Guest guest Posted November 22, 2008 Report Share Posted November 22, 2008 Group, I just got a postcard in the mail that is an advertisement for a personal trainer (in Alabama) that offer training for ostoporosis specifically. There is no mention of physical therapy or rehabilitation, but the condition is mentioned specifically. Not to sound too territorial, but can a personal trainer " target " anything besides weightloss, fitness, and general health benefits? I happen to know the trainer and feel she and her staff are generally good at what they do and do no harm, but it is too late (since the fliers are already out) to protect her in the event that this is not appropriate advertisement. Any advice would be happily received. Thank you, Lane Lane Blondheim, PT, MT Active Health and Rehab Montgomery, AL Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 23, 2008 Report Share Posted November 23, 2008 Lance, What is troubling about this, is not so much scope of practice, but rather scope of relative expertise. Although (D)PT's are longer trained (at a clinical doctoring level at that) and better equipped to help osteoporotic patients than personal trainers . . . because as a profession (D)PT's don't generally market themselves as direct-access practitioners and market to the public as such, several things are beginning to happen: 1. Personal trainers are marketing themselves as portal of entry providers for patients that are more appropriate for physical therapy than personal training. 2. Massage therapists marketing themselves as portal of entry providers for patients that are more appropriate for physical therapy than massage therapy. 3. Athletic trainers are marketing themselves as having equivocal rehabilitative skills as physical therapists. 4. Chiropractors are marketing themselves as having equivocal rehabilitative skills as physical therapists --- and at the same time having temper tantrums whenever PT's use the full scope of their clinical abilities and manipulate the spine. The bottom line and end result is that although several of these (para)professions overlap in some skills and scope of practice, they do not overlap in their areas of relative expertise. Although some professions are better than others in respecting scope of practice, no profession, including our own, is terribly good at respecting lines of scope of expertise. Your situation is an issue not of practice scope, but rather scope of relative expertise. I can't think of a single osteoporetic patient that is appropriate for DIRECT training by a personal trainer without having seen a more appropriate professional (e.g. physical therapist) to start the program first. It is troubling that as " good " as you claim this group of trainers to be, they don't understand the limits of their own abilities. If you have a relationship with them, why aren't they asking you to do some kind of pre-training physical therapy assessment and post-rehab exercise planning for what should be MEDICALLY SUPERVISED personal training? Dr. M. Ball, PT, DPT, PhD Doctor of Physical Therapy Charlotte, NC Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 23, 2008 Report Share Posted November 23, 2008 Lance, What is troubling about this, is not so much scope of practice, but rather scope of relative expertise. Although (D)PT's are longer trained (at a clinical doctoring level at that) and better equipped to help osteoporotic patients than personal trainers . . . because as a profession (D)PT's don't generally market themselves as direct-access practitioners and market to the public as such, several things are beginning to happen: 1. Personal trainers are marketing themselves as portal of entry providers for patients that are more appropriate for physical therapy than personal training. 2. Massage therapists marketing themselves as portal of entry providers for patients that are more appropriate for physical therapy than massage therapy. 3. Athletic trainers are marketing themselves as having equivocal rehabilitative skills as physical therapists. 4. Chiropractors are marketing themselves as having equivocal rehabilitative skills as physical therapists --- and at the same time having temper tantrums whenever PT's use the full scope of their clinical abilities and manipulate the spine. The bottom line and end result is that although several of these (para)professions overlap in some skills and scope of practice, they do not overlap in their areas of relative expertise. Although some professions are better than others in respecting scope of practice, no profession, including our own, is terribly good at respecting lines of scope of expertise. Your situation is an issue not of practice scope, but rather scope of relative expertise. I can't think of a single osteoporetic patient that is appropriate for DIRECT training by a personal trainer without having seen a more appropriate professional (e.g. physical therapist) to start the program first. It is troubling that as " good " as you claim this group of trainers to be, they don't understand the limits of their own abilities. If you have a relationship with them, why aren't they asking you to do some kind of pre-training physical therapy assessment and post-rehab exercise planning for what should be MEDICALLY SUPERVISED personal training? Dr. M. Ball, PT, DPT, PhD Doctor of Physical Therapy Charlotte, NC Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 23, 2008 Report Share Posted November 23, 2008 Lane, Get used to it:(. As long a PT's are challenged in selling their services, enlightening clients on our services, other will eat off our plate. The personal trainers are really capitalizing on the insurance model of " get them/patients out fast and ther prior function as a baseline " and some PT's don't rehab patient beyond their functional level or even mention and capitalize on the patients desire to stay on and see and pay a higher skills therapist ( out of pocket) for better services than a personal trainer. Therapists DC to a un supervised gym based program!. The one on one is what personal trainers really gain on and it will continue until we become known as the primary care providers for musculoskeletal conditions and prescribe exactly what is needed for the patient, deliver it to them, have them pay out of pocket and mentor other providers to give their services under our guidance. Remember were this starts from.. Our compliance to the insurance model. Personal trainers, with little knowledge- compared to a PT, can't do insurance (realize no insurance equals ' I have to market and sell my service or I'll go broke'). My recommendation is to find a PT based sales course and take it and market your skills and services and let patients pay you for the better service. Educate the heck out of your clients to pay you and deliver a great result in your clinic. We have a huge opportunity with the need for exercise prescription (correctly) and bridging that with prevention and rehab. In 10 year the number of PCP's will reduce to little and patients will have to rely on someone to educate and move them to the right service. Vinod Somareddy, DPT Sent from my BlackBerry® smartphone with SprintSpeed personal trainer advertising Group, I just got a postcard in the mail that is an advertisement for a personal trainer (in Alabama) that offer training for ostoporosis specifically. There is no mention of physical therapy or rehabilitation, but the condition is mentioned specifically. Not to sound too territorial, but can a personal trainer " target " anything besides weightloss, fitness, and general health benefits? I happen to know the trainer and feel she and her staff are generally good at what they do and do no harm, but it is too late (since the fliers are already out) to protect her in the event that this is not appropriate advertisement. Any advice would be happily received. Thank you, Lane Lane Blondheim, PT, MT Active Health and Rehab Montgomery, AL Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 23, 2008 Report Share Posted November 23, 2008 Lane, Get used to it:(. As long a PT's are challenged in selling their services, enlightening clients on our services, other will eat off our plate. The personal trainers are really capitalizing on the insurance model of " get them/patients out fast and ther prior function as a baseline " and some PT's don't rehab patient beyond their functional level or even mention and capitalize on the patients desire to stay on and see and pay a higher skills therapist ( out of pocket) for better services than a personal trainer. Therapists DC to a un supervised gym based program!. The one on one is what personal trainers really gain on and it will continue until we become known as the primary care providers for musculoskeletal conditions and prescribe exactly what is needed for the patient, deliver it to them, have them pay out of pocket and mentor other providers to give their services under our guidance. Remember were this starts from.. Our compliance to the insurance model. Personal trainers, with little knowledge- compared to a PT, can't do insurance (realize no insurance equals ' I have to market and sell my service or I'll go broke'). My recommendation is to find a PT based sales course and take it and market your skills and services and let patients pay you for the better service. Educate the heck out of your clients to pay you and deliver a great result in your clinic. We have a huge opportunity with the need for exercise prescription (correctly) and bridging that with prevention and rehab. In 10 year the number of PCP's will reduce to little and patients will have to rely on someone to educate and move them to the right service. Vinod Somareddy, DPT Sent from my BlackBerry® smartphone with SprintSpeed personal trainer advertising Group, I just got a postcard in the mail that is an advertisement for a personal trainer (in Alabama) that offer training for ostoporosis specifically. There is no mention of physical therapy or rehabilitation, but the condition is mentioned specifically. Not to sound too territorial, but can a personal trainer " target " anything besides weightloss, fitness, and general health benefits? I happen to know the trainer and feel she and her staff are generally good at what they do and do no harm, but it is too late (since the fliers are already out) to protect her in the event that this is not appropriate advertisement. Any advice would be happily received. Thank you, Lane Lane Blondheim, PT, MT Active Health and Rehab Montgomery, AL Quote Link to comment Share on other sites More sharing options...
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