Rehabilitation With a Personal Trainer vs. Physical Therapy

When tackling your fitness goals, its important to know your body. Are you looking to improve your fitness level or do you have some injury or pain that you need to heal? Your fitness goals will determine whether you see a personal trainer or a physical therapist. Learn the difference between training with both from this article posted on Livestrong.com and written by Nick Ng. For more questions, call our studio at 619-756-7500!

Rehabilitation With a Personal Trainer vs. Physical Therapy
Personal trainer. Photo Credit Creatas Images/Creatas/Getty Images

Personal fitness trainers design exercise programs and help their clients execute them to maintain or improve health, while physical therapists diagnose, treat and manage pain, injuries and diseases. Fitness trainers often encounter clients with existing difficulties, such as severe back pain and diabetes, and plan activities that blur the line between fitness and medicine. When a problem is beyond their expertise, trainers must refer clients to a proper rehabilitation professional, such as a physical therapist.

Therapist Education and Qualifications

Rehabilitation With a Personal Trainer vs. Physical Therapy
Physical therapist. Photo Credit Jupiterimages/Creatas/Getty Images

Physical therapists must have at least a master’s degree in physical therapy, kinesiology, sports medicine or a similar field. If your bachelor’s degree is not exercise related, you need to complete prerequisites as mandated by a university before applying for the physical therapy program. Physical therapists must also be licensed by the state they practice in, pass the National Physical Therapy Examination and fulfill state requirements such as jurisprudence exams, according to the Bureau of Labor Statistics. They must also take continuing education courses to keep their practice updated to maintain their license.

Trainer Education and Qualifications

Rehabilitation With a Personal Trainer vs. Physical Therapy
Sports Medicine is a degree for therapists. Photo Credit Hemera Technologies/AbleStock.com/Getty Images

The profession of personal training does not have an educational standard and is self-regulated. Trainers can have a master’s degree in biomechanics with five years of experience working at a clinical and athletic setting, or simply a weekend certification with no experience. However, personal trainers should have a minimum of a bachelor’s degree in exercise science or a related field as well as an accredited certification that extends their academic knowledge, such as PTA Global or the National Academy of Sports Medicine. They should also be CPR and first-aid certified.

Scope of Practice

Rehabilitation With a Personal Trainer vs. Physical Therapy
Physical therapists works with injured patients. Photo Credit Hemera Technologies/AbleStock.com/Getty Images

Physical therapists diagnose, treat and rehabilitate patients who have an injury or disease that limits their movement. Their job is to help patients move independently, alleviate pain and prevent disability. They often work with patients with joint and muscle pain, multiple sclerosis, arthritis, cerebral palsy, stroke, spina bifida and post-surgical conditions.

Besides designing exercise programs, personal trainers also coach clients to a healthier and more active lifestyle, help prevent injuries and help clients follow through with their physician’s or physical therapist’s advice. They also screen movement patterns to ensure that clients can move well without pain or severe limitations. Trainers may not recommend diets or supplements, unless they are registered dietitians.

Expert Insight

Rehabilitation With a Personal Trainer vs. Physical Therapy
Personal trainer with client at gym. Photo Credit Chris Clinton/Digital Vision/Getty Images

A personal trainer may perform the work of a physical therapist only if he is a licensed physical therapists also. This hybrid professional may work with a patient with back pain and a high school football player who wishes to gain muscle size and speed.

Some personal training certification agencies provide a clinical exercise certification for trainers who have little or no experience or qualifications in the rehabilitation field. When in doubt, choose a physical therapist over a personal trainer for rehabilitation services.

Physical Therapy Exercises for Neck Pain

Many people suffer from neck pain. Here are some exercises to help alleviate some of that pain from an article posted on LIVESTRONG.com ,written by Joshua McCarron . For more questions call our studio at 619-756-7500!

 

Photo Credit Jupiterimages/Goodshoot/Getty ImagesPhysical Therapy Exercises for Neck Pain
Neck pain can range from mild to debilitating.

If you’ve ever experienced pain in your neck, you’re not alone. According to a 2010 study published in the journal “Best Practice & Research Clinical Rheumatology,” neck pain affects up to 20 percent of the population each year. This pain can range in severity from a minor annoyance that slightly disrupts your day to a debilitating condition that leaves you unable to turn your head. Your neck pain may be the result of a chronic, degenerative problem, or occur due to acute trauma from a fall or accident, so visit your doctor to determine the cause of your neck pain. However, most neck pain is not serious, and physical therapy exercises can often help.

Isometric Push

Isometric pushes help to strengthen the muscles on all sides of your neck. Place your palms against your forehead with your fingers pointing up, and gently press your head into your hands. Then, place your hands on the back of your head and do the same thing. Repeat the exercise with one hand placed on the side of your head, pushing against the resistance of your hand. Repeat on the other side. Hold each push for five seconds, rest for three and continue. Throughout each push, keep your neck straight, and do not bend your head forward.

Shoulder Blade Squeeze

Stand or sit comfortably with your back straight, and bend your arms close to 90 degrees. Keep your arms close to your body and squeeze your shoulder blades back together as far as you can without pain. Hold them like that for five seconds, then relax. Do 10 repetitions.

Chin Tuck

The chin tuck is a straightforward movement that gently stretches the back of your neck. Sit or stand with your back straight, and slowly tuck your chin down until you feel a mild stretch in the back of your neck. Hold the stretch for three seconds, and repeat 10 times.

Flexion and Extension

Flexion and extension movements stretch your neck in all directions. Flexion refers to bending your head forward, and extension is when you move it back. Move your head gently, especially during the extension movement. Allow gravity to stretch your neck muscles, with no extra effort from you. Begin by dropping your chin to your chest. Then, circle your head to bring your right ear toward your right shoulder. Continue the circle to the right, until you return to the starting position.

Pronation

It is important to understand pronation and the way your foot moves when you run. Some people pronate more or less when they run. Learn about normal pronation, overpronation and underpronation, and how you can prevent injuries in this article published on Runnersworld.com. For more questions, call or visit our studio at 619-756-7500!

 

 

Pronation

Pronation is the inward movement of the foot as it rolls to distribute the force of impact of the ground as you run. The foot “rolls” inward about fifteen percent, comes in complete contact with the ground, and can support your body weight without any problem. Pronation is critical to proper shock absorption, and it helps you push off evenly from the front of the foot.

Although pronation is a natural movement of the foot, the size of the runner’s arch can affect its ability to roll, causing either supination (underpronation) or overpronation. If you have a normal arch, you’re likely a normal pronator, meaning you’ll do best in a stability shoe that offers moderate pronation control. Runners with flat feet normally overpronate, so they do well in a motion-control shoe that controls pronation. High-arched runners typically underpronate, so they do best in a neutral-cushioned shoe that encourages a more natural foot motion.

 

Normal Pronation

IThe outside part of the heel makes initial contact with the ground. The foot “rolls” inward about fifteen percent, comes in complete contact with the ground, and can support your body weight without any problem. The rolling in of the foot optimally distributes the forces of impact. This movement is called “pronation,” and it’s critical to proper shock absorption. At the end of the gait cycle, you push off evenly from the front of the foot.

Runner’s World Video: Normal Pronation

Normal Pronation: What is it?

We show you, in slow motion detail, how to determine if you have this gait pattern.

 

Overpronation

As with the “normal pronation” sequence, the outside of the heel makes the initial ground contact. However, the foot rolls inward more than the ideal fifteen percent, which is called “overpronation.” This means the foot and ankle have problems stabilizing the body, and shock isn’t absorbed as efficiently. At the end of the gait cycle, the front of the foot pushes off the ground using mainly the big toe and second toe, which then must do all the work.
Preventing Overpronation Injuries 
Overpronation causes extra stress and tightness to the muscles, so do a little extra stretching. Too much motion of the foot can cause calluses, bunions, runner’s knee, plantar fasciitis, and Achilles tendinitis.
If you’re an overpronator, here are a few tips to help you find the right shoes for your feet.
  • Wear shoes with straight or semi-curved lasts
  • Look for motion-control or stability shoes with firm, multidensity midsoles and external control features that limit pronation
  • Use over-the-counter orthotics or arch supports

 

Runner’s World Video: Overpronation

Overpronation: What is it?

We show you, in slow motion detail, how to tell if you have this gait pattern.

 

Underpronation (Supination)

Underpronation (or supination) is the insufficient inward roll of the foot after landing. Again, the outside of the heel makes initial contact with the ground. But the inward movement of the foot occurs at less than fifteen percent (i.e., there is less rolling in than for those with normal or flat feet). Consequently, forces of impact are concentrated on a smaller area of the foot (the outside part), and are not distributed as efficiently. In the push-off phase, most of the work is done by the smaller toes on the outside of the foot.
This places extra stress on the foot, which can lead to iliotibial band syndrome, Achilles tendinitis, and plantar fasciitis. Underpronating will cause the outer edge of running shoes to wear sooner. To see if your shoes are unevenly worn, place them on a flat surface. If they tilt outward, supination is the culprit. Runners with high arches and tight Achilles tendons tend to be supinators.
Preventing Underpronation Injuries 
Supinators should do extra stretching for the calves, hamstrings, quads, and iliotibial band. Wearing the right type of running shoes and replacing worn shoes will also help avoid injuries.
If you’re an underpronator, here are a few tips to help you find the right shoes for your feet.
  • Wear shoes with curved lasts to allow pronation
  • Look for lightweight trainers as they allow more foot motion
  • Check for flexibility on the medial (inner) side of the shoe