Ben Fisher

Physical Therapist | University of Kentucky DPT | Eastern Kentucky University

[Ben Fisher @benfishpt]

Good stuff here.

But...

There's a sort of parallel here with how some surgeons view their ability to connect with the sports community and using a picture of a baseball player pitching with a first base mitt.

[AOSSM Journals @aossmjournals]

⚾ An #AJSM analysis of 83,215 @MLB & @MiLB injuries shows pitchers are dominated by upper-extremity injuries, while hamstring strains were the most common. See tips on prevention: https://t.co/1DhqabglsG @ChrisCampMD et al
#BaseballMedicine #ThrowingAthlete #InjuryEpidemiology

[Nicky @nicke93]

@NoLayingUp Biggest putt of the day during Playing Through!!!

[Ben Fisher @benfishpt]

@doclsmack @kcrehabguy Yes. Scope of practice can be professional, jurisdictional, and personal. Per APTA, personal is “activities which an individual PT is educated and trained in their competence to perform.” I.e. Acute SCI PT is in my professional/jurisdictional scope but don’t consider my personal

[Ben Fisher @benfishpt]

@doclsmack @kcrehabguy 2/2 I live in KY near rural areas. If a PT here has to treat ACLRs d/t access to care, I would expect them to have the skill to do an acceptable job (unlike described orignially). But not every OP clinician should feel the NEED to have advanced ACL rehab in their personal scope.

[Ben Fisher @benfishpt]

@doclsmack @kcrehabguy Dr. Snyder-Mackler,
1/2 Appreciate your work and perspective! I agree we have an obligation to teach best practice to DPT students and I anticipate all programs intend to do so. However, I do feel the attitude toward personal scope of practice and ACLs may need a shift.

[Ben Fisher @benfishpt]

@kcrehabguy Definitely. And agree it is a separate discipline but with blurry lines. I guess my question is… should we be pushing all generalist OP PTs to be competent in ACL rehab? ACLRs in a separate category? I’m in agreement with your initial post just FYI.

[Ben Fisher @benfishpt]

@AndersonLMiller Love this! Applies for us in the rehab setting, too.

“They only cared about the [rehab of the] college/pro guys.” -Current college guy talking about another clinic treating him as a high-schooler .

Injury returned later and guess who didn’t go back (and came to me instead)?

[Ben Fisher @benfishpt]

@kwhitehair_dpt With that being said, I think that some of the biggest issues with burnout stem from these previous misconceptions about PT as a profession prior to even entering the workforce.

[Ben Fisher @benfishpt]

@kwhitehair_dpt Personally, I try to be honest about the pros and cons. I think there are many students enrolling in PT school who are uninformed to their detriment, and the PT schools are obviously not incentivized to inform about cons prior to enrollment ($$$).

[EKU Baseball @EKUBaseball]

WELCOME TO THE SHOW‼️

Former Colonel Armando Alvarez (2015-16) has been called up from Triple A by the @Athletics. He'll be making his @MLB debut.

Congratulations Armando! Go A's.
#GoBigE

[Ben Fisher @benfishpt]

@LenMacPT @aaspt_apta Done! First time voting as a new member of the AASPT… and from my perspective as one of his former students, I am confident in Lenny and the good work he will do if elected! #voteLenny

[Ben Fisher @benfishpt]

@MeredithChaput @DaveShermanPT @NickHoopes_ Remembered this thread and thankful for the search feature… have a >6 month post-ACLR and going back to basics d/t potential AMI… recommended protocol for NMES and TENS?

Nothing great I have seen outside of TF OA for TENS except this…

https://t.co/9SRSsHFLho

[EKU Football @EKUFootball]

Congrats to former Colonel quarterback Tim Boyle who will make his first start for the @nyjets this Friday against the Miami Dolphins!

#E2W | #MatterOfPride

[Nick Hoopes @NickHoopes_]

*National PT Month Giveaway*

Seeing as it’s October (#NPTM!) @nikegal7 & I are going to do a give away of one of our (almost bestselling😉) books.

Like & RT this tweet for a chance to win. Winner will be picked on 10/31.

*open to ALL (not just PTs)*

https://t.co/ZaPhyxNHqq

[Ben Fisher @benfishpt]

🧵Great thread!!!

I love @ArmoredHeat & all they do for pitchers (especially younger ones starting to dial-in their routines).

And for all PTs worried about apps like this taking away their roles…

“There is no reason for “turf wars” if you place the athlete’s needs first.”

[Armored Heat @ArmoredHeat]

🔥 5 ISSUES WE SET OUT TO ADDRESS IN ARM CARE

1) Add Exercise Progression/Variation Every 2 Weeks

⚾️ Stop doing the same programs day after day, week after week, month after month. That’s the recipe for Plateaus

2) Emphasize Scapular Strengthening in Addition to Cuff Strength

[Ben Fisher @benfishpt]

@scotmorrsn Thank you! Will review. Appreciate your time!

[Ben Fisher @benfishpt]

Love the Tindeq data for guiding all my rehab and especially for ACLs. I’ve been playing around with repeaters and various setups to mimic Biodex/Cybex results (don’t have within my clinic), but with some difficulty/inconsistency. Anyone have experience/suggestions?

[Ben Fisher @benfishpt]

@scotmorrsn Typically will do a Biodex assessment at 6-9 months with their ortho’s office and am primarily concerned with getting data that reflects what they will see on a Biodex. Relatively new clinician here as well and trying to establish good protocols within our clinic.

[Ben Fisher @benfishpt]

@scotmorrsn Current setup typically isometric at ~60 with trying repeaters at %MVIC but haven’t established a consistent protocol there. Considering using other angles further in the process. In conjunction with RTS measures (knee extension machine included) obviously.