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• W257806862 abstract "As I took a walk around campus the other day, I began musing…. Why am I walking?…to prevent heart disease… to lose weight… to prevent a stroke…to prevent Alzheimer's… to warm up (why is my office 62° in the summertime?)… to enjoy the nice weather???? Probably all of these answers would be good, but to be honest, it was to remove my writer's block.So, I asked myself, “Am I a physical therapist when I go for a walk?” Yes… I think I am. I am thinking about the physical environment for walking. I am thinking about others who are or should be walking—maybe I should make a walking team? What does it take to get others to walk, too? What about the cloud of cigarette smoke I pass through at the back of the hospital? No, I'm not going to turn this into a blog posting or an update to my status on Facebook (yes, thanks to my teenage daughter, I am now mildly literate in the social networking environment!). Am I “practicing physical therapy?” Should I get paid for taking a walk? No, but being paid is not all that defines me as a physical therapist.I believe that physical therapists are uniquely positioned to do translational research: taking what we know and helping people to change behavior. Knowledge does not always equal behavior. How many of us KNOW that we should eat 5 fruits and veggies a day or exercise 30 minutes most days of the week, but how many of us DO that? So, if it is more than knowledge, what other factors must we consider?I work with children and young adults with cystic fibrosis and know that the influence of the family must be considered. Also, the home environment—what are the things in the home that either facilitate physical activity or create barriers to it? Next, we must consider the community in which that family resides. Are there opportunities for exercise, such as rail-trails, bike paths, level and safe roads? What is the availability of public transportation to reach good facilities if the family does not reside close to them?So, at this point in my walk, I'm now wondering why physical therapists aren't represented on planning boards, public recreation organizations, senior citizen advisory boards, and all the other groups which make decisions that impact the physical activity opportunities in our communities. Does volunteering to coach a soccer team of 5-year-olds fit into my identity as a physical therapist? I believe it does when I hope to inspire a love of running, kicking, and team play in the kids, rather than to train the next great players. I was so humbled when a mother of one of those kids thanked me for exciting her son about soccer as he is spending hours outside in the backyard playing it.The latest rankings of obesity were released recently. Once again, my home state of West Virginia was ranked #2 in the country. What can a physical therapist do about this? I believe that becoming involved in community programs, research projects, and legislative efforts to increase physical activity in our youth is part of our professional identity.And speaking of legislation, once again our nation is discussing the issues regarding health care. I am hopeful, but also cynical about the newest “plans.” We've been here before and there are still many people who profit from others' real or perceived “mistakes” to make me too hopeful about dramatic change. I have been fortunate to visit countries where all citizens have health care coverage and have heard the pros and cons of that system. I look to our editorial board members, Jenny Alison (Australia) as well as Darlene Reid and Jane Schneiderman (Canada) to share those perspectives with us in the States.I hope that we as a profession can look beyond insurance reimbursement rates to other ways to improve the health of our society. Yes, we must make a living, but I believe there are services we provide that would be of value to people outside of the insurance system. It used to be that we did “chest PT,” now we rarely do “airway clearance”—why? It used to be that we did “cardiac rehab,” now we struggle to have vitals assessed in a patient with a significant history (note Ethel Frese and colleagues' landmark study on the subject1)—why? If we have moved away from our traditional base, we must look at new opportunities in new ways.Why does an American physical therapist need to care about health and wellness issues in South America or Asia? (Ask editorial board member, Larry Cahalin.2) I believe we need to be forming relationships with physiotherapists and other disciplines in global organizations, such as the World Confederation for Physical Therapy. We should also collaborate with exercise physiologists, respiratory therapists, personal trainers, strength & conditioning coaches, physical education teachers, etc. I think physical therapists in all settings need to maintain our identity as uniquely qualified professionals who assess and develop physical activity programs for individuals with disabilities, while recognizing that we can't do it all and being willing to share our perspective. There are other professions who are doing great work, but don't realize that the input of a physical therapist can make this work even better.We need to develop our consulting skills—with patients, with coworkers, with institutions (eg, serve on a hospital board to develop a smoke-free campus), with legislators (beyond reimbursement), with community groups (senior centers, fitness centers, wellness programs, and Boards of Health), and with other professionals. We have a unique perspective of bringing the science to individual persons with an understanding of their unique contextual factors. A recent example was a request from APTA to highlight “innovative” practices. Can we think of ourselves in new and “innovative” ways? In this area, I think we are fortunate to have the insight of our own Dianne Jewell and the work she is doing on the APTA Board of Directors.So, after all that mental rambling, my walk is completed. I hope what you read in this Journal reflects my perspective to be broad in the definition of cardiovascular & pulmonary physical therapy and to highlight efforts to both develop new knowledge and to translate that knowledge into behavioral change in our patients and society. So, am I a physical therapist when I go for a walk? I say I am!" @default.
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• W257806862 date "2009-09-01" @default.
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• W257806862 title "Musings while taking a walk..." @default.
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