Moving Forward

A physical therapist's perspective on being a health care consumer and on the profession of physical therapy.

Tuesday, August 25, 2009

TIME Magazine VS. Exercise

John Cloud has written an article that will be considered blasphemy by many in the fitness arena, including many in my own profession of physical therapy. The article appears in the August 17, 2009 TIME magazine and is titled "Why Exercise Won't Make You Thin." Quite a provocative title, eh?

There have been some good reviews recently of what science actually has to say about weight loss and these reviews are consistent with the overall theme of Clouds article. This one is excellent.

Does this mean that you should stop exercising because it is a waste of time? Of course not. Exercise has an excellent track record in quality research for having many many health benefits, and the TIME article is sure to make this point.

Many will take this information as disheartening. But, there is no need for this. As with all good information it adds to our understanding. How would the information in this article change your approach to weight loss?

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Friday, August 7, 2009

Scrutinizing claims

One of the toughest yet most important thing to do as a consumer of health care is to know the quality of information that you're being given. How do you know if someone is giving you good information? After all, there is contradictory info out there for pretty much everything! Well, luckily for us not all information is created equally and there are ways to scrutinize claims to help gain some insight into how much weight, if any, they carry.

It may appear that I've grown infatuated with Dr. Val lately, as I'm about to link to another of her blog posts. I find her writing style and topics to be the best suited for the lay person out of all of the great authors at Science Based Medicine. This week she posted an intro on this very topic and it's excellent. Here it is.

I consider these to be vital skills. Otherwise it is easy to be fooled and easy to spend a lot of money on something that has no real value. The media in its various forms is a perfect place for poor information to take a foot hold and spread. Just look at my previous post on Oprah for an example. I mean she's Oprah. She only gives out good advice, right? How about Good Morning America? Charlie Gibson? The local news paper?

Turns out there is a website that critiques the quality of evidence behind some of the stories in the media. It's pretty interesting to read through. Here it is. Can you find any stories you recognize? Any surprises in the reports?

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Wednesday, July 29, 2009

David Butler, of NOI group in Australia, has put out a video explaining Graded Motor Imagery. This treatment, offered here at Forward Motion, includes mirror therapy and continues to gain research support as a support for various pain and movement conditions.

Here is the video in its entirety.


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Sunday, July 12, 2009

Health Care Reform

Health care reform is upon us and many, including myself, are watching anxiously to see what we'll end up with. Several terms are becoming more and more commonplace in the news, including "socialized medicine", "single payer system" and "public option." Much debate exists as to the utility of these approaches and I won't claim to have the answers.

Depending on your view point of the role of government, it seems, the Canadian system is pointed to as both a successful model to follow and an example of how this type of system can't work.

Dr. Val has a recent blog post taking a look at the Canadian system and some of the issues fueling both sides of the debate. She's also provided some links that also are informative.

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Friday, June 5, 2009

Do You Get Your Medical Advice on Oprah?

Dare I speak against Oprah, who can turn a book into a best seller by simply mentioning that she's read it? Could someone who is richer than everyone I know combined and multiplied by 10 possibly not have all the answers?

I'll just give a general rule:

Being a celebrity does not make you an expert on anything other than being a celebrity.

Oprah's entertainment media is wildly popular and she is gifted at eliciting and portraying stories of empowerment. What she is not gifted at, apparently, is detecting or preventing the spread of bad medical/health advice. In fact, the opposite seems to be the case.

This recent newsweek article sums it up nicely. Now, please lower your tomatoes until you've read the article.


Friday, May 1, 2009

Forward Motion is a Zero Carbon Business!

Forward Motion Physical Therapy is proud to announce that we are now a carbon free business!

We have partnered with to purchase a carbon offset, thereby making us a "Carbon-free partner" and a carbon neutral business. (Actually, we contributed at a level that should more than offset our carbon contribution thus making us a carbon reducing business!)

This is an interesting process. uses the money to support carbon reducing projects such as reforestation and wind farms and recieves a carbon credit through the "cap and trade" system for doing so. The credit is never traded, however, which effectively removes the carbon from the market. For a much more thorough description see this review.

In a time when the phrase "going green" is becoming increasingly more meaningless and prone to exploitation as it grows in popularity, this is an action that provides real results to a real problem.

Forward Motion is proud to be carbon-free!

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Forward Motion is a Zero Carbon Business

Forward Motion Physical Therapy has become a "Carbon-free partner" with

This means that we have purchased a carbon offset to account for the amount of carbon that is generated by our business for the year. The process by which this occurs is pretty interesting. uses the money to support carbon reducing projects (like reforestation, or wind energy projects) which generates a carbon credit from the "cap and trade" system, but then never trades the credit. This effectively removes the carbon from the market. For a more thorough discussion of the process see this review.

In a time when "going green" is becoming an increasingly meaningless and exploitative term as it becomes more trendy, I feel that this approach provides real results for a real problem.

Forward Motion is proud to be carbon free!

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