With skyrocketing health care costs, insurance agencies are constantly looking for ways to reduce reimbursement. This includes decreasing payments to organizations that have poor outcomes. As most PTs are looking to stay in business, it is important that we have valid and reliable outcome measures in order to receive appropriate reimbursement. This study looked at the effectiveness of analyzing the symmetry of a squat as a clinical marker of function after Total Knee Arthroplasty. As many functional activities involve a squat-like maneuver, the squat may prove to be a valid measure for functional ability. The authors compared body weight % on each side in standing, 30 degree squats, and 60 degree squats. For anyone who has seen a knee replacement surgery, it's easy to understand why individuals place the majority of their weight on the uninvolved limb following surgery. The compensations caused by the asymmetries place the uninvolved limb and joints around the involved knee at risk for additional injuries due to their increased load. The study found that the 60 degree squat asymmetries was correlated with individuals who had moderate difficulty with functional activities, while standing asymmetries were not. Symmetry was found to be improved upon further rehabilitation. The squat may be a useful outcome measure when treating patients following total knee replacements. Upon further research, this may be a common tool used in the clinic for assessing patient progression.
James Heafner PT, DPT, OCS:
Owner and lead physical therapist at Heafner Health, cash-based physical therapy in Boulder, CO. Areas of expertise include orthopedic and manual therapy, functional movement, pain science, and movement science.
In May 2013, I earned my Doctorate in Physical Therapy from Saint Louis University. After graduating from the Harris Health Systems Orthopedic Residency in October 2014, I moved to Boulder, CO. Since living in Boulder, I have started my own cash-based PT practice, earned my OCS certification, and teach for the OPTIM Fellowship and COMT program in Houston TX and Scottsdale, AZ.
Chris Fox PT, DPT, OCS: Physical therapist at Foothills Sports Medicine & Physical Therapy in Scottsdale, AZ and regularly lectures at the Phoenix Campus for NAU's DPT program and for Optim Manual Therapy's COMT program. Completed multiple advanced manual therapy courses implementing aspects of biomechanical analysis. He received his DPT from Saint Louis University in 2013. Completed Scottsdale Healthcare's Orthopaedic Residency (now Honor Health) in July 2014. He became a Board Certified Orthopaedic Specialist in 2015. Level I Expert in FMS and SFMA , Kinetacore FDN Level 1 certification, and IASTM Technique course completion. He would like to pursue further education in McKenzie Technique, Dry Needling, Strength & Conditioning, Orthopaedic and Manual Therapy.
Brian Schwabe PT, DPT, SCS, CSCS:
- Board Certified Sports Physical Therapist (SCS) at Elite OrthoSport in Santa Monica, CA which specializes in treating collegiate/professional athletes and clientele from the Beverly Hills, Hollywood, and Santa Monica areas.
- USC Sports Residency Trained Physical Therapist (<1% of all PT's residency trained)
- DPT from Saint Louis University
- Future plans/interest include:
1. USAW, SFMA & Catapult Systems technology for NBA teams
2. Pursuing a position as a sports physical therapist &/or Strength coach for a Division 1 athletic medicine department or professional sport team.
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