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Educating the clinicians and potential patients about the benefits of the LSVT Big Program (Kate) 

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Educating the clinicians and potential patients about the benefits of the LSVT Big Program (Kate) 

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- What is the LSVT Big Program?
- What patient population does the program target?
- How do we ensure that the patients are making progress with the integration of LSVT Big into their physical therapy treatment?
- What setting(s) is it appropriate to incorporate LSVT Big?
- Potential Target Audience: PTs to educate on the benefits of getting certified or a local Parkinson's support group to ensure they know this program exists

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1. Exercise controls weight
2. Exercise combats health conditions and diseases
3. Exercise improves mood
4. Exercise boosts energy
5. Exercise promotes better sleep
6. Exercise can be fun … and social!
For most healthy adults, the U.S. Department of Health and Human Services recommends these exercise guidelines:
-Aerobic activity. Get at least 150 minutes of moderate aerobic activity or 75 minutes of vigorous aerobic activity a week, or a combination of moderate and vigorous activity. The guidelines suggest that you spread out this exercise during the course of a week. To provide even greater health benefit and to assist with weight loss or maintaining weight loss, at least 300 minutes a week is recommended. But even small amounts of physical activity are helpful. Being active for short periods of time throughout the day can add up to provide health benefit.
-Strength training. Do strength training exercises for all major muscle groups at least two times a week. Aim to do a single set of each exercise using a weight or resistance level heavy enough to tire your muscles after about 12 to 15 repetitions.

Moderate aerobic exercise includes activities such as brisk walking, biking, swimming and mowing the lawn. Vigorous aerobic exercise includes activities such as running, heavy yardwork and aerobic dancing. Strength training can include use of weight machines, your own body weight, heavy bags, resistance tubing or resistance paddles in the water, or activities such as rock climbing.
(Holly H.)

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Ways of providing a continuum of care with other fitness professionals that are not directly within our health care network. (Travis)

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Ways of providing a continuum of care with other fitness professionals that are not directly within our health care network. (Travis)

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I have noticed that there always seems to be a disconnect between personal trainers or independent gyms and Physical Therapists. I feel like there should be more of a relationship between the two because of how similar our positions are. So when someone leaves PT and goes to a gym they are unlikely to progress their therapy from where it left off as safely and effectively as possible. That's because the average trainer does not have a lot of corrective exercise knowledge or an understanding of the phases of healing and progression. I believe it would be helpful for trainers and their clients if we could provide a lecture/lectures on the basics of corrective exercise and rehab. These can be body region specific or as a gross overview about how to approach structuring a workout routine to optimize wellness, functional movement, strength, injury prevention, and rehab.

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How do we make sure that we are getting the most out of our treatments with patients? At the end of the day, our primary goal is to improve the deficits that we find in our patients and address them accordingly. To do so, we must challenge our patients during the treatments to ensure optimal outcomes. The difficult part for us as PT’s is that there is margin of error of challenging them too much that they are not able to recover well post-treatment, or it is not challenging enough which slows their progress. An undervalued tool we have available that many Strength & Conditioning coaches utilize regularly is the RIR/RPE scale. The RIR/RPE Scale is a subjective rating of exertion that often overlooked as a tool of measurement. The scale can be utilized in many different settings, it can be an effective way to track progress for the PT and the patient, and it can be used as a determinant for when progression and regression is needed for an exercise. Proper education on utilizing this scale will not only optimize a patients treatment time but also improve progress over time with the patient without worry of overworking or underworking the patient.

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What can PT do that people don't realize? - David

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What can PT do that people don't realize? - David

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A lot of people think PT is just for post op after a surgery. They don't realize we also do other things such as:
- Wound Care
- Vestibular eval and treat
- Respiratory PT (Like Post-COVID)
- Various aches and pains we associate with normal aging when can actually be prevented
- Balance

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Return to Sport Following Meniscus Tear: Invasive vs Non-invasive (Tyler)

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Return to Sport Following Meniscus Tear: Invasive vs Non-invasive (Tyler)

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- Non-invasive Approach
- Meniscectomy
- Meniscus Repair
- How likely is the patient able to return to high level activity following different interventions?

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Is surgery more beneficial for all injuries or should physical therapy be considered before surgery is selected? (Xavier)

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Is surgery more beneficial for all injuries or should physical therapy be considered before surgery is selected? (Xavier)

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When many people injure themselves, it's very common to initially think that surgery is the main solution. However, as we know, therapy has proven to be very beneficial, if not more, than surgery in certain cases. A lot of individuals believe that injuries that are severe enough require surgery, or that surgery is a fix-all. Educating all individuals that Physical Therapy is a great potential option instead of surgery would be optimal in appropriately directing people to making a better decision for their health that could also be cost effective.

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Sleep and its effects on mental health (Dan S.)

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Sleep and its effects on mental health (Dan S.)

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-Identifying positive and negative habits related to sleep.
-How nutrition and activity effect sleep.
-Effects of alcohol use (and abuse) on sleep/mental health
-Awareness and or access to mental health screenings w/ student health at ETSU/King college.
-How sleep effects recovery from activity stress (lifting/running/rec sports etc)
-Engage with the large community of college students in Johnson city and Bristol (ETSU/King college)

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PT vs Surgery: Which one should I choose? (Zach)

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PT vs Surgery: Which one should I choose? (Zach)

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Target audience: General patient population

Possible community partners: Direct access PT clinics, local hospitals

Many patients have difficulty knowing when to choose between rehabilitation and surgery for their injuries/health conditions. When should PT be favored over surgery? When is surgery the right route to go? Which treatment shows the best outcomes for my condition? I would like to examine common injuries/MSK/neuro diagnoses and prognoses to differentiate, describe, and demonstrate the best evidence-based treatments provided for each separate condition. I believe this would be beneficial for patients with general pain, acute injuries, and patients considering surgery. This information is important as it allows patients to learn and understand the risks and benefits between each treatment and gives the patient the knowledge and power to make a well-informed decision for their personal healthcare needs.

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Injury Prevention for Youth Athletics (Jesse Goodman)

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Injury Prevention for Youth Athletics (Jesse Goodman)

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-How do we target and implement a injury prevention program designed for youth athletes.
-Youth Athletics continue to grow in popularity and are a prominent aspect of almost every community.
-Athletics of any kind will produce sports injuries. Some of these injuries are avoidable and some are not.
-As PTs how can we use our skill set to reduce the number of injuries and optimize movement patterns among young athletes.

-Educate Coaches
-Educate Athletes
-Educate Parents
-Programs/classes to teach proper sport specific movement patterns?
-Program/classes for different sports, age groups and skill level.
-Programs/presentations for coaches

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Why Pelvic Floor PT is important for all populations.

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Why Pelvic Floor PT is important for all populations.

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- Can help repair and return the body to normal function after child birth
- Can help improve and reduce the frequency of bowel/bladder incontinence or retention
- Some muscles of the pelvic floor can only be accessed internally and pelvic floor therapist are the only ones who can treat within that scope
- Can improve sexual dysfunction
- Can aid in starting a family for patients with complications secondary to pelvic floor dysfunctions

- Jordan

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Psychosocial factors relating to stress, anxiety, and mental health amongst patients.

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Psychosocial factors relating to stress, anxiety, and mental health amongst patients.

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-Identifying factors that contribute to decreased mental health.

-Help find ways to help reduce stress and anxiety (physical and mental health).

-What kinds of community involvement and support systems are out there?

-How has societal factors impacted perception of mental health and QOL?

-Focusing on the person as a whole (rather than just their current impairment) to help improve quality of life.

Trent

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Invasive vs Non-invasive approaches (Cory)

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Invasive vs Non-invasive approaches (Cory)

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-Pros vs Cons
-Research based stats for different MSK conditions ( RTC tear , lumbar fusion , labral pathology etc.)
-Education on conditions
-Risk vs reward
-Can rehab 'fix' problem

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- How does stress impact health?
- How to know when you are stressed?
- Identifying stressors in your life.
- Strategies to reduce stress
- Brandon

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Interprofessional Practice in Pediatrics (Carly) 

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Interprofessional Practice in Pediatrics (Carly) 

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- What roles/professions are involved in pediatric care and why is it important to understand what they do?
- What is the role of the pediatric PT?
- How can we as PTs observe for pediatric red flags/needs for referrals to other specialties?
- How can this help us collaborate or co-treat efficiently?
- When is co-treating beneficial or appropriate?

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-Why don't people eat healthy?
-Lack of education in certain regions about healthy food
-Relationship between healthy foods and exercise, as well as using nutrition to aid in recovery
-Are people intimidated by changing their lifestyle?
-Costs of eating healthy
-Meal prep
-Finding healthy alternatives for recipes so people can enjoy favorite foods
-How can PTs educate patients and the community on nutrition?

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Modifiable aspects of health (nutrition, sleep, hydration, exercise) and PT

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Modifiable aspects of health (nutrition, sleep, hydration, exercise) and PT

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The general population has little to no quality knowledge on balanced nutrition, sleep health, fueling our bodies rather than filling them.
Communities such as those attending gyms for physical health and piggy back on their journey towards being 'healthier'. General public exercising to be healthier, provide informational courses on nutrition/sleep and how that impacts health.
Another community could be PT patients in OP setting, offering them informational courses within our realm to help them optimize their overall health. Educate for example how nutrition and sleep affects their MSK injury etc. (Shannon)

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Evidence-based practice and legality?

Why perform dry needling versus other manual therapy or exercise?

Spinal cord and brain nervous system response to dry needling?

Long-term treatment effects related to the central nervous system?

Safe practice of dry needling?

Can dry needling help my pain and discomfort?
-Dustin-

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Does the SI joint contribute to low back pain or vice a versa?

If most other joints in the human body can be mobilized why not mobilize SI joint?

Intervention for SI joint pain?

Fusion versus non-fusion in adults?
-Dustin-

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I'm loving some of these ideas, but not I want to steer you toward the "engaging with the community" bit of the project. With whom in the community do you want to engage? Who will you teach about these things? Where can you take these ideas? Nutrition! Great!! Postpartum care! Interesting start... Sleep, and how to get it? Great.

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I'm loving some of these ideas, but not I want to steer you toward the "engaging with the community" bit of the project. With whom in the community do you want to engage? Who will you teach about these things? Where can you take these ideas? Nutrition! Great!! Postpartum care! Interesting start... Sleep, and how to get it? Great.

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The use of telehealth in the physical therapy profession has been expedited as a result of the COVID-19 pandemic and has proven to be a viable adjunct to in-person treatment sessions.
- How do we raise patient awareness of using telehealth as an option?
- What are state-by-state laws regarding telehealth and PT?
- How do we bill and code for telehealth?
- How do we document telehealth sessions?
- How efficacious is telehealth?
- What settings can telehealth be used in?
- What are the liabilities of the usage of telehealth?
- HIPPA concerns with telehealth?

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Normalize/Standardize Rehab post Cesarean Section (Cambria)

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Normalize/Standardize Rehab post Cesarean Section (Cambria)

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Several women/parents who receive a c-section are never referred to PT or educated post surgery on how to return to "normal" or sport. It is standard to attend PT post TKR, AKA, BKA, shoulder replacement etc. but not for women post c-section. Pelvic floor therapy can be imperative to healing and preventing further msk injuries down the line (low back pain, SI joint concerns, poor intra abdominal pressure control etc). Education and protocols could be beneficial to standardize practice for this patient population.

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Is it within our scope of practice to refer patients to doctors or other healthcare professionals who aren't the referring doctor?

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Is it within our scope of practice to refer patients to doctors or other healthcare professionals who aren't the referring doctor?

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Do we have the power to send our patients to particular specialties in the outpatient setting if we identify a cluster of red flags or yellow flags that are outside of the referring physician's expertise? Is it necessary to refer the patient back to the referring physician or primary care physician? Do we, for example, have the capacity to refer our patients to psychiatric care or even a chronic pain clinic.

We are frequently the only healthcare providers that see the patient numerous times each week and grow to know the patient well. What are the boundaries with referring the patient to other treatment in addition to our care if the patient expresses a desire for another specialty or we detect a need for another specialty? Example: nutritionist,  mind mapping, therapy, etc.

-Jess Zaeri

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What should be included?
What should be on the cover letter?
How can you stand out and be unique?
How can you pin point your skill set?
How long should it be?
How can you make it to reflect skills in a certain setting?

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What role does PT play in treating those with Post-COVID Syndrome? -David

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What role does PT play in treating those with Post-COVID Syndrome? -David

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- What Outcome measures are appropriate?
- What interventions can we utilize?
- What kind of prognosis can we expect?
- What deficits do we expect to find?

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Psychosocial factors affecting PT Treatment

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Psychosocial factors affecting PT Treatment

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Factors such as amount/quality of sleep, nutrition, stress, and mental health are important to consider when treating patients.

Topics to consider: what is needed or how to obtain right amount or good quality sleep? What is encompassed in proper nutrition? How does stress affect treatment and how can we account for it? What are the most prevalent mental health issues/disorders and how do we incorporate that into our treatment plans?

~ Christian R.

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Referrals to next level of care (Taylor)

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Referrals to next level of care (Taylor)

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- what is our role in making referrals?
- how do we ensure we are making appropriate referrals to next level of care?
- what are the criteria for each setting?
- who do we make referrals to?

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what is this?
what is our role
how do we use is?
how can we refer patients to it?
is it offered in multiple states?
-Sam Patterson

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How do you perform a custom wheelchair evaluation? (Holly H.)

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How do you perform a custom wheelchair evaluation? (Holly H.)

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-Required paperwork
-who is in charge of what paperwork
-how is insurance involved
-Who needs to be present in the face to face meeting
-what information is the ATP personnel in charge of
-signatures required
-wheelchair options

-Holly H.

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The subjective interview, of particular importance in the OP setting, is critical to obtaining the correct information from patients in order to make correct hypotheses and choose proper tests and measures. We know that asking open ended questions is key, but how can we further improve our delivery in order to get an unbiased report, without leading the patient. Our language and choice of words can potentially lead the patient to "give us what we want", rather than giving their actual accurate story. How can students and clinicians improve delivery of questions in a proper flow to improve the subjective report we are given in order to make the best clinical decisions moving forward?
- Logan H

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POET's can be useful examinations to reduce work related injuries in various work settings in the community. These examinations test potential employees capacity to perform the physical labors of the occupation they were just hired for. Not only does it benefit the hard working employees of these companies, but also aims to combat increased workers compensation costs. Some OP companies have made efforts to create partnerships with local businesses for this purpose. How can we make this a more widely used program that is more commonplace in most OP settings, further connecting to  more businesses in the community?
- Logan H

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How can we make our patients/community more aware of their ability to use direct access? What is the appropriate way to advertise for direct access? What are the pros/cons of providing free consultations (as this could lead to use of direct access)? Free consultations allow a patient to see a PT first and begin their plan of care if they are appropriate for PT. The PT can determine if they need to see a physician for a referral or (if insurance allows) if they can utilize direct access. The issue is that this takes up time and does not make money for the clinic. Also, this would only be applicable in an outpatient setting.

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How can we incorporate cutting edge technology into physical therapy practice? (Noah) 

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How can we incorporate cutting edge technology into physical therapy practice? (Noah) 

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Inventions like virtual reality, motion censors, rehabilitation robotics, Telehealth, and even video games can be incorporated and used as part of a patient treatment plan that promotes a fun and interactive way to rehab. But is this possible to do from a cost standpoint and can it be used across a spectrum of age ranges and diagnosis? Does it have any added benefit for patient prognosis? The audience would be physical therapy students, physical therapists, and referring providers interested in "cutting-edge PT."

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The effects of nutrition when applying to overall health in regards to preventing medical issues (example- stroke) or how it can assist with proper recovery (proper nutrition for wound healing/ regaining strength). Ways to promote based on a variety of populations and funding. Practical implementation into specific foods, when to eat/ not eat certain food groups when contributing to other health factors such as sleep, how to properly construct meals, and alter regimens based on individual needs.

General population awareness, opportunities for higher level fitness individuals, and options for various ages of populations and alterations as needed. This would include where to obtain meals and portion control with not over buying meals.

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What is the proper amount of sleep?  What are some of the negative side effects of not getting enough sleep? How long does it take to catch up on lost sleep? What are some tips for catching up on sleep? What temperature promotes optimum sleep?

Some side effects include: increased risk of diabetes, hypertension, heart disease, stroke, reduced immune function, metabolic dysregulation, weight gain, and a greater risk of falls and accidents. Lack of sleep can also decrease memory and cognition.

-Kyle H-

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How to write a letter of medical necessity (Courtney)

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How to write a letter of medical necessity (Courtney)

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- How should we format?
- What info should be included?
- Who do we send these to?
- What types of settings use these in PT?
- Why are they important for us and our patients?
- How do we stay connected with insurance companies, etc.?
- Patient/caregiver education on this process

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Many new grads and current PTs are interested in travel PT, but not many know what all is needed to get to this point in their careers. Making a presentation and teaching new grads/current PTs about the pros/cons of travel therapy and what is needed in order to be a part of a traveling medical profession could help ease people's mind and drive them in the correct direction to be a part of the traveling health occupation.

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What does it mean to eat a low-fat diet? Eating healthy is costly? Cooking healthy takes too much time, and doesn’t taste good? I only drink diet Montain dew and don't like water.

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A medical provider would enter the patient’s room to present results, test options, and provide explanations of diagnosis to the patient. The patient would then ask for clarification on what the medical provider was saying after they left the patient room. The transfer of education was incoherent between medical provider and patient. This was specifically true where I was stationed in the hospital for my clinical.

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Four rules of brainstorming:
1. Everything goes on the board; there are no dumb ideas
2. Don't criticize other people's ideas
3. Build on other people's ideas
4. Reverse the thought of quality over quantity. Here, quantity is better!