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Go to Return to Sport Functional Tests

Collaboration between Trainers and Physical Therapists

3/30/2013

2 Comments

 
Picture
I wanted to share this article with you about collaboration between trainers and physical therapists.  It was recently put up by Mike Reinold and Jonathan Goodman.  This topic is very important to think about as we continue to evolve as a profession.  Unfortunately, there is still a disconnect between health care professionals.  Why is this? 

Reinold put it best:  "Medical departments in the sports world now consist of a team of multidisciplined physicians, athletic trainers, physical therapists, strength coaches, massage therapists, and other health care professionals."  It works well for the sports world and it should work outside the professional sports.  While trainers and physical therapists may disagree with certain points of this article, specifically the assessment component for example, what Mike and Jonathan are trying to say is that we can all work together to help each other and the clients/patients.  Yes, certain health care professionals scope of practice may overlap at times, but instead of fighting about it we can play to our strengths. 

This is not just about the patients/clients care.  It is a multidimensional communication issue.  Physical therapists need to think about the business side as well.  With reimbursements continuing to get smaller while we continue to push for direct access, wouldn't more referrals from trainers, massage therapists, etc be great?  In the same thought, wouldn't it be great to be able to refer our patients to another health care professional to ensure they continue to stay healthy and pain-free? 

Physical therapists and trainers have great opportunities to collaborate with each other to not only learn from one another but refer to each other for the best possible care for the client.  After all, isn't that what being a health care professional is all about? 

Mike and Jonathan have already begun to recieve comments, both good and bad, regarding the article.  We don't live in an ideal world and there will be arguements both ways.  So I ask:
 
Is collaboration between trainers and PT's possible?
What barrier's do you see preventing healthy collaboration between trainers and physical therapists? 
What needs to be done between professions to encourage more collaboration between trainers and therapists?

2 Comments
Matthew Gerken
4/8/2013 06:25:21 am

I have always thought that we should be working closely toward the common good of the patient. We both have skills that are complimentary. AT's and PT's should be working side by side in any medical setting. We should work together in traditional athletic settings providing a holistic approach to the healthcare of athletes. Additionally, we should be working similarly in the clinic or hospital setting as physician extenders. I only see positive outcomes from our collaberations, whether in the political realm or third party reimbursements. Let us really work toward these common goals.

Reply
Brian
4/11/2013 11:03:00 am

Matthew,

I completely agree. We can really benefit from working and learning from each other. Unfortunately, it seems at times that each profession tries to add to their practices, which causes some infringement upon each other's primary duties. Obviously it is easier to have this holistic approach in an athletic setting but that should be a model for success in other settings (hospital, etc). Communication seems to be the main barrier IMO. I have worked with a few sports med physicians on the sidelines with athletic trainers and with good communication everyone seems to understand their roles and give a mutual respect. Most importantly, building relationships and showing your skills/knowledge to each other will help build that long term collaboration.

Reply



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  • Home
  • About Us
  • Insider Access
    • About Insider Access
  • Online Courses
    • Hooper's Knee
    • Physical Therapist Entrepreneur Course
    • Physical Therapist Consultant Course
    • Orthopedic Management of the Cervical Spine
    • Return to Sport Essentials Course
  • Resources
    • Newsletter
    • Business Minded Sports Physio Podcast
    • Day in the Life of a Sports PT
    • Residency Corner
    • Special Tests >
      • Cervical Spine >
        • Alar Ligament Test
        • Bakody's Sign
        • Cervical Distraction Test
        • Cervical Rotation Lateral Flexion Test
        • Craniocervical Flexion Test (CCFT)
        • Deep Neck Flexor Endurance Test
        • Posterior-Anterior Segmental Mobility
        • Segmental Mobility
        • Sharp-Purser Test
        • Spurling's Maneuver
        • Transverse Ligament Test
        • ULNT - Median
        • ULNT - Radial
        • ULNT - Ulnar
        • Vertebral Artery Test
      • Thoracic Spine >
        • Adam's Forward Bend Test
        • Passive Neck Flexion Test
        • Thoracic Compression Test
        • Thoracic Distraction Test
        • Thoracic Foraminal Closure Test
      • Lumbar Spine/Sacroiliac Joint >
        • Active Sit-Up Test
        • Alternate Gillet Test
        • Crossed Straight Leg Raise Test
        • Extensor Endurance Test
        • FABER Test
        • Fortin's Sign
        • Gaenslen Test
        • Gillet Test
        • Gower's Sign
        • Lumbar Quadrant Test
        • POSH Test
        • Posteroanterior Mobility
        • Prone Knee Bend Test
        • Prone Instability Test
        • Resisted Abduction Test
        • Sacral Clearing Test
        • Seated Forward Flexion Test
        • SIJ Compression/Distraction Test
        • Slump Test
        • Sphinx Test
        • Spine Rotators & Multifidus Test
        • Squish Test
        • Standing Forward Flexion Test
        • Straight Leg Raise Test
        • Supine to Long Sit Test
      • Shoulder >
        • Active Compression Test
        • Anterior Apprehension
        • Biceps Load Test II
        • Drop Arm Sign
        • External Rotation Lag Sign
        • Hawkins-Kennedy Impingement Sign
        • Horizontal Adduction Test
        • Internal Rotation Lag Sign
        • Jobe Test
        • Ludington's Test
        • Neer Test
        • Painful Arc Sign
        • Pronated Load Test
        • Resisted Supination External Rotation Test
        • Speed's Test
        • Posterior Apprehension
        • Sulcus Sign
        • Thoracic Outlet Tests >
          • Adson's Test
          • Costoclavicular Brace
          • Hyperabduction Test
          • Roos (EAST)
        • Yergason's Test
      • Elbow >
        • Biceps Squeeze Test
        • Chair Sign
        • Cozen's Test
        • Elbow Extension Test
        • Medial Epicondylalgia Test
        • Mill's Test
        • Moving Valgus Stress Test
        • Push-up Sign
        • Ulnar Nerve Compression Test
        • Valgus Stress Test
        • Varus Stress Test
      • Wrist/Hand >
        • Allen's Test
        • Carpal Compression Test
        • Finkelstein Test
        • Phalen's Test
        • Reverse Phalen's Test
      • Hip >
        • Craig's Test
        • Dial Test
        • FABER Test
        • FAIR Test
        • Fitzgerald's Test
        • Hip Quadrant Test
        • Hop Test
        • Labral Anterior Impingement Test
        • Labral Posterior Impingement Test
        • Long-Axis Femoral Distraction Test
        • Noble Compression Test
        • Percussion Test
        • Sign of the Buttock
        • Trendelenburg Test
      • Knee >
        • Anterior Drawer Test
        • Dial Test (Tibial Rotation Test)
        • Joint Line Tenderness
        • Lachman Test
        • McMurray Test
        • Noble Compression Test
        • Pivot-Shift Test
        • Posterior Drawer Test
        • Posterior Sag Sign
        • Quad Active Test
        • Thessaly Test
        • Valgus Stress Test
        • Varus Stress Test
      • Foot/Ankle >
        • Anterior Drawer
        • Calf Squeeze Test
        • External Rotation Test
        • Fracture Screening Tests
        • Impingement Sign
        • Navicular Drop Test
        • Squeeze Test
        • Talar Tilt
        • Tarsal Tunnel Syndrome Test
        • Test for Interdigital Neuroma
        • Windlass Test