Archive for June, 2010

The Other Half of Exercise: Rest

Saturday, 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!

 

 

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

Sunday, 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!

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MindBody Physical Therapy: The Future

Friday, 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

CPR needed for Clinical Prediction Rules?

Wednesday, 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?