PT HAPPENINGS Page 1 PT HAPPENINGS RESTORING FUNCTION ONE PATIENT AT A TIME Integrated Medical Group-Physical Therapy (IMG-PT), 805 N. Richmond St. #103, Fleetwood PA 19522 www.imgpt.com - email: imgpt@imgpc.com - 610-944-8140 From the Desk of Chris Gordos: INSIDE THIS ISSUE From the Desk of... G’Day Mate, I have to admit, I had an awesome trip to see my brother and his family to Australia in August. There were so many things that happened during the trip that I could talk about, but I want to make sure I keep this letter to an appropriate length. Look for some of the great pictures of the trip and if you have any questions or want to know more, feel free to stop by the office. Just as an FYI: Yes they really do say Good Day Mate, I reckon (all the time), and many more stereotypical sayings; but, nobody says “Throw another shrimp on the Barbie!!” Shrimp is known as a prawn in Australia. I think one of the best things that I learned in Australia was how my brother and sister-in-law end the night with their children. They ask the children during the day what was their “Rose, Thorn, and Bud?” A “Rose” is the best thing that happened that day. The “Thorn(s)” are the bad things that happened in the day. While “Buds” are good things that happened, but maybe there was a reason it wasn’t quite a “Rose”. As an example: My “Rose(s)” during my trip to Australia were watching my children do some amazing things that they will never have the opportunity to do at home. My son was able to Scuba Dive on the Great Barrier Reef. My daughters had the largest smiles while holding Koalas (they are incredibly soft in case you are wondering; and Australians get very agitated if you call them Koala Bears). Having my children argue over whose picture had the best breaching Humpback Whale in the background, and watching all my kids run around the zoo feeding the kangaroos. My “Thorn(s)” (which were mild in comparison) were being sick during part of my trip, my wife cutting her shin on the coral at the Great Barrier Reef, and falling asleep at 8pm every night. My “Buds” were many. Some included watching my wife dig deep for inner strength that she didn't think she had to reach the top of a climb of a Mountain that involved some scary climbs. Doing a Tree Top Challenge with my brother and my two oldest children, we actually zip lined over crocodiles, climbed ropes, ladders, crawled through tubes, etc. September 2015 1 Australia Pictures 2&5 Soccer Program Profile Happenings from IMG-PT Recipe 3 4 6 7&8 Watching my 4 year old nephew out fish his uncle who thought he knew how to fish. Going 5 complete days without any form of electronic communication. And most important was spending 2 amazing weeks with my brother, his family, and my family. I think the idea of a “Rose, Thorn, and Buds” are very applicable to the therapy world. Each week we are striving to help patients accomplish Roses, while minimizing their thorns, and experiencing countless buds. The biggest internal problem that we have as humans is often focusing on just the “Thorns” for the day. To use my examples during my trip, if I have focused just on being sick during my trip, I would not have done the Tree Top Challenge with my children. My wife would have missed a great view and sense of accomplishment if she hadn’t pushed through a major thorn on our hike up to the top of Mt. Warning. Now honestly, with a name like Mt. Warning, it should have been a clue that some difficulty might be encountered along the way. The other thing that cannot be understated during therapy is all of the “Buds” that happen along the way. The ultimate goal is the Rose, but you cannot get to a Rose unless you have Buds along the way. For my patients who are focused on ability to play golf, walk without pain, put away dishes in the cabinet, etc, if they do not reach the mini-goals (Buds) of balancing on 1 leg for 30 seconds, go a full revolution around the bike, walk without a walker, put on their own shirt, and more first, then their long term goal(s) cannot be achieved. continued on pg 2 Page 2 PT HAPPENINGS continued from pg 1 We often are so focused on what we cannot do, that we miss what we can currently accomplish that only 2 weeks ago seemed impossible. I label it the “watching your kids grow” phenomenon. Have you ever been away from your kids for a week and come home and be amazed at how much older and taller your kids seem? Ever go months without seeing your niece, nephew, cousin, etc and the next time you see them you cannot believe they are the same person? That is what happens in therapy. Patients forget all the little growth spurts during therapy. It is not until a friend or relative gushes over how much more you are able to do that it brings it home about how you are progressing. During Therapy, do not forget to stop and admire the buds among the thorns. Otherwise, you may never see that amazing Rose bloom while the sun is setting over a breaching whale on the beach at the edge of the world. And trust me when I say, you do not want to miss that View. It is pretty Amazing!! Andrew Happy faces before Mt. Warning hike Mackenzie Maddie Mt. Warning rock wall Mt. Warning family photoWE MADE IT!!! Lady Elliott Sunset PT HAPPENINGS Page 3 The 11+ A complete soccer warm up and training program to prevent injuries in soccer players by 30-50%. (Developed By FIFA) The 11+ Manual for soccer warm up. - - The 11+ is a complete warm-up program to reduce injuries among male and female soccer players ages 14 years and older. The program was developed by an international group of experts, and its effectiveness has been proven in a scientific study. Teams that performed the 11+ at least twice a week had 30-50% fewer injured players. The program should be performed as a standard warm up, at the start of each training session at least twice a week, and it takes around 20 minutes to complete. Prior to matches only the running exercises (phases 1 and 3) should be performed. For all exercises, correct performance is of great importance. Therefore, the coach/ Physical Therapist should supervise the program and correct the players if necessary. Exercises to be done in the below listed sequence, starting with the beginner phase and advancing only when the exercise can be performed without difficulty for the specified duration and number of repetitions. Phase 1: Running Exercises Field Set Up: The course is made up of six pairs of parallel cones, approximately 5-6 meters apart. Two players start at the same time from the first pair of cones and do the various exercises on the way. After the last cone they run back along the outside. On the way back speed can be progressively increased as players warm up. 1. Straight ahead running- jog to the last cone run slightly more quickly back - 2 reps 2. Hip out- open the gate exercise jog and stop at each cone, open the gate - 2 reps 3. Hip in- close the gate exercise- jog and stop at each cone, close the gate - 2 reps 4. Circling Partner-Jog to cone, cut 90 deg angle toward partner , circle facing same way- 2 reps 5. Jumping with shoulder contact- Jog to cone 90 deg angle toward partner jump into- 2 reps 6. Quick forward and backward sprints- run 2 cones forward 1 cone back- 2 reps Phase 2: Strength, Plyometrics, and Balance Exercises 1. 2. 3. 4. 5. 6. The Bench- laying on your front support yourself with forearms and feet- 3 sets (20-30 sec) Intermediate: lift alternate legs hold 2 sec for 40-60 sec / Advanced: lift leg hold 20-30 sec 3 reps each leg Sideways Bench Static- lower leg bent 90, support on forearm raise up straight- 3 sets each side (20-30 sec) Intermediate: feet support 20-30 sec 3 reps each side / Advanced- raise leg side 20-30 sec 3 reps each side. Russian Hamstrings- Kneel in front of partner, partner holds legs slowly lower leg. 3-5 reps/int. 7-10/ adv. 12-15 Single Leg Stance Hold the Ball- stand on 1 leg with ball held directly in front 2 sets, 30 sec each leg. Intermediate: throw a ball with a partner 2 sets 30 sec each / Advanced: Push partner 2 sets 30 sec each leg Squats with Toe Raises- squat to knees 90 deg then return to stand end with heel raise repeat 2 sets of 30 sec. Intermediate- walking lunges 2 sets 10 lunges each leg / Advanced: 1 leg squat 2 sets 10 reps each leg partner Jumping Vertical Jumps- Squat until knees at 90° hold 1 sec. jump and land softly ball of feet 2 sets 30 sec. Intermediate- lateral jumps onto each leg 2 sets 30 sec. / Advanced: Box jump/ grid jump 2 sets 30 sec. Phase 3: Running exercises 1. 2. 3. Running across the Field- Run Approx. 40 meters across the field at 75-80% of maximum pace and then jog the rest of the way. Jog back at an easy pace. Do 2 reps. Running Bounding- Take a few warm-up steps then take 6-8 bounding steps with a high knee and jog the rest of the way. With each bound, try to lift the knee on the leading leg as high as possible and swing the opposite arm across the body until you reach the other side of the field, then jog back at an easy pace. Do 2 reps. Running Plant and Cut- Jog four to five steps straight ahead, then plant on the right leg and cut to change direction to the left and accelerate again. Sprint for 5-7 steps (80-90% maximum) before you decelerate and plant on the left foot and cut and change direction to the right. Do this exercise 2 times. Chris and Eric recommend doing phases 1 and 3, any questions please call IMG-Physical Therapy 610-944-8140 Page 4 PT HAPPENINGS IMG-PT Staff Profile: Katherine Rathman Hi everyone! My name is Katherine Rathman but most people call me Katie. I’m a second year graduate student of Physical Therapy from Thomas Jefferson University. I’m a Lancaster County native and commute each day to Fleetwood. I graduated with my undergraduate degree in Exercise Science from Slippery Rock University in 2014. I first became interested in physical therapy after tearing my ACL in high school. When attending physical therapy for this injury, I quickly learned the impact physical therapists have on an individual’s journey in returning to their previous level of function. I was appreciative of the influence physical therapy had in allowing me to return to playing the sports I loved. This is when I realized that one day I wanted to be able to provide patients with the same kind of satisfaction. While studying Exercise Science at “The Rock”, I gained even more interest in human anatomy, which further reinforced my passion for physical therapy. I played soccer in high school and basketball in both high school and college. In my free time I enjoy skiing, hiking, biking, running, and kayaking with my family and friends. I am also a huge dog lover, and spend lots of time relaxing with my two dogs. I couldn’t ask for a better experience so far at IMG-PT. I have really enjoyed meeting every patient and helping each of you work toward your goals. I am look forwarding to the next couple of weeks here at IMG-PT and what they may have in store. I would also like to thank Chris and Eric for this great opportunity and for taking the time out of their busy schedule to share their knowledge with me. Common mode of transportation in Lancaster County PT HAPPENINGS Page 5 Chris-Zip Line Andrew-Rope Swing Mackenzie -Cargo Net Andrew-Ropes Mackenzie-Rope Course Mackenzie-Zip Line Time to feed the Kangaroos Page 6 PT HAPPENINGS Happenings at IMG-PT Kaylie went to Columbia, South America, with her boyfriend and his family. Aunt Amanda and Mason, enjoying some summertime golfing. (Denise's daughter and grandson.) Amanda's last first day of high school. She has hit the ground running with her volleyball schedule, FBLA project and Student Council activities. Her senior year should be a fun one. First day of school for Andrew (8th), Mackenzie (6th) and Maddie (3rd). PT HAPPENINGS Page 7 Kansas City-Style Ribs Prep: 1 hour + chilling Grill:1 hour 25 min Yield: 12 servings Ingredients 1 1/3 cups packed brown sugar 2 tsp each garlic powder, onion powder and smoked paprika 1 1/4 tsp each ground cumin, coarsely ground pepper and cayenne pepper 12 bone-in country-style pork ribs (about 7 pounds) Sauce 2 T canola oil 1 medium onion, finely chopped 1 C tomato sauce 1/3 C dark brown sugar 1/4 C ketchup 1/4 C molasses 1 T apple cider vinegar 2 tsp worcestershire sauce 1 tsp salt 1 tsp ground mustard 1/4 tsp smoked paprika 1/4 tsp cayenne pepper Directions 1. In a small bowl, mix brown sugar and seasonings; sprinkle over ribs. Refrigerate, covered, at least 1 hour. 2. For sauce, in a large saucepan, heat oil over medium heat. Add onion; cook and stir 5 -6 minutes or until tender. Stir in remaining ingredients; bring to a boil, stirring occasionally. Remove from heat. 3. Wrap ribs in a large peice of heavy-duty foil; seal edges of foil. Grill, covered, over indirect medium heat 1 1/4 to 1 3/4 hours or until ribs are tender. 4. Carefully remove ribs from foil. Place ribs over direct medium heat; baste with some of the sauce. Grill, covered, 8-10 minutes or until browned, turning and basting occasionally with remaining sauce. Page 8 PT HAPPENINGS Amish Chow Chow Relish yields 10 cups prep time 10 min What you will need: 2 C frozen cauliflower, thawed and cut into small pieces 2 C frozen sliced carrots, thawed 2 C frozen cut green beans, thawed 2 C frozen cut yellow wax beans, thawed 1 (15 ounce) can red kidney beans, rinsed and drained 1 large onion, coarsely chopped 1/2 red bell pepper, cut into 1/2 inch pieces 2 C water 1 C white vinegar 2 1/2 C sugar 1/2 tsp celery seed 1/4 tsp turmeric 1/2 tsp salt What to do: 1. In a large heat-proof bowl, combine all vegetables; set aside. 2. In a medium saucepan, bring water, vinegar, sugar, celery seed, turmeric, and salt to a boil over high heat; stir occasionally. Pour over vegetables; mix gently. 3. Let mixture sit until cool then cover and refrigerate until ready to serve. REFER A FRIEND and GET A GIFT!! They must come in four or more visits for you to receive either a t-shirt, flashlight, cooler bag or drawstring bag. If you send a second person who comes in four or more visits then you will receive a $25 gift card, 3 or more referrals will earn you a $50 gift card. THANK YOU!!