Mike Stare

Owner, Spectrum Fitness. Owner, Orthopaedics Plus Physical Therapy. DPT, FAAOMPT, CSCS, CNS

[Howard Luks MD @hjluks]

Tina is 57. Competitive runner in her 30s. Then life happened — kids, loss, single parenthood. Her running stopped, and she no longer went to the gym.

When the kids left for college, she started running again. Came back too fast. Got hurt. Then hurt again. Then her knee wouldn't settle.

Her MRI showed a meniscus tear. The first surgeon said she needed surgery. Same with the second. She came to me for a third opinion.

[JAMA @JAMA_current]

From @JAMAInternalMed: #RotatorCuff abnormalities on #MRI were found in 99% of adults aged 41 to 76, including 96% of asymptomatic shoulders, indicating most findings are age-related rather than disease.

https://t.co/f33KbhzT4z

[Mike Stare @SpectrumFit]

@RilindShalaPT @BJSM_BMJ @PhysioMeScience @BJSMPlus Hi Rilind. Please send me the full text to [email protected]. thank you! And congratulations on the paper.

[Mike Stare @SpectrumFit]

@DrNadolsky @MichelleCardel Not only are the results impressive, but getting 77% of the particiants to stick with the program for 12 months is spectacular. Great work to you both and your team. Thanks for clarifying

[Mike Stare @SpectrumFit]

@MichelleCardel @DrNadolsky any insights on the above? Thanks!

[Mike Stare @SpectrumFit]

@MichelleCardel I'm confused by the retention rates. The 12 month retention seems to be 8.7%. 69850 initiated treatment, yet only 6089 stayed on the program for 12 mo. Is that a correct interpretation?

[Mike Stare @SpectrumFit]

@itscoachgoodman Congratulations! Major accomplishment. Looking forward to reading it.

[Mike Stare @SpectrumFit]

@sdktri4life @hjluks 2/2...but also strength and function. Perfectly fits in PT domain. MDs ..screen and refer. PTs, screen diagnose, and treat

[Mike Stare @SpectrumFit]

@sdktri4life @hjluks Not a physician...a physical therapist. They have the time and access. They have the knowlesge to both assess and more importantly implement the treatment, including many of the associated comorbidities. Also, important to acknowledge diagnosis is not just based muscle mass 1/2

[Mike Stare @SpectrumFit]

@am_dpt7 2/2 b. public speaking(C of Aging, Rec Dept, rotaries, schools), c. Host workshops and webinars d. Host free screens e. Write (free reports, blogs, email blasts). All will help demonstrate our value through sharing our message and abilities to our communities. Start locally.

[Mike Stare @SpectrumFit]

@am_dpt7 A couple ideas: 1. Provide high value,high impact care beyond addressing pain, such as increased strength, general health (weight managment, disease risk modification). 2. Be better marketers to clarify our value to the community, Which means: a. Networking (BNI, COC) 1/2

[Mike Stare @SpectrumFit]

@TBandholm @ChrisLittlew00d @MichaelRathleff Thank you. Much appreciated!

[Mike Stare @SpectrumFit]

@mayurzzz @ElieJarrougeMD No, that is not true. The evidence is clear that high protein diets are safe

[Mike Stare @SpectrumFit]

@BStulberg I've found the same: Action precedes motiation. Can you point me to the studies that show this?

[Mike Stare @SpectrumFit]

"... high intensity resistance training is as effective as other treatment or other exercise to improve disability outcomes for people with chronic low back pain, and potentially more effective at reducing pain symptoms than other exercise." https://t.co/2GAiaQofg9

[Daniel Berglind, PhD @DanielBerglind]

Systematic review: systematic variation of exercise slection 🏃‍♀️🏋️‍♀️ may enhance muscle hypertrophy 💪/strength, whereas excessive, random variation may compromise muscular gains👎: https://t.co/BFfcqGBzqI

[Mike Stare @SpectrumFit]

@norton_cfna @PaulBliton Regulatory issues often impede this, unfortunately. Ideally it would be like the mental health space... Pyschologist and LMHC/LSW working together in the same office. But it can be done with some creativity. As a result, S&C creeps into rehab, rehab creeps into S&C. Everyone wins

[Mike Stare @SpectrumFit]

@norton_cfna @PaulBliton I think if more PTs moved into the fitness space, and more trainers/ S&C moved into the rehab space, patients/clients would benefit. Being territorial does more harm. Blending expertise provides more benefits.

[Mike Stare @SpectrumFit]

@PaulBliton I have never seen or heard of a PT practice implementing a combination of high volume olympic lifts, calisthenics, plyometrics, and metabolic conditioning within the same workout for patients. Where do you see this happening?