Episode 1583 - Individualized care: your ego is ruining our profession #PTonICE Daily Show

Dr. Mark Gallant // #ClinicalTuesday // www.ptonice.com 


In today's episode of the PT on ICE Daily Show, Extremity Division Leader Mark Gallant emphasizes the importance of having a well-coached and appropriately dosed set of exercises for patients. He stresses that these exercises should be ones that the therapist is extremely familiar with and knows exactly how to prescribe. By having a clear understanding of these exercises, the therapist can confidently explain to the patient the objective criteria and expectations for progression.
Mark acknowledges that sometimes our egos can hinder us, leading us to believe that we can come up with a better plan for each individual patient based on the information we have at that moment. However, he argues that research has shown that the human brain is a sensitive instrument that responds quickly to changes. Therefore, having a preset plan of exercises allows for consistency and efficiency in treatment.
Additionally, Marj suggests that having a set of exercises that can be progressed by increasing work volume, range of motion, load, or speed, while keeping the exercises relatively similar, can be beneficial. This approach allows the patient to become more efficient with the exercises and increases their buy-in. It also reduces stress for the physical therapist and ensures that enough time is given for each intervention to make a meaningful impact.
Take a listen or check out the episode transcription below.
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EPISODE TRANSCRIPTION
00:00 - MARK GALLANT

What's up PT on ice crew we got Instagram here YouTube over here. I'm Dr. Mark Lantz coming at you here on Clinical Tuesday, lead faculty in the ice extremity management division, alongside Lindsey Hughey, Eric Chaconas, and Cody Gingerich. Happy to be here this Tuesday. Before we get rolling, a couple of housekeeping things. We've got a few more courses for the extremity division coming up here for 2023. I'll be in Woodstock, Georgia, second weekend of November. and then Cody and Lindsey each have opportunities early December, so check that out on the ICE website. More importantly, if you've been looking to get a certification through ICE and the overall ICE cert seemed like a bit much to chew off right now at this stage of your career, we are happy to announce that we've launched the Ortho cert. If you take the two spine management courses, cervical management, lumbar management, the extremity management course and total spine thrust manipulation, take a short test at the end of whichever the last of those four that you take, you can become ortho certified. So that is officially launched and on the website. So definitely head over there and check that out and we hope to see you on the road soon.

01:39 - INDIVIDUALIZED CARE

So today what I want to talk about is individualized care. your ego is killing our profession. And what I mean by that, or what we mean by that, is that when we go around the country and we mentor folks, or we help out and talk through cases with individuals, watch people treat, one thing that we're starting to see as a trend is that folks are jumping around quite a bit in their plan of care. So that patient comes in for one visit, they're given a certain set of manual therapy techniques, a certain grouping of exercises at a specific dosage, and then each subsequent visit that person comes in, the plan dramatically changes. They're given a new set of exercises, there's different manual therapy techniques done. They are getting a completely unique plan of care each visit. And what we're recommending is t