Jessica Graf Spring Semester 2014 Internship in Exercise Science

1. Jessica GrafSpring Semester 2014Internship in Exercise Science ProActive Rehab, Inc. Dr. Joseph Powell DPT, CMPT, CSC

2. ProActive Rehab, Physical Therapy & Wellness Center 2200 Hwy 155N, Suite 130 McDonough, Georgia 30252 ProActiveRehab 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.

4. Meet Our Residents Orthopedic Physical Therapy Residency Program Emory University School of Medicine

5. Internship Goals

6. What are the TOP 3 diagnoses seen at ProActive Rehab? • Lumbago • Cervicalgia(neck pain) • 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

7. 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

8. Insert pictures of patient and modality and patient doing exercises.

9. 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.

10. Welcome to Our Gym Our gym is fully equipped with various aerobic machines and free weight equipment that can further your rehabilitation progress. • Pilates Reformer • Leg Press • Leg Extension/Curl • Squat Rack • 3 Treadmills • 2 Stationary Bicycles • Elliptical • Rower • Chest Press • Free Weights • Bosu ball • Resistance Balls • Traction Machine • Ultrasound Machine • Medicine Balls • Hip Flexor Machine • Cable Pulldown Machine • Arm Bike

11. ProActive Rehab, Inc. Dr. Joseph Powell DPT, CMPT, CSC Land therapy

12. Land Therapy Exercise Implementation

13. 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.

14. Aquatic Therapy ProActive Rehab, Inc. Dr. Joseph Powell DPT, CMPT, CSC

15. Hydroworx 500 Series -Variable Speed Underwater Treadmill -Resistance Jets -Pool Mounted Display System -Underwater Cameras to analyze Gait

16. Aquatic Therapy Exercise Implementation .

17. Insert pictures of aquatic therapy

18. ProActive Rehab, Inc. Dr. Joseph Powell DPT, CMPT, CSC Wellness Center

19. 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

20. 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.

21. Wellness Patient Fitness Evaluation Patient WS Diagnosis: Hip Replacement (discharged from therapy)

22. Wellness Patient Exercise Prescription Patient WS Intensity: 50-60% Frequency: 3 days/week Duration: 200-300 kcal/session

23. Insert pictures of wellness patients

24. Curriculum evaluation Georgia Southern University Exercise Science Major

25. 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.

26. 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.

27. 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.

28. Future steps Georgia Southern University Exercise Science Graduate

29. Future plans Have my plans changed? Am I employed? I have applied for a full-time position with Piedmont Healthcare as a rehabilitation aide. 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 examwhile working towards my long term dream to work in Pediatric Therapy at Children’s Healthcare of Atlanta!

30. What the future holds

31. ProActiveRehab • 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.