Imperium Boxing - Part 1

Imperium Boxing is here! At NeuroSport Physical Therapy, we are challenging the expectation that a person with Parkinson's Disease or other neurologic conditions should expect to decline or lose mobility. We have seen over the years that individuals participating in regular exercise can defy those expectations. Research shows that intense, frequent exercise and physical therapy is important for your brain and body!

As a physical therapist and boxing enthusiast, Dr. Reman Rajab has created a three-part Imperium Boxing series which incorporates large movements and punches to help you exercise at home.  Imperium means “power” in Latin. With Imperium Boxing, we want to empower people with Parkinson’s and other neurologic conditions. 

We will be releasing a three-part video to help keep your brain and body active — especially during this uncertain time while many of us are moving less and spending more time at home. 

In Imperium Boxing, Part 1, Dr. Reman Rajab will guide you through a seated workout. Just a reminder — make sure you are using a stable chair, have a friend or family member nearby for safety, go at your own pace, and take breaks as needed. Keep an eye out for parts two and three coming soon for more advanced options!

Disclaimer: This video is informational and does not substitute for professional medical advice, which should always be sought prior to attempting any exercise or lifestyle activities. NeuroSport Physical Therapy is not responsible for any loss or injury that may arise from or relate to action taken as a result of viewing videos we post.

Questions About: Bike Fit (at the Gym)

Do you wish the bikes at the gym felt as good as your own setup? You may have a great bike fit out on the road or trails, but setting up a gym bike can be hit-or-miss. Dr. Ari Baquet, with NeuroSport Physical Therapy, takes the bike fit discussion indoors with some pointers for quickly setting up a gym spin bike to suit your needs. We want to help you move better and live more — please reach out with questions if we can help!

Questions About: Bike Fit

Your bike should fit like a glove! Have you wondered if riding a bike could feel even better? Have you just picked up riding, or been having discomfort on the bike? NeuroSport Physical Therapy’s Dr. Ari Baquet hops on the trainer to discuss bike fit – what it is, and how to go about getting one. A bike fit should be collaborative, detailed, dependent as much on your feedback as on the fitter’s expertise, and should leave you more knowledgeable about your body. We want to help you move better and live more — please reach out with questions if we can help!

Questions Answered: Running Analysis

“Should I get my running looked at?” is a common question we get from patients who are almost ready to get back out on the roads or trails. The short answer is usually “yes”, but there is a lot behind that.

In understanding whether you should get your running looked at, especially if you are recovering from, have previously dealt with, or are trying to prevent problems or pain, it’s helpful to look under the hood of running analyses. We should also address another common question – “is there a right way to run?”

The “right” way to run

What is the right way to run? However you need to. Your running should feel efficient, pain-free, and suitable for your body and running environment.  The answer is that it depends on many factors, but it most importantly depends on your goals and reason you want to run.

What is a running analysis?

A good running analysis must include, of course, running – preferably after a warm-up, and potentially after you’ve already been in motion for some time if there are issues which arise later in your runs. Research has shown that your running form settles in after about six minutes on the go.

The person working with you will watch for the quality, symmetry, alignment, and timing of how you run, as well as keep an eye out for any “problem movements” relating to any issues you may be having.  They may also suggest small form changes, or “cues”, to try, to help you both learn more about how you run. Sometimes, this may include filming you, both to replay in slow-motion and to show you how you run as well as the effects of any changes to your form.  And, finally there should be a thorough assessment that will include at a minimum a shoewear assessment, history of running, flexibility and strength testing - all to better understand the reason why you run with your particular strategy.

Why get one?

  1. If your running does not altogether feel efficient, pain-free, and suitable for your body and environment

  2. If you want to improve performance, minimize injury (or re-injury) risk, or even educate yourself

At minimum, a good running analysis will help you understand how you move. You will learn about how your body behaves in motion, rather than just at rest. People often tell us that the running analysis done when, for example, shopping for running shoes (check back soon for our video on this) consisted of standing still or, at most, walking – in actuality, what happens in flight while running is usually different.

A good running analysis will also be interactive, enabling you to learn about your movement in the context of what you actually feel when you run. Ultimately, the better you understand your body’s behavior, the more you can troubleshoot if problems arise later.

Who should I see for one?

A running analysis is at its heart a learning tool. Thus, go to somebody interested in helping you learn. A good running coach can be very helpful, as they’ll have worked with and studied a high number of individuals, as can a physical therapist who works with runners, as they’ll have good training in biomechanics and how different parts of the body affect each other.

Whoever you work with, their primary interest should be to help you identify what your goals are for the analysis, and to help you achieve them in that session.

In summary

A running analysis is a great way to learn more about how you move and how your body behaves on the run. There’s no right way to run, but there are sub-optimal ways, so the analysis should look at your unique patterns, symmetries or asymmetries, and alignments, in the context of your personal history and goals. Work with somebody who will tailor the running analysis to meet your needs, and who’s primary interest is in helping you learn.

Questions About: Running Analysis

Running shouldn’t have to hurt! Have you ever thought about getting a running analysis, or would you like to learn more? Here is Dr. Ari Baquet from NeuroSport Physical Therapy discussing what a running analysis should look like and how to go about getting one. Hint — the analysis should be individualized to you, your running goals, and the questions you need answered. We want to help you move better and live more — please reach out with questions if we can help!

NeuroSport Telehealth is here!

We are excited to announce NeuroSport is now offering telehealth visits to all patients (including Medicare). We still offer in-person visits with every precaution, but we wanted to provide an additional avenue to best help you during this time.  Here are some questions and answers about telehealth.

What is telehealth?

  • Simply put, “telehealth physical therapy” (or “virtual physical therapy”) refers to physical therapy services that are provided over a secure video conference rather than in-person.

  • It is convenient and effective! Studies show that telehealth can be as effective as in-person therapy. 

What do you need?

  • A computer, smart-phone, or iPad with camera and audio. 

  • A good internet connection.

What to expect?

  • Just click a link sent to your email that will lead you to a secure website and connect you with your physical therapist via webcam (no need to download anything).

What if technology is difficult for me?

  • If you are having trouble, give us a call and we will guide you through the set up!  Or we can discuss other methods of communication. 

How can telehealth help you?  

  • Telehealth is a great way to review or update your exercises for home.

  • Your physical therapist can guide you through mobilizations and stretches that are specific to you.

  • It is a great opportunity to get caregivers involved and teach them how to assist you with exercise at home. 

  • Your physical therapist can help address any new aches or pains.

  • It is a unique opportunity for your physical therapist to see your home environment to help maximize safety and space for exercise.

  • Telehealth allows us to discuss your progress and techniques to continue your improvement until you can visit us in person.

How long is a visit?

  • Anywhere from 10-55 minutes depending on how much time you and your physical therapist decide you need.

How much will it cost?

  • Now covered by Medicare and some insurances! Call us if you have any questions or would like us to check your telehealth benefits. 

Curious about telehealth? 

  • Give us a call or send your physical therapist an email to discuss -- we are happy to answer any questions or help schedule a virtual visit!

NeuroSport is here for you, and we will continue to do our part to support you for both your short and long-term health and well-being!

COVID-19 Frequently Asked Questions

We wanted to take a moment to answer some frequently asked questions about how NeuroSport is responding to COVID-19.

Are you open?

Yes!  We are open with limited schedules in order to spread out therapists and patients and limit overall numbers in the clinic.  The County Health Department and our PT Association currently encourages PTs to continue to serve patients who need treatment and we are dedicated to doing so.

 

What are you doing to protect me?

  • Many physical therapy clinics are moving to a 1:1 model; we have always had that model and maintain more than 6 feet of distance between patients. 

  • Most of our scheduling support is now done offsite, so there is one less person in the clinic.

  • We screen ourselves every day and screen every single person who comes through our door with a touchless thermometer, as fever is often the first sign associated with COVID-19 and shows up in less than a day even if unnoticed by the individual.

  • All staff wear masks.

  • We sanitize our hands and all touch surfaces between patients. 

  • Additionally, we asking each person who comes through our door to please follow these procedures:

    • Wear face coverings.

    • If you have any symptoms of respiratory infection (e.g., cough, fever), please do not attend PT and call to reschedule your appointment.

    • Wash or sanitize hands upon entering and leaving clinic.

    • Arrive at the time of your appointment to limit the number of people in the waiting area.

    • Have family members and/or caregivers not involved in the PT session wait outside of the clinic.

    • Maintain 6 feet of distance from other patients.

 

Can I do telehealth?

Yes! We are able to provide telehealth appointments (also referred to as eVisits). We can use secure video conferencing to answer any questions and review or update your exercises at home. Contact us if you are interested.  We are also happy to provide resources on ways to stay active and manage stress – please reach out!

 

Where are your great Front Desk people?

Dorothy and Bree are both working remotely in order to decrease the number of people coming into the clinic.  Please be patient – if you leave a message, we will get back to you as soon as we can!



Let us know if you have any additional questions!

NeuroSport COVID-19 Update

We hope all of you are feeling well and managing the stress level we all feel.  

We wanted to give you an update on NeuroSport’s response to the California stay-at-home and Los Angeles County safer-at-home orders.  

According to LA County Department of Public Health and California.gov, these orders do not apply to health care organizations which are considered critical infrastructure during this time.  We plan to keep our doors open for essential care for individuals who feel that they are low risk and need physical therapy services. This includes individuals post-surgery who may lose valuable recovery time as well as individuals who feel that they may regress without physical therapy.  

However, we do want to emphasize that this is a personal decision, sometimes made in consultation with your physician and/or physical therapist. We are here to support you in whatever way that we can during this uncertain time.  We will also be offering telehealth appointments (also referred to as eVisits) to established patients. We can use secure video conferencing to check your movements and help you get the most out of your stretches and exercises at home. Please contact us if you are interested in the option of telehealth.  Lastly, we are happy to provide resources on ways to stay active and manage stress – please reach out!

Many physical therapy clinics are moving to a 1:1 model; we have always had that model and can provide more than 6 feet of distance between patients.  We continue to sanitize our hands and all touch surfaces between patients.  In addition, we are implementing the following steps:

  • No more than 10 people in the gym at all times (it is often much less). This includes patients, therapists and staff.  We are constantly adjusting our schedule to keep a limited number of people in the clinic at one time.

  • We are encouraging patients to arrive at the time of their appointment and to have family members and caregivers wait outside the clinic during their therapy appointment to avoid traffic in the waiting area.

  • We are asking each patient to sanitize or wash their hands upon entering and leaving the clinic.

  • Physical therapists will be screening patients at each visit to ensure no symptoms of or exposure to COVID-19 as well as taking temperature.

The health of our NeuroSport community remains at the forefront of our minds as we open our doors each day.  Please reach out if you have any questions or concerns.  

And please stay safe!

Sincerely, 

Jason and Nicole Cozby and the entire NeuroSport team

COVID-19

Dear NeuroSport Family,

We understand the growing concern around COVID-19. Our patients and our community are at the forefront of our minds as we open our doors each day.  We want to let you know some important information as we continue to serve you.

Our practice, even before the current focus, was to diligently follow all of the standard precautions for infection control in health care, as defined by the Center for Disease Control, including sanitizing equipment surfaces and our hands after each patient.  Given the current circumstances, we are doing our best to double those efforts. We are fortunate enough to have ample space to allow for more than the recommended 6ft of distance between treatment tables.  We also have hand sanitizer and a place to wash your hands while you are at NeuroSport.  We are asking patients to use sanitizer and wash their hands before each session. 

We are checking the Los Angeles Health Department and CDC website for current updates on a daily basis and will keep you informed on new guidelines and recommendations.

Our community is important to us and we want to make sure that everyone is taking the right precautions during this time.

Prevention Precautions:

1.     Wash your hands often with soap and water for at least 20 seconds especially after you have been in a public place, or after blowing your nose, coughing, or sneezing.

2.     Avoid close contact with people who are sick.

3.     Stay home if you are sick, except to get medical care. Learn what to do if you are sick. 

4.     Cover your mouth and nose with a tissue when you cough or sneeze or use the inside of your elbow. 

We will continue to monitor the situation closely and will send updates as they come.