Dangers of Athletic Practices in the Heat

by Ernie Gamble, July 30, 2017

Pre-season sport practices will be kicking off over the next few weeks. With the excitement of another season fueling summer practices, comes the dangers of playing in hot and humid conditions. There are three forms of exertional heat illness which players, parents, and coaches should be familiar with. These are heat cramps, heat exhaustion, and heatstroke. For more about […]


Youth Pitching Injuries on The Rise

by Ernie Gamble, February 5, 2017

Youth baseball injuries are on the rise.  The world renowned Dr. James Andrews describes this rise in injury rates as an epidemic (ESPN interview).  His research shows that 5% of youth pitchers will sustain at least one serious elbow or shoulder injury which will require surgery or end their career.  Historically, throwing breaking pitches at […]


Early Sports Specialization in Young Athletes

by Ernie Gamble, January 29, 2017

In the United States, it is estimated that 72% of school-aged youth (8 to 17 years old) participate in at least one organized sport.  Sports participation has many benefits, including living a healthy lifestyle, having a positive self-image, and building social relationships.  It is also estimated that nearly 30% of school-aged athletes specialize in a […]


Identifying Expert Physical Therapists: Part 2

by Ernie Gamble, December 11, 2016

Previously, I discussed the attributes of expert physical therapists.  Experts share an inner drive for continual learning and improvement of their craft.   Experts collaborate with patients to solve problems and possess a belief that patients are responsible for their own health.  Several other related themes include spending more time with their patients, placing a greater […]


What is Expertise in Physical Therapy?

by Ernie Gamble, August 28, 2016

Recent changes in health care have placed increased pressure on physical therapists to become more efficient and effective with their treatments.  More so than ever, the diagnosis, treatment, and education of a patient must be done quickly and accurately in a limited number of treatment sessions.  In order to practice in such an environment, physical […]


Shared Decision Making in Physical Therapy

by Ernie Gamble, August 21, 2016

Shared decision making between a patient and health care provider is linked with improved patient satisfaction, adherence to treatment, and health outcomes.  Involving a patient in decision making may also reduce anxiety and improve confidence in any physical therapy treatment plan.  Traditional models of health care use a provider focused approach which does not always […]


Communication & the Patient-Therapist Relationship

by Ernie Gamble, August 14, 2016

The result of physical therapy treatment relies on the interplay between the technical ability, communication skills, and reflective capacity of the therapist to respond to the patient.  In previous articles we discussed how a positive patient-therapist relationship is associated with improved satisfaction and treatment outcomes.  Now we turn to which specific factors influence this relationship […]


Patient-Centered Communication

by Ernie Gamble, July 31, 2016

The therapeutic alliance refers to the collaboration between a patient and medical provider, their affective bond, and agreement on treatment goals.  The therapeutic alliance was described in more detail in a previous article.  As a matter of review, trust and empathy have also been closely linked with the therapeutic alliance.  Research has shown that maximizing […]


Physical Therapist-Patient Relationship

by Ernie Gamble, July 24, 2016

The relationship, or alliance, between a patient and medical provider has been considered a critical factor in the success of any treatment plan. The therapeutic alliance refers to the sense of collaboration, warmth, trust, and support between a patient and their medical provider (physician, physical therapist, etc).  There are three proposed components which contribute to […]


Patient Satisfaction with Outpatient Physical Therapy

by Ernie Gamble, July 17, 2016

Health care in the U.S. is shifting towards a value-based system where patient satisfaction plays a key role in the patient experience.  Patient satisfaction is a reflection of the individuals overall experience with receiving a given treatment.  It can be viewed from two perspectives: the quality of care and customer service.  Individuals who are satisfied […]