Comments for Mike Scott, DPT

Comment on Contact Me by mscottdpt

mscottdpt — Tue, 06 Sep 2011 06:02:51 +0000

Hey Charlene,

The biggest person to get on board and probably the hardest one, is going to be that patient. It’s such a battle to convince patients, even after all the educating in the world, that their foot pain is only a symptom of the movement/postural dysfunction. Sahrmann’s work is amazing, and I could not agree with you more than MSIS is a wonderful book.

Always Evolve,

Mike

Comment on Shruggernaut (to shrug or not) by charlene zimmerman

charlene zimmerman — Wed, 31 Aug 2011 03:11:24 +0000

I agree that a standard shrug is useless in a PT routine, but when evaluating the starting position of the scapula, you may find it to be downwardly rotated and almosed dominated by the rhomboids. having the pt slide their arms up a wall and monitoring the start to end position of the shoulder blade helps to determine the source of the imbalance as well as closely monitored MMT. I recommend Movement system Impairment syndromes by Shirley Sahrmann as an excellent source for muscle imbalances.

Comment on Contact Me by charlene zimmerman

charlene zimmerman — Wed, 31 Aug 2011 03:02:56 +0000

I am impressed with your blog on plantar fascitis. I am a physical therapist and currently have a non-atheletic patient with sufficient dorsiflexion, great ankle strength, and a descent arch but I could not avoid his obvious forward lean in his trunk! I have been searching for a supportive connection to my conclusion that this was likely the source of the plantar fascia irritation. At least I know now that someone else might agree with me! Keep up the good work.

Comment on Review: Captain Morgan, The Rum Pirate, Lends A Knee To Hip Dislocation by Christopher Machine

Christopher Machine — Fri, 19 Aug 2011 15:59:45 +0000

I learned a lot from this post, great help for me, thank you!

Comment on Contact Me by crissy

crissy — Wed, 17 Aug 2011 13:04:09 +0000

hi! just got here after looking for physical therapy on wordpress. i will be checking on your blog.

Comment on 5 Misconceptions of Treating Older Adults by mscottdpt

mscottdpt — Sun, 14 Aug 2011 19:58:15 +0000

Jaq, thanks for stopping by. You’re absolutely right that many times we are forced to use some creativity in our treatments, but this is what makes PT somewhat of an art form as well as science. Even when we see patients such as those who have suffered a stroke, we need to push them as much as we possibly can. Neuro conditions can be very frustrating d/t their complexity and the nervous system’s control over everything else. Regardless of age, i will almost always take them through PT based on developmental sequencing and find their true functional and developmental restrictions. Every stroke is different and so are everyone’s past medical histories, so people reactions to the same treatment may be way different, as you have clearly seen! Thanks for pushing your patients even though it can be frustrating and difficult.

Mike

PS – to those interested in motor learning, check out my motor learning posts from last October

Comment on 5 Misconceptions of Treating Older Adults by Jaq Dauz (@Jaq_Dauz)

Jaq Dauz (@Jaq_Dauz) — Sun, 14 Aug 2011 07:31:40 +0000

I have 4 cases of stroke patients ages, 29, 38, 47 and 64. It kinda frustrates me sometimes that I cant advanced our rehab treatment with my older patients because of lots of restrictions unlike with my 29 year old patient who had stroke with no clear cause. No other concern to consider moving forward and pushing the patient to execute our PT. As much as I try to do the same thing with the other 3, your list of misconception applies to them That is why I think most PT sometimes come up with alternative treatments and exercises. I think that I aside from not backing off from our patients, we have to be creative and really lots of patience and love for our job.

Comment on Shruggernaut (to shrug or not) by Christopher

Christopher — Sat, 13 Aug 2011 07:19:26 +0000

I work out of a Crossfit gym. One constant criticism I have of their technique is “active shoulders.” During any press movement, they will elelvate the scapula. I believe they reason that you are providing more upward force to the downward force of the bar overhead.

I argue that the glenohumoral joint is in a compromised position (where a healthier position is the close packed position with the scapula depressed), and thereby, you load the cervical spine less by not recruiting the upper traps and levator scapula.

Any thoughts on this?

Comment on 5 Misconceptions of Treating Older Adults by mscottdpt

mscottdpt — Mon, 08 Aug 2011 06:55:29 +0000

Chris,
We both know that as long as your body is still kicking it, it’s possible to grow. Unfortunately because of these 5 misconceptions many practitioners are hesitant to push their older clients. As long as we are safe and take their other medical history into account, there should be nothing stopping us from using advanced training and rehab techniques with this patient population. Thanks for not backing off your clients!

Comment on 5 Misconceptions of Treating Older Adults by Christopher

Christopher — Mon, 08 Aug 2011 06:28:19 +0000

Appreciate how you talked about SAID. If you’re alive, you can always grow. Most trainers don’t push their clients in healthy ways. Keep these coming!