Jessica Graf Spring Semester 2014 Internship in Exercise Science

Jessica Graf Spring Semester 2014 Internship in Exercise Science

ProActive Rehab, Inc.

Dr. Joseph PowellDPT, CMPT, CSCJessica GrafSpring Semester 2014Internship in Exercise ScienceProActive Rehab was founded in 2007 by Dr. Joseph Powell, DPT, CMPT, CSCS. Dr. Powell is an active member of the McDonough, Georgia community and surrounding areas. ProActive Rehab, Inc. is a physical therapy center that also provides wellness services and aquatic therapy. They specialize in accident injuries, sport injuries and workplace injuries. Their mission is to promote wellness through injury prevention and health maintenance.

Physical Therapy: focus on improving lower back pain, neck pain, joint and muscle pain, sports injuries and other injuries. Wellness Center: offer a Bariatric program, individualized programs, nutritional consultations, aquatic aerobics, and aquatic therapy.Personal Training: including sport specific conditioning, agility training and plyometric training.

ProActive Rehab, Physical Therapy & Wellness Center2200 Hwy 155N, Suite 130McDonough, Georgia 30252Meet The StaffJoseph Powell Owner, DScPT, CSCS, CMPTAttended Oakwood College & Andrews UniversityCompleted Masters of Science in Physical TherapyDoctorate of Science in Physical TherapyCertified Orthopedic Manuel TherapistCertified Strength and Conditioning SpecialistRachelle Levy PT, DPTAttended Tufts University & Emory UniversityCompleted a Doctorate in Physical TherapyGena Morris Office AdministratorAttended Georgia College & State UniversityMajored in MarketingHas 18 years experience in marketing, office management, and medical billingDiane Durham Wellness Coordinator, CPTAttended University of ColoradoMajored in Exercise ScienceAmanda Jarrett PT AideAttending Clayton State UniversityMajoring in Health and Fitness ManagementJasmine Cutler PT AideAttended Georgia Southern UniversityCompleted a Bachelors in Exercise ScienceCurrently applying to Physical Therapy SchoolMeet Our ResidentsOrthopedic Physical Therapy Residency ProgramEmory University School of MedicineSamuel Kridl, PT, DPTZachary Dunkle, PT, DPT-Attended UCLA & Emory University-Doctorate in Physical Therapy

Sam believes this advanced training will help him get into the right practice and work with the patient population in which he has the most interest in. Sam would eventually like to work either as a clinical instructor or as an instructor in a DPT program.-Attended Penn State & Emory University-Doctorate in Physical Therapy

Zach decided to pursue the orthopedic residency while he was doing his long-term clinical rotations as a DPT student. He felt completely prepared in rotations and had faith in his supervising doctor. He eventually would like to specialize in orthopedics.

4Internship GoalsGoals for Internship at ProActive Rehab, Inc.CompletedBe able to properly implement an aquatic therapy program for a patient in our clinic.Be able to properly describe in great detail how a patient has been progressing with their treatment and evaluate each of their sessions at the clinic.Practice self-assessment regarding examination, evaluation, and intervention skills; along with professional values, attitudes, and communication skills.Be able to demonstrate and explain how the treatments that we implement can improve patients balance, coordination, strength, flexibility, and ultimately improve their injury.By the end of my internship experience, I will be able to determine if outpatient therapy is the specific field of physical therapy that I want to pursue. I am applying to PT school for May 2015 at UNG!

LumbagoCervicalgia (neck pain)Pain in Joint Involving Shoulder RegionMost Common: Rotator Cuff Injuries

Top 6 Include: Pain in Joint Involving Lower Leg, Muscle weakness & Abnormality of Gait

Patient Breakdown:Self-pay, Insurance, & Workers CompensationWhat are the TOP 3 diagnoses seen at ProActive Rehab?Daily Duties of the InternPrepare patient and equipment for treatmentAssist in carrying out various treatment proceduresApply basic modalities with established patients under direct supervision of the therapistObserves, records and reports to therapist patients condition, reaction and response to established treatment

Insert pictures of patient and modality and patient doing exercises.Assist in carrying out aquatic therapy routines established by the therapist.Guarantees there is an sufficient supply of materials available.Cleans and changes linens while maintaining equipment and work area.Ensures the safety and maintenance of physical areas and equipment used during therapy.Daily Duties of the Intern

These are paddles that we use in the pool for therapy. They have 5 levels of resistance.

Welcome to Our GymOur gym is fully equipped with various aerobic machines and free weight equipment that can further your rehabilitation progress.

Pilates ReformerLeg PressLeg Extension/CurlSquat Rack3 Treadmills2 Stationary BicyclesEllipticalRowerChest PressFree WeightsBosu ballResistance BallsTraction MachineUltrasound MachineMedicine BallsHip Flexor MachineCable Pulldown MachineArm BikeLand therapyProActive Rehab, Inc.

Dr. Joseph PowellDPT, CMPT, CSCPatient 1: Knee StrengthMs. K has had 5 total knee surgeries. She has had a torn ACL, and two torn meniscus' on her right knee. She has had a torn ACL and a torn meniscus on her left knee. After one surgery, some scar tissue formed so they had to go in and clean that out as well.Patient 2: Lower & Upper Extremity Joint PainMr. H is a police officer who got into a fight with a suspect fell to the ground landing on his back and twisting his left knee. Dr. Powell believes he has an ACL tear.Warm-up:Elliptical at level 5 for 15 minutesBike at level 2 for 15 minutes

Stretches:Hamstring - 10 second on both legsQuad - 10 second on both legs

Exercises: 2 laps of lunges down the hallway (no weight)Deadlifts with 18lb medicine ball - 3 sets of 15 Bosu Squats - 3 sets of 15

Warm-up:Bike at level 2 for 15 minutes

Exercises:Leg Press Leg ExtensionsLeg CurlsTKE 3 sets of 15Adduction 3 sets of 15Hip & Knee Flexion 3 sets of 15

Muscle Stimulation:Quad SetsHamstring Sets

Land Therapy Exercise ImplementationPatient 1: Davie-SeligmanPatient 2: Harbrick12Patient A: StrokeThis is one of our stroke patients at ProActive Rehab. Mr. R had a stroke which has impacted the left side of his body. He has a motorized wheelchair. When he first started 4 months ago, he could not walk with a walker. These pictures were taken on Thursday, February 6 and he is now starting to walk with a walker again. He has also purchased a Quad Cane to use at home.

Mr. R is performing squats in the video below.Aquatic TherapyProActive Rehab, Inc.

Dr. Joseph PowellDPT, CMPT, CSC

Hydroworx 500 Series-Variable Speed Underwater Treadmill-Resistance Jets-Pool Mounted Display System-Underwater Cameras to analyze Gait.Aquatic Therapy Exercise ImplementationPatient 1: Quad TearThis patient has a possible quad tear. He is strength and conditioning certified and owns his own CrossFit training facility. While lifting up from a 250lb squat, he felt a pop followed by excrutiating pain. Patient 2: Knee StrengtheningThis patient has had multiple knee surgeries. He is currently experiencing pain from the left knee which has also been coupled with posterior knee hematoma. He is expecting to have another surgery.-Brisk 10 minute walk-Bilateral Plyometric Lunges(3 sets of 20)-Bilateral Plyometric Squats(3 sets of 20)-Step-Up Lunges (2 sets of 20)-ADD/ABD in one full motion with ankle weight-Back pedaling at 2.5 pace with jets running to create resistance

-15 minute treadmill-Straight Leg Raises(3 sets of 15)FlexionExtensionAdductionAbduction-Forward Step Ups (30x)-Lateral Step Ups (30x)-Squats (3 sets of 15)

Patient 1: Quad Tear JustinPatient 2: Knee Stengthening Crumbley16Insert pictures of aquatic therapyWellness CenterProActive Rehab, Inc.

Dr. Joseph PowellDPT, CMPT, CSCWellness Opportunities:Weight loss programsIndividualized fitnessNutritional consultationsAquatic aerobic classes

Personal Training Includes:Sports specific conditioningAgility trainingPlyometric trainingWellness Center

Table 1: Exercise Prescription Guidelines In a total hip replacement (also called total hip arthroplasty), the damaged bone and cartilage is removed and replaced with prosthetic components as shown in the picture to the right.

To avoid dislocating the hip after surgery:Do not bent your operated hip beyond a 90 angle.Do not turn your operated leg inward in a pigeon-toed position.Do not cross your operated leg.

Special PopulationsWellness Client PMHx: Hip ReplacementTest 18/4/2013Test 2Test 3ResultsAge82RHR68 beatsBP143/52Weight196 lbs.Height59BF %35.3 %BMI28.8Neck12Arms11.75Chest41Waist44. 5HipsThighs16.5Calves11.5Wellness Patient Fitness EvaluationPatient WSDiagnosis: Hip Replacement (discharged from therapy)Wellness Patient Exercise PrescriptionPatient WS Intensity: 50-60% Frequency: 3 days/weekDuration: 200-300 kcal/session

Insert pictures of wellness patientsGeorgia Southern University

Exercise Science MajorCurriculum evaluationAnatomy & Physiology I & II This class allowed me to become familiar with all of the bones of the body and also prepared me to succeed in Biophys.Biophysical Analysis of MovementThis class was one of my favorites. It is a lot of information but I have used the AOIN chart of muscles almost everyday at my site location.Biomechanical Analysis of MovementBiomechanics was a tough course but was very interesting. The gait analysis portion and lab assignment was very beneficial. Fitness Evaluations & Exercise PrescriptionI still use my notes from Fitness Evaluation to this day to help with exercise prescription for patients at my site location.Courses that helped the mostA more hands-on experience in the Fitness Evaluation & Exercise Prescription class could have prepared me a little bit more for exercise prescription. A focus more on the better understanding of basic prescription protocols and exercise progression.

I believe it would be beneficial for Exercise Science majors to have their American Red Cross CPR/AED for the Professional Rescuer and Health Care Provider Instructor certification.

Medical Terminology needs to be considered as a 2 credit course so that it can be used to apply to Associate Programs if the student chooses to do so.

Added course considerationI would have liked to seen some previous students PowerPoint presentations just to have a vision of what the presentation should look like and what different things can be included. It would be good to show during Senior Seminar class meetings to give an idea of what internships can be like and what kind of real-life experiences they can provide.

Informing students of different professional organizations, memberships, and certifications that are available in the allied health field that will compliment degree. (I.e. ACSM, CSCS, ACE, NSCA, etc.)

Instead of requiring students to take Environmental Biology as a core requirement, it needs to be changed to General Biology for those that are planning on applying to Physical Therapy school.

Areas of improvementGeorgia Southern University

Exercise Science GraduateFuture stepsHave my plans changed?I am in the process of applying to North Georgia Physical Therapy Program for acceptance in May 2015. I am also studying to take the CSCS exam while working towards my long term dream to work in Pediatric Therapy at Childrens Healthcare of Atlanta!Am I employed?I have applied for a full-time position with Piedmont Healthcare as a rehabilitation aide.Future plans

What the future holds

ProActive Rehab Physical Therapy & Wellness Center2200 Hwy 155N, Suite 130McDonough, Georgia 30252For additional information, visit our website at:http://myproactiverehab.com/*All photos taken in this presentation were taken with permission from both the Site Supervisor as well as the patient that is pictured.