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.

Heat vs. Ice

You have an injury, but you’ve heard to both heat and ice it? So which is better? Take a look at this article by Lindsey Balint, PT, DPT, featured on Sports Physical Therapy Institute to find out which will be more beneficial to you!

Ice and heat are common modalities used to help heal orthopedic injuries but how do you decide which is best to use? There are several things to take into consideration when deciding which modality will best help achieve your treatment goals.

Is the injury Acute or Chronic?

Acute: Recent onset of an injury (< 48 hours). During the acute phase of an injury the body's inflammatory response is active and ice is the preferred modality to prevent swelling that can cause pain. During the first 24-48 hours following an injury, the RICE principal should be followed and is described later in this article.
Chronic: Injuries that continue for a long period of time. During the chronic phase of an injury both ice and heat may be used depending on the treatment goals. Typically heat would be used prior to exercising to loosen tissues and prepare for activity. Ice is typically used after exercise to decrease inflammation following the activity.

What is RICE?

RICE is an acronym to help you remember what to do following an acute injury. RICE stands for Rest, Ice, Compression and Elevation.

REST: Immobilize to limit motion, and decrease the amount of weight you put through the injured body part.
ICE: Apply the cold modality of your choice to help reduce swelling, and decrease pain.
COMPRESSION: Apply a compressive bandage to reduce swelling to the area. When applying a compressive bandage it should be snug but not tight. Applying a compressive wrap too tightly can cut off blood supply and cause further damage.
ELEVATION: Raise the injured body part above the level of the heart. This will help the body decrease swelling to the area.

What are the goals of treatment?

Ice Heat

Decrease Swelling/Inflammation X
Decrease Pain X X
Increase Tissue Extensibility X
Decrease Stiffness X
Decrease Muscle Spasm X X
Increase Joint Range of Motion X

Are there any situations in which heat should not be applied?

Over an open wound
Over areas of skin where there is decreased sensation
Areas where circulation is impaired
Over tumors
Acute injuries

Are there any situations in which ice should not be applied?

Over an open wound
If you have hypersensitivity or intolerance to cold
Peripheral Vascular Disease
Over areas of skin where there is decreased sensation
Raynaud's disease

How long should heat or ice be applied to an injury?

Ice and heat can be very helpful in treating orthopedic injuries but overuse of these modalities can be too much of a good thing. Apply heat or ice for only 10-15 minutes at a time to prevent burning or frostbite. If you have any additional questions about when to use heat versus ice, feel free to contact the physical therapists at Sports Physical Therapy for additional information.