROM  Modalities, Manual Techniques, Ex. Instruction Strengthen muscles  Exercise Instruction, Man. Res. Exercises Improve Function  Assistive Devices, Correct Impairments

UI Practice What we don’t do  Non-mechanical Pain (pain at rest)  People that don’t want to exercise, modify lifestyle UI Practice- Active Exercise  Practice in a vacuum Our goal  Help patients achieve THEIR goals  Restoration  Prevention “Repeat business is great. Repeat business for the same problem is not great”.  Enhancement

UI Practice Rehab Therapies 0733 JPP  PT (Evaluation, Returns) UISMC  “One stop shopping” HEP Start PT at UI Start PT in community  Pre- Post Op Teaching  Crutch fitting  KT 1000 Training Rooms  Consultation  PT

Future UISMC Practice Enhancement Injury Prevention Clinical Research  Functional testing for return to play Screening UI Athletes  Shared care

UI Practice - PT Referral “An invitation to see the patient” – Dick Evans Information to include on PT Referral  Diagnosis  Goals  Time Frame Information not to include on PT referral  “2x5 quad sets 2x/ day”  “no theraband”  “Ultrasound at 1 MHz for 5 minutes” Check sheet?

Practice of Physical Therapy Sports PT is very small part of PT Profession Rehab is small part of AT profession

Practice of Physical Therapy Fun, active patients Well insured Visibility Total care Control/ Turf  Taping

Practice of Physical Therapy We know a lot about a little  Rehabilitation 1 injury year vs. 7 at a time  ACL’s  Ear Exam

How It Could Work

Injury AT Rehabilitation MD Evaluation AT Evaluation PT/ AT Rehabilitation Return to Play Surgery “Minor Injury” “Major Injury” Progressing Time Loss Not Progressing Taping/ Bracing Advanced Rehab

When we get it right  Shared  Athlete is focus  Mutually beneficial  Mutually respectful  Appropriate communication  Example When we get it wrong  ATC Under- refers  ATC Over- complicates  ATC Over-manages  PT Doesn’t Include  PT Over- treats  PT Delegates?  PT Doesn’t consult  Over-communicate PT/ AT Rehabilitation What it’s not…..and never will be. Money maker AT as first responder

Can we get there from here?

Thank You.