Guest guest Posted December 13, 2010 Report Share Posted December 13, 2010 This debate goes back and forth. Anyone know of any recent studies debating prolonged stretching,30-60 seconds vs. the shorter few second methods of Mattes? I personally have seen better results with longer, low load or with total motion release techniques. Just curious what you all find works best. Mark Niles PT, MS, CSCS Orthopedic Specialists PA mniles@... x3 fax This message, together with any attachments, is intended only for the addressee. It may contain information which is legally privileged, confidential and exempt from disclosure. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, use, or any action or reliance on this communication is strictly prohibited. If you have received this e-mail in error, please notify the sender immediately by telephone ( x3) or by return e-mail and delete the message, along with any attachments From: PTManager [mailto:PTManager ] On Behalf Of Rick Gawenda Sent: Thursday, December 09, 2010 8:58 PM To: ptmanager Subject: Medicare Payment Update What a difference a day makes. On Wednesday, December 8th, the Senate passed the Medicare and Medicaid Extenders Act of 2010 and this bill was passed by the House of Representatives today, December 9th. The President is expected to sign the bill into law immediately. The bill stops the scheduled 25% reduction in payments for therapy services under the Medicare Physician Fee Schedule and extends the therapy cap exception process for all of 2011. This means providers of therapy services will be reimbursed at the same rate in 2011 as they were in 2010 except for the 4%-6% negative impact as a result of the Multiple Procedure Payment Reduction policy. Rick Gawenda, PT President/CEO Gawenda Seminars & Consulting www.gawendaseminars.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 13, 2010 Report Share Posted December 13, 2010 Mark, Perhaps the debate goes back and forth largely because many of the parties investigating stretching look upon it in an oversimplistic manner, almost as a one-size-fits-all undifferentiated entity which obviously it is not. One has to consider adjunctive heating and cooling of tissue (either extrinsically or intrinsically), time of the day stretching is done, (i.e. diurnal rhythms), the inert connective tissue type of the individual, the contractile tissue type of the individual, the degree of CNS up-regulation, the nature of preceding and following activities, the need for rapid full range movement without warm-up (such as may be involved in real life combat) vs. the opportunity to do warm-up beforehand (such as may be involved in athletics), use of vibratory exercise and/or loosening exercise as enhancements, the use of breath enhancement, whether the stretching application is for preparatory or developmental purposes, the unique advantages and disadvantages and applications of each of the various forms of " stretching " (i.e. static, active, dynamic, ballistic, loaded, resisted, etc.), the degree of dysfunction or absence thereof present, etc., etc. In the real world, who demonstrates tremendous flexibility with incredible power and control throughout the entire range? Such groups as Chinese acrobats, the Kirov ballet, certain martial artists, etc. are impressive in their displays of functional flexibility. I've found that studying their methodologies has proven to be considerably more productive than examining the prevailing evidence based literature (which usually tends to be behind the curve). FWIW. , PT, OCS Marquette, MI Studying their methisNorth Korean comvarious martial artists, etc. and Various Eastern European and Asian sources have much of the information you need if you're willing to search it out. , PT, OCS Marquette, MI ---- Mark Niles wrote: > This debate goes back and forth. Anyone know of any recent studies debating > prolonged stretching,30-60 seconds vs. the shorter few second methods of > Mattes? I personally have seen better results with longer, low load > or with total motion release techniques. Just curious what you all find > works best. > > > > Mark Niles PT, MS, CSCS > Orthopedic Specialists PA > mniles@... > x3 > fax > > This message, together with any attachments, is intended only for the > addressee. It may contain information which is legally privileged, > confidential and exempt from disclosure. If you are not the intended > recipient, you are hereby notified that any disclosure, copying, > distribution, use, or any action or reliance on this communication is > strictly prohibited. If you have received this e-mail in error, please > notify the sender immediately by telephone ( x3) or by return > e-mail and delete the message, along with any attachments > > > > From: PTManager [mailto:PTManager ] On Behalf > Of Rick Gawenda > Sent: Thursday, December 09, 2010 8:58 PM > To: ptmanager > Subject: Medicare Payment Update > > > > > > What a difference a day makes. On Wednesday, December 8th, the Senate passed > the Medicare and Medicaid Extenders Act of 2010 and this bill was passed by > the House of Representatives today, December 9th. The President is expected > to sign the bill into law immediately. The bill stops the scheduled 25% > reduction in payments for therapy services under the Medicare Physician Fee > Schedule and extends the therapy cap exception process for all of 2011. This > means providers of therapy services will be reimbursed at the same rate in > 2011 as they were in 2010 except for the 4%-6% negative impact as a result > of the Multiple Procedure Payment Reduction policy. > > Rick Gawenda, PT > President/CEO > Gawenda Seminars & Consulting > www.gawendaseminars.com > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 13, 2010 Report Share Posted December 13, 2010 Mark, Perhaps the debate goes back and forth largely because many of the parties investigating stretching look upon it in an oversimplistic manner, almost as a one-size-fits-all undifferentiated entity which obviously it is not. One has to consider adjunctive heating and cooling of tissue (either extrinsically or intrinsically), time of the day stretching is done, (i.e. diurnal rhythms), the inert connective tissue type of the individual, the contractile tissue type of the individual, the degree of CNS up-regulation, the nature of preceding and following activities, the need for rapid full range movement without warm-up (such as may be involved in real life combat) vs. the opportunity to do warm-up beforehand (such as may be involved in athletics), use of vibratory exercise and/or loosening exercise as enhancements, the use of breath enhancement, whether the stretching application is for preparatory or developmental purposes, the unique advantages and disadvantages and applications of each of the various forms of " stretching " (i.e. static, active, dynamic, ballistic, loaded, resisted, etc.), the degree of dysfunction or absence thereof present, etc., etc. In the real world, who demonstrates tremendous flexibility with incredible power and control throughout the entire range? Such groups as Chinese acrobats, the Kirov ballet, certain martial artists, etc. are impressive in their displays of functional flexibility. I've found that studying their methodologies has proven to be considerably more productive than examining the prevailing evidence based literature (which usually tends to be behind the curve). FWIW. , PT, OCS Marquette, MI Studying their methisNorth Korean comvarious martial artists, etc. and Various Eastern European and Asian sources have much of the information you need if you're willing to search it out. , PT, OCS Marquette, MI ---- Mark Niles wrote: > This debate goes back and forth. Anyone know of any recent studies debating > prolonged stretching,30-60 seconds vs. the shorter few second methods of > Mattes? I personally have seen better results with longer, low load > or with total motion release techniques. Just curious what you all find > works best. > > > > Mark Niles PT, MS, CSCS > Orthopedic Specialists PA > mniles@... > x3 > fax > > This message, together with any attachments, is intended only for the > addressee. It may contain information which is legally privileged, > confidential and exempt from disclosure. If you are not the intended > recipient, you are hereby notified that any disclosure, copying, > distribution, use, or any action or reliance on this communication is > strictly prohibited. If you have received this e-mail in error, please > notify the sender immediately by telephone ( x3) or by return > e-mail and delete the message, along with any attachments > > > > From: PTManager [mailto:PTManager ] On Behalf > Of Rick Gawenda > Sent: Thursday, December 09, 2010 8:58 PM > To: ptmanager > Subject: Medicare Payment Update > > > > > > What a difference a day makes. On Wednesday, December 8th, the Senate passed > the Medicare and Medicaid Extenders Act of 2010 and this bill was passed by > the House of Representatives today, December 9th. The President is expected > to sign the bill into law immediately. The bill stops the scheduled 25% > reduction in payments for therapy services under the Medicare Physician Fee > Schedule and extends the therapy cap exception process for all of 2011. This > means providers of therapy services will be reimbursed at the same rate in > 2011 as they were in 2010 except for the 4%-6% negative impact as a result > of the Multiple Procedure Payment Reduction policy. > > Rick Gawenda, PT > President/CEO > Gawenda Seminars & Consulting > www.gawendaseminars.com > > > > > > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.