WEBVTT

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So, but 99% of the time,

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barring a tree falling on someone's house,

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we rarely really edit stuff.

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It really is supposed to be

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a conversation.

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Sounds great.

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All right,

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let me hit play and we'll do this thing.

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Welcome to Orthostatic,

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a product of the Academy of

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Orthopedic Physical Therapy.

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Welcoming our guest today,

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an accomplished educator

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and clinician making

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strides in our profession

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of physical therapy with

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dual board certification in

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orthopedic and sports physical therapy.

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She is a recognized expert

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in our profession.

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Dr. Keri Rothschild, welcome to the show.

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Thanks for having me.

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Good morning.

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Good morning.

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All right, we're diving in in this,

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a great overview or a macro,

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a zoomed out episode for the show.

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We wanted to create this

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because we wanna start with the basics.

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We harp on that all through

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PT school and through our careers,

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which is make sure you know

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the fundamentals and the basics.

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So I think there's no

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question that's too simple

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and we should avoid asking it.

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So that's why my very first

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question is gonna sound so simple.

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I think we agree it's important to ask,

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which is,

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What is orthopedic physical therapy?

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And maybe how does it differ

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from other physical therapy specialties?

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I remember when I was just a student,

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I probably could name two

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or three different types of

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physical therapy.

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And then I got exposed to a

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whole lot more.

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So how do you answer that

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question in terms of how is

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what is orthopedic physical

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therapy and how does it

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differ from other physical

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therapy specialties?

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Sure.

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I think it's a great place

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to start this conversation.

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I think that for orthopedic

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physical therapy,

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when you think about orthopedic,

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if you dissect the root word,

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you're going to get some

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information about Greek

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word meaning deformity,

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but ortho meaning deformity

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and pedic meaning kind of

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as the body grows.

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But when we kind of zoom out

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and look at what it is,

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it's really dedicated

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knowledge and expertise in

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the musculoskeletal system.

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So we're talking bones,

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we're talking joints,

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we're talking tendons,

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we're talking fascia.

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And of course,

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the neurovascular structures

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that accompany all of those body parts.

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So really,

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it's the physical therapist that

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is dedicated to the

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musculoskeletal system.

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and improving the movement

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and musculoskeletal health

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of an individual.

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And it's a little different

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from some of the other specialties.

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I think orthopedic physical

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therapy is probably maybe

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what the lay person might

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know most about coming into

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physical therapy school.

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Maybe they've had some

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physical therapy for a

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sprain or a strain or

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something like that.

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But there are a vast number

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of other specialties that

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include neurological,

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which focus on neurological injuries,

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such as strokes, spinal cord injury,

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And then we've got pediatrics,

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which focus on younger people.

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And we've got geriatrics,

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which focuses on the

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conditions of older individuals.

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And then we've got some

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unique specialties like

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cardiovascular and

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pulmonary and wound

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management and oncology and

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women's health.

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So I think orthopedics

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actually kind of falls in a

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little bit of all of those because,

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of course,

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we have kids that have

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orthopedic injuries and

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we've got older adults that

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have orthopedic injuries.

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So

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I think to start with that,

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musculoskeletal expertise.

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All right, well,

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if we're jumping into that,

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it feels like orthopedic

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physical therapy covers a

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lot of our profession,

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what people might think of

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physical therapy if they're

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not in the profession.

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So let's go with commonalities.

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What are the most common

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conditions treated by

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specifically orthopedic

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physical therapists?

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Anything that has to do with a bone,

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a joint, a tendon, a ligament, a muscle,

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maybe nerve compression.

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I think orthopedic physical

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therapists see a lot of spine pain,

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primarily lower back, neck pain.

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I think we see different

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conditions of tendons,

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like tendinopathies, overuse conditions.

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We also see lots of ligament sprains.

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So you think about an ankle

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sprain or an ACL sprain in

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the knee or a tear.

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And then we do a lot of work

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with post-operative rehabilitation.

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So once those structures are

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injured and they have to be

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repaired surgically,

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we're looking at the back

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end of that and protecting

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those surgical repairs and

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helping that individual get

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back to the things they

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like to do through a

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strategic musculoskeletal

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rehabilitation plan.

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Let's talk about something

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else that I don't know if I

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was prepared for when I

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went into PT school,

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but it seemed to be everywhere,

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and that's evidence-based practice.

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Help us understand why

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evidence-based practice in

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orthopedic physical therapy

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might be so important.

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It's very important,

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and I actually get a chance

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to teach orthopedic

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physical therapy in the DPT

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program that I am a professor in,

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and I think it's super important.

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Evidence-based practice

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includes the patient's preferences,

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it includes the clinician's expertise,

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as well as the best

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evidence from research perspectives.

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i think the field of our

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orthopedic physical therapy

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is constantly moving

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forward we have new

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evidence new research that

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comes out on a regular

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basis and so it's important

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to make sure that

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clinicians orthopedic

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specialists specifically

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are are looking at this

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evidence and what does it

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say what should we be doing

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for a lateral elbow

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tendinopathy for example and so

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Some of the great work that

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comes out of the Academy of

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Orthopedic Physical Therapy,

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along with some of the

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sports physical therapy as well,

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is the clinical practice guidelines.

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And that's a nice summary of

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all of the best evidence to

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treat and manage different conditions.

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So I think we give the best

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care to patients from an

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orthopedic perspective when we

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Yes,

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we utilize our own expertise as a

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clinician,

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and we also take into account

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the patient's preferences,

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but then we really back

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that up with some good

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research that is going to

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help improve the outcomes

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of the patient in the most

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efficient manner.

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Well said.

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Let's move on to maybe the

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first contact that a

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patient might have with a

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physical therapist,

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and that's the initial assessment.

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What assessments are critical,

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and why is the initial

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assessment so important in

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orthopedic physical therapy?

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As part of that initial assessment,

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first thing that a

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therapist needs to do is

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rule out any red flags.

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Those might be some things

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that are alarming to an

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orthopedic physical

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therapist that might

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warrant a referral to a

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different healthcare provider,

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kind of outside the scope

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of what we could be able to treat.

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Another thing we want to

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pick up as an orthopedic

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specialist is some of those yellow flags,

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which are some of the

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psychosocial factors that

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influence the patient's condition.

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But ultimately,

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we want to get to the point

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of doing a good physical examination,

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and that includes doing

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some range of motion,

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some strength testing, some special tests,

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because the best we can do

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is finding the root cause

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from a pathological standpoint.

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We want to know what

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structures are involved,

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but we want to take into

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account all these other

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things as we look at the

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individual as a whole.

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We definitely want to make

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sure that we're doing

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the tests and measures that

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are appropriate for that body part,

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as well as given the

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timeframe post-injury.

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Now, you mentioned evidence-based practice,

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and that is terribly

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important in the research,

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but how might orthopedic

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physical therapists stay

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current with the latest treatments,

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the technologies, things change rapidly?

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How do people stay up to

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date in the profession?

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You know,

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we are bombarded with information.

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I think one thing we do have

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is a plethora of resources.

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We've got lots of journals.

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We've got the Journal of

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Orthopedic and Sports Physical Therapy,

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which presents a lot of

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great content for

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orthopedic physical therapists.

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as well as the physical

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therapy journal also has an

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orthopedic section typically every month.

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I think we've got lots of

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information coming at us

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from different podcasts, for example,

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from different YouTube sites,

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for example.

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We've got webinars,

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we've got constant ability

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to take continuing

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education now in a virtual format.

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I love getting emails that

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give me some new information.

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Oh,

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this new clinical practice guideline

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came out.

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I'm a podcast junkie,

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so I love listening to

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podcasts on my drive into work.

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I think those are really

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some great informational sources,

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as well as our professional

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organization and the

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Academy of Orthopedic

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Physical Therapy has got a

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lot of good resources on

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their website as well.

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Good to hear that you listen to podcasts,

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being that you're on one.

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Yeah.

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Finally,

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since this is a product of the

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Academy of Orthopedic Physical Therapy,

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again, as a PT student,

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I was exposed to the APTA

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as a student and started to

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figure out and learn all

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the different places around

00:08:44.684 --> 00:08:46.625
that one association that I

00:08:46.666 --> 00:08:47.346
could learn from.

00:08:47.447 --> 00:08:49.509
So specifically for AOPT or

00:08:49.528 --> 00:08:50.589
the Academy of Orthopedic

00:08:50.629 --> 00:08:51.269
Physical Therapy,

00:08:51.529 --> 00:08:52.250
what do you think are some

00:08:52.291 --> 00:08:53.051
of the benefits

00:08:53.251 --> 00:08:54.873
specifically for a new grad

00:08:54.913 --> 00:08:56.274
physical therapist for

00:08:56.333 --> 00:08:57.294
joining something like the

00:08:57.315 --> 00:08:58.895
Academy of Orthopedic Physical Therapy?

00:09:00.010 --> 00:09:00.211
You know,

00:09:00.230 --> 00:09:01.393
I've been a member of the Academy

00:09:01.413 --> 00:09:02.394
of Orthopedical Physical

00:09:02.413 --> 00:09:05.017
Therapy for 25 years since I graduated.

00:09:05.037 --> 00:09:07.458
I do believe that the

00:09:07.599 --> 00:09:09.981
Academy's website is continually updated.

00:09:10.042 --> 00:09:12.365
I think you've got access to

00:09:12.465 --> 00:09:14.626
people so you can meet and

00:09:14.687 --> 00:09:15.869
contact different people

00:09:15.928 --> 00:09:16.909
that might be in a

00:09:17.403 --> 00:09:18.743
in a community that is

00:09:19.364 --> 00:09:20.264
aligned with something that

00:09:20.303 --> 00:09:22.004
you're interested in, like pain,

00:09:22.043 --> 00:09:22.583
for example.

00:09:23.565 --> 00:09:25.105
There's lots of resources.

00:09:25.184 --> 00:09:26.585
You've got access to the journal,

00:09:26.705 --> 00:09:28.725
access to clinical practice guidelines,

00:09:29.245 --> 00:09:32.466
access to the special groups,

00:09:32.527 --> 00:09:33.647
the communities as well.

00:09:34.606 --> 00:09:36.128
If you're interested in volunteering,

00:09:36.207 --> 00:09:37.288
there's ability to do that.

00:09:37.327 --> 00:09:38.888
You can find that through the academy.

00:09:39.769 --> 00:09:40.308
And also,

00:09:41.068 --> 00:09:42.568
you can do some service and

00:09:42.589 --> 00:09:44.009
volunteer in some different

00:09:44.090 --> 00:09:45.070
areas that might be

00:09:45.923 --> 00:09:47.043
within that skill set you

00:09:47.083 --> 00:09:48.205
have or something that

00:09:48.225 --> 00:09:50.006
you're learning and growing.

00:09:50.027 --> 00:09:50.988
Yeah.

00:09:51.128 --> 00:09:52.629
It sounds like to summarize people,

00:09:52.769 --> 00:09:55.131
information, people, and opportunities.

00:09:55.772 --> 00:09:56.352
Absolutely.

00:09:56.732 --> 00:09:57.933
All right.

00:09:57.953 --> 00:09:58.934
We didn't prepare you for this,

00:09:59.034 --> 00:10:00.035
but I'm always confident

00:10:00.076 --> 00:10:02.057
that this never catches an

00:10:02.158 --> 00:10:03.278
educator off guard because

00:10:03.318 --> 00:10:04.159
you always seem to have

00:10:04.200 --> 00:10:05.081
some words of wisdom.

00:10:05.120 --> 00:10:05.881
So the last thing we do on

00:10:05.902 --> 00:10:07.562
the show is called words of wisdom.

00:10:07.802 --> 00:10:08.604
What would you want to leave?

00:10:08.644 --> 00:10:09.485
What's one thought or

00:10:09.524 --> 00:10:10.206
sentiment you'd want to

00:10:10.245 --> 00:10:10.865
leave with the audience

00:10:10.885 --> 00:10:11.567
today as we wrap up?

00:10:13.472 --> 00:10:14.432
So if you're interested in

00:10:14.474 --> 00:10:15.813
orthopedic physical therapy,

00:10:16.094 --> 00:10:17.455
I would definitely advise

00:10:17.575 --> 00:10:18.335
finding a mentor.

00:10:18.615 --> 00:10:19.696
I think the mentors are

00:10:19.755 --> 00:10:21.616
invaluable in whatever

00:10:21.636 --> 00:10:23.076
specialty practice you end up doing.

00:10:23.518 --> 00:10:24.717
But I think having a go-to

00:10:24.758 --> 00:10:26.938
person that can answer questions,

00:10:26.999 --> 00:10:28.139
help provide some guidance,

00:10:28.779 --> 00:10:30.441
and also give some good feedback,

00:10:30.500 --> 00:10:31.421
whether we want it or not,

00:10:31.822 --> 00:10:33.841
I think mentorship is huge.

00:10:34.062 --> 00:10:35.082
And so I would definitely

00:10:35.123 --> 00:10:36.264
put that as a little nugget

00:10:36.283 --> 00:10:37.063
to take forward.

00:10:37.826 --> 00:10:37.966
Yeah,

00:10:38.147 --> 00:10:39.488
I'd like to give a nod to my mentor

00:10:39.528 --> 00:10:40.589
who was my former professor.

00:10:40.769 --> 00:10:41.570
And now she hates when I

00:10:41.590 --> 00:10:42.610
call her my former professor.

00:10:42.910 --> 00:10:43.211
She says,

00:10:43.370 --> 00:10:44.051
you should just call me your

00:10:44.091 --> 00:10:45.111
friend because we're still friends.

00:10:45.631 --> 00:10:47.173
But having that person who's

00:10:47.293 --> 00:10:48.615
maybe seen some things or

00:10:48.634 --> 00:10:49.595
just maybe walked a little

00:10:49.634 --> 00:10:50.796
bit ahead of you in a

00:10:50.875 --> 00:10:53.057
career to be able to suggest,

00:10:53.238 --> 00:10:53.697
because again,

00:10:53.717 --> 00:10:54.739
she won't give me any answers.

00:10:54.778 --> 00:10:55.499
She's a great educator.

00:10:55.519 --> 00:10:56.539
She won't give me any answers,

00:10:56.679 --> 00:10:57.520
but she keeps asking me

00:10:57.561 --> 00:10:58.682
questions to keep me on track.

00:10:59.062 --> 00:10:59.662
Carrie Rostrad,

00:10:59.682 --> 00:11:00.523
we appreciate you coming by

00:11:00.562 --> 00:11:02.024
Orthostatic and sharing with us today.

00:11:02.945 --> 00:11:03.144
Absolutely.

00:11:03.184 --> 00:11:03.384
Thank you.

00:11:03.404 --> 00:11:03.705
Thank you.

00:11:10.400 --> 00:11:10.769
All right.