9/28/2014 0 Comments
Most Friday nights are spent watching a movie as a family, perhaps going downtown for dinner and a night out, or enjoying time with friends and family. Several Alpine physical therapists and staff chose to spend their Friday night at the first annual Health Fair at the Peak Health and Wellness Center on Blue Mountain Road. Joining the fitness and training staff from the Peak, Alpine Physical Therapists helped spread the word of wellness to the Missoula community.
Brace Hayden was joined by several University of Montana PT students providing free balance testing at the event. Morgan York-Singer and Leah Versteegen educated participants of the importance of their core, and Matt Schweitzer was joined by Ana Soulia providing postural guidance for daily life and exercise. Participants ranged from young to old; some were current members at the Peak, while others were simply interested members of the Missoula community.
Kayli Julius, the coordinator of the event and a Health Coach at the Peak envisioned a community gathering to promote the concept of Health and Wellness. Vendors included local businesses such as Great Harvest and Lolo Peak Brewery. Fitness instructors from the Peak provided free 10 minute classes, such as Oula , Spinning, Pilates, and Yoga. Staff members from the Spa at the Peak were present to give massages and free wax services.
The night was a success with participants finding new ideas and approaches to living a healthy lifestyle. Special thanks to Alpine physical therapists who led the way with their guidance on improving overall wellness. We at Alpine are already looking forward to next year’s Health Fair!
9/24/2014 0 Comments
The Alpine tent was up and ready for action this past Saturday for Montana’s largest annual cross country meet, The Mountain West Cross Country Classic. The event draws youth from all over the Northwest for a 3 mile run for High School athletes and a 1.3 mile run for Middle School athletes. The sun was out, the air was clear of smoke, making it a spectacular morning for such a great event.
Physical therapists Kristi Moore and Jamie Terry spent the morning taping, consulting on injuries, and triaging athletes to local Missoula Emergency Services. We were really fortunate to have support from Athletic Trainers Emily and Winter, Physician Assistant Kris Provo and Alpine Aide Maddie with the constant hustle in the medical tent. Trying to keep athletes doing what they do and injury free is a top priority here at Alpine, so it was an honor to spend the morning with these runners and see them excel.
Highlights from the morning, a huge upset in the female varsity run with Freshmen Anne Hill of Glacier upsetting Senior and reigning champ Makena Morley of Big Fork with a time of 16:39:64. In the JV race, local 9th Grader of Hellgate, Isaac Smith, came out on top with a time of 16:27:99. It will be really exciting to see what these two do over the next 3 years.
A big thank you to Michele Chalmers and the Mountain West Track Club for having us again this year. We love being a part of this community event and are looking forward to it again next year!
It’s that time of year again where people get up in the wee hours of the morning and head out to hunt, which for many adds up to a big long hike. So many of these folks feel like super heroes with heightened senses for the task at hand in the great outdoors.
People so often take for granted what it takes to get out and make this happen.
Experiences like these get everyone at Alpine Physical Therapy upbeat, for it’s our aim to ensure that everyone gets out and enjoys all that fall here in Montana has to offer, including healthy hunting days.
Best to our area hunters!
Special thanks to star physical therapist Brace Hayden, DPT, CSCS of Alpine Physical Therapy for providing this write up on a recent article from Spine.
Our neck mobility seems to gradually get worse as we celebrate birthdays and suffer our share of accidents and uncomfortable hotel pillows. The garden variety pain or achy stiffness in the neck, categorized in the healthcare world as ‘nonspecific neck pain’ sends a lot of people to their care providers for some sort of treatment and medical relief. In order to best assess neck complaints, providers perform an examination of the spine. The physical therapist (or other provider of choice) will measure their range of motion (ROM), as in many cases one of the goals for patients with nonspecific neck pain is to improve the neck’s mobility.
Normative values for the neck’s mobility are memorized by clinicians during their respective education, so relative stiffness measured in degrees, documented and treated for hopeful improvements. For example, we learned in PT school that the “normal” neck flexes and extends about 60 degrees, rotates 90 degrees and side bends 45 degrees. But, “normal range of motion” changes with age, and thus ‘normal’ for a 20 year old is quite a bit more generous than the age-reduced ‘normal’ for a 60 year old.
Enter the work of Dr. Swinkels and his team of researchers from the Zuyd University’s Department of Physiotherapy in the Netherlands. They recently published a paper on their investigation on the range of motion differences in the cervical spine as we age. They studied four hundred people without neck issues and quartered the data set with 100 for each decade of age from 20 years to 60 years and in each quarter subgroup. Each subgroup also had an even balance of genders with 50 males and 50 females. The mobility of the neck was measured with a special cervical range of motion device called the ‘CROM’ (see Figure 1). Swinkels’s team crunched the nitty-gritty analyses of variance, linear regressions and even further dredged the data with Scheffé post hoc tests to investigate the differences in neck mobility between the decades of age and any possible relationships of age and/or gender.
As one may expect, they found that age does have a significant effect on active ROM of the neck. Table 2 beautifully illustrates the diminishing trend of neck ROM in healthy adults without neck pain. Recall the “normal” ROM for neck flexion we committed to memory was 60 degrees. This normal mobility of 60 degrees in Swinkels’s study was assessed as typical for 20-somethings, but each decade men and women evenly lose a degree or two, until the 50-something decade. 50 years and older, active ROM declines greatly in all directions except neck extension and side bending. Neck flexion on average is reduced 12 percent (7 degrees) to 53 degrees. Clinically this is relevant, as we in the physical therapy profession tend to council a lot of people on improving their stiff neck’s mobility. In all due fairness, the “new normal” should be on an age-adjusted sliding scale when goal setting for target neck mobility. ]
Raymond A. H. M. Swinkels, PhD et al. Normal Values for Cervical Range of Motion. In Spine. 2014, Volume 39 , Number 5 , pp 362 – 367.
We’re proud to announce that Alpine Physical Therapy has once again attained 100% membership among its 15 physical therapists in the American Physical Therapy Association (APTA).
Our national association will recognize Alpine for this accomplishment in APTA publications and on their website, www.APTA.org. In addition they will post Alpine’s name on the Facility Challenge Wall of Fame at the annual APTA conference this year. We fully support our association’s efforts to advance the physical therapy profession.
For more information about our commitment to our community and our profession, please visit our website by clicking here.
Go Team Alpine!
There are many of you who are winding down on you training season, and many who are training for fall races. In our day and age of technological gadgets we use watches, GPS devices, heart rate monitors, and many other devices. They can help you determine if you are in a zone, keeping pace, and going far enough for your training.
This can be helpful for beginning runners to know they are training appropriately for a new distance. They can help the seasoned runner know if they are maintaining a certain level or if they are improving. However, I have a challenge for you. Take one run per week (only one) and just go for a run. Listen to your breathing and how the run is feeling in your body.
If you feel good and want to push it go a little faster or a little further. If your body is recovering from your last run and is feeling like you need to slow down, do it. There has been much research done about perceived exertion and how accurate this can be in determining the level you are exercising at (compared to a heart rate monitor). I recently did this and remembered why I love to run. Enjoy being outdoors and exercising to help both your mental and physical being. I found it made me look forward to my next run.
As a Physical Therapist, many of the running injuries I see are from over training issues. If we occasionally take the time to listen our bodies will tell us what we are capable of doing and we may be able to avoid pushing into an injury. These technological advances have a purpose and can help you achieve your goals, but also listen to what your body is telling you. So go for a run and have fun!
Kristi Moore, MSPT
Alpine Physical Therapy, North
2965 Stockyard Rd.
Missoula, MT 59808
Brent Dodge is the founding owner of Alpine Physical Therapy and is a board certified orthopedic specialist. He holds additional certifications in Functional Dry Needling, Manual Physical Therapy, and Strength and Conditioning.
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