Physical Therapy Nathan Young, MPT, CSCS, SCS Clinical Specialist Logan Regional Sports Medicine

Physical Therapist (PT) Physical Therapists are health care professionals who diagnose and treat individuals of all ages, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives.

PT’S Physical Therapists examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function and prevent disability.

PT work settings Hospitals Acute Care Private practice Outpatient clinics Home health Wellness/Sports and fitness facilities

PT work settings Education/Research Pediatric Clinic Skilled Nursing Rehab Centers Industrial, workplace environments Schools

PT education To apply to physical therapy school. 1) Baccalaureate degree 2) Pre-requisite classes 3) Volunteer hours 4) GRE

PT education Minimum requirements a post graduate degree from an accredited education program. Pre-requisite classes which include: Anatomy, physiology, physics, chemistry, biomechanics, kinesiology, & exercise physiology. Doctor of Physical Therapy (DPT).

PT requirements Graduate from an accredited PT program Pass a national board exam Pass a state exam

Employment outlook Currently just a 0.2 percent unemployment rate. There is a high demand for physical therapists in the workforce despite the economic downturn. According to the Bureau of Labor Statistics, employment of physical therapists is expected to grow by 30 percent from 2008 to 2018.

Employment outlook Physical therapists also ranked 4th in a list of 100 "Best Jobs in America" featured in the November 2010 issue of CNNMoney.com. Job satisfaction ranked 2 nd overall according to a National Opinion Research Center survey in The only health care professionals in the top 5.

Salaries Legal/Ethic issues Median salary for a PT is $80,00 depending on position, yrs of experience, location & practice setting. Gender preference (discrimination) Direct access Social background

Sports PT Includes performance enhancement Management of active sports Game coverage Treatment and rehab Research of sports injuries Injury prevention

What I Do? Clinical Specialist – Rehab program development & enhancement. – Clinician education development % of time (working hours) spent: – Working with the following populations High School College Professional Recreational – Providing game coverage/ Injury prevention

Sports PT Goals Returning athletes back to competition with: Optimal strength Function Flexibility Decreased risk for injury

Job security

Common Athletic Injuries Muscle strains Tendon/ligament sprains Shoulder joint injuries Knee injuries Ankle injuries Elbow injuries

What I Do? Performance enhancement – Acceleration® Golf program Running program Bike fit – Bridge Program Return to sport Injury prevention Program Development

Golf Acceleration® Evaluation ROM Strength Flexibility Posture Biomechanics

Golf Acceleration® Home program Clinic workout program PGA professional program Results

Golf Acceleration

Running Evaluation Strength Testing Posture Evaluation

Running Evaluation

Hip Muscle Weakness

Forward flexed trunk at midstance Testing for weak abdominals or tight hip flexors

Trunk Rotation Weak abdominal muscles or habit?

Bike Fit Static & Dynamic bike fit Including ROM & Strength testing Position & adjustment of seat, cleats, pedals, stem & handle bars. Fit for mountain biking, road racing & triathlons

Bridge Program Purpose Bridge in transitioning gap from rehab to “return to sport” Injuries Lower extremity Ex: ankle, ACL, meniscus Upper extremity Ex: rotator cuff, joint instability PT evaluates and then works closely with exercise physiologist in program progression

Live ACL Rupture

ACL Rupture

ACL Injury Rate Approximately 100,000 collegiate female athletes Knee injury rate = 1/10 athletes (10,000 injuries) ACL injuries = 22% of all knee injuries (2,200 injuries/year)

Athletic Republic/Acceleration ® Developed program in conjunction with Acceleration techniques 6-8 week comprehensive program

Return to Sport Full ROM Strength Special tests Functional tests

Functional Tests Functional tests Running Jumping Squat Lunge Hop test functional guidelines are required for “return to play”.

Program Development/ Research

FIFA 11+ A complete warm-up to prevent injuries Up to 50% reduction of injuries Decrease cost to soccer clubs Dr Mario Bizzini, PT PhD FIFA 11+ project leader

Santa Monica Sports Medicine The PEP Program The PEP Program: Prevent injury and Enhance Performance Pre-game and practice routine for min Five sections Warm-up (running) Strengthening Plyometric Agilities Stretching ( Stretching to be done after training or game.) Holly Silvers PT Director of research at the Santa Monica Orthopaedic and Sports Medicine Research Foundation She is a current member of United States Soccer Federations Men’s and Women’s National Medical Team, a member of FIFA’s F-Marc Medical Research Committee. The director of rehabilitation for Major League Soccer’s Chivas USA, the Los Angeles Galaxy.

Logan Regional Sports Medicine ACL Prevention Program It is a combination of both the FIFA 11+ and the PEP program. It should take about 15 min to complete at the start of practice and pre-game and then 3-5 min stretching at the end of the game or practice.

ACL prevention program Consists of 5 areas combining both programs Warm-up (running) Straight ahead Quick forwards and backwards Circling Partners Strengthening Lunge Walk Russian Hamstrings Single Leg Balance Plyometric Forward and lateral jumps Vertical Jumps Agilities Bounding Forward run with 3 step deceleration Plant and cut Stretching Calf, quads, hamstrings, and inner thigh stretch

Lactate Threshold Testing Cyclists and runners

Program Development/Research

Questions?