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  • Elements of Motion is fully dedicated to serving medical providers with personal fitness services for patients under their care.
  • Elements of Motion contracts with hospitals, physical therapy clinics and chiropractic offices to provide clinical exercise, Muscle Activation Techniques (MAT) and personal fitness training services on site and in the clinic of these provides whenever possible.
  • Elements of Motion creates and nurtures referral relationships with a variety of medical and health care providers including podiatrists, pain specialists, internists, psychiatrists, psychologists, chiropractors, massage therapists, Rolfer’s and energy workers.

What patient populations can I refer?

A plethora of research studies have proven the efficacy of physical conditioning and fitness programming for the support of medical management for many diseases including:

  • Diabetes (Type I and II)
  • Coronary Artery Disease
  • COPD
  • Hypertension
  • Chronic Muscle Pain
  • Osteoporosis
  • Depression
  • Neuromuscular Disorders
  • Obesity
  • Postural Imbalances
  • Sarcopenia
  • Athletic Injury

As well, physical reconditioning is appropriate for pre-surgical weight loss and fitness to facilitate recovery and prepare the physiology for the rigors of the surgical intervention.

It is also a great tool for post-physical therapy. Orthopedic injuries frequently force active people to become sedentary while recovering. Physical reconditioning is a great way to restore full body function to move them into ADL's quickly, efficiently, and safely. Patients recovering from trauma and injury that results in the loss of strength and flexibility, of both the injured and uninjured areas of the body, can benefit from physical reconditioning.

When should I refer a patient to Physicians Fitness?

Whenever possible! All patients from 8 to over 80 that are not contraindicated from physical activity can be eligible for our program.

We provide the following guidelines to assist your decision making:

  • 1.Existing diagnosis if applicable (asymptomatic patients are welcome too.)
  • 2. The patient has reached maximum medical improvement or is considered medically stable, with current drug therapy and surgical intervention (unless pre-surgical conditioning is intended).
  • 3. The patient has completed any acute phase intervention and any physical therapy requirements.
  • 4. No known psychological disorders affecting cognitive learning or any displays of violent tendencies.

What is included in the initial assessment?

Our assessment and program development is based on our Mobility Profiling System. This system is grounded in the concept that in order for individuals to enjoy fitness activity and engage in it at a level that improves health and prevents disease with a high degree of safety, the body should be structurally sound. We define "structurally sound" as:

  • the core of the body is strong and stable.
  • the extremities have the fullest available range of motion.
  • the skeletal muscles are balanced across joints contra-laterally.
  • the client's posture and body awareness is optimal.
  • the anthropometry is balanced.

Base line testing includes:

  • Anthropomorphic Measurements - somatotyping, body composition, body mass indexing, girth measurements.
  • Submaximal Cardiovascular Screening - resting heart rate, blood pressure, submaximal ergometer stress test, heart rate recovery, Karvonen Formula, perceived exertion, talk test.
  • Postural Evaluation - frontal and saggital plane views, anterior and posterior views, leg length, body weight distribution.
  • Balance and Coordination Screening - single leg balance, excursion, hop and multi-plane challenges.
  • Flexibility - all major joint and muscle range of motion analysis.
  • Muscle Strength and Muscle Endurance Tests - multi and single joint loading approximating a 10 or 15 repetition maximum or to temporary muscle fatigue, in timed intervals, using perceived exertion scales.

As a professional courtesy, we provide all medical providers with complimentary assessments to introduce them to the Mobility Profiling System. Simply contact us and request a complimentary assessment. Please provide a convenient date and time and a phone number to reach you.

What happens when I refer a patient?

Initially we will schedule a complimentary consultation that will last 60 to 90 minutes. This process ascertains the following:

  • a. Brief History
  • b. Patient's goals
  • c. Appropriateness of our services
  • d. Determination of financial arrangements.

If both the client and trainer agree on a working relationship, we will proceed to a formal health history questionnaire and schedule the initial assessment.

How do I refer?

You may use your own prescription pad; or we can provide you with a referral form to fax directly to us. Please contact us and request a referral form. If using your own prescription pad, we encourage you to fax it to us with the patient's phone number so that we may provide a professional follow-up. You may fax us at (614) 442-8200.

Example prescription:

Diabetes (250.2), Hypertension (401.0)
Exercise Program Evaluation and Physical Reconditioning
No Contraindications

Will insurance pay?

We are not licensed medical providers as defined by insurance company standards. Therefore, we establish a comfortable private pay plan with your patient (our client) and support the client's efforts to obtain reimbursement. We have often found that a strong referral from a physician with an appropriate diagnosis has assisted clients in attaining reimbursement as payers begin to realize that our services are appropriate and cost effective.

What kind of reports should I expect

After the initial assessment is completed and the program is developed, you will receive a written narrative and copies of the initial training regime for review. We welcome any input from you at this point. Progress reports will follow at your specified intervals or we will send one every 4 to 6 weeks depending on the length of the training period. Additionally, we take a client subjective report at each three week period of training.

What is the difference between sending a patient to a physical therapist or to a Physicians Fitness professional?

This is an important question. The modern physical therapist is dealing with high treatment volumes and very focused on the specific pathology and subsequent functional restoration. Although some physical therapists are well qualified to evaluate and initiate personal health-fitness programs, very few have the time to address the intricacies of the long term implementation of an exercise plan. Also involved is the lifestyle modification, constant nurturing, one-on-one attention, and dietary coaching that an individual needs to learn and ultimately integrate into their daily life. These issues combined with the hourly expense of most physical therapy services frequently make even short term programs financially prohibitive. Individuals recovering from surgery, acute trauma and significant functional limitations need the expertise, detailed skills and experience of great physical therapists thus making the best use of time and skill another consideration.

We work very closely with the physical therapy community to ensure that scope of practice issues are respected and coordination of expertise is facilitated. We provide the following information for your consideration:

Patient populations that can be readily referred without physical therapist involvement:

  • 1. Stable Metabolic Disease - Diabetes, Hypertension, Obesity, Osteoporosis, Coronary Artery Disease (low risk post event and moderate risk pre-event), Hyperlipidemia, COPD, Stroke, Cancer (in remission).
  • 2. Hypo-Kinetic Dysfunction - Postural and alignment problems (increased lordosis and kyphosis without pain), muscular imbalances, general loss of muscle tone.
  • 3. Mental Health Conditions - Depression, Anxiety.
  • 4. Sport Specific Training/Athletic Conditioning.
  • 5. Pre-surgical for fat/weight reduction and muscle toning to facilitate recovery.
  • 6. The average asymptomatic sedentary patient with no symptoms but stratified high risk due to genetics, family history, environmental exposure, lifestyle.

Conditions under which a physical therapist must be involved at the physical fitness and conditioning assessment or referral to physical therapy.

  • 1. Subjective report of pain above a level of 4 on a 0 to 10 scale.
  • 2. Inflammation response levels of III and IV.
  • 3. Joints categorized at a level of 1 (ankylosed) or 6 (unstable).
  • 4. Conditions that are exacerbated by activity even with modifications to movement patterns.
  • 5. Conditions that result in parasthesia or paralysis of extremities.
  • 6. Post surgical.
  • 7. Pain reported while sleeping or at night.
  • 8. Presence of open wounds or broken bones.

All of the Elements of Motion specialists are trained to recognize scope of practice limitations and will inform you if they feel that the patient's situation is beyond their skill scope.

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