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Re: Chrio providing PT in Michigan

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contact the MPTA

>

> Hi Group,

>

> Evaluated a pt last week who had been seeing a chiropractor for the past 3-4

months after an auto accident. Pt said that the chiro had also been doing " PT "

which consisted of horiffic resisted neck exercises, hanging head off table,

etc. Pt said chiro told her he had " taken some classes " in PT. Any suggestions

on how to address this? Contact the chiro directly, Mich. State Board?

>

> Thanks!

>

> Chris

>

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Guest guest

The Public Health code in Michigan would prohibit a Chiropractor from providing

" Physical Therapy " . Their PHC and Administrative Rules allow them to treat every

joint, and to perform Rehabilitative Exercises, amongst other elements, but not

physical therapy. If indeed the Chiro is representing that they are performing

physical therapy, then the appropriate action would be to either address it with

the Chiro to educate them that they are exceeding their scope of practice, or

to

file a complaint with the Chiropractic Board in Michigan. To access how to file

a complaint in Michigan go to:

http://mi.gov/mdch/0,1607,7-132-27417_27647---,00.html 

W. , PT, MS

Grosse Pointe Woods, MI

Therapeutics

Michigan Board of Physical Therapy

dperrypt@...

" And in the end it's not the years in your life that count. It's the life in

your years. "

Abraham Lincoln

" A person who never made a mistake never tried anything new. "

Albert Einstein

________________________________

To: PTManager

Sent: Tue, April 5, 2011 9:33:53 AM

Subject: Chrio providing " PT " in Michigan

 

Hi Group,

Evaluated a pt last week who had been seeing a chiropractor for the past 3-4

months after an auto accident. Pt said that the chiro had also been doing " PT "

which consisted of horiffic resisted neck exercises, hanging head off table,

etc. Pt said chiro told her he had " taken some classes " in PT. Any suggestions

on how to address this? Contact the chiro directly, Mich. State Board?

Thanks!

Chris

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Guest guest

,

Just curious. With the right to treat joints and perform rehabilitative

exercises and with having massage therapists in their offices to cover the soft

tissue portion of manual therapy, it sounds like they have a substantial portion

of physical therapy covered. Exactly what is the " physical therapy " that

they're not permitted to do? Other than modalities (which many chiropractors

utilize as well), I'm hard pressed to think of any portion of physical therapy

that hasn't been co-opted by some other group. ly, I'm getting a bit tired

of cleaning up the messes left by personal trainers, massage therapists, and

especially, the growing group of assorted whackadoodle chicken blood dispensers

when patients are mismanaged by these personnel. I lectured around the country

for many years on integrating effective elements of

alternative/complementary/holistic approaches with conventional manual and

movement therapy aspects of physical therapy so I'm open and supportive of

non-traditional viewpoints which can enhance patient care but the situation is

just getting to be over the top. The classic one was a massage therapist who

approached me marketing her services. I asked her 3 simple clinical questions

and she didn't have a clue. When asked about her anatomy education, she proudly

informed me her " textbook " in her education was The Coloring Book of Anatomy! I

brought out my old classic 35th British edition of Gray's Anatomy and the newer

Primal 3D Interactive Series and politely suggested she may want to beef up her

education a bit.

, PT, OCS

Marquette, MI

Chrio providing " PT " in Michigan

Hi Group,

Evaluated a pt last week who had been seeing a chiropractor for the past 3-4

months after an auto accident. Pt said that the chiro had also been doing " PT "

which consisted of horiffic resisted neck exercises, hanging head off table,

etc. Pt said chiro told her he had " taken some classes " in PT. Any suggestions

on how to address this? Contact the chiro directly, Mich. State Board?

Thanks!

Chris

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Guest guest

I would understand the portion of physical therapy that would be inferring

is the use of the words " physical therapy, physical therapist, physiotherapy,

physiotherapist, etc... " . Although that may seem a bit trivial, it means a lot

and should be in all the States practice act. I have seen several physicians,

chiros, and even some massage places advertise on signs, websites, door fronts,

etc... that they perform physical therapy. If they do not have a licensed

physical therapy on staff and/or are not registered with the state, this is in

violation of the Texas PT Practice Act, and I turn them in to the Texas State

Board of Physical Therapy (ECPTOTE)to have them investigated. In all instances,

the advertisement has been removed. In one instance, the PT working at the

facility was disciplined for working at a non-registered facility. The problem

is keeping up with it so that they do not do it again.

All PTs should be monitoring their areas for improper use of the words physical

therapy and other violations of their practice acts so that a layperson that

otherwise would not understand the law would be guaranteed they are actually

being treated by a licensed physical therapist.

Terry Stegman, PT, MS, Eng-Phy, BS

>

> ,

> Just curious. With the right to treat joints and perform rehabilitative

exercises and with having massage therapists in their offices to cover the soft

tissue portion of manual therapy, it sounds like they have a substantial portion

of physical therapy covered. Exactly what is the " physical therapy " that

they're not permitted to do? Other than modalities (which many chiropractors

utilize as well), I'm hard pressed to think of any portion of physical therapy

that hasn't been co-opted by some other group. ly, I'm getting a bit tired

of cleaning up the messes left by personal trainers, massage therapists, and

especially, the growing group of assorted whackadoodle chicken blood dispensers

when patients are mismanaged by these personnel. I lectured around the country

for many years on integrating effective elements of

alternative/complementary/holistic approaches with conventional manual and

movement therapy aspects of physical therapy so I'm open and supportive of

non-traditional viewpoints which can enhance patient care but the situation is

just getting to be over the top. The classic one was a massage therapist who

approached me marketing her services. I asked her 3 simple clinical questions

and she didn't have a clue. When asked about her anatomy education, she proudly

informed me her " textbook " in her education was The Coloring Book of Anatomy! I

brought out my old classic 35th British edition of Gray's Anatomy and the newer

Primal 3D Interactive Series and politely suggested she may want to beef up her

education a bit.

>

> , PT, OCS

> Marquette, MI

>

> Chrio providing " PT " in Michigan

>

>

> Hi Group,

>

> Evaluated a pt last week who had been seeing a chiropractor for the past 3-4

> months after an auto accident. Pt said that the chiro had also been doing

" PT "

> which consisted of horiffic resisted neck exercises, hanging head off table,

> etc. Pt said chiro told her he had " taken some classes " in PT. Any

suggestions

> on how to address this? Contact the chiro directly, Mich. State Board?

>

> Thanks!

>

> Chris

>

>

Link to comment
Share on other sites

Guest guest

I would understand the portion of physical therapy that would be inferring

is the use of the words " physical therapy, physical therapist, physiotherapy,

physiotherapist, etc... " . Although that may seem a bit trivial, it means a lot

and should be in all the States practice act. I have seen several physicians,

chiros, and even some massage places advertise on signs, websites, door fronts,

etc... that they perform physical therapy. If they do not have a licensed

physical therapy on staff and/or are not registered with the state, this is in

violation of the Texas PT Practice Act, and I turn them in to the Texas State

Board of Physical Therapy (ECPTOTE)to have them investigated. In all instances,

the advertisement has been removed. In one instance, the PT working at the

facility was disciplined for working at a non-registered facility. The problem

is keeping up with it so that they do not do it again.

All PTs should be monitoring their areas for improper use of the words physical

therapy and other violations of their practice acts so that a layperson that

otherwise would not understand the law would be guaranteed they are actually

being treated by a licensed physical therapist.

Terry Stegman, PT, MS, Eng-Phy, BS

>

> ,

> Just curious. With the right to treat joints and perform rehabilitative

exercises and with having massage therapists in their offices to cover the soft

tissue portion of manual therapy, it sounds like they have a substantial portion

of physical therapy covered. Exactly what is the " physical therapy " that

they're not permitted to do? Other than modalities (which many chiropractors

utilize as well), I'm hard pressed to think of any portion of physical therapy

that hasn't been co-opted by some other group. ly, I'm getting a bit tired

of cleaning up the messes left by personal trainers, massage therapists, and

especially, the growing group of assorted whackadoodle chicken blood dispensers

when patients are mismanaged by these personnel. I lectured around the country

for many years on integrating effective elements of

alternative/complementary/holistic approaches with conventional manual and

movement therapy aspects of physical therapy so I'm open and supportive of

non-traditional viewpoints which can enhance patient care but the situation is

just getting to be over the top. The classic one was a massage therapist who

approached me marketing her services. I asked her 3 simple clinical questions

and she didn't have a clue. When asked about her anatomy education, she proudly

informed me her " textbook " in her education was The Coloring Book of Anatomy! I

brought out my old classic 35th British edition of Gray's Anatomy and the newer

Primal 3D Interactive Series and politely suggested she may want to beef up her

education a bit.

>

> , PT, OCS

> Marquette, MI

>

> Chrio providing " PT " in Michigan

>

>

> Hi Group,

>

> Evaluated a pt last week who had been seeing a chiropractor for the past 3-4

> months after an auto accident. Pt said that the chiro had also been doing

" PT "

> which consisted of horiffic resisted neck exercises, hanging head off table,

> etc. Pt said chiro told her he had " taken some classes " in PT. Any

suggestions

> on how to address this? Contact the chiro directly, Mich. State Board?

>

> Thanks!

>

> Chris

>

>

Link to comment
Share on other sites

Guest guest

I would understand the portion of physical therapy that would be inferring

is the use of the words " physical therapy, physical therapist, physiotherapy,

physiotherapist, etc... " . Although that may seem a bit trivial, it means a lot

and should be in all the States practice act. I have seen several physicians,

chiros, and even some massage places advertise on signs, websites, door fronts,

etc... that they perform physical therapy. If they do not have a licensed

physical therapy on staff and/or are not registered with the state, this is in

violation of the Texas PT Practice Act, and I turn them in to the Texas State

Board of Physical Therapy (ECPTOTE)to have them investigated. In all instances,

the advertisement has been removed. In one instance, the PT working at the

facility was disciplined for working at a non-registered facility. The problem

is keeping up with it so that they do not do it again.

All PTs should be monitoring their areas for improper use of the words physical

therapy and other violations of their practice acts so that a layperson that

otherwise would not understand the law would be guaranteed they are actually

being treated by a licensed physical therapist.

Terry Stegman, PT, MS, Eng-Phy, BS

>

> ,

> Just curious. With the right to treat joints and perform rehabilitative

exercises and with having massage therapists in their offices to cover the soft

tissue portion of manual therapy, it sounds like they have a substantial portion

of physical therapy covered. Exactly what is the " physical therapy " that

they're not permitted to do? Other than modalities (which many chiropractors

utilize as well), I'm hard pressed to think of any portion of physical therapy

that hasn't been co-opted by some other group. ly, I'm getting a bit tired

of cleaning up the messes left by personal trainers, massage therapists, and

especially, the growing group of assorted whackadoodle chicken blood dispensers

when patients are mismanaged by these personnel. I lectured around the country

for many years on integrating effective elements of

alternative/complementary/holistic approaches with conventional manual and

movement therapy aspects of physical therapy so I'm open and supportive of

non-traditional viewpoints which can enhance patient care but the situation is

just getting to be over the top. The classic one was a massage therapist who

approached me marketing her services. I asked her 3 simple clinical questions

and she didn't have a clue. When asked about her anatomy education, she proudly

informed me her " textbook " in her education was The Coloring Book of Anatomy! I

brought out my old classic 35th British edition of Gray's Anatomy and the newer

Primal 3D Interactive Series and politely suggested she may want to beef up her

education a bit.

>

> , PT, OCS

> Marquette, MI

>

> Chrio providing " PT " in Michigan

>

>

> Hi Group,

>

> Evaluated a pt last week who had been seeing a chiropractor for the past 3-4

> months after an auto accident. Pt said that the chiro had also been doing

" PT "

> which consisted of horiffic resisted neck exercises, hanging head off table,

> etc. Pt said chiro told her he had " taken some classes " in PT. Any

suggestions

> on how to address this? Contact the chiro directly, Mich. State Board?

>

> Thanks!

>

> Chris

>

>

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Share on other sites

Guest guest

,

Technically they have gained access to the entire body, and may use many of the

same techniques that we employ in PT. Yet they cannot call it Physical Therapy

legally.

I agree that many other " health providers " utilize the same or

similar techniques as we do in physical therapy. But what makes us unique, and

should make Physical Therapy unique, is the application of our expertise. We

don't own modalities or exercise, joint mobilization or whatever technique, but

the delivery of those interventions by a Physical Therapist or Physical

Therapist Assistant is what makes it Physical Therapy. Legally we may prevent

the Chiro from calling his " exercise " program physical therapy. We can't legally

stop him from providing it.

The Fight Continues!!

  W. , PT, MS

Grosse Pointe Woods, MI

Therapeutics

Michigan Board of Physical Therapy

dperrypt@...

" And in the end it's not the years in your life that count. It's the life in

your years. "

Abraham Lincoln

" A person who never made a mistake never tried anything new. "

Albert Einstein

________________________________

To: PTManager

Sent: Wed, April 13, 2011 9:06:29 PM

Subject: Re: Chrio providing " PT " in Michigan

 

,

Just curious. With the right to treat joints and perform rehabilitative

exercises and with having massage therapists in their offices to cover the soft

tissue portion of manual therapy, it sounds like they have a substantial portion

of physical therapy covered. Exactly what is the " physical therapy " that they're

not permitted to do? Other than modalities (which many chiropractors utilize as

well), I'm hard pressed to think of any portion of physical therapy that hasn't

been co-opted by some other group. ly, I'm getting a bit tired of cleaning

up the messes left by personal trainers, massage therapists, and especially, the

growing group of assorted whackadoodle chicken blood dispensers when patients

are mismanaged by these personnel. I lectured around the country for many years

on integrating effective elements of alternative/complementary/holistic

approaches with conventional manual and movement therapy aspects of physical

therapy so I'm open and supportive of non-traditional viewpoints which can

enhance patient care but the situation is just getting to be over the top. The

classic one was a massage therapist who approached me marketing her services. I

asked her 3 simple clinical questions and she didn't have a clue. When asked

about her anatomy education, she proudly informed me her " textbook " in her

education was The Coloring Book of Anatomy! I brought out my old classic 35th

British edition of Gray's Anatomy and the newer Primal 3D Interactive Series and

politely suggested she may want to beef up her education a bit.

, PT, OCS

Marquette, MI

Chrio providing " PT " in Michigan

Hi Group,

Evaluated a pt last week who had been seeing a chiropractor for the past 3-4

months after an auto accident. Pt said that the chiro had also been doing " PT "

which consisted of horiffic resisted neck exercises, hanging head off table,

etc. Pt said chiro told her he had " taken some classes " in PT. Any suggestions

on how to address this? Contact the chiro directly, Mich. State Board?

Thanks!

Chris

Link to comment
Share on other sites

Guest guest

,

Technically they have gained access to the entire body, and may use many of the

same techniques that we employ in PT. Yet they cannot call it Physical Therapy

legally.

I agree that many other " health providers " utilize the same or

similar techniques as we do in physical therapy. But what makes us unique, and

should make Physical Therapy unique, is the application of our expertise. We

don't own modalities or exercise, joint mobilization or whatever technique, but

the delivery of those interventions by a Physical Therapist or Physical

Therapist Assistant is what makes it Physical Therapy. Legally we may prevent

the Chiro from calling his " exercise " program physical therapy. We can't legally

stop him from providing it.

The Fight Continues!!

  W. , PT, MS

Grosse Pointe Woods, MI

Therapeutics

Michigan Board of Physical Therapy

dperrypt@...

" And in the end it's not the years in your life that count. It's the life in

your years. "

Abraham Lincoln

" A person who never made a mistake never tried anything new. "

Albert Einstein

________________________________

To: PTManager

Sent: Wed, April 13, 2011 9:06:29 PM

Subject: Re: Chrio providing " PT " in Michigan

 

,

Just curious. With the right to treat joints and perform rehabilitative

exercises and with having massage therapists in their offices to cover the soft

tissue portion of manual therapy, it sounds like they have a substantial portion

of physical therapy covered. Exactly what is the " physical therapy " that they're

not permitted to do? Other than modalities (which many chiropractors utilize as

well), I'm hard pressed to think of any portion of physical therapy that hasn't

been co-opted by some other group. ly, I'm getting a bit tired of cleaning

up the messes left by personal trainers, massage therapists, and especially, the

growing group of assorted whackadoodle chicken blood dispensers when patients

are mismanaged by these personnel. I lectured around the country for many years

on integrating effective elements of alternative/complementary/holistic

approaches with conventional manual and movement therapy aspects of physical

therapy so I'm open and supportive of non-traditional viewpoints which can

enhance patient care but the situation is just getting to be over the top. The

classic one was a massage therapist who approached me marketing her services. I

asked her 3 simple clinical questions and she didn't have a clue. When asked

about her anatomy education, she proudly informed me her " textbook " in her

education was The Coloring Book of Anatomy! I brought out my old classic 35th

British edition of Gray's Anatomy and the newer Primal 3D Interactive Series and

politely suggested she may want to beef up her education a bit.

, PT, OCS

Marquette, MI

Chrio providing " PT " in Michigan

Hi Group,

Evaluated a pt last week who had been seeing a chiropractor for the past 3-4

months after an auto accident. Pt said that the chiro had also been doing " PT "

which consisted of horiffic resisted neck exercises, hanging head off table,

etc. Pt said chiro told her he had " taken some classes " in PT. Any suggestions

on how to address this? Contact the chiro directly, Mich. State Board?

Thanks!

Chris

Link to comment
Share on other sites

Guest guest

,

Technically they have gained access to the entire body, and may use many of the

same techniques that we employ in PT. Yet they cannot call it Physical Therapy

legally.

I agree that many other " health providers " utilize the same or

similar techniques as we do in physical therapy. But what makes us unique, and

should make Physical Therapy unique, is the application of our expertise. We

don't own modalities or exercise, joint mobilization or whatever technique, but

the delivery of those interventions by a Physical Therapist or Physical

Therapist Assistant is what makes it Physical Therapy. Legally we may prevent

the Chiro from calling his " exercise " program physical therapy. We can't legally

stop him from providing it.

The Fight Continues!!

  W. , PT, MS

Grosse Pointe Woods, MI

Therapeutics

Michigan Board of Physical Therapy

dperrypt@...

" And in the end it's not the years in your life that count. It's the life in

your years. "

Abraham Lincoln

" A person who never made a mistake never tried anything new. "

Albert Einstein

________________________________

To: PTManager

Sent: Wed, April 13, 2011 9:06:29 PM

Subject: Re: Chrio providing " PT " in Michigan

 

,

Just curious. With the right to treat joints and perform rehabilitative

exercises and with having massage therapists in their offices to cover the soft

tissue portion of manual therapy, it sounds like they have a substantial portion

of physical therapy covered. Exactly what is the " physical therapy " that they're

not permitted to do? Other than modalities (which many chiropractors utilize as

well), I'm hard pressed to think of any portion of physical therapy that hasn't

been co-opted by some other group. ly, I'm getting a bit tired of cleaning

up the messes left by personal trainers, massage therapists, and especially, the

growing group of assorted whackadoodle chicken blood dispensers when patients

are mismanaged by these personnel. I lectured around the country for many years

on integrating effective elements of alternative/complementary/holistic

approaches with conventional manual and movement therapy aspects of physical

therapy so I'm open and supportive of non-traditional viewpoints which can

enhance patient care but the situation is just getting to be over the top. The

classic one was a massage therapist who approached me marketing her services. I

asked her 3 simple clinical questions and she didn't have a clue. When asked

about her anatomy education, she proudly informed me her " textbook " in her

education was The Coloring Book of Anatomy! I brought out my old classic 35th

British edition of Gray's Anatomy and the newer Primal 3D Interactive Series and

politely suggested she may want to beef up her education a bit.

, PT, OCS

Marquette, MI

Chrio providing " PT " in Michigan

Hi Group,

Evaluated a pt last week who had been seeing a chiropractor for the past 3-4

months after an auto accident. Pt said that the chiro had also been doing " PT "

which consisted of horiffic resisted neck exercises, hanging head off table,

etc. Pt said chiro told her he had " taken some classes " in PT. Any suggestions

on how to address this? Contact the chiro directly, Mich. State Board?

Thanks!

Chris

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Share on other sites

  • 2 weeks later...
Guest guest

As previously stated, chiro's, massage therapists etc cannont use physical

therapy, physiotherapy etc. I've even turned in a health club which put PT on

their personal trainers' shirts as a suffix. Their marketing slogan was PT

1-2-3... The problem with chiro's is they can perform therapeutic exercise and

bill the 97000 group of codes ther ex etc, as can an MD if he actually performs

the service themselves. Do you think a chiropactor is going to take a patient

through a 45 minute exercise session? Of course not, they have an unqualified

chiropractic assistant take them through exercises and bill the service.

Bisesi MPT, COMT

Winter Haven, FL

Subject: Re: Chrio providing " PT " in Michigan

To: PTManager

Date: Thursday, April 14, 2011, 8:32 AM

 

I would understand the portion of physical therapy that would be inferring

is the use of the words " physical therapy, physical therapist, physiotherapy,

physiotherapist, etc... " . Although that may seem a bit trivial, it means a lot

and should be in all the States practice act. I have seen several physicians,

chiros, and even some massage places advertise on signs, websites, door fronts,

etc... that they perform physical therapy. If they do not have a licensed

physical therapy on staff and/or are not registered with the state, this is in

violation of the Texas PT Practice Act, and I turn them in to the Texas State

Board of Physical Therapy (ECPTOTE)to have them investigated. In all instances,

the advertisement has been removed. In one instance, the PT working at the

facility was disciplined for working at a non-registered facility. The problem

is keeping up with it so that they do not do it again.

All PTs should be monitoring their areas for improper use of the words physical

therapy and other violations of their practice acts so that a layperson that

otherwise would not understand the law would be guaranteed they are actually

being treated by a licensed physical therapist.

Terry Stegman, PT, MS, Eng-Phy, BS

>

> ,

> Just curious. With the right to treat joints and perform rehabilitative

exercises and with having massage therapists in their offices to cover the soft

tissue portion of manual therapy, it sounds like they have a substantial portion

of physical therapy covered. Exactly what is the " physical therapy " that they're

not permitted to do? Other than modalities (which many chiropractors utilize as

well), I'm hard pressed to think of any portion of physical therapy that hasn't

been co-opted by some other group. ly, I'm getting a bit tired of cleaning

up the messes left by personal trainers, massage therapists, and especially, the

growing group of assorted whackadoodle chicken blood dispensers when patients

are mismanaged by these personnel. I lectured around the country for many years

on integrating effective elements of alternative/complementary/holistic

approaches with conventional manual and movement therapy aspects of physical

therapy so I'm open and

supportive of non-traditional viewpoints which can enhance patient care but the

situation is just getting to be over the top. The classic one was a massage

therapist who approached me marketing her services. I asked her 3 simple

clinical questions and she didn't have a clue. When asked about her anatomy

education, she proudly informed me her " textbook " in her education was The

Coloring Book of Anatomy! I brought out my old classic 35th British edition of

Gray's Anatomy and the newer Primal 3D Interactive Series and politely suggested

she may want to beef up her education a bit.

>

> , PT, OCS

> Marquette, MI

>

> Chrio providing " PT " in Michigan

>

>

> Hi Group,

>

> Evaluated a pt last week who had been seeing a chiropractor for the past 3-4

> months after an auto accident. Pt said that the chiro had also been doing " PT "

> which consisted of horiffic resisted neck exercises, hanging head off table,

> etc. Pt said chiro told her he had " taken some classes " in PT. Any suggestions

> on how to address this? Contact the chiro directly, Mich. State Board?

>

> Thanks!

>

> Chris

>

>

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