Help Them Find You!

July 23rd, 2010

What is the point of creating exciting new programs and products in rehabilitation if no one can find you or access more information about them?

To that end I offered the following marketing checklist to Jeff Ostrowski, PT and managing editor of the PPS's IMPACT magazine.

Turns out there was a recurrent ad running in the issue for a web optimization company and they didn't have their website's URL anywhere on the ad!?!

So be sure everyone in your group does just like the pilot that kicks the tires on your plane before every flight….complete the checklist before any piece of paper leaves the office or you computer.

It is an exciting new world out there….don't get left on the sidelines!

 

What other checklists do you use in your organization?

 

 

 

 

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The Other Half of Exercise: Rest

June 26th, 2010

 

 

So often in rehabilitation the activity/effort portion of exercise receives the emphasis and little attention is paid to rest/recovery.

 

Harder, further, faster….

 

What ever happened to bringing balance into the work/recovery cycle of exercise?

 

On first blush, in recovery nothing seems to be happening…and it doesn't make much of video or action shot!

But what if the rehab pro was trained in leading the mind to deeper levels of awareness and insight by "moving" attention? (Seriously, do you still limit movement to just gross movement of physical body after reading the literature on imagery? )

We know the homunculus would be lighting up as the inner world is explored and discovered.But what would be the experience for the patient/client? How would they feel?

Would they pay for it?

To the last question I can assure you, yes they'll pay and then go tell all of their friends about their amazing experience at your office.

 

Don't believe me?

Follow me on the 64 min Ther Ex x 4 audio file below. You can download to your MP3 player as well. Feel free to push it to your friends and clients too. Just link back to this page please as a credit.

 

Push the Play Button to Listen
 

MP3 File

 

Well, what do you think/feel?


That's just a small part of the DSR Method. And you can get a similar effect in less than 10 minutes!

 

 

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It Shouldn’t Hurt to be a PT/OT: Treating with Pain

June 13th, 2010

 

In my research at the Courage Center in MN we discovered how many of our colleagues were "playing in pain." Pain from:

  • Exhaustion
  • Burnout
  • Lost Spirit
  • Musculoskeletal Strain
  • Numbness and flat affect

Now this month in the Physical Therapy Journal there is an important study (see below for link and summary) that examines what turns out to be a far too common phenomena:

PTs and OTs in higher than normal levels experience pain

and continue to work with it!

What's most shocking is why. For the PTs at least, branded as heroes/heroines and sages by their national association, the reasons are neither brave nor smart.

What is needed is what I blogged about last month:  Rehab BurnoutMatthew J Taylor Matthew Sanford Matt Squared

As professionals that are trained and practice in a disassociated mindbody manner, we ignore, work through and press on, ignoring our own important mindbody relationship….and in the end both we and our patients suffer as a result. My colleague Matt Sanford delivers a powerful 50 min keynote here to young healthcare students…make time to listen. When the peers we worked with in MN began to tend to their own mindbody relationship, not only did they soar, but it spilled over to their patients as well.

When is this insanity going to stop?

Hard to tell. I was scheduled to be in Boston tomorrow to teach a 2-day pre-conference on Mindfulness in PT….but no one signed up and we were scratched from the docket.

Hmmmmm, and we talk about our patients being clueless???

So this summer I'm going to roll out a new way of being in rehab…it's going to blow past all the deadwood CEU material and address US….the rehab pros and our urgent need for creativity and change within a culture of fear and self neglect.

In the meantime, what are your thoughts/experiences around this topic of rehab pros "playing in pain"?

 


Impact of Work-Related Pain on Physical Therapists and Occupational Therapists

Marc Campo and Amy R. Darragh

PHYS THER
Vol. 90, No. 6, June 2010, pp. 905-920

Abstract

 

 

 

"The participants noted substantial effects of work-related pain at work, at home, and in their career plans. All of the therapists were concerned about their potential clinical longevity. The professional culture complicated these effects by forcing therapists into a professional ideal."

 


Please send this along to your network…it has to stop.

Thanks!

Be sure to sign up for the newsletter in the left margin to learn about the new training and hit the RSS to follow this blog.

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MindBody Physical Therapy: The Future

June 11th, 2010


 

 

I had the chance to visit with Jeff Worrell of PTTalker.com a month ago. The interview ended up running into a Part II as we had so much to discuss about how the future of physical therapy and rehabilitation in general needs to catch up with the science of movement.

Jeff did his homework ahead of time and was very professional in guiding the conversation. Part I is linked here and runs 13 min. He has the option for you to download the MP3 file for later listening as well. Part II is linked here and offers an exciting vision to the emerging possibilities for rehab professionals.

How do you use emerging science in your practice?

What do you see as the future of rehabilitation?

Do you use any mindbody techniques that are waiting for evidence "justification"?

 

If you have ideas you would like to share, contact Wendy at Jeff's office to have them consider interviewing you. Email: wordresults@yahoo.com

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CPR needed for Clinical Prediction Rules?

June 2nd, 2010

 

 

 

What's a clinician to do when the rules of certainty….uhmm, aren't certain?

What do we use then to know we "know" what our patients need?

Well, that's the conundrum the certainty crowd faces today with this report  

 

 

 


 

 

 

Critical Appraisal of Clinical Prediction Rules (CPR) That Aim to Optimize Treatment Selection for Musculoskeletal Conditions

Tasha R. Stanton, Mark J. Hancock, Christopher G. Maher and Bart W. Koes PHYS THER
Vol. 90, No. 6, June 2010, pp. 843-854.

 

Turns out there's no "good" evidence there is evidence that CPR's provide much direction or surety in treatment selection in PT.

 

Yikes!

I blogged about the shortcomings of this whole perspective back in April here in The Player Piano.

To my way of seeing this world, the whole fear-based scramble for certainty strips rehab of its vitality and creative process, short circuiting innovation and what Seth Godin describes as art in his latest book Linch Pin.

Surely we can invest more time and effort into innovation than we do in predicting? Failure to do so robs the next generations of rehab students being prepared to offer care that feeds them literally and spiritually as I wrote in May here on PT Education: A formula for craziness.

So where do you turn now that there isn't a map of surety?

I have some ideas as my mission is to return the sarcredness or artistry back to rehab, but want to hear yours…

what now?

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MS and Yoga with Matthew J. Taylor in AZ

May 25th, 2010

Give     Learn     Share

 


 

Presents a 2-day Professional

Education Certification on Yoga & MS

 

A 21st Century Yoga Response to MS:

 Moving beyond just asana to be in the world with an MS diagnosis

 



Date: Sat/Sun October 9 & 10, 2010

Time: 9:00 a.m. – 4:30 pm

Location: Nina Mason Pulliam Conference Center in the Disability Empowerment Center 5025 E. Washington, Phoenix, AZ (map below)

CEU’s: AZAPTA and Yoga Alliance ceu’s applied for 12.0 contact hours.

Tuition: $180 (All proceeds go to the AZ MS Chapter because Dr. Taylor is donating his time.)

Intended Audience: Yoga teachers, physical therapists, licensed healthcare professionals.

Agenda: Click here.


The format of the workshop will be a fast-paced, fun mix of lecture instruction, case studies and lab experience. The second day will include volunteers with MS to demonstrate and practice teaching principles. 
 
Emphasis will be on safety and appropriate employment of Yoga technologies (philosophy, postures, breathing, meditation, imagery and corrections) and how Yoga employs exciting new neuroscience breakthroughs. 
 

Curriculum will include business development instruction in HIPAA compliant communications with the healthcare team, professional languaging and marketing to referral sources. The criteria for certificate will be 90% on post-test. 

Read the announcement in the AZ MS Society Chapter Summer Newsletter here


The Instructor
The course instructor will be Matthew J. Taylor, PT, PhD, RYT, a nationally known leader in integrative rehabilitation. He is the immediate past-president of the International Association of Yoga Therapists, a clinician, researcher, and textbook author on Yoga Therapeutics in Rehabilitation. Dr. Taylor owns a yoga-based rehabilitation clinic in Scottsdale. He first became acquainted with MS when his father could no longer catch his Little League curve ball due to optic neuritis as his father’s presenting symptom. He has nearly 30 years of clinical experience and his doctoral work was grounded in Integral Yoga philosophy as it applies to modern change technology.
 

His curriculum vitae is available at www.matthewjtaylor.com.

 


To register for the program log onto the AZ MS Society site here  or phone 480-968-2488, ext 222.
 

Hope to see you there and please spread the word through your networks!
 
Downloadable flyer at here
 


View Larger Map

 
 

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Rehab Burnout?

May 16th, 2010

 

 

 

 

 

 

 

 

From the May 2010 issue of PT in Motion magazine [See bottom of the clipping for my response to the question on how to avoid burnout].

What went on the edit floor was the resource I linked to saying:

Just completed a two year study with exciting results when people learn very basic awareness skills. http://matthewjtaylorinstitute.com/researchprojects.php#courage

We found that over a 2-yr period we created an environment that reduced with statistical significance all of burnout parameters we measure pre, post and 12 months post in a major rehab setting during the Great Recession of 2009 and the implementation of an awkward EMR system!

It was fascinating to watch as the rehab professionals returned to sensing and feeling their fatigue and burnout, they actually began to feel better and most importantly, act differently.

They changed their self-care routines, re-organized their time commitments, and approached management about changing processes they identified as contributing to their stress. Job satisfaction soared, considering leaving the organization or profession plummeted. Patients also stopped canceling afternoon BID sessions, so revenue increased.

All from a little posture, breath awareness, movement and attention to present sensations/thoughts and emotions.

So just like our patients, our way "home" to comfort is through feeling, NOT fleeing to one more job or numbing ourselves to get through to the weekend.

Go lay down with a pillow running length wise up your spine, spread your arms, palms up and legs comfortably apart. Watch the breathing take place (leave it alone) and pay attention to what you can feel for 15 minutes. You'll have more battery bars when you roll over and stand up…I promise….we have proof. 

How do you avoid burnout?

 

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PT Education: A formula for craziness…

May 15th, 2010

Einstein is famous for his formula to the right. It quite literally changed everything.

He's also widely attributed as having said,

"The definition of insanity is doing the same thing over and over again and expecting a different outcome."                

A little searching suggests he probably didn't say that….but the formula sure rings true in most instances.

How does this relate to P(hysical) T(herapy) education?

If I understand it correctly, the schools search for educators "qualified" to teach what will be on the test about topics that will be tested.

What gets tested is what has been vetted for many years through countless committees.

A surprisingly small number of the people creating the questions have recently been in the clinics delivering a product and if they were, they were doing what they'd been taught and working for pennies through the tired reimbursement system, only now doing even more paperwork to "support" their efforts. (Hence the over and over again).

Meanwhile, we fiddle with facets or expensive balance equipment, wondering why our clients won't pony up cash to consume the same old products dressed in ties called "Doctor" or new technology???

Over and over again, except now we're going to show them, at least in NY, and not provide services for one day just to shake things up!

Really???    Seriously???

That's the best response we have to a systemic craziness of doing the same thing….

Over and over again?

I'm sorry but that is nuts.

Overhaul our education system where the students not only learn science, but more importantly learn how to utilize the latest incredible findings in practical, caring ways with patients from a full biopsychosocial perspective (yes, the science says movement is affected by technique and relationships far beyond the over and over again mantra of research evidence creating a one best practice  and the need for CPR for CPR's.) .

This of course would be new, different and confusing without the purity of wholesome, white-bread sliced services. We might even find some novel ways that would get our patients excited AND results so good they'd actually pay us a full doctor's fee for the service no matter what their insurance covered….really! (They all do at my clinic)

So am I crazy to be thinking crazy like this,

or do you agree we're in some sort of vicious systems loop where

we're trapped in generating dated, boring and unvalued service?

 

I have more details on what this vision my look like pending publications in the APTA's PT in Motion and Private Practice section….stay tuned, we're just getting started!

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Neck Pain Relief with a hint of DSR Method

May 1st, 2010

krucoff yoga neck pain cover

 

Carol Krucoff's newly released book "Healing Yoga for Neck and Shoulder Pain" is now available. Carol is a colleague of mine from the International Yoga Therapy Association. In addition to being an award-winning journalist, Carol is a Yoga therapist at the Duke Integrative Medicine Center. 

She was kind enough to request my professional review as she wrote the book. Such a request demonstrates her conscientious quest for the best resources she can offer her readers…and hence her awards. Her professionalism and prior research into the topic made "lite" work for me (hence the "hint of DSR Method"…she understands and addresses the multiple systems perspective that affects neck and shoulder comfort). The clarity of her writing coupled with her gift of putting things simply was a pleasure to experience.

She was also very generous in her acknowledgement of my participation in her Acknowledgment section. Thank you Carol!

Understanding as we do that all reviews are unbiased and totally objective, you can read my review of her book at Amazon here. You can purchase the book here.

I recommend this resource to both my clients and my professional colleagues as I believe both will gain new insights and approaches for healthy upper quarter posture.

I look forward to Carol's next book as I'm sure by now she's bored and pining away in NC with nothing else to do. Thanks again Carol and good luck with the next phase of this publishing process!


 

 

 

 

 

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Player Piano PT?

April 21st, 2010

 

 

Why do so many rush headlong for the 'right' treatment sequence/protocol?

Is it fear?

Boredom?

Lack of confidence?

Whatever the reason, the push for a 'formula' of care results in just this kind of performance….

and too often the final clip is what happens to the 'audience'…no one is moved or touched, often literally….to include the "player".

 

We are better than this!

 

Only when the heart is involved, playing with mastery (clinical) and to the audience (patient values), does the truly memorable and moving performance happen!

 

How do you thrill your audience?

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