EVOLVE Flagstaff Physical Therapy Manifesto

EVOLVE Flagstaff was created to help our community avoid injury and disease, and to do what they love, for life. Our team is driven to help you reach your potential, which is not possible if you are hurting, cannot move the way you want, or are not nourishing your body well with the proper foods and lifestyle habits.

EVOLVE Flagstaff physical therapy operates differently than a standard physical therapy clinic. This manifesto outlines our standards of care and thought process. We will strive to provide this level of care to every patient, every time.

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Strength Training 101

Strength training is one of the most research-based and powerful tools available to us to increase longevity, improve performance, reduce injury risk, alter body composition, and improve overall health, However, strength training is often misunderstood or not implemented properly. It can be intimidating, or cause pain if not done properly. This is the first in a series of posts that will attempt to dispel some common myths or areas of confusion.

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Brian Kinslow
Why New Year's Resolutions Don't Work - And What To Do Instead

It’s no secret: most New Year’s resolutions don’t succeed. Across the country, gyms fill up on January 1, only to empty back out by the end of the month. A study showed that the two most common New Year’s resolutions are “Eat healthier” and “Get more exercise.” These were closely followed by “Save more money,” and “Focus on self-care (e.g, get more sleep).”

While these are great ideas, results are pretty terrible: On average, only 8% of people succeed at their New Year’s resolution.

Holy crap! 8%! That’s even worse than a random roll of the dice! How can we do better?

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Brian Kinslow
G.I Issues: Athlete Edition

Warning! We will be dropping the D bomb in this article (diarrhea) and talking about very normal bodily functions. If you are squeamish… deal with it, especially if you are having gastrointestinal (GI) issues during exercise. 

If you are an athlete, then I’m sure that you have experienced some sort of discomfort with your gut during training. This is the most common complaint that we get from our athletes. There are horror stories of jumping behind the nearest tree and using your favorite sock to manage the aftermath. Or, going out for a long Sunday ride and battling your breakfast so you don’t have it for round two. Unfortunately, many of us have stories of our own and many athletes assume this is part of their sport. Because your hardcore, right?

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Abby Chan
Self-treatment techniques for lower back pain

One of the most common questions that I get goes something like this, “Hey, I tweaked my lower back the other day. It’s really hurting me. What stretches should I do?”

This can be a tricky question to answer, because so many things in injury rehabilitation depend: depend on your unique history (Have you had lower back pain previously?), the severity of your injury (Does hurt a little? A lot? Are there any red flags, such as muscle weakness, that need to be promptly investigated further?), your activities/hobbies (Are you a cyclist? Runner? Yogi? Not very active?), your specific anatomy and biomechanical factors (How is your muscle strength, flexibility and joint range of motion?), and so much more.

However, there are usually a few safe ways to attempt to relieve lower back pain on your own, and I often send out the general recommendations below as a response when I get asked about back pain.

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When Healthy Goes Too Far: Meet Orthorexia

Lets play a little game of association here. When you hear the word healthy, what comes to your mind?

The “healthy” is a loaded word these days. Gluten-free, toned thighs, 12 pack abs, dairy-free, nut-free, paleo, keto, whole 30, long flowing locks, youthful-ageless skin, ________ insert any other #trendingnow thing.

Recently there has been an increase in interest in eating healthy, which is AWESOME don’t get us wrong. We love that people are thinking about food. We love thinking about food.

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Low Intensity Training and the Maximal Aerobic Function Test: Measuring Aerobic Fitness and Nervous System Function

Testing strength standards is fairly straightforward: can you lift a certain weight for a certain number of reps, or not?

However, measuring cardiovascular and aerobic function can be more complex. Of course, there's a straightforward race or time trial -- how fast can you go over a certain distance -- but this does not consider different cardiovascular energy systems, or the role of mental fortitude, for example.

Even more complex is measuring nervous system function. Do you live and work primarily in a sympathetic state (more hype, more stress, faster-paced sprint efforts), or a parasympathetic state (resting and digesting, slower aerobic efforts)? This is important to consider as it can be a window in both the effects of our training, and how we are coping with all of the other stresses present in our lives. 

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Performance Training Standards: How we progress our athletes over time

Central to our Performance Training program and thought process is progression: How to we make sure that you get from A to B? How to we develop an athlete over time to ensure that they are well-rounded, resilient, durable, and capable?

It's a tricky question, and many people have experienced problems from a lack of proper progression. These can include:

  • Improvements early in a program followed by a plateau.

  • Getting injured soon after started a program.

  • Excelling in one specific area or domain with little carryover or ability in others.

  • Fizzling out of a program because you didn't see "where it was going."

While we want to encourage exercise and physical activity in all of its shapes and forms -- our healthcare system would have much fewer issues if more people were more active -- at EVOLVE, we want to be more nuanced, and not simply exercise for the sake of exercise. A training program has a progression model in mind. It's easy to write a hard workout, but more challenging to adequately and appropriately challenge an athlete over time.

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