By Dr. Sean M Wells, DPT, PT, OCS, ATC, CSCS, CNPT, NSCA-CPT, Cert-DN

Can you recall a recent treatment session or patient case where you connected with another fellow physical therapist (PT), occupational therapist (OT), or speech therapist (ST)? Overall the treatment session or case probably went well, right? Both you and the other provider worked together, solved several problems, and/or potentially identified major issues that changed the course of rehabilitation. 

In this example it is easy for us in rehabilitation to see how easy it is to collaborate with other rehab professionals -- but what about dieticians? My team and I have long argued that PTs ought to work more collaboratively with these healthcare providers. Let me delve into several reasons why and examples of how nutrition collaboration benefits all.

Dietitians' Education

Dietitians are educated and clinically trained to work with many challenging populations. Their 4 year college education and clinical training...

Fasting, or intentional restriction of food intake, has been around for thousand of years. Much of the roots of fasting comes from religious or spiritual ceremonies; today, fasting is often done for the aspects of improving health and longevity, with some still continuing the religious or spiritual purpose. The data on fasting is robust and doctors of physical therapy (DPTs) need to be aware of the benefits, risks, and the how-to of fasting. Let's get started!

Many various forms of fasting exists. Strict or pure fasting includes the abstinence of food altogether. Time restricted fasting or feeding is where a person restricts feeding to a certain number of daytime hours and uses sleep to help create a partial fast. In other words, a person may eat only from 11am to 7pm, while fasting from 7pm to 11am. Some might consider this a form of intermittent fasting, but the true definition of intermittent fasting is where person will consume food ad libitum one day while restricting food...

By Dr. Sean M Wells, DPT, PT, OCS, ATC/L, CSCS, NSCA-CPT, CNPT, Cert-DN

The field of nutrition science continually expands. Once seen through only a metabolic and nutrient lens, nutrition science now interconnects with immunology, neurology, and psychology. How these fields of study interact are becoming amazingly complex but may help to shed light into various therapies and prevention for many common chronic conditions. How these various areas of clinical practice interact with nutrition makes it apparent that the practicing physical therapist needs to be aware of how foods interact with human physiology and biochemistry. 

Immunonutrition

Nutrition certainly impacts immunology. From colds to rheumatic flares, diet can certainly mediate certain physiological processes that can drive or promote disease states. Nutrients play a vital role in disease prevention. Water helps to hydrate our eyes and mouth to prevent infections. Vitamin C helps to boost white blood cell count, which...

By Dr. Sean M. Wells, DPT, PT, OCS, ATC/L, CSCS, NSCA-CPT, CNPT, Cert-DN

Weight Loss and Physical Therapy

Traditional physical therapy (PT) does an amazing job at treating dysfunction, pain, and problems. Preventative care and wellness, such as weight loss, was once taboo and often ignored by many physical therapists. However, today's Doctors of Physical Therapy (DPTs) are truly embracing more holistic treatments like nutrition, mindfulness, and sleep habits. Having physical therapy patients lose weight can help reduce inflammation, prevent health issues, and may improve PT outcomes. But what about stopping the weight gain in the first place? Weight gain prevention is vitally important, as it is much more difficult to lose the weight than it is to gain it. Given such interest in these topics, our team found it relevant to consider a recent study looking at weight gain and arthritis -- let's make the case for more PTs to start talking about patients preventing weight.

Top 3 Nutrition Resources for PTs

By Dr. Sean M Wells, DPT, PT, OCS, ATC/L, CSCS, CNPT, Cert-DN

Physical therapists (PTs) are unique healthcare providers. They are doctorally prepared, trained for direct and primary care, and work in a multitude of settings. Recently the American Physical Therapy Association (APTA) released a new House of Delegate motion stating PTs ought to be more involved with nutrition care and should be trained and educated in nutrition further. Obviously the direct choice for nutrition care would be with a registered dietitian or nutritionist. But what if a PT has the training and legal right to provide nutrition care -- what resources does that PT have to provide optimal nutrition guidance? We will explore the top 3 nutrition resources for the PT!

NutritionFacts.org

Dr. Michael Greger established https://nutritionfacts.org/ with the intent of sharing evidenced-based nutrition knowledge for everyone -- for free! The lifestyle medicine physician has gone to...

Which Physical Therapists Should Get Nutrition Education?

By Dr. Sean M. Wells, DPT, PT, OCS, ATC/L, CNPT, CSCS, NSCA-CPT, Cert-DN

The role of doctors of physical therapy (DPTs) is getting larger and larger. Many States and countries outside of the United States now offer direct access to physical therapists (PTs). Such immediate access requires the PT to be a primary care provider with a wide range of knowledge, skills, and abilities (KSAs). Moreover, many PTs that are part of the American Physical Therapy Association (APTA) Council on Prevention, Health Promotion, and Wellness (PHPW) or that have participated in courses offered by the Institute of Clinical Excellence (also known as PT On ICE) will tell you the importance of social determinants of health (SDOH). SDOH often have a much bigger impact and role in health and functional outcomes than medical care. One such SDOH that plays a major role in disease development, prevention, and treatment is nutrition. DPTs are seeing this...

Population Health and Nutrition: A Tool to “Transform Society”

By Dr. Sean M. Wells, DPT, PT, OCS, ATC/L, CNPT, CSCS, NSCA-CPT, Cert-DN

Recently our editor of the Physical Therapy Journal (PTJ), Alan Jette, highlighted a recent article that took a focus on a Framework for Population Health for physical therapists (PTs). Population health considers the health and outcomes of a group of people, and how those health outcomes are distributed within the population. The view of population health is much broader and encompasses not just quality of life and health but also the interplay of the social determinants of health (SDOH), such as individual behavior, healthcare, physical environment, genetics, and social environment. Before we dive into how PTs, using such a framework, can transform society, here’s a great diagram to demonstrate the encompassing view and interplay of population health:

Source: ...

It’s not often our team at Nutritional Physical Therapy gets excited about movies; however, a recent movie has got the whole team excited: The Game Changers.

The Game Changers will change the sports, physical therapy (PT), athletic training, and strength and conditioning world. James Cameron, Arnold Schwarzenegger, Jackie Chan are the producers, along with the elite athletes of Lewis Hamilton, Novak Djokovic, and Chris Paul helping out.  The movie has been currently endorsed by the American College of Lifestyle Medicine, the Special Operations Medical Association (SOMA), the Defense Health Agency (DHA), and the Green Sports Alliance. Hopefully with enough momentum we can see the likes of the American Physical Therapy Association (APTA), the National Athletic Trainers’ Association (NATA), and the American College of Sports Medicine (ACSM) join the endorsement ranks.

The movie features James Wilk, special operator trainer and UFC fighter, on a mission to share...