THE PT POST
by ROSE CITY PHYSICAL THERAPY
Giving Thanks and Holiday Well Wishes
The year is rapidly drawing to a close. Many are singing praises to that as 2020 has been one full of more trials it seems, than tribulations. Uncertainty set in early in the year with a pandemic unlike one that anyone, sans some centurions, has experienced before. And navigating this crisis in our daily lives continues and will do so through these holidays. Sasha and I are blessed to have an amazing staff and amazing patients - the likes of you - who have been resilient, understanding, and supportive these past 8 months with challenging decisions and day to day changes in procedure and process to resume full operations, be compliant with state and local guidelines and create the safest environment possible for the health and well being of everyone that steps in our door. As I write this, I’m reflecting on one year ago this month - October 2019 - when we had our 5th year business anniversary party in the clinic. Live music. Great food and drink. The camaraderie amongst the guests with conversation and laughter filling the room. Over 200 people through the evening, with handshakes and hugs, exchanged. A day hard to fathom happening in the near future, and one that Sasha and I are happy we were able to provided and share with everyone last year. When again? Hopefully for the 10 year anniversary! Thanksgiving is upon us, and the winter holidays thereafter. I’ll close by extending a grand THANK YOU to each and everyone one of you for so much these past 6 years, perhaps most over the past 8 months. This
newsletter is sent to our patients current and past; so if you’re reading this you’ve touched us in some way, at some time. Whatever traditional or not-so-traditional plans, under the circumstances, you and your loved ones are planning this year, we wish a safe and happy holiday season to you.
Carpe Diem!
Karl Kolbeck, PT
Sasha Kolbeck, DPT
Call Us Today: 503.228.1306 www. r o s e c i t y p t . c om
The BodiTrak Pressure Mat: Data-Driven Progression for Return to Sport & Performance by Sasha Kolbeck, MPT, DPT, OCS, COMT
injury risk patterns, increase performance and later evaluate return to sport through data and achieving goals established by research. Progressing through exercise and movements may give quantity; however, is it quality movement? Exercise alone does not let us know if the athlete is continuing to compensate. Evidence shows that landing mechanics from a jump may indicate injury risk. At RoseCity Physical Therapywe have incorporated the BodiTrak pressure mat for clinical decision making to guide progression for the lower and upper extremity athlete and for discharge criteria to increase performance and decrease future injury. Research supports that just putting in physical therapy work as an athlete is not enough. We need measurements that provide data; that which is not visible without sensors and technology. Some recommended metrics are Rate of Force Development (RFD), Dynamic Vertical Force (DVF), Ground Reaction Force (GRF), Reactive Strength Index (RSI), and Reactive Strength Index Modified (RSI Mod). • RFD is how quickly you can generate force • DVF is relative to the force of a person’s body weight • GRF is the magnitude of force generated on a surface • RSI is the strength and power ability which couples concentric and eccentric movements in the stretch- shorten-cycles in variations of vertical jump • RSI Modified is calculated from a countermovement jump These metrics give a detailed objective picture of the athlete’s current athletic function and performance. A squat can look symmetric, but data will give a different more true picture. An athlete can compensate and offload or alter loading on the surgical leg. This asymmetry can continue with single-leg squat, hop, jump, and running - unless discovered and corrected. And if not corrected, compensations can lead to re-injury, breakdown, and decreased performance. We can measure jump distance or height without BodiTrak, but we would not know if the athlete has a slower RFD, which research is finding is linked to the athlete’s perception of outcome. Anecdotally, I see the data match up with the psychological confidence of jumping, landing, and cutting.
Reinjury rates after ACL reconstruction are 20% for those that return to sport, 23% for those under age 25 who return to sport, and 5% for professional athletes who meet discharge criteria and return to sport. If ACL revision surgery is required due to re-injury, there is a 30% failure rate and additional physical therapy is also necessary. In light of these statistics, we need to have criteria to determine the most appropriate time to return to sport to minimize re-injury rates. We know that a postoperative timeline is not the best determination for return to sport. Research shows waiting 9 to 12 months, and over 12 months for those under age 20, decreases re-injury risk after ACL reconstruction. Grindem has shown that re-injury is further decreased to 3.5 to 5%by waiting 9 months to return to sport and by passing testing criteria. Experts report testing needs to be comprehensive using a battery of tests, as compensation can hide deficits during functional movement. Using only the opposite leg for comparison can also deceive decisions of when to return to sport, as research shows the contralateral limb has a decline in strength and power during the recovery process. Myself and my colleague, Leo Quinn, PT have seen it time and again when testing our post-op ACL patients who can relatively quickly match their opposite limb measurements, but they are still not functional. The BodiTrak pressure mat is one tool that provides helpful objective metrics during physical therapy treatment to assess and cue movements such as squatting and jumping through the use of video, biofeedback, and metrics to decrease
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Research shows that after ACL reconstruction professional soccer players achieved strength within 6 months, but RFD not until 12 months. Other evidence reports that RFD is a factor for post-op ACL patients, as well as other lower extremity injuries, and force plate measurements indicate a patient’s functional level during physical therapy and help to determine parameters to a full return to sport. With all the effort put into post-operative physical therapy through treatment progressions, reassessment, modification, and the patient’s clinic and home exercises, the same attention and focus are needed with return to sport decisions. Objective data and metric-based performance indicators assure optimal rehabilitation and inform the decision for readiness for return to sport. Contact Rose City Physical Therapy and speak to Sasha Kolbeck, DPT with any questions about the BodiTrak pressure mat, ACL injury reduction, ACL injury return to sport readiness testing, or schedule a free 20-minute discovery session with the BodiTrak.
Veterans Day FREE Pain & Injury Screening Now Through December 31st Honoring our veterans! We are providing a FREE 20-minute pain and injury screening for our veterans.
Call today or email reception@rosecitypt.com with “Veterans free screening” in the subject line.
503.228.1306 Who do you know that needs our help?
Another successful month and thank you to those who supported our annual promotion and pur- chased Marjorie Belson’s signed copy of ‘Nothing is Promised’. All proceeds from her book sales are do- nated to breast cancer research. ALERT...This year we are extending the promotion through December 31st! We have signed copies of her book at our office available for $11.00 and we will continue through the year to donate proceeds of book sales to breast cancer research.
Stop by to pick up a copy. A great gift or stocking stuffer this coming holiday.
TRANSITION PROJECTS CLOTHING AND SUPPLIES DRIVE
KGW8 GREAT TOY DRIVE - DONATE TODAY!
All year long we have a Transition Projects donation barrel in our waiting room and the generosity in donations is so much appreciated. Each fall we promote this cause more so as the cold wet weather of Oregon is here. Most needed are new or gently used warm clothes and blankets, as well as socks, underwear, and new hygienic supplies. Stop by and drop off any donations today.
Donate today through December 8th at 6pm. The KGW8 Great Toy Drive is happening, with extra precautions that we are required to follow for handling and bagging the toys for de- livery to KGW8 the 2nd week of December. This year, in particular, may prove hard for some families to be able to add a little extra something and a big smile to their children’s faces. Finding shelter and food on the table is more challenging than ever for many families. Help us help them. Stop by and drop off a new unwrapped toy in our collection bin. We want
this to overflow this year. Greatest needs for teens.
Apple Cranberry Turkey Meatballs Makes: 24 meatballs
Roll mixture into 1 1/2 - 2 inch balls and arrange them on your baking sheet. Bake for 12-14 minutes in the oven until cooked through.
MEATBALL INGREDIENTS: 1 pound organic, lean ground turkey 1 tbsp olive oil 1 large egg- lightly beaten 1 cup shredded tart apple - such as granny smith, washed with peel on 1 1/2 tbsp finely chopped fresh sage
Meanwhile, prepare your sauce. In a medium sized pot, combine
the cranberries, applesauce, maple syrup, orange zest and orange juice. Heat over medium to warm through.
1 tsp garlic powder 1 tsp onion powder 3/4 tsp salt 1/2 tsp black pepper Chopped parsley *optional for serving
Add the cooked meatballs to the sauce, spooning sauce over the meatballs to coat them completely. Transfer to a serving platter to enjoy now or place in a slow cooker and put it on the lowest heat/warming setting to keep warm. Garnish with fresh parsley as desired!
SAUCE INGREDIENTS: 1 cup whole berry cranberry sauce, canned - look for simple ingredients! 1/4 cup unsweetened apple sauce 2 tbsp pure maple syrup
Shifting Nutrition is a local Portland- based business that is all about help- ing people find balance with food, and educating on how eating real food can produce real results.
Zest of 1 orange *optional, can omit 1 tbsp freshly squeezed orange juice
INSTRUCTIONS: Preheat your oven to 425 degrees and pull out a baking sheet. Place all ingredients for the meatballs in a large mixing bowl and combine well with your hands.
More at www.shiftingnutrition.com
Past Events Recap
OCTOBER PHYSICAL THERAPY DAY OF SERVICE
This year marks our 2nd an- nual participation in ‘PT Day of Service’, an international campaign that happens on a specific day each October. Oc- tober is the American Physical Therapy Association’s ‘Nation- al Physical Therapy Month’. Like last year, our commitment to giving back is a neighbor- hood cleanup. Our staff rallied and that we did.
This year we held our first annual ‘Wear Pink’ day where all staff wore a pink shirt with a pink-themed ‘Rose City Physical Therapy’ logo we had designed especially for these shirts and in honor of October Breast Cancer Awareness Month. We look forward to this annual tradition.
WORDS SEARCH: Give Thanks Words Search : Give Thanks Exercise For Your Mind
Giving Thanks
Giving Thanks Z B J A X Y M V B B H O L D B T R R A U M K C F C S R O P R E N N I D Y E K R U T O T M P C B F H J P E W P S H D S K E E D W K B W H S R A Y C Q Y G S W L R E L F K F C O Z K Y B A X M B H Y D K I X Z U H E B R J A M A S D C F N C B G D O E D G U H D E F C D O A Y C D F H P K S E N Y S E C A E P E Z L S I H F S J S G E W S V J I X T D S O W N N M C V T A R G Q M J E Y G H X V Q N Y L I M A F E S M Q T Y A H J R F I U U I N E N Q I L Z U C A F T V T I H P D S F V Q R G H I P J E F P P N E A R K F A O C Q R Q I Y P T X T E B R U M K Q W O Q O Z Q A N A Y C N K L F E A T B C T F S H E L T E R I Z C I M O G A A Q U P R C T U A M L H V W X P D L O R Z G E W T A I T A X L T K H F Y O E O Y L W M W Q H Y V R P D P D U V E L S N C K C Z U G A M P G B M M H K M Y I H E P C N U Y U T F Z A G U G A C U V D T Z T T T N J X R Z N Y E O P F S N V F O Z F L T T I I N A H S P R H T Q N L O S I L R T G L O N H C O T D F B O M A T N O D G E T I I Y F I L L J E N U M R C O R L Y V U V L C Y R E F W C M L S S S I W B J G T X E P Q D Y S M K N S Y D T O E O M K S P U M P K I N P I E U D O D I V M O S D R U D L K Q K Y W N M Y I E Z Q R S W G O E L N P Z B J A X Y M V B B H O L D B T R R A U M K C F C S R O P R E N N I D Y E K R U T O T M P C B F H J P E W P S H D S K E E D W K B W H S R A Y C Q Y G S W L R E L F K F C O Z K Y B A X M B H Y D K I X Z U H E B R J A M A S D C F N C B G D O E D G U H D E F C D O A Y C D F H P K S E N Y S E C A E P E Z L S I H F S J S G E W S V J I X T D S O W N N M C V T A R G Q M J E Y G H X V Q N Y L I M A F E S H M Q T Y A H J R F I U U I N E N Q I L Z U C A F T V T I H P D S F V Q R G H I P J E F P P N E A R K F A O C Q R Q I Y P T X T E B R U M K Q W O Q O Z Q A N A Y C N K L F E A T B C T F S H E L T E R I Z C I M O G A A Q U P R C T U A M L H V W X P D L O R Z G E W T A I T A X L T K H F Y O E O Y L W M W Q H Y V R P D P D U V E L S N C K C Z U G A M P G B M M H K M Y I H E P C N U Y U T F Z A G U G A C U V D T Z T T T N J X R Z N Y E O P F S N V F O Z F L T T I I N A H S P R H T Q N L O S I L R T G L O N H C O T D F B O M A T N O D G E T I I Y F I L L J E N U M R C O R L Y V U V L C Y R E F W C M L S S S I W B J G T X E P Q D Y S M K N S Y D T O E O M K S P U M P K I N P I E U D O D I V M O S D R U D L K Q K Y W N M Y I E Z Q R S W G O E L N P
Appreciation Cheers Cornucopia Community Family Friends Giving Back Grateful Health Love Peace Pumpkin Pie Rose City PT Patients Shelter Thankful Thanksgiving Traditions Turkey Dinner Appreciation Cheers Cornucopia Community Family Friends Giving Back Gratefu Health Love Peace Pumpkin Pie Rose City PT Patients Shelter Thankful Thanksgiv Traditions Turkey Dinner
ROSE CITY PHYSICAL THERAPY
1515 NW 18th Ave Suite 400 Portland, OR 97209
IN THIS ISSUE:
• Owner’s Message • The BodiTrak Pressure Mat • Seasonal Recipe: Turkey Meatballs • Past Events Recap • Veteran’s FREE Screening • Words Search: Give Thanks
THANK YOU TO OUR PATIENTS!
PHONE Tel: 503.228.1306 OFFICE HOURS Mon – Thu: 7:00AM – 6:00PM Friday: 7:00AM – 5:00PM ROSECITY PHYSICALTHERAPY www.rosecitypt.com
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