APRI L 2019
www.ptstn.net 423-543-0073
EastTennessee Physical Therapy News
February has come and gone, it seems, more quickly than usual. We continue to stay busy in our clinics taking care of all kinds of musculoskeletal and neuromuscular conditions, from infancy through adulthood. I am extremely proud of all our clinical staff, in both outpatient clinics as well as those health care professionals who provide physical and occupational therapy to children in the school systems. for their respective seasons and all the athletes for their hard work. One group of athletes that may go unnoticed are those who play sports (particularly basketball) under the guidance of the local Boy’s and Girl’s Club, as well as those playing in local Youth Club Sports. Both these organizations give children a chance to play, improve their skills, and learn about teamwork and being good sports — win or lose. Don’t forget, you do not need a physician referral to see one of our therapists. Give us a call at 543-0073, or 543-2215. FROM THE DESK OF Dr. Smith Basketball season is rapidly drawing to a close, and we congratulate all area schools
T he W orld ’ s S illiest W orkouts I n H onor of A pril F ools ’ D ay
It’s no secret that exercise is extremely beneficial for your overall health. And while those benefits are no joke, there are plenty of fitness trends and methodologies that warrant a laugh. It’s hard to take every aspect of the fitness world with stone-faced seriousness, especially when some of the workouts of the past seem like they were devised by comedians rather than trainers.
In honor of April Fools’ Day, let’s count down the top-five most off-the-wall, bonkers, and hilarious fitness programs to ever grace home video or the internet. To watch these videos for
yourself, you can look them up on YouTube. No. 5: ‘POODLE EXERCISE WITH HUMANS’
This one lands so low on our list only because it’s clear that the tongue-in-cheek nature of the clip is at least partly intentional. Lycra, leg warmers, fanny packs — these have all been de rigueur gym accessories at one point or another. But you generally wouldn’t see a person at the gym wearing prosthetic balls on their arms to resemble a poodle. Nor would you find yourself working out with a pack of half-poodle, half-humans. The clip, created by Panasonic as part of the marketing for the 2004 Athens Olympics, may have been designed for laughs, but the result is bizarre enough to raise eyebrows.
–Danny
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were to walk in on you doing these “exercises,” they may think you’d completely lost it. No. 2: ESTELLE GETTY — YOUNG AT HEART — BODY CONDITIONING “Congratulations, you figured out how to turn on your VCR,” says Estelle Getty at the beginning of this clip. “That’s the hardest part of this exercise video.”Normally, claiming that sticking a VHS in the machine and hitting play was more difficult than the workout itself would be seriously false advertising. But that’s not the case with Estelle’s body conditioning. When the exercises themselves include such backbreaking movements as raising your hands and saying, “I feel lousy,” the only sweat you’ll break is from trying to figure out how the heck this video came to exist. No. 1: COUNTRY HIP-HOP DANCING What do you get when you mix line dancing instruction, a fitness program, and a healthy
dash of ‘90s hip-hop flavor? Diane Horner’s “Country Hip Hop” of course. We can neither confirm nor deny whether these fresh-to- death moves ever gained a foothold at square dances nationwide, but we’d love to see them in action. Watch this clip so you can break out the “country version of the running man” at your next dance party.
MARKWORKOUT’
Today, Mark Wahlberg is an Oscar-nominated actor and respected member of the Hollywood elite. In the early ‘90s, though, he was known solely as the chiseled leader of Marky Mark and the Funky Bunch. Nobody would’ve wanted Wahlberg to create an instructional singing video, but they certainly wanted his abs. To help regular folks like us achieve his look, Wahlberg created “The Marky Mark Workout” in 1993. If you like your fitness routines to include both sexual innuendo and dated ‘90s hip-hop slang, this is the workout for you. No. 3: ‘CRAZY FUNNY FACE LIFT EXERCISES’ Do you skip leg day? Never? Good for you. What about face day? Wait — you mean you’ve never heard of face day? You clearly haven’t watched this indescribably wacky video from the late ‘80s urging women to hold ridiculous face poses in order to fight wrinkles and other signs of aging. Let’s just say that if somebody
HONORABLE MENTION: NEARLY EVERY GIMMICK FITNESS PRODUCT EVER
In the era before “Shark Tank,” there were no celebrity investors to laugh your cockamamie workout product out of the market. As a result, we’ve seen inventors create everything under the sun in order to make a fast buck from those trying to get in shape. If you have ever seen advertisements for ThighMaster, Shake Weight, or Sauna Suit, you know exactly what we’re talking about.
Companies That Participate in April Fools’ Day 3 Hilarious Pranks Played by Businesses
April Fools’ Day might be the only appropriate time of year for you to prank your friends or coworkers with gags like dipping an onion in caramel and offering it as a candy apple or loosening the tops of the salt and pepper shakers. It’s also the one day of the year when big companies get to join in the mischief as well. Check out these company-wide April Fools’ jokes that left millions of people scratching their heads.
chocolate cake buns, a chocolate “beef” patty, raspberry syrup as the ketchup, rings of white chocolate as the onions, milk chocolate as the lettuce, vanilla frosting as mayo, and candied blood oranges as the tomatoes. This prank was quite a creative feat by Burger King staff, and merely watching the advertisement spiked glucose levels everywhere.
EHARMONY’S ‘FUREVER LOVE’ DATING SERVICE FOR DOGS
NETFLIX’S PSA
Perhaps the most wholesome prank that’s ever been peddled to the masses was the launching of eHarmony’s FURever Love: Canine Compatibility Companion Service. The dating website claimed that based on the algorithms they use for creating compatible human relationships, they built this service to “create robust profiles for dogs based on key dimensions of their personality.”The biographies they created for the pups’ profiles included canine mate preferences, like “Looking for a tug-o-war partner,”“Must love squirrels,” and “It’s been ruff finding a quality stud to go on walks with.” While these April Fools’ Day jokes were all made in jest, the pranks certainly kept audiences guessing long after April 1 had passed, and it’s not hard to see why.
In 2015, everyone’s favorite online streaming company issued a PSA that warned binge-watchers all over the world of the social, physical, and psychological dangers of watching too much TV. In fact, if viewers watched more than two consecutive episodes of a show on April 1, they were greeted with a PSA from popular actors, like Michael Kelly from “House of Cards” or Taylor Schilling from“Orange Is the New Black.” Some stars even told Netflix users to “Turn off the TV and take a shower. You stink!”
BURGER KING’S CHOCOLATE WHOPPER
Just last year, Burger King fooled hungry customers by creating the Chocolate Whopper. The imaginary fast-food treat is made with
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What Do Ratings Mean, and How Should You Use Them? Rated ‘E’ for Everyone
Despite guidance from ratings systems, it can be difficult for parents to discern what digital content is appropriate for their children. Learnmore about ratings guidelines for common entertainment media and how to decipher that information so you canmake educated decisions that work for your family. Movies: G-rated movies are considered suitable for all ages, whereas PG, PG- 13, and R-rated movies are progressively less appropriate for kids because of violence, nudity, and language. Some ratings come with age limits; children who are under the age of 17 must be accompanied by an adult at R-rated movies. TV Shows: Due to laws that limit inappropriate content on public airwaves, TV rating systems follow unique codes. In the U.S., shows that are rated as TV-14 (content that is suitable for those ages 14 and older) can only air after 5 p.m. Meanwhile, TV-MA (content that is appropriate for mature audiences) can only air between 10 p.m. and 6 a.m. Most shows airing between the hours of 6 a.m. and 5 p.m. are rated TV-G or TV-PG. These are similar in content to their movie counterparts. Some television children’s shows will also be rated as TV-Y or TV-Y7, and their only distinction is that TV-Y7 has been deemed appropriate for young children ages 7 and older. TV ratings can also have additional descriptors attached to them to explain what kind of content earned the rating.
Video Games: There are seven video game ratings: Early Childhood (EC), Everyone (E), Everyone 10+ (E10), Teen (T), Mature (M), Adults Only (AO), or Rating Pending (RP). These ratings provide consumers with more information about content. Again, as the age of the intended user increases, content progresses from allowing mild violence or suggestive content to adult themes. When choosing family entertainment, experts suggest using both the rating and the description of the media to make your decision since the rating systemmay not fully explain media content. For example, studies have found that a PG-13 movie can sometimes have just as much violence as an R-rated movie. Additionally, you may be fine with the content in a T-rated video game for a more developmentally advanced 11-year-old. Once you get past all the combinations of numbers and letters, you as a parent might find that ratings for video games, movies, and TV shows provide helpful information. Couple the ratings with your own research and your own values, and put an end to worrying about what surprises may lurk in your children’s media.
Take a Break!
Inspired by Saveur Magazine
Opening Day Hamburgers
INGREDIENTS •
1 pound ground chuck, 80 percent lean 4 soft, white hamburger buns, split 4 1/4-inch thick tomato slices
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4 small leaves iceberg lettuce 4 1/4-inch thick yellow onion slices 1 teaspoon vegetable oil Salt and pepper, to taste Condiments of your choice
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12–16 pickle rounds
DIRECTIONS 1. Lightly grease a small nonstick skillet with oil. Heat over medium-high. 2. While heating, gently shape meat into four patties 3 1/2 inches in diameter. Be careful to handle the meat as little as possible to prevent tough burgers. Season liberally with salt and pepper. 3. Sear patties on each side, about 1 minute per side. Reduce heat tomedium-low and continue
cooking until desired doneness, about 1 more minute per side for medium-rare, 2 more per side for medium-well. 4. Let meat rest for a minimumof 3 minutes. 5. To assemble, place patty on
bottombun and top with tomato, pickles, lettuce, and onion (in that order). Spread condiments on top half of bun and place on top of onion. Serve.
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Inside This Issue From the Desk of Dr. Smith PAGE 1 You Call That a Workout? PAGE 1 3 Hilarious April Fools’ Pranks Played by Businesses PAGE 2 Understanding Media Ratings PAGE 3 Take a Break PAGE 3 Opening Day Hamburgers PAGE 3 PT Helps Curb Opioid Abuse PAGE 4
Why Exercise Therapy Should Be the First Step in Recovery AMID AN EPIDEMIC, PT HELPS CURB OPIOID ABUSE
one 2017 study published in the Journal of the American Board of Family Medicine, researchers discovered that, in cases where doctors referred patients suffering from low back pain to a PT as a first-line treatment, the odds that the patient ended up needing an opioid prescription decreased significantly. Other studies have also reinforced the same trend for treatment post-surgery: When physical therapy is the first recommendation, patients tend to use fewer opioids and actually spend less on treatment in the long run. The evidence seems clear: If patients follow the recommendations of the CDC and consider physical therapy before taking pills, they substantially lower their risk of dependence on and abuse of prescription drugs. Of course, you should always follow the advice of your doctor, but consider requesting a referral to PT first — it’s just a safer, more consistent, and less
Today, a startling number of Americans suffer from opioid addiction. According to a report published in the Annual Review of Pharmacology and Toxicology, more than 4 percent of U.S. adults misused prescription opioids in 2018. Prescription drugs can lead to enough tragic overdoses on their own, but as the physical aspects of addiction set in and prescriptions dry out, addicts desperately turn to more serious drugs like heroin and fentanyl. Opioid addiction is indiscriminate; it can strike anyone of any social class, race, gender, or economic standing. This is one reason the overprescription of opioids over the last two decades, coupled with a more recent flood of street opioids, led to more than 70,000 deaths in 2017. In an effort to stem the tide of opioid-related deaths, the CDC issued a set of new recommendations to doctors in 2016. They questioned the effectiveness of opioids for the management of chronic pain and encouraged physicians to instead focus on physical therapy, cognitive behavioral therapy, and other nonopioid pharmacologic options for long-term intervention.
expensive option. And who knows? It might just save your life!
Studies show that physical therapy may have the potential to dramatically reduce opioid reliance, abuse, and overdose. In
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