Service Learning in PT School

Name: Austin Adamson, Class of 2020 Service Officer

Undergrad: Saint Louis University

Hometown: Laguna Niguel, CA

Fun fact: I recently dove with manta rays and sea turtles in the Great Barrier Reef!

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As students of physical therapy, we are undertaking a career that is founded upon the ideas of service and care for others. We spend countless hours in both classrooms and clinics learning a craft that allows us to heal our patients and restore their function and participation, ultimately serving them in a life-altering way. But, for many students of Regis University, the call to serve others extends beyond the classroom. It is a part of who we are, and who we are called to be.

The young Class of 2020 has only recently begun its efforts to serve beyond the community of our school and classmates. Our first service effort began in February, in celebration of Valentine’s Day. Members of our class were generous enough to donate time and toys to Children’s Hospital Colorado to wish children and their families a happy Valentine’s Day.  Both the Van Gogh’s and the less successful artists in our class handmade over 150 cards, sending best wishes and love to remind every child that they are cared for, even through the challenging time of a hospital stay.

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These cards accompanied nearly $100 worth of toys and games that helped make the time in a hospital more enjoyable for the children being treated, their siblings, and their parents.

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Left to right: Josh H, Auburn BP, and Austin A delivering Valentine’s Day cards and toys to children at Children’s Hospital Colorado.

With the turning of the seasons and the coming of beautiful summer weather, members of our class turned to the mountains to participate in a trail building and conservation effort for National Trails Day.  On a warm Saturday, a small group of students and significant others made their way out to Hildebrand Ranch Park to volunteer with Jefferson County Open Space.  The group worked to construct a small section of new trail that will be opened in 2019, and also helped maintain an existing section of trail by cutting back overgrowth of invasive plants.

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Left to right: Meghan R, Nicole R, Emily P, Austin A, and Hannah D serving at Hildebrand Ranch Park.

Ask any Coloradan, native or otherwise, and they will tell you about the importance of trail work! As avid nature hikers, trail-runners, and mountain bikers, the Class of 2020 will continue to give back to the beautiful mountains we know and love as well as the community members who use them.

These are just a few examples of the service and work being done for others by my classmates and professors. Service is an integral part of our time here at Regis University, and is preparation for a lifetime of service as we will enter the field of physical therapy with hopes of serving our patients and empowering their lives. Some are called to service through the Jesuit Mission that is incorporated at Regis, which teaches us to be men and women for others. Some draw strength from acts of selflessness that bring joy and comfort to others. And still others enjoy building a community by meeting new people in service opportunities, and sharing experiences with one another. Regardless of the reason, the students of physical therapy at Regis University work to be engaged in both the local and global community. We are pursuing not just a degree, but the ability to shape a better world through our work!

How to Pass the NPTE

Name: Carol Passarelli, Class of 2018
Undergrad:
 University of Southern California (fight on)
Hometown: 
Mountain View, CA
Fun Fact: Llamas don’t have fur or hair; it’s called fiber. Pretty cool. Or warm, actually. Depends on the fiber count.

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Wow, does it feel good to write that title and have it be true! Are there countless tips and tricks out there for SPTs looking to conquer the NPTE? Absolutely. Are they as good as my tips? Um, probably. But, hopefully, this will give you some tools to help tackle the important things…like, best snacks for studying (dry ramen), my highlighter color preferences (classic yellow), and (okay, seriously now) how to work with crippling test anxiety.


 

Let’s back up to almost a year ago: the comprehensive exam. Created by faculty as the final, culminating didactic exam before you leave for 6 months of clinical rotations. Most people will say not to worry—you’ve been preparing for this the entire time you’re in PT school! And, for the most part, y’all will do just fine with it.

If you’re like me, hearing that reassurance of success only increases my anxiety. If there is going to be an exception to the high pass rate, then I know it will be me. Yes, that’s right. I had my first bout of panic attacks since undergrad during the 2 weeks prior to the exam—and a giant whopper of an anxiety attack during the first half of the test. But hey, I do well academically…it’ll work out fine, right?

I didn’t pass.

Sure—I retook it the following week and did fine. Do I know exactly why I was so irrationally terrified of that exam? Somewhat, but there are still pieces I’m fitting together. That’s test anxiety, folks.

Flash forward to today: I passed the NPTE with a delightfully solid margin, graduated from an outstanding DPT program (only slightly biased), and am employed in my dream setting and location. Groovy.

I haven’t beat test anxiety, but I found ways to manage it for the biggest exam we have to take as PTs. Here are some tips on how to conquer the NPTE and get closer to being that amazing clinician we are all going to become.


1. Settling is okay

I don’t recommend doing this when you’re looking for your lifetime partner, dream house, or—most importantly—picking your dog, but when it comes to grappling with a beast of an exam, absolutely do this. At the end of the day, if you didn’t hit your quota of pages, didn’t understand the finer intricacies of lymphedema bandaging, or can’t for the life of you remember the side effects of certain medications, my goodness. Just go to bed. Decide to learn just 1 piece of information about each topic. Allow yourself to just know the surface level facts for now. In other words: keep momentum. You don’t need to know everything perfectly.

 

2. Check your emotions at the door

This is key for me and any of you who struggle with test anxiety. For me, knowing that I hadn’t passed the comprehensive exam made my initial month of studying an emotional undertaking. It’s difficult to separate your self-worth from how you perform on tests—particularly in a grueling graduate program. Albeit this is easier said than done; try your hardest, though, to leave any feelings of self-doubt and shame outside the room. It is not shameful to have a setback. Failing does not detract from your self-worth.

Get in your happy head space before opening up the textbook! If I wasn’t in that headspace, I wouldn’t study: I ultimately decided to cultivate my confidence in my test-taking ability over gaining that extra knowledge I could have gotten during those study hours.

 

3. Redefine the word “studying”

This is just a friendly reminder that studying is RAD. We all love to learn, and those of us in a PT program get to learn some of the coolest stuff out there. So why is ‘studying’ associated in my head with ‘nooooooooooo’? This harkens back to #2, but here it is again: the times that studying sucks 100% is when I feel: 1. Guilty for not knowing something I feel like I should know 2. Ashamed that I got a question wrong, or 3. Hungry. Remember how awesome it is to learn, review, and grow as a clinician. Find that gratitude. Eat a snack.

 

4. Don’t do what your classmates do

Classic advice, but the root of it is: we are all different. If you’re like me, then talking about studying strategies with classmates is probably my #1 stress-increaser. I avoided most of my classmates’ study groups and didn’t like to talk about my studying with my CI and my clinic. Also, you do NOT have to study 30 hours a week…but maybe you do! I highly recommend doing some reflecting BEFORE jumping into that meticulous, color-coded study plan you’ve created for yourself to determine what is truly best for you. Oh, and don’t follow someone else’s study plan.

If you read the above and still are curious about study schedule particulars (this post is about ways to pass the NPTE, I guess) I studied about 30-60 minutes before my clinical, 4-5 times a week for 3 months. About a third of this time was used to review previous practice test answers. I took 8 practice tests—yes, this is a lot and yes, this is expensive—because I knew I had to practice being in the test environment more than I had to review content. I know that a couple of my classmates studied intensively for 2-3 weeks and also passed. This really is a choose-your-own-path-follow-your-dreams recommendation.

 

5. Ask. For. Help.

Quite frankly, I wish I had done this more. If you sit with a concept and can’t seem to grasp it, ask a classmate. If you need a break from studying, then ask a friend if you can unload your thoughts with them. Remember that you’re not just taking an exam. You are also working on becoming an independent practitioner, finishing a clinical, job hunting, possibly moving, adopting puppies, cleaning your bathroom, etc. Essentially, there is a lot to balance, and it is an uncertain time full of transitions. Be kind to yourself, and lean on your support network.

 

If anyone is curious about other stress-reducing tips, feel free to email me at cpassarelli@regis.edu.

Best of luck, future PTs!

 

How Can the APTA Help Me?

Name: Lina Kleinschmidt

Undergrad: Pacific University

Hometown: Stuttgart, Germany

Fun fact: I was born and raised in Stuttgart, Germany

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As a physical therapy student and future physical therapist, the APTA is something you will hear about over and over again. With job opportunities, continuing education classes, research updates and legislation information, the APTA has endless amounts of information at the hands of students and professionals. However, the website and all the resources may seem a little overwhelming. Therefore, here is a little introduction into the APTA and how you can use it to further your education and career.

What is the APTA?

The APTA, or the American Physical Therapy Association, is a professional organization that represents physical therapy students, physical therapists and physical therapy assistants and has over 103,000 members. It is divided into state chapters each with a governing board. We at Regis University are fortunate to have Cameron MacDonald as an assistant professor, and he is the current president of the Colorado chapter which currently has 2,700 members. It is vital for each state to have a chapter since each state has different practice guidelines and thus must have individual legislation.

There are also sections within the APTA, which include: acute care, aquatics, cardiovascular and pulmonary, education, federal, geriatrics, hand and upper extremity, home health, pediatrics, private practice and quite a few others.  These sections allow you as a student or current PT to learn more information about different specialties. For example, I am part of the neurology section and as such, I get quarterly journals that inform me on the latest research and new updates in the realm of neurology and how it affects the physical therapy industry.

Districts are even smaller groups which are broken up by geographical location and each chapter has SIGs or special interest groups. Colorado has five statewide SIGs which include: Colorado Acute/Rehab SIG, Pediatric SIG, Private Practice SIG, PTA SIG and the Student SIG.

Continuing education (CE) classes happen often and allow students or PTs/PTAs to learn more about a specific topic and have hands on practice. I attended a vestibular and concussion CE class last fall and it completely opened my eyes to a world of physical therapy I had never heard of before. The APTA has a national conference called Combined Sections Meeting, or CSM, which is an incredible opportunity to learn about the profession and what new research developments are forthcoming. CSM is also a great way to network and get to know other practitioners in the physical therapy profession. The Colorado Chapter also has an annual convention called the Fall Convention & Expo.

How can I use the APTA?

Now that you have an introduction, it is important to know what you can do NOW. Depending on where you are in your journey, this may be different for each of you. If you are currently applying to PT school, the APTA website can help guide you in preparing for your interview questions, help you understand what is in your scope of practice depending on the state and school you apply to, and impress the faculty by understanding what is happening in the PT profession.

As you start your graduate school career, the first step is to become an APTA member! Some graduate programs require it, others do not. Either way, I highly recommend you become part of the association so you can reap the full benefits of the APTA and have your voice heard. Click here for joining the APTA. Attending state and national conventions will also give you a huge head start on understanding what the real world of physical therapy is like and they are a great chance to meet students from all over the US and also network!  The easiest step is to get involved with SIGs. Each university will have student special interest groups which hold meetings and special guest lecturers which allow students to connect and communicate about a specific PT specialty.

At Regis and CU Denver, we have multiple sSIGs that our students are involved in and I am lucky enough to be involved with the APTA sSIG this year. I will be working closely with the other sSIGs as well as the PTA schools to have a year of amazing events for our students. We hope to open their eyes to all the opportunities in Colorado. These include: panels about specialties and what to do after graduation, a kickball tournament, a national advocacy dinner and so much more!

Yes, this was a lot of information. No, I do not expect anyone to remember it all. But it is important that you get involved and find what you are passionate about. So now, go to www.apta.org and become a member today!

Budget Tips for Students

Name: Jaegger Olden

Undergrad: Central Washington University

Hometown: Aberdeen, Washington (on the peninsula, no not by Seattle)

Fun fact: my spirit animal is a hangry Terry Crews

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I have been in college for almost a decade. So you could say I am what comes close to being a professional student. However, with that title comes heaping amounts of debt. Fortunately, I have learned the art of budgeting, scholarships, and sucking up to my extreme-couponing-and-geologist wife so my debt is incredibly low. Unfortunately, most students finish their graduate degrees with six figures of student debt. I am here to share my secrets and help you avoid evil student loans (well, as much as you can).  

Budgeting

I can’t stress this enough: BUDGET YOUR MONEY. This is the key to being able to:

A) know how much money you need in scholarships/loans/income and

B) decide where your money goes

Budgeting is fairly straightforward. Create a spreadsheet with all of your expenses listed out. It is easiest to do this for each semester because, as students, we are charged tuition and given financial aid only 2-3 times per year.

Some of the categories my wife and I use are:

  • Rent
  • Utilities
  • Gas
  • Groceries
  • Internet/Cable
  • Insurance/Medical
  • Car Maintenance
  • Entertainment
  • Emergency Fund

All of this goes into our budget Excel spreadsheet. If you don’t use Excel, then you should start now. There are plenty of tutorials online if you need to refresh on the functions or even through the Regis Library/Learning Commons/Tutoring Center on campus. The best part about budgeting like this is determining how much in student loans I need to take out.

Tip: Avoid taking out your max student loan amount each semester AT ALL COSTS. This is a great way to reach your lifetime federal loan allowance (which is $138,500 with no more than $65,000 subsidized).

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Loan Repayment Strategy

I’m sorry for using the L-word, I promise you it gives me a lot of anxiety just thinking about the hole I dug for myself, but that is just our reality as students. One day, we will need to repay these loans and it’s important to have a strategy to do so.

After plenty of research, my wife and I have decided to use the Debt Snowball repayment plan. This is the famous strategy created by financial expert Dave Ramsey that bases debt repayment on the combination of psychology and interest percentages. Instead of paying off debt based on interest alone, the Debt Snowball creates a system that pays off debt based upon the total value of each individual loan to create a psychological reward as well as paying off debt as quickly as possible.

This method, along with plenty of other financial tips and advice, is featured in his incredibly successful book The Total Money Makeover, which I can’t recommend enough.

Housing

I know too well what “money dump” apartments are and how getting a cheap apartment can come with some hazards. This is typical in Denver. As of today, three students just in my class have had their cars stolen from their apartment parking lots while their managers refuse to install security cameras. Because of this, it actually can be both safer and cost effective to slightly splurge and find apartments in low crime areas. The Denver Police Department maintains a great crime map that is user friendly.
However, if you can manage it, then I suggest trying to buy a house or condo. You’re probably saying, “this guy is crazy!” but you’re putting money into someone else’s bank account every month with no equity. Not to mention a mortgage payment is less than Denver rent. So if you have enough savings to go into a down payment, or can have family help, go for it! If you’re going the family route, then I suggest giving them a return on their investment via the equity upon selling. It is truly a win-win.

Shopping

Shopping is easily the biggest way we save money. I am infatuated with couponing and am getting pretty good at it…to the point of saving up to $30 a week on groceries. I’m currently a part of a coupon club that sends me coupons daily…go figure. I also use the Krazy Coupon Lady. The last major strategies I use is shopping at Costco or Sam’s club for bulk items such as meat to freeze, fruit, vegetables, and nonperishables.

However, if you are really interested in saving money and time on healthy meals, check out my wife’s blog post about eating healthy in college. She goes over our full healthy cooking system and how we save money on our groceries.

Read more about cheap and healthy eating in college HERE.  

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Saving Money at Regis University

Being a graduate student at Regis University does have its perks! Take advantage of the amenities. My favorites are the gym, 10 free local transit passes a week, and 2 free swimming passes a week for any Denver Parks and Recreation’s Aquatic facility. One of the better pools close to the university is the Berkeley pool attached to the Scheitler Recreation Center.

Some of the other ways I save money during class are bringing my own food for lunch, bringing K-cups from Costco instead of purchasing coffee (there are two Keurigs in Claver Hall, which ends up being 34 cents a cup), getting a beer with classmates at Walker’s pub during happy hour ($1 beer), and taking advantage of free food events. I also frequently use the classroom electricity to charge devices and shower at the gym to reduce water-heating costs at home.

Income

One of the most daunting factors about being in graduate school is the lack of income. However, there are plenty of great ways to have an income with minimal time commitment. One of the easiest and best ways to do that is to turn your hobby into a job. One great way to do that is to start a money-making blog! There are countless benefits to creating a blog in college. THIS is a great post that breaks down the reasons why you should start a blog in college and THIS is a great post to help you understand how to do it!

Another great way to make money is to donate plasma. I personally donate twice a week and receive about $300 a month for less than 3 hours a week of sitting in a clinic. All plasma is donated to medical research facilities and nearly everyone at these clinics are amazing and professional people. Despite what the stigma is against plasma donations, it is a requirement that you have a home in order to donate.

Some of my other classmates use their skills as a small income like instructing rock climbing lessons once or twice a week for gym memberships or baby sitting/house sitting for friends.

A small amount of income comes a long way, but take precaution based on your performance in class. You’re a student first!

Utility Saving Tips

I got bills! Of course the more energy efficient your household is the lower the bill. One of the more helpful strategies to adapt daily is running appliances that have a high energy cost during non-peak hours. For Denver (consumers of Xcel Energy), the best times to run your appliances (dishwasher, dryer, etc.) are between 9pm and 9am.

In addition, here is a list of other easy tips:

  • Sealing doors/windows/sinks
  • Running the fan in reverse during winter
  • Don’t use heat dry in dishwasher
  • LED lights in bulk and swap out when moving out
  • Read your electricity statement: Xcel sends personalized saving tips
  • Reduce standby power (printer, TVs, gaming systems)
  • Minimize cooling by opening the windows at night (if safe)
  • Deduce shower time

Having Fun

Now I know it seems like you are not going to have time, but make time to do what you love. This will prevent getting burnt out and being miserable.

Some cheap ways of having fun is getting outside to hike, trail run, rock climb, mountain bike, or cycle. The National Park Service has an amazing yearly pass deal that pays itself off in under 8 visits.

If you’re a skier/snowboarder, then I have heard the Epic pass is fantastic. It has a student pass and pays itself off after 4 times of hitting the slopes. If you like to hangout and watch tv, save money by streaming via Netflix and Amazon Prime. If you get Spotify premium as a student, you save $3 a month and get Hulu for free.

Also, if you’re a book worm, then go get a Denver library card in combination with an app called Overdrive. You can access the ebook library, audiobooks, and most movies currently out on Redbox.

Do you have any favorite budgeting tips? Were these strategies helpful for you? Feel free to comment and share with us!

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How I Lost the Most Valuable Ligament

Name: Erin Lemberger, Class of 2020

Undergrad: University of Northern Colorado

Hometown: Littleton, CO

Fun Fact: A one humped camel is called a Dromedary and a two humped camel is called a Bactrian.

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Let me just tell you about my first semester of PT school. I’ll start off by saying that PT school is a lot of work, so of course, the first semester was stressful. But regardless, there are 80 of your closest friends that make studying, adventuring, and everything that happens in between a whole lot easier. I started the semester by buying a season pass to ski all winter long and to use as a major de-stressor when school became difficult. I have been skiing since I was a little tike, so what could go wrong? I had never been hurt skiing nor seriously injured so it couldn’t possibly happen now. Here’s my advice, kids. When the mountain does not have enough snow to open up more than one run, there’s not enough snow. Just trust me.

 

So here’s how it went. I go to Arapahoe Basin (lovingly known as A Basin) with my now boyfriend, Preston, and we’re having a great time just enjoying the weather and the snow. We ski about three runs before the resort is flooded with people also trying to ski the one run that is open. We spend about 20 minutes waiting to get on the lift that will take us to the top, so the decision to get to the top, ski all the way down, and head on home is smart. I’m happily skiing along trying to keep up with Preston, but when I get to about 50 feet from the bottom, realize I’m going a little too fast. Preston is down at the bottom and I go to stop and my ski catches a patch of ice (remember the not enough snow comment?) that takes me out. I flip over backwards and roll hard, and although the details of that fall are fuzzy, I’m sure now it was a classic plant and twist. My skis don’t pop off and my right knee is screaming in pain; I can’t stand on it, so I get my first toboggan ride down the mountain to meet Preston.

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About 20 minutes before I fell. The view is pretty right?

I’m going to start this part of the story with the advice that I would not recommend getting hurt in PT school, but I want to brag about our professors for a little bit. I think I was in denial that I ruptured my ACL, so I went to Dr. Tom McPoil and asked him to check out the knee. Tom tapes me every morning for about 2 weeks while we are trying to get MRIs and doctors appointments scheduled; he was a saint. After a few days of taping, he decides Dr. Mark Reinking should check out my knee too, thus getting two amazing faculty giving me advice. You probably know what happens next: I have surgery to reconstruct my ACL with a semitendinosus/gracilis autograft (they took my hamstrings to make a new ACL). I was thankful I could do surgery over winter break. Over the month that we had off, I got time to recover and relax instead of worrying about school. I started PT off campus and then switched to seeing a PT in our faculty once the new semester got closer. Our faculty are incredible, understanding, kind, teaching, inspiring humans who are the reason I am fairly active for 5 months post-op. My PT, Nancy, is one of the many reasons I am certain that I want to go into this profession because she makes me laugh when PT for an ACL reconstruction is painful. Although I would not recommend tearing your ACL, I have gotten more perspective than I could have imagined from the process.

 

Okay, now go back. I tore my ACL. It was an absolute pain (in the knee) 90% of the time. It was hard watching my friends all ski while I was stuck at the lodge, it’s terrible that I still have pain running even though it’s normal, and I have a huge mental block doing most physical activity now, which is hard. Here’s my advice: Take care of yourself. Have fun, but within healthy limits for yourself. I recommend you also know that life simply happen. Having a positive outlook has made a huge difference for me. Sometimes you just have to see the brighter side. That all being said, I am here, I am passing, and I am chugging along just fine in PT school. So, if you do injure yourself while in school, remember that it is all doable. That’s a promise!

Here’s some other friends that are going through injuries in PT school and some advice they have for dealing with it:

Ryan Pineda, Class of 2020: Lisfranc fracture, surgery completed, in PT currently

“Find a good Netflix show to break up the studying and try not to think about

how much fun your friends are having. Also make sure to buy pass insurance for

your ski pass.”

 

Gabe Lawrence, Class of 2020: meniscal tear, surgery happening this week!

“Make sure to stay active and find something to take your mind off the injury

while you’re rehabbing. It’s easy to be lazy when you have an excuse. Just

because you‘re down a limb doesn’t mean you can’t use the other three.”

 

Jake Berndl, Class of 2020: bilateral inguinal hernia, surgery completed, progressing back to normal physical activity

“Don’t sustain a more serious injury like the above three. Put a positive spin

on your down time – catch up on studying while your classmates are out

having fun instead of studying. This way, when tests or finals roll up, you’re

prepared. Also, don’t forget to ask your surgeon the important questions…”

 

5 Ways to Spend Your Time When You Are Not Studying…

Name: Courtney Backward

Undergrad: Oklahoma Wesleyan University

Hometown: Salina, OK

Fun Fact: I am the world’s most awkward high-five giver/receiver.

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One of my classmates once said “PT school is neither a marathon nor a sprint. It is both at the same time.” That statement resonated with me on a personal level. During my first year of PT school, I found myself drowning in homework and responsibilities. The temptation to ignore almost every other aspect of my life in order to survive school was strong. However, I found that this did not help my stress levels, and it only added to them in a negative way. Instead, I found that taking good care of my life outside of school is the foundation of taking good care of my school work as well. Sometimes taking care of yourself means…NOT STUDYING…yeah, that’s right! So, here are 5 ways to spend your time when you are not studying:

  1. Find a good hang out spot:
    • From coffee shops to book stores to the bar down the street. Find a spot you can unwind and relax. Some favorite local spots include Allegro Coffee Roasters, BookBar (if you are looking for a one-stop shop), Goldspot Brewery, and Local 46. All of these are 3-5 minutes from Regis and are just scratching the surface of the many hangout locations in the Denver area.

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  1. Exercise:
    • Whether you are a yogi, cross-fitter, avid runner, cyclist, power-lifter, or intramural sport phenom, you can find Regis DPT students covering the exercise spectrum. Joining a fitness club is a great way to connect with other people in the community. However, if you are into exercise options that are easy on the bank account, find a friend and exhaust the available free Youtube exercise videos or try out the many trail running paths nearby. If you love organized, competitive sports, Regis offers many different intramural sports. Our classes frequently compete together as a team and have won several championships (not to brag or anything…). Whatever you like to do for exercise, take advantage of opportunities and use it as a stress relieving activity.

 

 

(please enjoy the slo-mo video of Lauren’s epic trick shot)

  1. Get outside:
    • If you don’t take advantage of the outdoor activities in Colorado, you may be missing out on some serious soul medicine. From hiking to park days to outdoor festivals downtown, get out and enjoy the famous Colorado’s 300+ days of sunshine. Some enjoy tackling 14-ers over the weekends, others find beauty and excitement in the lower, half-day hikes. Some of my favorite lower hikes include: Mt. Galbraith Trail Lily Mountain Trailhead and Herman Gulch Trailhead. Our PT class loves to plan park days where we take advantage of the city parks to play volleyball, corn-hole, have a cookout, or just soak up the sun. These activities are very therapeutic and immensely enjoyable!

 

  1. Practice your creativity!
    • I often am so impressed by the creativity and talent that is displayed by many of my classmates. We have dancers, painters, poets, woodworkers, talented chefs, etc. Although my creativity is often derived from Pinterest, it is so much fun to put my creativity to work. Wine and paint nights can be a fun way to relax and unwind with friends. Some individuals enjoy improv dancing to help them to express themselves while others channel their inner “foodie” and put their chef skills to the work (I, personally, am very thankful I have friends with this talent). One thing to keep in mind when practicing creativity is to NOT get caught up in perfection. You are not being graded on this! I know this is a hard concept to understand in PT school. Just have fun with it and let your mind or body be free to run wild!
  1. Don’t think about school!!
    • School is very important. Responsibilities are very important. Becoming a capable physical therapist is very important. However, prioritizing your health and balancing your personal life is imperative. Remember that you are a multi-dimensional person and that is a beautiful thing. Take time to calm your mind. Take time to spend with your friends and family. Take time to treat yourself. We work hard at our school work, so don’t forget to work hard at other aspects of your life as well!

 

Managing Your Posture in PT School

Name: Joshua Holland

Undergrad: Idaho State University

Hometown: Centennial, Colorado

Fun fact: Before PT school, I worked at a BBQ restaurant in Missoula, MT called Notorious P.I.G.

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Last week, I was editing my Biomechanics skills video when I noticed a curly-haired DPT student in my video with fairly poor posture. I was far from excited when I realized that student was me. I knew my posture wasn’t the greatest after years of asymmetrical shoulder position from college pole vaulting and poor lifting mechanics, but I had no idea it was THAT bad! My shoulders were protracted with my head in a significantly forward position. My initial thought was, “man, I am about to be a PT soon…how am I going to teach posture when my own posture is so poor?!”

An average day for PT students involves a heavy dose of lectures, studying, and an even heavier dose of sitting. Often a PT student may be seated in lectures for 8 hours a day. By the end of the day, professors may start to notice students performing many combinations of wiggling, shifting, and slouching, with many students standing up in the back of the class.

The field of physical therapy involves movement for rehabilitation and we often hear, “exercise is good!” However, within school, sometimes we neglect our own movement in order to remain studious. The intention of this blog post is to initiate the thought of posture and provide some quick exercises that DPT students can use throughout their day. As future clinicians, we are role models to many of our patients, so it is important that we recognize our own posture and work to preserve good body mechanics within ourselves in order to have long-lasting careers and fully help our patients.

I couldn’t sleep after seeing my poor posture! So, I set out the next day to find ways to correct and maintain posture and decided to share them with you all. In this blog post, I interviewed Dr. Alice Davis, an expert on the spine, and fellow first year DPT student, Sarah Spivey, a certified pilates instructor since 2007, to provide some tricks on improving posture!

 

Question and Answer Interview with Dr. Alice Davis

Q: Often our posture is poor in class, we tend to slump over to write down our notes, what are some cues we can use in class to correct this?

A: Make sure your feet are flat on the floor and use the back of the chair to support you. You are becoming kinesthetically aware of your body in space as PT students, so try to be aware of the weight on your ischial tuberosities as you sit. Try to make each ischial tuberosity level. The overuse of repetitive poor posture is what creates problems over time, so start to realize your body position while you sit in class.

Q: While we sit in class it feels like we roll our shoulders forward and lean forward to pay closer attention or write on our devices, what are some cues to get those shoulders back with a neutral head?

A: Because you are sitting at computers for most of the days, you tend to have some upper cervical extension and increased flexion in the lower cervical spine. Imagine there is a rope going straight through your head and down to your seat, try to make that rope as straight as possible. A quick exercise you can do in class is move your shoulders up an inch, back an inch, and down an inch, then hold this for ten seconds, and relax. Try to do 10 reps for 10 seconds of this exercise.

Q: For the anatomy nerds out there, what are some of the muscles that are affected by this forward leaning posture/slumped position?

A: The upper cervical spine is extended in this forward posture position. Suboccipitals are a major component in this and often called the headache muscles because it can result in cervicogenic headache. A cervicogenic headache is when the pain begins in the back of the neck first before it goes up to the skull. This can be posture and stress related. Other muscles that play into extensor moment of the upper-cervical spine are the splenius and semispinalis muscles.

Q: Is there any other tips and tricks we can use in the classroom and out of the classroom to help with posture?

A:  

  • Foam rollers are great! You can put the foam roller vertically along your spine with the head and sacrum supported. Using your arms, do some snow angels for pectoralis major and minor.
  • If you are feeling uncomfortable and wiggly, your body is telling you to move – get up and move around.
  • Do something during lunch time. Eating is important, but try not to study if you don’t have to. Give 30 minutes during lunch for your body and mind.
  • Breathing is important. Moving the body and getting the diaphragm to move through breathing helps those muscles that support the thorax. Watch your breathing pattern, especially when you are stressed. Try to do some slow inhales and exhales.
  • Try a simple nodding of your head, as if you’re saying yes. This lengthens the longus colli and capitis muscles that can help with postural support. You can even do this when you’re driving! Rest your occiput on the headrest and perform a little nod. Try to hold the nod for 10 seconds with 10 repetitions.

 

Here are some techniques and exercises for managing posture in graduate school (or any career environment!) brought to you by our very own DPT first year, Sarah Spivey!

 

Sit on deflated Gertie ball.

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This will allow you to sit up on your ischial tuberosities (IT) to encourage a more natural lordotic curve while also eliminating the pressure on the ITs. By sitting on a relatively unstable surface you will also increase the use of your postural stabilizers. Try to incorporate five minutes per hour of sitting.

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Another technique is to use the Gertie ball between your lumbar spine and your chair. Find your ideal posture by allowing yourself to slump in your chair. Now, move into a full anterior tilt of your pelvis until you feel pressure in your lower back. Now, ease off until you feel the pressure disappear. Scoot back toward the back of your chair and place the ball at the level of the lumbar spine. The ball will help you maintain your neutral posture during sitting.

Head nods/nose circles on Gertie ball.

Lie in supine on a firm surface. Bend your knees and place your feet at the distance of your ASIS. Allow your sacrum to feel heavy and equally distributed on the floor/mat. Take a few breaths and notice if you have excessive space between your thoracic spine and the floor. If so, on an exhale, allow your t-spine to sink toward the floor. This should limit any rib flare. Place a 1/3 – ½ inflated Gertie ball (or folded towel) under your head. You should feel pressure evenly distributed near your occipital protuberance – this will insure you are lengthening your cervical extensors (especially for those of use with a forward head!). Take a few breaths and allow your head to feel heavy on the ball. Imagine a one-inch line on the ceiling and slowly trace this line down with your nose. Return to your starting position making sure to avoid moving into extension. Repeat this 8-10 times. Now draw slow circles with your nose around your one-inch line. Keep your circles small and controlled. Perform 6-8 in each direction.

Wall sit pelvic curls.

While sitting in class, if you start to feel your low back tighten up, try this stretch! Stand against a wall with your feet about 12 inches in front of the wall and hip distance apart. Try to feel contact of your sacrum, rib cage and the back of your head on the wall. You should have a very small space between your lumbar spine and the wall. As you exhale, draw your abdominals in and curl your pubic bone up toward your nose. You should feel your lumbar spine flatter against the wall. As you inhale, slowly allow your ischial tuberosities to widen until you are back in a neutral position. Repeat 10-12 times.

 Seated neck stretch – sitting on hand.

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Feeling tension in your neck during class? Scoot forward so your back is away from the chair and sit tall on your ischial tuberosities. Imagine lengthening your cervical spine and then gently tuck your chin toward your chest. Try not to flex your cervical spine! Now allow one ear to fall toward your shoulder. You should feel a stretch on the opposite side. If you would like to increase your stretch, you can sit on the hand of the side you are stretching. For example, if you are feeling the stretch on the right side, sit on your right hand. This will bring your shoulder down and away from your ear.

 

Overall, I hope  this post helped you become more aware of how important it is that we practice good posture while in school, or with any lifestyle! Do you have favorite exercises or tips to remind you to practice posture? Feel free to share with us in a comment below!