Physical Therapy

Nathan Young, MPT, CSCS, SCS

Clinical SpecialistLogan 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 settingsHospitals

Acute CarePrivate practiceOutpatient clinicsHome healthWellness/Sports and

fitness facilities

PT work settingsEducation/ResearchPediatric ClinicSkilled NursingRehab CentersIndustrial,

workplace environments

Schools

PT educationTo apply to physical

therapy school.1) Baccalaureate degree2) Pre-requisite classes3) Volunteer hours4) GRE

PT educationMinimum 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 requirementsGraduate from an accredited PT programPass a national board examPass 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 outlookPhysical 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 2nd overall according to a National Opinion Research Center survey in 2007. The only health care professionals in the top 5.

Salaries Legal/Ethic issuesMedian salary for a PT is

$80,00 depending on position, yrs of experience, location & practice setting.

Gender preference (discrimination)

Direct accessSocial background

Sports PTIncludes performance

enhancementManagement of active

sportsGame coverageTreatment and rehabResearch of sports

injuriesInjury prevention

What I Do?• Clinical Specialist

– Rehab program development & enhancement.– Clinician education development.

• 50-60% of time (working hours) spent:– Working with the following populations

• High School• College• Professional• Recreational

– Providing game coverage/ Injury prevention

Sports PTGoals

Returning athletes back to competition with: Optimal strength Function Flexibility Decreased risk for

injury

Job security

Common Athletic InjuriesMuscle strainsTendon/ligament

sprainsShoulder joint

injuriesKnee injuriesAnkle injuriesElbow 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

ROMStrengthFlexibilityPostureBiomechanics

Golf Acceleration®Home programClinic workout programPGA professional programResults

Golf Acceleration

Running Evaluation

Strength Strength TestingTesting

Posture Posture EvaluationEvaluation

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 FitStatic & Dynamic

bike fitIncluding ROM &

Strength testingPosition &

adjustment of seat, cleats, pedals, stem & handle bars.

Fit for mountain biking, road racing & triathlons

Bridge ProgramPurpose

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 RateApproximately 100,000 collegiate female

athletesKnee 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 techniques6-8 week

comprehensive program

Return to SportFull ROMStrengthSpecial testsFunctional tests

Functional TestsFunctional tests

RunningJumpingSquatLungeHop test

functional guidelines are required for “return to play”.

Program Development/ Research

FIFA 11+A complete warm-up

to prevent injuriesUp to 50% reduction

of injuriesDecrease cost to

soccer clubs

Dr Mario Bizzini, PT PhD

FIFA 11+ project leader

Santa Monica Sports MedicineThe PEP ProgramThe PEP Program: Prevent

injury and Enhance Performance

Pre-game and practice routine for 15-20 min

Five sections Warm-up (running) Strengthening Plyometric Agilities Stretching ( Stretching to

be done after training or game.)

Holly Silvers PTDirector 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 ProgramIt 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

Questions?