PHYSICAL THERAPY

Integrating strength and conditioning into a physiotherapy business


In this episode of #AskMikeReinold, we talk about adding strength and conditioning to a physiotherapy practice. There are good, and suboptimal, ways of doing this. Learn from our experience growing Champion over the past 6 years. To see more episodes, subscribe and ask questions, go to mikereinold.com/askmikereinold.

#AskMikeReinold Episode 229: Integrating Strength and Conditioning into a Physiotherapy Business

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Show Notes



Transcription

Student:
So we have Maddie from Canada, “Hi everyone, I love your show. I just wanted to ask you how you manage to successfully integrate bodybuilding and physiotherapy services into your business model. We were looking to add strength and conditioning trainers to our physiotherapy clinic, but we are concerned about when one profession really takes over and the other becomes less involved in patient care as the two professions intersect. in a significative way. Any thoughts and advice on this would be greatly appreciated. “

Mike Reinold:
Can we all quickly applaud Ray for this? It was –

Lenny Macrina:
Good very good.

Mike Reinold:
Welcome to the show, Ray. Yes, you know what, this is actually a great question and I think it becomes more and more relevant as people search … I don’t know if companies are looking to increase their ancillary services or their results. I don’t know if this is the case. I know the way we did it at Champion was that we wanted to create a nice built-in model, and we kind of thought about what’s best for people first, and then we kind of figured it out. how to make it a business. We didn’t do it just to make money. So I would say that’s one thing that physiotherapy clinics do a little bit wrong, is that they just want to add strength and conditioning just to make the money. So this is not a well thought out plan.

Mike Reinold:
So how about I will start with this; I’m going to kind of start off and say how we structured it and why we did it that way. And then maybe we can talk a little bit about how this interaction goes. So maybe we can hear a therapist or two that kind of talk about how they transferred people, and then maybe we can talk from Diwesh’s point of view as the director of strength and conditioning. . Did I just give you a raise? Was it a good promotion? You are therefore the director of fitness. We should change your title to Director of Strength and Conditioning. I do not like –

Diwesh Poudyal:
I think fitness manager official is my title.

Mike Reinold:
Okay. Well, we’ll work on it. You see, it’s service first, business second. It’s not our thing, but I think you’re better than that. So I’ll start with this and say how did we build it? What was the model behind what we did? The first thing we thought about is what’s best for the person? What is best for the client, the patient to get them where we want them? And we totally thought traditional physical therapy was a little bit off the boat on some of the advanced stuff. So we thought, well, we need a gym, we need real equipment, we need that stuff. Now, at that point, a lot of physiotherapy clinics are going to screw up. They’ll hire a technician or maybe just a personal trainer who they just want to come around and delegate tasks to. What we did was we said no, we also want to start a weight training and conditioning facility.

Mike Reinold:
And we’re not the ones doing the micromanaging, but what we did was we hired a team of strength coaches who were really good at their jobs and really understood it, and we just found a vision and let them run with it. And I think that’s the real key here is that a lot of PTs wanted to micromanage the strength and conditioning department and make it very rehabilitated and then I think what’s going on is people don’t want to workout in your gym, because they see it as some kind of rehab gym. So it depends on what you want to do. For us, we wanted to have something where we could work holistically on everyone across the spectrum, and that was the best way to structure it. So our goal is for there to be a lot of collaboration. People join the gymnasium, they will have problems, will come to physiotherapy, then our physiotherapy clients can join the gymnasium, then we will have a beautiful holistic thing. That’s kind of how we did it. Len, was there anything that I missed from a structure perspective before I get into how we operate together?

Lenny Macrina:
No, I think it was good. I think like you said it’s good to be a strength trainer or a personal trainer running the show, not the PTs trying to do that because we are really good strength trainers, most of us. There are huge PTs who are good strength trainers and we have a few on staff, actually. So you have to have the right people, and that’s why in our initial model we had strength trainers running the show. We just helped guide it a little bit, but –

Mike Reinold:
Wow, this is a first for Lenny. Lenny was just pure abandon. Sensational. Alright, sweetie. Okay. Perfect.

Dave Tilley:
I think he just ripped the cord off the wall.

Mike Reinold:
Is not it? It’s weird. It’s not a zoom issue. Just let me –

Dave Tilley:
I love the freeze frame, it’s awesome.

Mike Reinold:
I think we can officially call that Lenny shot a Jonah and froze.

Lenny Macrina:
I returned.

Mike Reinold:
Very good, great. Good thoughts, Len. I love it. So I want to hear from… what about Dan Pope? Because Dan Pope was actually a strength and conditioning trainer who actually worked as a strength and conditioning trainer before he became a physiotherapist. How do you see this model working for people from these two perspectives? What pearls do you think people can benefit from? Dan you are silent.

Dan Pope:
The wheels fall off this episode.

Mike Reinold:
We’re… wow, the worst podcast ever. So the worst podcast ever, and Ray read the question. Coincidence? I’m not sure, but… so Pope, from your ex perspective… not that you’ve ever been an ex, but as someone who was just a strength trainer at one point, how do you see it going best?

Dan Pope:
Yeah, so for me, I entered physical therapy as a strength conditioning trainer and my very specific flavor of physical therapy is really strength and conditioning. And for me, it was actually a lot to let go of my responsibilities as a strength and conditioning coach and trust some of the other coaches that we have. So I try to get people involved in the strength and conditioning side as early as possible, because I feel like that’s a big part of their rehab. I think we’re very, very lucky with our strength and conditioning coaches here at Champion because they understand the pain and the injuries and we work so together that it’s not really hard to do.

Dan Pope:
But generally speaking when I work with a strength and conditioning trainer I want to fit them into that frame, I’m going to do a few sessions, maybe a few weeks to make sure the pain issues aren’t too much. high to get a feel for how their pain progresses over time so that I can give the coach some expectations, I can show them which movements they should probably push and which to stay away, what to expect as we progress. And then what happens is we start with more physical therapy and convert a little bit of strength and conditioning, but that doesn’t mean your physical therapy is over. We still do physiotherapy. Maybe we do less physiotherapy over time because this person’s pain goes down, go down, go down.

Mike Reinold:
Okay, what I like from a health standpoint and even a financial standpoint is that you wean them off when they need your skilled physiotherapy less and less and they need to. more TherEx or strength and conditioning type stuff. It’s that transitional phase. So I think Dan just described a good thing. This is not physiotherapy, strength and conditioning. There is a big overlap in the middle where the person probably goes through a spectrum and does everything. So they run through it a bit. So Diwesh, from your perspective as a strength coach in the facility, what do you like about the model? How do you see this being beneficial for someone? But more importantly, what advice could you possibly give to the crowd of physiotherapists interested in doing this, finding someone like you, and working with someone like you to make it go smoothly?

Diwesh Poudyal:
Yeah, I think I’m basing myself on what Dan said, because I think he explained it perfectly. I think a lot of people like to think of it as one or the other, where it’s actually like a really good harmony of the two, and it’s always just adding a little more of the one whose client or the athlete needs and then give them a little less of the other, or vice versa. It is therefore always this addition and this subtraction instead of this single addition or this single subtraction. And then to answer the second part of your question, I think the biggest advice I would give is, again, to find a coach that you respect and really trust and let them take the lead on strength and conditioning rather than, like you said, Mike, very early on, kindly micromanages what’s going on in the facility and says great, here are my directors on rehab and training. I want you to do it this way. And just let the coach be the coach and trust him to understand the principles of strength and conditioning and to take someone who is in late rehab and bring them back to performance.

Mike Reinold:
I like it, and I think it’s going to go a lot on either having relationships with great professionals or maybe even a really good interview process to make sure you’re on the same page, to make sure you are the same type of training. At Champion, I don’t want to call us functional. I don’t think that’s quite it, but we call it more performance-based, where we work with people who want to optimize themselves or improve their performance. So since we share this vision in both service lines, you can see the synergy. It’s actually pretty cool from that point of view. So yeah, I think it’s super useful. Maybe one more. And Mike Scaduto, question for you. So I think you’re a good example of people making the transition to the gym.

Mike Reinold:
You probably do this, I don’t want to say more than others, but when you work with a healthy golfer they come to you for an evaluation and often times you find things that may not be painful, but maybe there are some things physiotherapy services, manual therapy can be of benefit, but you also work with strength trainers to improve their performance. Maybe just from your perspective on it, where it might not be the injured person, but maybe the healthy person who also needs physical therapy. I know this sounds like an oxymoron to some people, but I think it’s a different way of thinking. It’s not just how rehab goes to strength and conditioning, but how does a person who comes for performance also need … how to determine that they need manual therapy and stuff like it?

Mike Scaduto:
Yes, absolutely, and I think it starts with the assessment. So from my perspective as a physiotherapist who also does some kind of performance based therapy, it starts with my assessment and if we determine that the person may have a mobility restriction that we think could respond well to short term manual therapy, I think it can kind of boost their home exercise program that we give them and prepare them for success in the gym then once we see positive changes , if they respond well to manual therapy, then again, like Diwesh said, we sort of wash ourselves off, we start to ramp up their load a little bit to take their performance to the next level. So I think we are using manual therapy to maybe jumpstart this process or hopefully speed up this process to see how they respond to manual therapy and then our goal is ultimately to maximize their performance.

Mike Scaduto:
So we need to determine in our assessment where we’re going to be spending most of our time. Is it about strength, power, mobility and stability and stuff like that. So I think the two definitely go together. Part of my goal is to use my skills to get them into the gym as quickly as possible and to collaborate with the coach. And I think from the client’s perspective when they see a strength trainer and a physiotherapist talking together, I think it’s really powerful and we are working to achieve their goals and I think they really buy into that process. . So I think the whole process goes smoothly, but so do they… if they have any nagging aches and pains, they feel a little bit comfortable knowing that they can always see the physiotherapist. Even though our strength coaches are great at dealing with minor bumps along the way in terms of minor aches or aches, I think having a physiotherapist on their team and in their medical team really has an impact on that person.

Mike Reinold:
Impressive. Well said, Mike, I like it. Impressive. Hope this helps. Hope this helps your perspective a bit and not just your business structure because I think you have to start with the right perspective. A lot of people are doing it maybe for the wrong reason or maybe they have the bad vision, but I think the vision that we created at Champion was part of the reasons the structure was successful and I think it was. is a bit important. Hope this helps. I think that would be great advice from everyone on how you can potentially structure something similar to us at Champion. Again, thank you very much. If you have any questions like this, go to the website, mikereinold.com, click on the podcast link, fill out the form. Head over to iTunes, Spotify, wherever you listen to this podcast. Rate us and rate us so we can continue to spread the word. The more, the better. Thank you so much. See you on the next episode.



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