Guest guest Posted August 16, 1999 Report Share Posted August 16, 1999 I went through the National Strength and Conditioning Association to become a Certified Strength Conditioning Specialist. The NSCA also confers a Certified Personal Training accreditation. The NSCA is a very large organization and has a fairly strict board exam and, sad to say, tougher CEU requirement than many states have for PT's (yearly CEU's mandatory). You can visit their website at http://www.nsca.org With regard to your questions, I am trying to find a way to combine or provide services to that particular " niche " of post-rehab/ " muscle & fitness magazine " type people/geriatric population, whom as clients in the outpatient clinic, would have loved to have followed/supervised when they go to Ballys/Golds Gym, etc. I just became a Personal Trainer for Bally's a few weeks ago and have run into the problem where, once they know you are a physical therapist, they say they want you as their PT (therapist, not personal trainer). Legally, in Ohio, I cannot " physical therapy " treat them for their backs, shoulders, knees, etc., that they complain about (and yes, 75% of them HAD outpatient rehab but they feel it was limited to what they really want to do/how aggressive they are with exercising). I can only guess that theraband and simple exercises only carried them so far. Another dilemma faced is the following example. A 29 y.o overweight female was going thru her free Bally consult, and to make a long story short, due to my PT background affording me medical knowledge greater than the " PT " (that is, the personal trainer -- and that in itself is another topic -- PT vs. " PT " ) who spent $30 via the internet to get a " PT " certificate, was able to figure out something was wrong. Come to find out she had four pulmonary emboli ( " stable last 4-yrs " -- per pt report), and she's on Coumadin, but has not had PT/INR blood levels checked in over 6 months and adjusts her coumadin dosage herself based on " how she feels " --- mind you, the trainer just did a body fat measurement with those extremely strong pincers and squeezed her flesh real hard to get the measures. I called her family doctor who was pretty much useless by saying, " i think its okay for her to workout " (pt didn't know pulmonary docs name as she only goes to the ER when in crisis) ---- get the picture? Yes Bally's had her get a release form, but legally, I cannot provide PT services as a personal trainer. I tried to educate her that its not wise to work out without her 2 inhalants at hand (she was wheezing a lot on the treadmill while the trainer just watched and said " way to push it---you'll lose that weight in no time " ). I find my CSCS accreditation to be very complimentary to my PT practice, and my supervisors use that to afford me the HIGH END SALARY (thus, a benefit), and just my own personal gratification/desire to be well informed during exercise prescription is also a benefit. In addition, as low as Bally's pays personal trainer's, my PT degree put me at the tops for a higher pay rate (benefit). If you, or anyone in the group has knowledge of how to bridge the gap (geriatrics or health club), please let me know. Lastly, since you are GCS certified, I would like to inform you that I just attended the 5th World Congress on Physical Activity, Aging, and Sports and it was a darn shame to our profession that most of the research presented on geriatric wellness/exercise prescription at the symposia was by MD's, PhD's, and Exercise Physiologists (whom by the way, for your Task Force info, are providing " post-rehab " services to nursing homes and assisted living centers at reimbursement rates more economical to the facility than to have a therapist direct). Sorry to be lengthy, but I hope this shed some insight and answers! Babich, MS, MS-PT, CSCS Ohio State University Medical Center Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 1999 Report Share Posted August 16, 1999 I would equate those kinds of certifications for a PT as the equivalent of a Board Certified Emergency Medicine specialist MD going out and becoming an EMT. To obtain those certifications cheapens the PT. ciolek@... wrote: > Hello Group, > I am seeking information from PT's who have completed or are seeking > certification as a personal fitness trainer, sports conditioning > specialist, or fitness counselor. I am co-chairing a Task Force on > Alternative Models of Care Delivery and Management for the Section on > Geriatrics. We are interested in finding out which certifications are > beneficial (and which are not really worth the time/money) for > therapists entering the health and wellness/fitness fields, either as > an adjunct to PT clinical practice or in replacement of their previous > PT practice. > I welcome responses directly or via the listserv. > Thank you for your assistance. > Ciolek, PT, GCS > Ciolek@... > > ------------------------------------------------------------------------ > > eGroups.com home: /group/ptmanager > - Simplifying group communications Attachment: vcard [not shown] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 1999 Report Share Posted August 16, 1999 So Doug - how do you really feel??? At 04:46 PM 8/16/99 , you wrote: >I would equate those kinds of certifications for a PT as the equivalent of a >Board Certified Emergency Medicine specialist MD going out and becoming an >EMT. To obtain those certifications cheapens the PT. > > >ciolek@... wrote: > > > Hello Group, > > I am seeking information from PT's who have completed or are seeking > > certification as a personal fitness trainer, sports conditioning > > specialist, or fitness counselor. I am co-chairing a Task Force on > > Alternative Models of Care Delivery and Management for the Section on > > Geriatrics. We are interested in finding out which certifications are > > beneficial (and which are not really worth the time/money) for > > therapists entering the health and wellness/fitness fields, either as > > an adjunct to PT clinical practice or in replacement of their previous > > PT practice. > > I welcome responses directly or via the listserv. > > Thank you for your assistance. > > Ciolek, PT, GCS > > Ciolek@... > > > > ------------------------------------------------------------------------ > > > > eGroups.com home: /group/ptmanager > > - Simplifying group communications > > >------------------------------------------------------------------------ > >eGroups.com home: /group/ptmanager > - Simplifying group communications > > > R. Kovacek, MSA, PT Email Pkovacek@... 313 884-8920 Visit <www.PTManager.com> TOGETHER WE CAN MAKE A DIFFERENCE ! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 1999 Report Share Posted August 16, 1999 Mr. White: I wholeheartedly agree.......also one must be aware of individual State regulations who will hold one to the highest level of licensure/certification no matter how many are held when looking at ethical/legal issues. Why do you suppose so many in our profession are seeking to "go elsewhere" rather than take the challenge of diversifying our practice as a united profession??? Just my 4 or 5 cents..... G. Flickinger, PT M. White wrote: I would equate those kinds of certifications for a PT as the equivalent of a Board Certified Emergency Medicine specialist MD going out and becoming an EMT. To obtain those certifications cheapens the PT. ciolek@... wrote: > Hello Group, > I am seeking information from PT's who have completed or are seeking > certification as a personal fitness trainer, sports conditioning > specialist, or fitness counselor. I am co-chairing a Task Force on > Alternative Models of Care Delivery and Management for the Section on > Geriatrics. We are interested in finding out which certifications are > beneficial (and which are not really worth the time/money) for > therapists entering the health and wellness/fitness fields, either as > an adjunct to PT clinical practice or in replacement of their previous > PT practice. > I welcome responses directly or via the listserv. > Thank you for your assistance. > Ciolek, PT, GCS > Ciolek@... > > ------------------------------------------------------------------------ > > eGroups.com home: /group/ptmanager > - Simplifying group communications ------------------------------------------------------------------------ eGroups.com home: /group/ptmanager - Simplifying group communications ------------------------------------------------------------------------ M. White, PT, OCS Physical Therapist/Consultant M. White, PT, OCS Physical Therapist/Consultant HTML Mail 191 Blue Hills Parkway Work: Milton Netscape Conference Address Massachusetts USA Additional Information: Last Name White PT,OCS First Name M. Version 2.1 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 1999 Report Share Posted August 16, 1999 I find I must respectfully disagree with Doug. I am continually amazed at how unaware the public at large is aware of the different aspects of PT, especially the wellness abilities of many PTs. It seems the majority of the public, those that have a clue of what PTs do , equate us with illness, disability and pain, not with optimizing health. I believe VERY strongly (I know, , how do I REALLY feel) that PTs are extremely well qualified to deal with the well public and to help them achieve their goals of quality of life. If getting " certifications " in fitness helps " legitimize " PTs in areas of fitness in the eyes of the public, then so be it. Otherwise, PT may mean the traditional medical model approach of health care. Lets look to broadening our base......for the good of the public and our profession. Dale Avers Dale Avers, PT, MSEd Mount St. 's College 12001 Chalon Road Los Angeles, CA 90049 FAX Doctoral Candidate Instructional Systems Technology Indiana University >>> Kovacek 08/16/99 01:53PM >>> So Doug - how do you really feel??? At 04:46 PM 8/16/99 , you wrote: >I would equate those kinds of certifications for a PT as the equivalent of a >Board Certified Emergency Medicine specialist MD going out and becoming an >EMT. To obtain those certifications cheapens the PT. > > >ciolek@... wrote: > > > Hello Group, > > I am seeking information from PT's who have completed or are seeking > > certification as a personal fitness trainer, sports conditioning > > specialist, or fitness counselor. I am co-chairing a Task Force on > > Alternative Models of Care Delivery and Management for the Section on > > Geriatrics. We are interested in finding out which certifications are > > beneficial (and which are not really worth the time/money) for > > therapists entering the health and wellness/fitness fields, either as > > an adjunct to PT clinical practice or in replacement of their previous > > PT practice. > > I welcome responses directly or via the listserv. > > Thank you for your assistance. > > Ciolek, PT, GCS > > Ciolek@... > > > > ------------------------------------------------------------------------ > > > > eGroups.com home: /group/ptmanager > > - Simplifying group communications > > >------------------------------------------------------------------------ > >eGroups.com home: /group/ptmanager > - Simplifying group communications > > > R. Kovacek, MSA, PT Email Pkovacek@... 313 884-8920 Visit <www.PTManager.com> TOGETHER WE CAN MAKE A DIFFERENCE ! ------------------------------------------------------------------------ eGroups.com home: /group/ptmanager - Simplifying group communications Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 1999 Report Share Posted August 16, 1999 As a PTA, H/FI, CSCS, I currently work in a gym doing Personal Training. I find earning my bachelors degree in Exercise & Sports Studies has help me in the fitness industry. I have a large diverse clientele some with disabilities and several being above the age of 65, that leads me to fall back on my PTA education & experience in rehabilitation. I find it very rewarding when I can take an 89 year old amputee & have her walking in 2.5 months whereas she had been in a whhelchair for the last 7 years...because that's what her Physical Therapist found to be " most appropriate " . I think it's a great avenue to pursue for PT's & PTA's. I am very hesitiant about attending weekend seminars in which you walk out with a " Personal Trainer " certificate. That cheapens the profession of Personal Trainers. There are great certification programs both by the ACSM & NSCA, worth persueing. Shari Klahr, PTA, H/FI, CSCS Shari6364@... << ciolek@... wrote: > Hello Group, > I am seeking information from PT's who have completed or are seeking > certification as a personal fitness trainer, sports conditioning > specialist, or fitness counselor. I am co-chairing a Task Force on > Alternative Models of Care Delivery and Management for the Section on > Geriatrics. We are interested in finding out which certifications are > beneficial (and which are not really worth the time/money) for > therapists entering the health and wellness/fitness fields, either as > an adjunct to PT clinical practice or in replacement of their previous > PT practice. > I welcome responses directly or via the listserv. > Thank you for your assistance. > Ciolek, PT, GCS > Ciolek@... > >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 1999 Report Share Posted August 16, 1999 Mr. Avers: Pursuing degrees that are of a lesser educational value than your physical therapy degree is not the avenue towards "legitimizing" the role of PT's in wellness. It is through diligent work towards educating the public and providers of care that we have these capabilities, and through creative marketing efforts to gain exposure to our roles and the outcomes we achieve - that we attain legitimacy. I must stand in whole hearted agreement with Doug's succinct commentary. G. Flickiniger, PT Dale Avers wrote: I find I must respectfully disagree with Doug. I am continually amazed at how unaware the public at large is aware of the different aspects of PT, especially the wellness abilities of many PTs. It seems the majority of the public, those that have a clue of what PTs do , equate us with illness, disability and pain, not with optimizing health. I believe VERY strongly (I know, , how do I REALLY feel) that PTs are extremely well qualified to deal with the well public and to help them achieve their goals of quality of life. If getting "certifications" in fitness helps "legitimize" PTs in areas of fitness in the eyes of the public, then so be it. Otherwise, PT may mean the traditional medical model approach of health care. Lets look to broadening our base......for the good of the public and our profession. Dale Avers Dale Avers, PT, MSEd Mount St. 's College 12001 Chalon Road Los Angeles, CA 90049 FAX Doctoral Candidate Instructional Systems Technology Indiana University >>> Kovacek 08/16/99 01:53PM >>> So Doug - how do you really feel??? At 04:46 PM 8/16/99 , you wrote: >I would equate those kinds of certifications for a PT as the equivalent of a >Board Certified Emergency Medicine specialist MD going out and becoming an >EMT. To obtain those certifications cheapens the PT. > > >ciolek@... wrote: > > > Hello Group, > > I am seeking information from PT's who have completed or are seeking > > certification as a personal fitness trainer, sports conditioning > > specialist, or fitness counselor. I am co-chairing a Task Force on > > Alternative Models of Care Delivery and Management for the Section on > > Geriatrics. We are interested in finding out which certifications are > > beneficial (and which are not really worth the time/money) for > > therapists entering the health and wellness/fitness fields, either as > > an adjunct to PT clinical practice or in replacement of their previous > > PT practice. > > I welcome responses directly or via the listserv. > > Thank you for your assistance. > > Ciolek, PT, GCS > > Ciolek@... > > > > ------------------------------------------------------------------------ > > > > eGroups.com home: /group/ptmanager > > - Simplifying group communications > > >------------------------------------------------------------------------ > >eGroups.com home: /group/ptmanager > - Simplifying group communications > > > R. Kovacek, MSA, PT Email Pkovacek@... 313 884-8920 Visit <www.PTManager.com> TOGETHER WE CAN MAKE A DIFFERENCE ! ------------------------------------------------------------------------ eGroups.com home: /group/ptmanager - Simplifying group communications ------------------------------------------------------------------------ eGroups.com home: /group/ptmanager - Simplifying group communications Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 1999 Report Share Posted August 16, 1999 Dale: I agree with your comments about the public perception of PT. It seems to me that only real answer to truly solve the problem is to change the public's perception about PT, not to degrade our existing qualifications by acknowledging that other certifications are an appropriate mechanism of defining the qualifications we already posses. I would like to see the Geriatric Section come up with some PR marketing materials for members to use that explain why PTs are THE best person to consult for fitness and wellness issues. Ed's comments about highest level of licensure are well taken. Dale Avers wrote: > I find I must respectfully disagree with Doug. I am continually amazed at how unaware the public at large is aware of the different aspects of PT, especially the wellness abilities of many PTs. It seems the majority of the public, those that have a clue of what PTs do , equate us with illness, disability and pain, not with optimizing health. I believe VERY strongly (I know, , how do I REALLY feel) that PTs are extremely well qualified to deal with the well public and to help them achieve their goals of quality of life. If getting " certifications " in fitness helps " legitimize " PTs in areas of fitness in the eyes of the public, then so be it. Otherwise, PT may mean the traditional medical model approach of health care. Lets look to broadening our base......for the good of the public and our profession. > > Dale Avers > > Dale Avers, PT, MSEd > Mount St. 's College > 12001 Chalon Road > Los Angeles, CA 90049 > > FAX > > Doctoral Candidate > Instructional Systems Technology > Indiana University > > >>> Kovacek 08/16/99 01:53PM >>> > So Doug - how do you really feel??? > > At 04:46 PM 8/16/99 , you wrote: > >I would equate those kinds of certifications for a PT as the equivalent of a > >Board Certified Emergency Medicine specialist MD going out and becoming an > >EMT. To obtain those certifications cheapens the PT. > > > > > >ciolek@... wrote: > > > > > Hello Group, > > > I am seeking information from PT's who have completed or are seeking > > > certification as a personal fitness trainer, sports conditioning > > > specialist, or fitness counselor. I am co-chairing a Task Force on > > > Alternative Models of Care Delivery and Management for the Section on > > > Geriatrics. We are interested in finding out which certifications are > > > beneficial (and which are not really worth the time/money) for > > > therapists entering the health and wellness/fitness fields, either as > > > an adjunct to PT clinical practice or in replacement of their previous > > > PT practice. > > > I welcome responses directly or via the listserv. > > > Thank you for your assistance. > > > Ciolek, PT, GCS > > > Ciolek@... > > > > > > ------------------------------------------------------------------------ > > > > > > eGroups.com home: /group/ptmanager > > > - Simplifying group communications > > > > > >------------------------------------------------------------------------ > > > >eGroups.com home: /group/ptmanager > > - Simplifying group communications > > > > > > > > R. Kovacek, MSA, PT > Email Pkovacek@... > 313 884-8920 > Visit <www.PTManager.com> > > TOGETHER WE CAN MAKE A DIFFERENCE ! > > ------------------------------------------------------------------------ > > eGroups.com home: /group/ptmanager > - Simplifying group communications > > ------------------------------------------------------------------------ > > eGroups.com home: /group/ptmanager > - Simplifying group communications Attachment: vcard [not shown] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 1999 Report Share Posted August 16, 1999 Thanks Doug, for the challenge! Our strategic planning conference is at the end of the week, so be assured we will address this issue! I find it curious you use the term " degrade " existing qualifications. Instead, I see the fitness certifications as informing the public about our unique qualifications.....that will differ from other PTs, not because our entry level education is different, but because our career paths are different. When I got my nursing home administrator's license, I didn't see it as " degrading " my PT degree (although there was disbelief among the applicants sitting for the exam I was a PT.....why would I want a NH Adm license...can you tell how long ago that was? ] Anyway......the public loves credentials. It seems this is a marketing ploy....as we ALL work towards upholding the good name of PT and spreading the word about our diverse talents and potential contributions to the quality of life of all people. Dale >>> " M. White " 08/16/99 03:59PM >>> Dale: I agree with your comments about the public perception of PT. It seems to me that only real answer to truly solve the problem is to change the public's perception about PT, not to degrade our existing qualifications by acknowledging that other certifications are an appropriate mechanism of defining the qualifications we already posses. I would like to see the Geriatric Section come up with some PR marketing materials for members to use that explain why PTs are THE best person to consult for fitness and wellness issues. Ed's comments about highest level of licensure are well taken. Dale Avers wrote: > I find I must respectfully disagree with Doug. I am continually amazed at how unaware the public at large is aware of the different aspects of PT, especially the wellness abilities of many PTs. It seems the majority of the public, those that have a clue of what PTs do , equate us with illness, disability and pain, not with optimizing health. I believe VERY strongly (I know, , how do I REALLY feel) that PTs are extremely well qualified to deal with the well public and to help them achieve their goals of quality of life. If getting " certifications " in fitness helps " legitimize " PTs in areas of fitness in the eyes of the public, then so be it. Otherwise, PT may mean the traditional medical model approach of health care. Lets look to broadening our base......for the good of the public and our profession. > > Dale Avers > > Dale Avers, PT, MSEd > Mount St. 's College > 12001 Chalon Road > Los Angeles, CA 90049 > > FAX > > Doctoral Candidate > Instructional Systems Technology > Indiana University > > >>> Kovacek 08/16/99 01:53PM >>> > So Doug - how do you really feel??? > > At 04:46 PM 8/16/99 , you wrote: > >I would equate those kinds of certifications for a PT as the equivalent of a > >Board Certified Emergency Medicine specialist MD going out and becoming an > >EMT. To obtain those certifications cheapens the PT. > > > > > >ciolek@... wrote: > > > > > Hello Group, > > > I am seeking information from PT's who have completed or are seeking > > > certification as a personal fitness trainer, sports conditioning > > > specialist, or fitness counselor. I am co-chairing a Task Force on > > > Alternative Models of Care Delivery and Management for the Section on > > > Geriatrics. We are interested in finding out which certifications are > > > beneficial (and which are not really worth the time/money) for > > > therapists entering the health and wellness/fitness fields, either as > > > an adjunct to PT clinical practice or in replacement of their previous > > > PT practice. > > > I welcome responses directly or via the listserv. > > > Thank you for your assistance. > > > Ciolek, PT, GCS > > > Ciolek@... > > > > > > ------------------------------------------------------------------------ > > > > > > eGroups.com home: /group/ptmanager > > > - Simplifying group communications > > > > > >------------------------------------------------------------------------ > > > >eGroups.com home: /group/ptmanager > > - Simplifying group communications > > > > > > > > R. Kovacek, MSA, PT > Email Pkovacek@... > 313 884-8920 > Visit <www.PTManager.com> > > TOGETHER WE CAN MAKE A DIFFERENCE ! > > ------------------------------------------------------------------------ > > eGroups.com home: /group/ptmanager > - Simplifying group communications > > ------------------------------------------------------------------------ > > eGroups.com home: /group/ptmanager > - Simplifying group communications ------------------------------------------------------------------------ eGroups.com home: /group/ptmanager - Simplifying group communications Dale Avers, PT, MSEd Mount St. 's College 12001 Chalon Road Los Angeles, CA 90049 FAX Doctoral Candidate Instructional Systems Technology Indiana University Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 1999 Report Share Posted August 16, 1999 I went through the National Strength and Conditioning Association to become a Certified Strength Conditioning Specialist. The NSCA also confers a Certified Personal Training accreditation. The NSCA is a very large organization and has a fairly strict board exam and, sad to say, tougher CEU requirement than many states have for PT's (yearly CEU's mandatory). You can visit their website at http://www.nsca.org With regard to your questions, I am trying to find a way to combine or provide services to that particular " niche " of post-rehab/ " muscle & fitness magazine " type people/geriatric population, whom as clients in the outpatient clinic, would have loved to have followed/supervised when they go to Ballys/Golds Gym, etc. I just became a Personal Trainer for Bally's a few weeks ago and have run into the problem where, once they know you are a physical therapist, they say they want you as their PT (therapist, not personal trainer). Legally, in Ohio, I cannot " physical therapy " treat them for their backs, shoulders, knees, etc., that they complain about (and yes, 75% of them HAD outpatient rehab but they feel it was limited to what they really want to do/how aggressive they are with exercising). I can only guess that theraband and simple exercises only carried them so far. Another dilemma faced is the following example. A 29 y.o overweight female was going thru her free Bally consult, and to make a long story short, due to my PT background affording me medical knowledge greater than the " PT " (that is, the personal trainer -- and that in itself is another topic -- PT vs. " PT " ) who spent $30 via the internet to get a " PT " certificate, was able to figure out something was wrong. Come to find out she had four pulmonary emboli ( " stable last 4-yrs " -- per pt report), and she's on Coumadin, but has not had PT/INR blood levels checked in over 6 months and adjusts her coumadin dosage herself based on " how she feels " --- mind you, the trainer just did a body fat measurement with those extremely strong pincers and squeezed her flesh real hard to get the measures. I called her family doctor who was pretty much useless by saying, " i think its okay for her to workout " (pt didn't know pulmonary docs name as she only goes to the ER when in crisis) ---- get the picture? Yes Bally's had her get a release form, but legally, I cannot provide PT services as a personal trainer. I tried to educate her that its not wise to work out without her 2 inhalants at hand (she was wheezing a lot on the treadmill while the trainer just watched and said " way to push it---you'll lose that weight in no time " ). I find my CSCS accreditation to be very complimentary to my PT practice, and my supervisors use that to afford me the HIGH END SALARY (thus, a benefit), and just my own personal gratification/desire to be well informed during exercise prescription is also a benefit. In addition, as low as Bally's pays personal trainer's, my PT degree put me at the tops for a higher pay rate (benefit). If you, or anyone in the group has knowledge of how to bridge the gap (geriatrics or health club), please let me know. Lastly, since you are GCS certified, I would like to inform you that I just attended the 5th World Congress on Physical Activity, Aging, and Sports and it was a darn shame to our profession that most of the research presented on geriatric wellness/exercise prescription at the symposia was by MD's, PhD's, and Exercise Physiologists (whom by the way, for your Task Force info, are providing " post-rehab " services to nursing homes and assisted living centers at reimbursement rates more economical to the facility than to have a therapist direct). Sorry to be lengthy, but I hope this shed some insight and answers! Babich, MS, MS-PT, CSCS Ohio State University Medical Center Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 1999 Report Share Posted August 16, 1999 Doug, Thanks for your comments. Fortunately, more of our PT colleagues are responding positively off the list-serv. I am getting many positive comments about CSCS training increasing the practioners ability/confidence and appropriate utilization of strength training, especially for the often over-looked geriatric population who needs it the most. I personally do not feel that expanding on our credentials is counterfitting our profession. Too many therapists are losing " traditional " PT employment opportunities, this is one way to develop/expand on our skills and be advocates for healthy aging. We are not seeking to divide the profession, or escape it. I work in a continuing care retirement community. On a daily basis, I treat SNF, Personal Care, and indpendent living residents. On a weekly basis I get requests for assistance in setting up a fitness program for clients. Our gym is a fitness center for our clients. If my state does not allow practice without a referral, I cannot provide feedback or direction to these clients. However, getting certification as a personal trainer may be one option to provide a service without having to send them to private pay at the YMCA. I am certainly better qualified to do it than a non-PT. We are only seeking feedback from practioners on whether these skills were helpful or not and seeking to find which organizations provide a reputable program (if any) that would be appropriate to increase our knowledge to enhance the services we provide. Ciolek, PT, GCS ciole-@... wrote: original article:/group/ptmanager/?start=7001 > I would equate those kinds of certifications for a PT as the equivalent of a > Board Certified Emergency Medicine specialist MD going out and becoming an > EMT. To obtain those certifications cheapens the PT. > > > ciolek@... wrote: > > > Hello Group, > > I am seeking information from PT's who have completed or are seeking > > certification as a personal fitness trainer, sports conditioning > > specialist, or fitness counselor. I am co-chairing a Task Force on > > Alternative Models of Care Delivery and Management for the Section on > > Geriatrics. We are interested in finding out which certifications are > > beneficial (and which are not really worth the time/money) for > > therapists entering the health and wellness/fitness fields, either as > > an adjunct to PT clinical practice or in replacement of their previous > > PT practice. > > I welcome responses directly or via the listserv. > > Thank you for your assistance. > > Ciolek, PT, GCS > > Ciolek@... > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 1999 Report Share Posted August 16, 1999 MS. Ciolek: It may not be all that simple. Many states hold you liable to your highest level of licensure/certification, meaning that if you are not permitted to offer the advice without a referral as a PT, you still will not be permitted to do so unless you relinquish your PT licensure. Be certain to check this out in your state - the grass is not always as green on the other side as it seems to be! G. Flickinger, PT ciolek@... wrote: Doug, Thanks for your comments. Fortunately, more of our PT colleagues are responding positively off the list-serv. I am getting many positive comments about CSCS training increasing the practioners ability/confidence and appropriate utilization of strength training, especially for the often over-looked geriatric population who needs it the most. I personally do not feel that expanding on our credentials is counterfitting our profession. Too many therapists are losing "traditional" PT employment opportunities, this is one way to develop/expand on our skills and be advocates for healthy aging. We are not seeking to divide the profession, or escape it. I work in a continuing care retirement community. On a daily basis, I treat SNF, Personal Care, and indpendent living residents. On a weekly basis I get requests for assistance in setting up a fitness program for clients. Our gym is a fitness center for our clients. If my state does not allow practice without a referral, I cannot provide feedback or direction to these clients. However, getting certification as a personal trainer may be one option to provide a service without having to send them to private pay at the YMCA. I am certainly better qualified to do it than a non-PT. We are only seeking feedback from practioners on whether these skills were helpful or not and seeking to find which organizations provide a reputable program (if any) that would be appropriate to increase our knowledge to enhance the services we provide. Ciolek, PT, GCS ciole-@... wrote: original article:/group/ptmanager/?start=7001 > I would equate those kinds of certifications for a PT as the equivalent of a > Board Certified Emergency Medicine specialist MD going out and becoming an > EMT. To obtain those certifications cheapens the PT. > > > ciolek@... wrote: > > > Hello Group, > > I am seeking information from PT's who have completed or are seeking > > certification as a personal fitness trainer, sports conditioning > > specialist, or fitness counselor. I am co-chairing a Task Force on > > Alternative Models of Care Delivery and Management for the Section on > > Geriatrics. We are interested in finding out which certifications are > > beneficial (and which are not really worth the time/money) for > > therapists entering the health and wellness/fitness fields, either as > > an adjunct to PT clinical practice or in replacement of their previous > > PT practice. > > I welcome responses directly or via the listserv. > > Thank you for your assistance. > > Ciolek, PT, GCS > > Ciolek@... > > ------------------------------------------------------------------------ eGroups.com home: /group/ptmanager - Simplifying group communications Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 1999 Report Share Posted August 16, 1999 > I work in a continuing care retirement community. On a daily basis, I > treat SNF, > Personal Care, and indpendent living residents. On a weekly basis I > get requests for assistance in setting up a fitness program for > clients. Our gym is a fitness center for our clients. If my state > does not allow practice without a referral, I cannot provide feedback > or direction to these clients. However, getting certification as a > personal trainer may be one option to provide a service without having > to send them to private pay at the YMCA. You should check with legal counsel and your state practice act if you choose to pursue this track. I do not believe you can take your PT hat off and then put on your personal trainer hat. Especially, for a population that are already your patients. > I am certainly better qualified to do it than a non-PT. No disagreement there! > > We are only seeking feedback from practioners on whether these skills > were helpful or not and seeking to find which organizations provide a > reputable program (if any) that would be appropriate to increase our > knowledge to enhance the services we provide. > Ciolek, PT, GCS > I would hope the Section would carefully consider if promoting non-PT certifications is the route to take. Attachment: vcard [not shown] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 1999 Report Share Posted August 16, 1999 Another thing about fitness certifications...it almost seems to me that there is yet another fitness certification created everytime one turns around.. And with many of the " certifications " no minimal requirements are stated..and what is a lay person to do? I would think that branching into fitness and wellness services would be a natural next step for physical therapists..but don't expect third party payment in most cases for these services. It would provide more opportunity to use the base of knowledge obtained through PT training and experience as well as the base of rehab knowledge for which physical therapists are acclaimed for.. I would think that the " certification " of being a licensed physical therapist should be enough..with the additional training and experience required for the respective clinical specialist certs, should serve physical therapists well in this stead.. But for certifications..the National Strength and Conditioning Association's CSCS certification is well thought of, as is the American College of Sports Medicine's Clinical Exercise Specialist (especially good for cardio-pulm types and those who work with patients with disease), the ACSM's Health Fitness Instructor cert (the advanced qualification certs of Older Adult fitness and personal training, also ACSM, but after one has attained either the HFI cert or the Ex. Specialist cert) and a new one offered by the American Council on Exercise, the " clinical exercise specialist " Just my .02 worth. Dino Chambers MS, RKT Exercise Physiologist Columbia, SC Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 17, 1999 Report Share Posted August 17, 1999 I find that I must weigh in on the side of Dale Avers. My CSCS certification has complemented my practice of physical therapy. I do not use this certification as a stand alone skill but incorporate many of the principles of strength and conditioning daily in my general PT practice. It has been my experience that most PT's do not learn these skills in their entry level programs and I am somewhat at a loss to explain why these skills are neglected. This comment reflects the hiring of 4 PT's and being the CI for over 30 students from 4 diffferent schools over the past 5 years. By adding not only these skills but also adding the certification I do believe that I am better able to evaluate the wellness/fitness programs that my patients are already involved in and that my comments to coaches and community groups are better received. I don't feel that I have pursued a " degree of lesser educational value " but have instead supplemented my PT skills with complementary skills. Bottom line - not all PT's have the skills necessary to do the job in wellness and we need to do better. This is one way of doing it. Jim Stark MSPT CSCS Director of Rehabilitation Services South Haven Community Hospital South Haven MI Jstark@... Re: fitness certificationMr. Avers: Pursuing degrees that are of a lesser educational value than your physical therapy degree is not the avenue towards " legitimizing " the role of PT's in wellness. It is through diligent work towards educating the public and providers of care that we have these capabilities, and through creative marketing efforts to gain exposure to our roles and the outcomes we achieve - that we attain legitimacy. I must stand in whole hearted agreement with Doug's succinct commentary. G. Flickiniger, PT Dale Avers wrote: I find I must respectfully disagree with Doug. I am continually amazed at how unaware the public at large is aware of the different aspects of PT, especially the wellness abilities of many PTs. It seems the majority of the public, those that have a clue of what PTs do , equate us with illness, disability and pain, not with optimizing health. I believe VERY strongly (I know, , how do I REALLY feel) that PTs are extremely well qualified to deal with the well public and to help them achieve their goals of quality of life. If getting " certifications " in fitness helps " legitimize " PTs in areas of fitness in the eyes of the public, then so be it. Otherwise, PT may mean the traditional medical model approach of health care. Lets look to broadening our base......for the good of the public and our profession. Dale Avers Dale Avers, PT, MSEd Mount St. 's College 12001 Chalon Road Los Angeles, CA 90049 FAX Doctoral Candidate Instructional Systems Technology Indiana University >>> Kovacek 08/16/99 01:53PM >>> So Doug - how do you really feel??? At 04:46 PM 8/16/99 , you wrote: >I would equate those kinds of certifications for a PT as the equivalent of a >Board Certified Emergency Medicine specialist MD going out and becoming an >EMT. To obtain those certifications cheapens the PT. > > >ciolek@... wrote: > > > Hello Group, > > I am seeking information from PT's who have completed or are seeking > > certification as a personal fitness trainer, sports conditioning > > specialist, or fitness counselor. I am co-chairing a Task Force on > > Alternative Models of Care Delivery and Management for the Section on > > Geriatrics. We are interested in finding out which certifications are > > beneficial (and which are not really worth the time/money) for > > therapists entering the health and wellness/fitness fields, either as > > an adjunct to PT clinical practice or in replacement of their previous > > PT practice. > > I welcome responses directly or via the listserv. > > Thank you for your assistance. > > Ciolek, PT, GCS > > Ciolek@... > > > > ------------------------------------------------------------------------ > > > > eGroups.com home: /group/ptmanager > > - Simplifying group communications > > >------------------------------------------------------------------------ > >eGroups.com home: /group/ptmanager > - Simplifying group communications > > > R. Kovacek, MSA, PT Email Pkovacek@... 313 884-8920 Visit <www.PTManager.com> TOGETHER WE CAN MAKE A DIFFERENCE ! ------------------------------------------------------------------------ eGroups.com home: /group/ptmanager - Simplifying group communications ------------------------------------------------------------------------ eGroups.com home: /group/ptmanager - Simplifying group communications eGroups.com home: /group/ptmanagerwww. - Simplifying group communications Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 17, 1999 Report Share Posted August 17, 1999 Shari: How do you draw the line between physical therapy and personal training especially with cases like your woman with an amputation? Shari6364@... wrote: > As a PTA, H/FI, CSCS, I currently work in a gym doing Personal Training. I > find earning my bachelors degree in Exercise & Sports Studies has help me in > the fitness industry. I have a large diverse clientele some with > disabilities and several being above the age of 65, that leads me to fall > back on my PTA education & experience in rehabilitation. I find it very > rewarding when I can take an 89 year old amputee & have her walking in 2.5 > months whereas she had been in a whhelchair for the last 7 years...because > that's what her Physical Therapist found to be " most appropriate " . I think > it's a great avenue to pursue for PT's & PTA's. I am very hesitiant about > attending weekend seminars in which you walk out with a " Personal Trainer " > certificate. That cheapens the profession of Personal Trainers. There are > great certification programs both by the ACSM & NSCA, worth persueing. > > Shari Klahr, PTA, H/FI, CSCS > Shari6364@... > > > > << ciolek@... wrote: > > > Hello Group, > > I am seeking information from PT's who have completed or are seeking > > certification as a personal fitness trainer, sports conditioning > > specialist, or fitness counselor. I am co-chairing a Task Force on > > Alternative Models of Care Delivery and Management for the Section on > > Geriatrics. We are interested in finding out which certifications are > > beneficial (and which are not really worth the time/money) for > > therapists entering the health and wellness/fitness fields, either as > > an adjunct to PT clinical practice or in replacement of their previous > > PT practice. > > I welcome responses directly or via the listserv. > > Thank you for your assistance. > > Ciolek, PT, GCS > > Ciolek@... > > >> > > ------------------------------------------------------------------------ > > eGroups.com home: /group/ptmanager > - Simplifying group communications Attachment: vcard [not shown] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 17, 1999 Report Share Posted August 17, 1999 Here is the actual address for the strength and conditioning association. http://www.nsca-lift.org/ Randy Titony Executive Director, RehabSource http://www.rehabsource.com KenBabich@... wrote: > I went through the National Strength and Conditioning Association to become a > Certified Strength Conditioning Specialist. The NSCA also confers a > Certified Personal Training accreditation. The NSCA is a very large > organization and has a fairly strict board exam and, sad to say, tougher CEU > requirement than many states have for PT's (yearly CEU's mandatory). You can > visit their website at http://www.nsca.org With regard to your questions, > I am trying to find a way to combine or provide services to that particular > " niche " of post-rehab/ " muscle & fitness magazine " type people/geriatric > population, whom as clients in the outpatient clinic, would have loved to > have followed/supervised when they go to Ballys/Golds Gym, etc. I just > became a Personal Trainer for Bally's a few weeks ago and have run into the > problem where, once they know you are a physical therapist, they say they > want you as their PT (therapist, not personal trainer). Legally, in Ohio, I > cannot " physical therapy " treat them for their backs, shoulders, knees, etc., > that they complain about (and yes, 75% of them HAD outpatient rehab but they > feel it was limited to what they really want to do/how aggressive they are > with exercising). I can only guess that theraband and simple exercises only > carried them so far. Another dilemma faced is the following example. A 29 > y.o overweight female was going thru her free Bally consult, and to make a > long story short, due to my PT background affording me medical knowledge > greater than the " PT " (that is, the personal trainer -- and that in itself is > another topic -- PT vs. " PT " ) who spent $30 via the internet to get a " PT " > certificate, was able to figure out something was wrong. Come to find out > she had four pulmonary emboli ( " stable last 4-yrs " -- per pt report), and > she's on Coumadin, but has not had PT/INR blood levels checked in over 6 > months and adjusts her coumadin dosage herself based on " how she feels " --- > mind you, the trainer just did a body fat measurement with those extremely > strong pincers and squeezed her flesh real hard to get the measures. I > called her family doctor who was pretty much useless by saying, " i think its > okay for her to workout " (pt didn't know pulmonary docs name as she only goes > to the ER when in crisis) ---- get the picture? Yes Bally's had her get a > release form, but legally, I cannot provide PT services as a personal > trainer. I tried to educate her that its not wise to work out without her 2 > inhalants at hand (she was wheezing a lot on the treadmill while the trainer > just watched and said " way to push it---you'll lose that weight in no time " ). > > > I find my CSCS accreditation to be very complimentary to my PT practice, and > my supervisors use that to afford me the HIGH END SALARY (thus, a benefit), > and just my own personal gratification/desire to be well informed during > exercise prescription is also a benefit. In addition, as low as Bally's pays > personal trainer's, my PT degree put me at the tops for a higher pay rate > (benefit). If you, or anyone in the group has knowledge of how to bridge the > gap (geriatrics or health club), please let me know. Lastly, since you are > GCS certified, I would like to inform you that I just attended the 5th World > Congress on Physical Activity, Aging, and Sports and it was a darn shame to > our profession that most of the research presented on geriatric > wellness/exercise prescription at the symposia was by MD's, PhD's, and > Exercise Physiologists (whom by the way, for your Task Force info, are > providing " post-rehab " services to nursing homes and assisted living centers > at reimbursement rates more economical to the facility than to have a > therapist direct). Sorry to be lengthy, but I hope this shed some insight > and answers! > > Babich, MS, MS-PT, CSCS > Ohio State University Medical Center > > ------------------------------------------------------------------------ > > eGroups.com home: /group/ptmanager > - Simplifying group communications -- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 17, 1999 Report Share Posted August 17, 1999 Mr. Mailly: Your points regarding the complexity of this topic and the care which needs to be taken in both discussing and digesting it are well taken. However I must disagree that it should not occur online. For many practitioners this is the only regularly available forum that we have to discuss such comments with our colleagues. Some of us are in rural settings, solo practitioners and the like and appreciate the availability of this medium. I think we are capable of recognizing the need for extensive commentary on selected topics, I feel this medium does not preclude that from happening. Let's not close the door on healthy debate.......personally it is pleasing to me to see impassioned debate occurring between colleagues in this profession -- we have needed more of this to occur for some time. Just my opinion....... G. Flickinger, PT ken mailly wrote: Please to all: Realize the depth and complexity of this particular debate and be extremely careful about drawing too many conclusions about what is being said. I feel extremely frustrated in discussing this topic online because the points that are being raised require extensive comment. Point/Counterpoint on this venue will not "cut it" to adequately address the topic. We are touching on issues of licensure, unregulated practice, legitimacy of certifying agencies, and accreditation of educational programs. With all due respect, we are biting off more than we can "cyberchew". Ken Mailly, PT Re: fitness certification I went through the National Strength and Conditioning Association to become a Certified Strength Conditioning Specialist. The NSCA also confers a Certified Personal Training accreditation. The NSCA is a very large organization and has a fairly strict board exam and, sad to say, tougher CEU requirement than many states have for PT's (yearly CEU's mandatory). You can visit their website at http://www.nsca.org With regard to your questions, I am trying to find a way to combine or provide services to that particular "niche" of post-rehab/"muscle & fitness magazine" type people/geriatric population, whom as clients in the outpatient clinic, would have loved to have followed/supervised when they go to Ballys/Golds Gym, etc. I just became a Personal Trainer for Bally's a few weeks ago and have run into the problem where, once they know you are a physical therapist, they say they want you as their PT (therapist, not personal trainer). Legally, in Ohio, I cannot "physical therapy" treat them for their backs, shoulders, knees, etc., that they complain about (and yes, 75% of them HAD outpatient rehab but they feel it was limited to what they really want to do/how aggressive they are with exercising). I can only guess that theraband and simple exercises only carried them so far. Another dilemma faced is the following example. A 29 y.o overweight female was going thru her free Bally consult, and to make a long story short, due to my PT background affording me medical knowledge greater than the "PT" (that is, the personal trainer -- and that in itself is another topic -- PT vs. "PT") who spent $30 via the internet to get a "PT" certificate, was able to figure out something was wrong. Come to find out she had four pulmonary emboli ("stable last 4-yrs" -- per pt report), and she's on Coumadin, but has not had PT/INR blood levels checked in over 6 months and adjusts her coumadin dosage herself based on "how she feels" --- mind you, the trainer just did a body fat measurement with those extremely strong pincers and squeezed her flesh real hard to get the measures. I called her family doctor who was pretty much useless by saying, "i think its okay for her to workout" (pt didn't know pulmonary docs name as she only goes to the ER when in crisis) ---- get the picture? Yes Bally's had her get a release form, but legally, I cannot provide PT services as a personal trainer. I tried to educate her that its not wise to work out without her 2 inhalants at hand (she was wheezing a lot on the treadmill while the trainer just watched and said "way to push it---you'll lose that weight in no time"). I find my CSCS accreditation to be very complimentary to my PT practice, and my supervisors use that to afford me the HIGH END SALARY (thus, a benefit), and just my own personal gratification/desire to be well informed during exercise prescription is also a benefit. In addition, as low as Bally's pays personal trainer's, my PT degree put me at the tops for a higher pay rate (benefit). If you, or anyone in the group has knowledge of how to bridge the gap (geriatrics or health club), please let me know. Lastly, since you are GCS certified, I would like to inform you that I just attended the 5th World Congress on Physical Activity, Aging, and Sports and it was a darn shame to our profession that most of the research presented on geriatric wellness/exercise prescription at the symposia was by MD's, PhD's, and Exercise Physiologists (whom by the way, for your Task Force info, are providing "post-rehab" services to nursing homes and assisted living centers at reimbursement rates more economical to the facility than to have a therapist direct). Sorry to be lengthy, but I hope this shed some insight and answers! Babich, MS, MS-PT, CSCS Ohio State University Medical Center eGroups.com home: /group/ptmanager www. - Simplifying group communications eGroups.com home: /group/ptmanager www. - Simplifying group communications Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 17, 1999 Report Share Posted August 17, 1999 Dale: I agree with the intent of your comment, but I have to tell you that I strongly disagree with your suggested method of changing public perception about our qualifications. If we wish to convince the public that we can address their wellness needs as PTs, seeking supplemental certifications does not support that effort, it retards it. I would suggest that there are many of our colleagues who do not " feel " qualified to care for the wellness needs of their patients rather than lacking the actual knowledge to do so. I think that we need to convince them of their competency them before we attempt to convince the public. Ken Mailly, PT President Mailly Consulting Inc. Director of Government Affairs aptanj khmailly@... Re: fitness certification I find I must respectfully disagree with Doug. I am continually amazed at how unaware the public at large is aware of the different aspects of PT, especially the wellness abilities of many PTs. It seems the majority of the public, those that have a clue of what PTs do , equate us with illness, disability and pain, not with optimizing health. I believe VERY strongly (I know, , how do I REALLY feel) that PTs are extremely well qualified to deal with the well public and to help them achieve their goals of quality of life. If getting " certifications " in fitness helps " legitimize " PTs in areas of fitness in the eyes of the public, then so be it. Otherwise, PT may mean the traditional medical model approach of health care. Lets look to broadening our base......for the good of the public and our profession. Dale Avers Dale Avers, PT, MSEd Mount St. 's College 12001 Chalon Road Los Angeles, CA 90049 FAX Doctoral Candidate Instructional Systems Technology Indiana University >>> Kovacek 08/16/99 01:53PM >>> So Doug - how do you really feel??? At 04:46 PM 8/16/99 , you wrote: >I would equate those kinds of certifications for a PT as the equivalent of a >Board Certified Emergency Medicine specialist MD going out and becoming an >EMT. To obtain those certifications cheapens the PT. > > >ciolek@... wrote: > > > Hello Group, > > I am seeking information from PT's who have completed or are seeking > > certification as a personal fitness trainer, sports conditioning > > specialist, or fitness counselor. I am co-chairing a Task Force on > > Alternative Models of Care Delivery and Management for the Section on > > Geriatrics. We are interested in finding out which certifications are > > beneficial (and which are not really worth the time/money) for > > therapists entering the health and wellness/fitness fields, either as > > an adjunct to PT clinical practice or in replacement of their previous > > PT practice. > > I welcome responses directly or via the listserv. > > Thank you for your assistance. > > Ciolek, PT, GCS > > Ciolek@... > > > > ------------------------------------------------------------------------ > > > > eGroups.com home: /group/ptmanager > > - Simplifying group communications > > >------------------------------------------------------------------------ > >eGroups.com home: /group/ptmanager > - Simplifying group communications > > > R. Kovacek, MSA, PT Email Pkovacek@... 313 884-8920 Visit <www.PTManager.com> TOGETHER WE CAN MAKE A DIFFERENCE ! ------------------------------------------------------------------------ eGroups.com home: /group/ptmanager - Simplifying group communications eGroups.com home: /group/ptmanagerwww. - Simplifying group communications Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 17, 1999 Report Share Posted August 17, 1999 Please to all: Realize the depth and complexity of this particular debate and be extremely careful about drawing too many conclusions about what is being said. I feel extremely frustrated in discussing this topic online because the points that are being raised require extensive comment. Point/Counterpoint on this venue will not " cut it " to adequately address the topic. We are touching on issues of licensure, unregulated practice, legitimacy of certifying agencies, and accreditation of educational programs. With all due respect, we are biting off more than we can " cyberchew " . Ken Mailly, PT Re: fitness certification I went through the National Strength and Conditioning Association to become a Certified Strength Conditioning Specialist. The NSCA also confers a Certified Personal Training accreditation. The NSCA is a very large organization and has a fairly strict board exam and, sad to say, tougher CEU requirement than many states have for PT's (yearly CEU's mandatory). You can visit their website at http://www.nsca.org With regard to your questions, I am trying to find a way to combine or provide services to that particular " niche " of post-rehab/ " muscle & fitness magazine " type people/geriatric population, whom as clients in the outpatient clinic, would have loved to have followed/supervised when they go to Ballys/Golds Gym, etc. I just became a Personal Trainer for Bally's a few weeks ago and have run into the problem where, once they know you are a physical therapist, they say they want you as their PT (therapist, not personal trainer). Legally, in Ohio, I cannot " physical therapy " treat them for their backs, shoulders, knees, etc., that they complain about (and yes, 75% of them HAD outpatient rehab but they feel it was limited to what they really want to do/how aggressive they are with exercising). I can only guess that theraband and simple exercises only carried them so far. Another dilemma faced is the following example. A 29 y.o overweight female was going thru her free Bally consult, and to make a long story short, due to my PT background affording me medical knowledge greater than the " PT " (that is, the personal trainer -- and that in itself is another topic -- PT vs. " PT " ) who spent $30 via the internet to get a " PT " certificate, was able to figure out something was wrong. Come to find out she had four pulmonary emboli ( " stable last 4-yrs " -- per pt report), and she's on Coumadin, but has not had PT/INR blood levels checked in over 6 months and adjusts her coumadin dosage herself based on " how she feels " --- mind you, the trainer just did a body fat measurement with those extremely strong pincers and squeezed her flesh real hard to get the measures. I called her family doctor who was pretty much useless by saying, " i think its okay for her to workout " (pt didn't know pulmonary docs name as she only goes to the ER when in crisis) ---- get the picture? Yes Bally's had her get a release form, but legally, I cannot provide PT services as a personal trainer. I tried to educate her that its not wise to work out without her 2 inhalants at hand (she was wheezing a lot on the treadmill while the trainer just watched and said " way to push it---you'll lose that weight in no time " ). I find my CSCS accreditation to be very complimentary to my PT practice, and my supervisors use that to afford me the HIGH END SALARY (thus, a benefit), and just my own personal gratification/desire to be well informed during exercise prescription is also a benefit. In addition, as low as Bally's pays personal trainer's, my PT degree put me at the tops for a higher pay rate (benefit). If you, or anyone in the group has knowledge of how to bridge the gap (geriatrics or health club), please let me know. Lastly, since you are GCS certified, I would like to inform you that I just attended the 5th World Congress on Physical Activity, Aging, and Sports and it was a darn shame to our profession that most of the research presented on geriatric wellness/exercise prescription at the symposia was by MD's, PhD's, and Exercise Physiologists (whom by the way, for your Task Force info, are providing " post-rehab " services to nursing homes and assisted living centers at reimbursement rates more economical to the facility than to have a therapist direct). Sorry to be lengthy, but I hope this shed some insight and answers! Babich, MS, MS-PT, CSCS Ohio State University Medical Center eGroups.com home: /group/ptmanagerwww. - Simplifying group communications Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 18, 1999 Report Share Posted August 18, 1999 Tim Shay, Doug Wilkinson, Tillman are three PT's that have completed the Certification in Strength and Conditioning by the National Strength and Conditioning Assocaition. In my opinion this is the best one and definately worth the time money and effort. Tim Shay Shaytj@... >>> 08/16/99 04:34PM >>> Hello Group, I am seeking information from PT's who have completed or are seeking certification as a personal fitness trainer, sports conditioning specialist, or fitness counselor. I am co-chairing a Task Force on Alternative Models of Care Delivery and Management for the Section on Geriatrics. We are interested in finding out which certifications are beneficial (and which are not really worth the time/money) for therapists entering the health and wellness/fitness fields, either as an adjunct to PT clinical practice or in replacement of their previous PT practice. I welcome responses directly or via the listserv. Thank you for your assistance. Ciolek, PT, GCS Ciolek@... ------------------------------------------------------------------------ eGroups.com home: /group/ptmanager - Simplifying group communications Quote Link to comment Share on other sites More sharing options...
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