JESSICA GRAF
SPRING SEMESTER 2014
INTERNSHIP IN EXERCISE SCIENCE
ProActive
Rehab, Inc.
Dr. Joseph Powell
DPT, CMPT, CSC
ProActive Rehab, Physical Therapy & Wellness Center
2200 Hwy 155N, Suite 130
McDonough, Georgia 30252
ProActive 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.
Meet The Staff
Joseph Powell – Owner, DScPT, CSCS, CMPT
Attended Oakwood College & Andrews University
Completed Master’s of Science in Physical Therapy
Doctorate of Science in Physical Therapy
Certified Orthopedic Manuel Therapist
Certified Strength and Conditioning Specialist
Rachelle Levy – PT, DPT
Attended Tufts University & Emory University
Completed a Doctorate in Physical Therapy
Gena Morris – Office Administrator
Attended Georgia College & State University
Majored in Marketing
Has 18 years experience in marketing, office management, and medical billing
Diane Durham – Wellness Coordinator, CPT
Attended University of Colorado
Majored in Exercise Science
Amanda Jarrett – PT Aide
Attending Clayton State University
Majoring in Health and Fitness Management
Jasmine Cutler – PT Aide
Attended Georgia Southern University
Completed a Bachelors in Exercise Science
Currently applying to Physical Therapy School
Meet Our Residents
Orthopedic Physical Therapy Residency Program
Emory University School of Medicine
Samuel Kridl, PT, DPT
Zachary Dunkle, PT, DPT
-Attended UCLA & Emory University
-Doctorate in Physical Therapy
-Attended Penn State & 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.
Zach decided to pursue the orthopedic
residency while he was doing his longterm 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.
Internship Goals
Goals for Internship at ProActive Rehab, Inc.
Be 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 patient’s 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!
Completed
What are the TOP 3
diagnoses seen at ProActive Rehab?
1. Lumbago
2. Cervicalgia (neck pain)
3. Pain in Joint Involving Shoulder Region
Most Common: Rotator Cuff Injuries
Top 6 Include: Pain in Joint Involving Lower Leg, Muscle
weakness & Abnormality of Gait
Patient Breakdown:
Self-pay, Insurance, & Workers Compensation
Daily Duties of the Intern
 Prepare patient and
equipment for treatment
 Assist in carrying out various
treatment procedures
 Apply basic modalities with
established patients under
direct supervision of the
therapist
 Observes, records and reports
to therapist patients
condition, reaction and
response to established
treatment
Insert pictures of patient and
modality and patient doing
exercises.
Daily Duties of the Intern
 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.
These are paddles that we use in the
pool for therapy. They have 5 levels
of resistance.
Welcome to Our Gym
Our gym is fully equipped with various aerobic machines and free weight
equipment that can further your rehabilitation progress.
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Pilates Reformer
Leg Press
L e g E x t e n s io n / C ur l
Squat Rack
3 T r e a dm i l ls
2 S t a t i o na r y B i c y c l e s
Elliptical
Rower
Chest Press
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F r e e W e i g h ts
Bosu ball
R e s is t a n c e B a l l s
Traction Machine
U l t r a s o und M a c h i ne
M e d i c i ne B a l l s
H i p F l e x o r M a c h i ne
C a b l e P u l l d o w n M a c h i ne
 Arm Bike
LAND THERAPY
ProActive
Rehab, Inc.
Dr. Joseph Powell
DPT, CMPT, CSC
Land Therapy Exercise Implementation
Patient 1: Knee Strength
Ms. 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.
Warm-up:
Elliptical at level 5 for 15 minutes
Bike at level 2 for 15 minutes
Stretches:
Hamstring - 10 second on both legs
Quad - 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
Patient 2: Lower & Upper Extremity
Joint Pain
Mr. 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:
Bike at level 2 for 15 minutes
Exercises:
Leg Press
Leg Extensions
Leg Curls
TKE – 3 sets of 15
Adduction – 3 sets of 15
Hip & Knee Flexion – 3 sets of 15
Muscle Stimulation:
Quad Sets
Hamstring Sets
Patient A: Stroke
This 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 THERAPY
ProActive
Rehab, Inc.
Dr. Joseph Powell
DPT, CMPT, CSC
Hydroworx
500 Series
-Variable Speed Underwater Treadmill
-Resistance Jets
-Pool Mounted Display System
-Underwater Cameras to analyze Gait
Aquatic Therapy Exercise Implementation
Patient 1: Quad Tear
Patient 2: Knee Strengthening
This 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.
This 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)
 Flexion
 Extension
 Adduction
 Abduction
-Forward Step Ups (30x)
-Lateral Step Ups (30x)
-Squats (3 sets of 15)
INSERT PICTURES OF AQUATIC THERAPY
WELLNESS CENTER
ProActive
Rehab, Inc.
Dr. Joseph Powell
DPT, CMPT, CSC
Wellness Center
Wellness Opportunities:
 Weight loss programs
 Individualized fitness
 Nutritional consultations
 Aquatic aerobic classes
Personal Training Includes:
 Sports specific conditioning
 Agility training
 Plyometric training
Table 1: Exercise Prescription Guidelines
Special Populations
Wellness Client PMHx: Hip Replacement
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.
Wellness Patient Fitness Evaluation
Patient WS
Diagnosis: Hip Replacement (discharged from therapy)
Test 1
8/4/2013
Age
82
RHR
68 beats
BP
143/52
Weight
196 lbs.
Height
5’9”
BF %
35.3 %
BMI
28.8
Neck
12
Arms
11.75
Chest
41
Waist
44. 5
Hips
Thighs
16.5
Calves
11.5
Test 2
Test 3
Results
Wellness Patient Exercise Prescription
Patient WS
Intensity: 50-60% Frequency: 3 days/week
Duration: 200-300 kcal/session
INSERT PICTURES OF WELLNESS PATIENTS
CURRICULUM
EVALUATION
Georgia
Southern
University
Exercise
Science Major
COURSES THAT HELPED THE MOST
 Anatomy & 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 Movement
This 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 Movement
Biomechanics was a tough course but was very interesting. The gait
analysis portion and lab assignment was very beneficial.
 Fitness Evaluations & Exercise Prescription
I still use my notes from Fitness Evaluation to this day to help with
exercise prescription for patients at my site location.
ADDED COURSE CONSIDERATION
 A 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.
AREAS OF IMPROVEMENT
 I would have liked to seen some previous student’s 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.
FUTURE STEPS
Georgia
Southern
University
Exercise
Science
Graduate
FUTURE PLANS
Have 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 Children’s
Healthcare of Atlanta!
Am I employed?
I have applied for a fulltime position with
Piedmont Healthcare as
a rehabilitation aide.
WHAT THE FUTURE HOLDS
ProActive Rehab
Physical Therapy & Wellness Center
2200 Hwy 155N, Suite 130
McDonough, Georgia 30252
For 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.