Bartley Physical Therapy

We provide quality, comprehensive treatment for patients who are injured or suffering from any type of movement or function disorder.

As a key member of today's dynamic health care team, we prescribe a goal-oriented program of evaluation, treatment, and prevention for our patient's specific needs. 

Conditions we treat include but are not limited to: 

• Orthopedic and sports injuries
• Pre/post surgical rehabilitation
• Back and neck injuries/pain
• Work injuries
• Auto accident injuries

The benefits of physical therapy include: 

• Relief of pain and muscle spasms
• Improved mobility and increased range of motion
• Increased or maintained strength and endurance
• Decreased swelling and inflammation of joints
• Decreased physical stresses

We work with employers and employees toward preventing work-related injuries, helping to save valuable dollars, lost time, and a lot of pain for both.

Our therapists utilize some of the top testing programs available today, to evaluate potential employees’ physical capabilities of doing their jobs as well as assess ergonomics and provide functional capacity evaluations (FCEs) using the renowned programs including the WorkSTEPS ® Program.

Work hardening, Work Capacity Testing & WorkSTEPS are designed to provide employers with an objective employment testing program that reduces work-place injury incidence and injury costs reduces lost time, and creates accountability for employees and the providers who treat them.

We focus on an active injury prevention approach to helping you:

• We will educate your employees on how to maintain safe work habits.
• We will evaluate employees and their environments to ensure safety.

If you’re an employer or any employee who is concerned about work injury please ask any member of our team about our programs that can make a difference for your company’s bottom line.

We provide quality, comprehensive injury plans for every athlete to prevent injuries or suffering from any type of movement or function disorder.

Our movement specialists identify if the way your body moves or your strength levels are contributing to pain, putting you at an increased risk for suffering a shoulder injury, running injury or even a torn ACL that can hold you back from your highest level of athletic performance. 

Conditions we treat include but are not limited to: 

• ACL-Tear Prevention
• Shoulder Injury
• Runner's Injury

Runner's Injury Prevention:

When it comes to running, that starts with a running analysis.

Our advanced technology gives incredible insight into how your body runs. We measure every movement your lower body makes when running, from your ankle all the way up to your hip.

This allows us to break down every aspect of your technique to determine what is holding you back from being your best, fastest, and most pain-free competitor. After that, we prescribe exercises to strengthen your running. 

The end result is you become a faster, safer runner, prolonging your running career and getting you better results along the way.

Whether you’re a cross country athlete, an adult competitive runner, or a weekend warrior, if you want to run faster or with less pain, you are in the right place. 

Shoulder Injury Prevention:

If you’re an overhead athlete who has ever worried about a shoulder injury like a rotator cuff or labrum tear, a Tommy John injury (which is almost always caused by a bad shoulder), or nerve damage like thoracic outlet syndrome that causes numbness and tingling pain down your arm and hand, and you want to do everything you can to make sure you have a long, injury-free career, you are in the right place.

Physical therapists are movement specialists that have doctorate-level training in assessing, analyzing, and treating movement disorders using the power of your own body.

By knowing exactly what to look for, and how to fix the problems found, pain and injury can be avoided altogether.

ACL Tear Prevention:

There are four key predictors for ACL-tears: strength and power, strength symmetry, and body control.

Strength and power are critical for both athletic performance and injury prevention.

Strength and power symmetry refers to how similar your strength and power levels are between legs. Nobody is 100% the same on both sides, but if one of your legs is significantly stronger or more powerful than the other, your body compensates in ways that put you at increased risk for getting hurt.

Body control is the most well known of these risk factors. Knees that cave in when you run, jump, and make cuts increase the likelihood of injury. 

Testing each of these factors gives you a clear idea of your strengths and weaknesses and highlights exactly what you need to work on to remove as much ACL-tear risk as possible.

If you want to know the truth about how your body works, and if you want to prevent a devastating, life-changing injury, this ACL-tear risk assessment is for you.

What is a concussion?

A concussion is defined as a disruption of the normal functioning of the brain usually due to a direct or indirect force to the head.

Is Concussion a brain injury?

Yes. In short, it is a functional injury to the brain, rather than a structural injury.

What do you mean by a functional injury to the brain?

The brain controls many functions of the human body. When these functions are disrupted, the “concussed” person may experience problems with thinking, balance, emotion, and sleep. As a result, they may feel mentally “foggy,” dizzy, nauseated, more emotional, restless, or tired.

What are the signs and symptoms of a concussion?

After sustaining a fall or blow to the head, if one or more of these signs are observed, a concussion is suspected:

• Appears dazed or stunned, forgetful, or confused, An athlete who sustains a concussion may forget an instruction, be confused about an assignment or position, or be unsure of the game, score, or opponent.
• Can’t recall events prior to or after a hit or fall.
• *Answers questions slowly
• *Moves clumsily.
• *Loses consciousness (even briefly).
• *Shows mood, behavior, or personality changes.

If one or more of these symptoms are reported, a concussion is suspected:

• Headache or “pressure” in the head.
• *Nausea or vomiting.
• *Balance problems or dizziness.
• *Double or blurry vision.
• *Bothered by light or noise.
• *Feeling sluggish, hazy, foggy, or groggy.
• *Confusion, or concentration, or memory problems.
• *Just not “feeling right,” or “feeling down”

Someone must be “knocked out” or lose consciousness to have sustained a concussion, right?

This is a dangerous misconception about concussions. A concussion does not necessarily result in loss of consciousness, nor does the loss of consciousness on its own predict the severity or course of recovery from the concussion.

What should a parent or coach do when they are not sure whether their child or athlete sustained a concussion?

The statement “if in doubt, sit them out” summarizes it best. More specifically, the CDC recommends and California law (AB 2127)* mandates that an athlete suspected of sustaining a concussion or head injury is prohibited from returning to the athletic activity until the athlete is evaluated by a licensed health care provider. This educational sheet published by the CDC is an excellent resource for parents and coaches:

• www.cdc.gov
• Assembly Bill

What are the health risks of “playing through” a concussion or suspected concussion?

Due to slowed reaction time and impaired judgment, an individual who has not fully recovered from a concussion is at heightened risk to sustain another blow to the head if he or she continues to participate in an athletic event. A repeat concussion sustained before full recovery has occurred can lead to second impact syndrome, which is a serious and life-threatening condition that involves rapid swelling of the brain. Although serious, second impact syndrome is preventable through recognition and proper management of an initial concussion.

How soon can an athlete return to play after sustaining a concussion?

The good news is 85% of individuals recover within 3 weeks of sustaining a concussion. However, there are many factors involved in an individual’s recovery from a concussion. Prior to returning to play, it must first be determined by a licensed health care provider trained in the management of concussion that he or she has returned to their “baseline” or pre-injury state. In addition, the athlete must complete a graduated return to play protocol under the supervision of a licensed health care provider trained in the management of concussion.

Why see a Physical Therapist for a concussion?

A Physical Therapist, trained in the management of concussion, is able to evaluate and provide treatment and education for symptoms of concussion, including headache and dizziness. In addition, a physical therapist’s expertise in exercise and movement allows them to safely and effectively implement the mandatory graduated return to play protocol. A Physical Therapist with training and experience treating concussions can help screen for cognitive (thinking and memory) problems, or visual problems that are amenable to referral to Speech-Language Pathology or Occupational Therapy, respectively.

Why should someone choose Physical Therapy to recover from a concussion?

Our clinics are home to a cutting-edge team of Physical, Occupational, and Speech Therapists who are formally trained and experienced in the management of concussion. These expert clinicians have collaborated with local physicians to develop a comprehensive and affordable care model designed to return local high school athletes safely and successfully to sports, academics, and social roles.

Vertigo, dizziness, and imbalance are commonly associated with a problem with the inner ear or vestibular system functioning. There are many causes of vertigo and dizziness that are treatable with the guidance of a physical therapist with specialized training in Vestibular Rehabilitation Therapy.

Vestibular Rehabilitation Therapy is a specialized form of physical therapy that uses specific exercises or activities to promote recovery of balance and a sense of stability. The type of therapeutic strategies your therapist implements will depend on the cause of your dizziness and the severity of your symptoms.

Your therapist will conduct a thorough evaluation to help determine if your dizziness will respond to Vestibular Rehabilitation Therapy. Depending on the findings of the physical therapy evaluation, the therapist will then proceed with treatment and/or possibly a referral to another appropriate health care provider. Most often, you will respond quickly and favorably to the initial treatment. Our Physical Therapists have extensive training and expertise in Vestibular Rehabilitation Therapy.

Causes of dizziness we treat

• BPPV (Benign Paroxysmal Positional Vertigo)
• Vestibular Hypofunction (often due to vestibular neuritis or labyrinthitis)
• Vestibular Migraine or Migraine Associated Dizziness
• Cervicogenic Dizziness or dizziness associated with neck problems
• Dizziness due to concussion/ traumatic brain injury
• Persistent Postural Perceptual Dizziness (formerly known as Chronic Subjective Dizziness)
• Mal de debarquement

Our industrial program is designed to return injured employees to the workplace in a timely manner. We thoroughly identify the physical job demands of the employee and develop a program that will break through the barriers allowing the employee to safely and confidently return to work.

Components

1. Assessing the neuromusculoskeletal condition and application of interventions to specific systems and tissues affected by the injury.
2. Determination of safe work activity that will not compromise medical stability.
3. The design of safe, progressive rehabilitation programs that aggressively recondition the injured worker.
4. Minimization of lost work time through aggressive clinical management and promotion of productive work.

1. Work Conditioning

Work conditioning is an intensive, work-related, goal-oriented conditioning program designed specifically to restore systemic neuromusculoskeletal functions, muscle performance, motor, function, range of motion, and cardiovascular functions. The objective of the work conditioning program is to restore physical capacity and function to enable the patient/client to return to work.

Work = Effort

Program Content

1. Development of program goals in relation to job skills and job requirements. Interventions to improve strength, endurance, movement, flexibility, motor control, and cardiovascular capacity related to the performance of work tasks.
2. Practice, modification, and instruction in work-related activities.
3. Education related to safe job performance and injury prevention.
4. Promotion of patient/client responsibility and self-management.

Testing:

2. Functional Capacity Evaluation

A Functional Capacity Evaluation is a comprehensive battery of performance-based tests that is used commonly to determine the ability for work, activity of daily living, or leisure activity.

The Functional Capacity Evaluation quantifies safe function abilities and is a pivotal resource for:

1. Return to work and job-placement decisions.
2. Disability evaluation.
3. Determination of how non-related illness and injuries impact work performance.
4. Determination of function in a non-occupational setting.
5. Intervention and treatment planning.
6. Case management and case closure.

Reporting

Our reports determine an injured worker’s ability to return to work and includes a physical assessment of the injured client.

3. Ergonomics Assessment

What is an ergonomic assessment?

An ergonomic evaluation is a study of a worker at their workstation to ensure that they are in good posture and that their workstation is properly set up.

A good ergonomic assessment is performed to reduce a worker’s exposure to physical hazards such as:

• Uncomfortable or incorrect postures
• Repetitive tasks that can introduce pain or strain
• Straining of the body

We perform a comprehensive ergonomics assessment and will provide a thorough report to the employee/employer at the conclusion of an evaluation, including all findings and advice.

The three parameters that go into an ergonomic assessment are posture, motion, and temperature.

What are the benefits of good ergonomics?

Bad ergonomics is avoidable. The advantages of excellent ergonomic techniques include lowering company expenses, improving quality, and establishing a safer atmosphere at the workplace.

Reduce costs

Employees who are under physical strain at work may develop ailments that can cost your company money. While the expenses associated with ergonomics, such as special chairs and workspaces, may appear to be a barrier at first, the long-term benefits are better and more productive employees, which are ideal for business.

You may save money on your organization's expenses for missed work time in the near term and workers' compensation over time by following good ergonomic practices.

Improves productivity

Employees who are in pain focus on their suffering, not their job. The more severe the pain, the less productive employees were found to be. Comfortable workstations that allow for good posture and fewer movements have been shown to make employees happier.

Workstation design that is properly set up may boost productivity by allowing employees to work in a more comfortable

Improves quality

Workers who are confined in uncomfortable postures might find them distracting and unpleasant. Inadequate workplace design may lead to aggravation and employees that don't perform at their best.

Workers that are suited for ergonomic solutions are more comfortable and productive, allowing them to give their greatest effort.

Improve employee engagement

When you put in the effort to keep your workers healthy and safe, it will increase the overall health and safety of the organization. When employees trust their employer to look after them and are happy doing their job, employee morale and turnover decrease.

Create a better safety culture

Your most important asset as a company is your staff. The accumulation of the four preceding points will result in better employee performance and the creation of a strong safety culture at your firm.

What are the effects of bad ergonomics?

The short- and long-term health impacts of poor ergonomic practices include:

Short term

• Back pain
• Neck pain
• Shoulder, elbow, wrist, and arm pain
• Headaches
• Repetitive injury strains

Long-term

• Postural muscle aches and pains
• Musculoskeletal disorders
• Diabetes
• Heart conditions
• Obesity
• Stroke
• Carpal tunnel

How can ergonomics prevent injury?

When it comes to ergonomic risks, each job type has its own list of issues or red flags. An office worker's fingers, wrists, and arms might be harmed by poor mouse positioning, keyboard posture, or chair design.

A factory employee, on the other hand, is at risk of back and neck injuries due to twisting at the waist while lifting heavy

Symptoms that poor ergonomics causes are frequently mistaken with other problems. Alternatively, they may be minor and difficult to detect at first. You're encouraging more productive work by giving employees tailored, comfortable, and appropriate work stations.

What we offer

We assist clients in achieving their greatest potential through innovation, commitment, and best practices. We specialize in on-site training in manual handling and ergonomics that is customized to your company and industry.

Our Workplace Ergonomic Assessment is designed to help all employees learn how to improve their own working settings in order to prevent injuries and ensure a safe place of business.

4. Corporate Wellness

97% of Fortune 500’s “Top Companies to Work For” have a Wellness Program in place today. The statistics show these programs are no longer a nice addition, but rather a strategic business implementation. Our customizable program consists of a comprehensive step-by-step process that is supported by professionals. We utilize an evidence-based health risk assessment survey, and biometric screening to create data-driven guidance which allows us to take a proactive approach to healthcare.

1. Proven Return On Investment:  Decreased absenteeism, health care costs, and disability claims.
2. Proven Value on Investment: Increased productivity, workplace morale, job satisfaction, and retention.

We offer customized solutions including:

• HEALTH RISK ASSESSMENTS/BIOMETRIC SCREENING • WORKSHOPS • ONSITE/OFFSITE FITNESS CLASSES • GROUP CHALLENGES • PERSONAL TRAINING • NUTRITIONAL COACHING • LIFESTYLE HABIT GUIDANCE • SMOKING CESSATION • RETURN TO WORK • FUNCTIONAL CAPACITY TESTING • MOBILE APP • & MORE!

What is Manual Therapy?

At Greater Therapy Centers we utilize several types of therapy techniques aimed at helping patients recover from pain.  Manual therapy also referred to as manipulative therapy is a hands-on technique to relieve pain and improve range of motion in muscles and joints. Instead of utilizing a machine or device our physical therapists use their hands to apply pressure to particular muscles. This method is used to help decrease pain caused by muscle spasm or joint dysfunction.

Manual therapy helps to restore motion to joints that have been otherwise limited in mobility due to pain. Manipulation, massage and mobilization are three common forms of manual therapy.   With manipulation therapy a licensed physical therapist uses their hands or a small tool to manipulate your muscles and soft tissue to help alleviate pain. Massage therapy is similar to manipulation however it involves working the knots and kinks out of your soft tissues.  For mobilization a physical therapist works on loosening up the joint causing pain.  This is done by moving the joint slowly while increasing the distance of movement directly into the barrier of a joint.

Manual Therapy is used to treat these conditions:

• Headaches
• Low back pain
• Neck pain
• Joint pain
• Sports related injuries

Is manual therapy safe?

Yes.  Manual therapy performed by licensed physical therapists is a safe and effective treatment options for people suffering from pain associated with injuries to the muscles, joint and soft tissue.

At Greater Therapy Centers our licensed physical therapists use stretching and soft tissue mobilization (STM) to help restore function to injured muscles and tissue. STM uses stretching and deep pressure to break up fibrous muscle tissue, also called myofascial adhesions, relax muscle tension and move fluids trapped in the tissues. With this technique our certified physical therapists will determine the area causing the greatest discomfort and work to restore the tissue to its normal texture. This can be done with a variety of tools.

Types of soft tissue mobilization include:

• Strain – Counterstrain
• ASTYM – Graston Technique
• Manual Lymphatic Drainage (MLD)
• Manual traction
• Trigger Point Therapy / Myofascial Release
• Cross friction

The benefits of soft tissue mobilization include:

• Reduction in pain
• Regeneration of soft tissue
• Increased mobility
• Improve function
• Faster recovery

What conditions can be treated with soft tissue mobilization?

• Ankle sprains
• Carpal tunnel syndrome
• Chronic back pain
• Chronic neck pain
• Hip pain
• Knee pain
• Muscle sprains and strains
• Plantar fasciitis
• Scar Tissue
• Shoulder pain
• Shin splints
• Tendinitis
• Post-surgical scarring
• Epicondylitis
• De Quervain’s tenosynovitis

Is stretching and soft tissue mobilization safe?

When performed by a licensed physical therapist soft tissue mobilization is a safe and effective form of physical therapy.

Our sports enhancement program is designed to help you recover from an injury, prevent injury, which simultaneously enhancing your ability to compete. It emphasizes individualized strength and flexibility training, plyometric (intense activity designed to produce fast, powerful muscle movements) and neuromuscular (the relationship between nerves and muscles) coordination activities, and education on safe techniques to promote an unrestricted return to sport, as well as improved athletic performance to aid the prevention of future injury.

Even if you have not had success with other treatments, this program is for you. We address the root cause rather than merely treating symptoms. This results in a more long-lasting result which is highly effective in preventing recurrent problems.

Benefits of Our Sports Enhancement Program:

• Safe, unrestricted return to sport after injury.
• Improved athletic performance.
• Avoid lingering effects of an injury.
• Reduce the risk of re-injury.
• Start seeing immediate results.
• Faster recovery period.
• Learn how to avoid future problems.
• Increased flexibility & movement.
• Increased strength.
• Gain power, coordination, and speed.

How long before benefits are realized?

Depending on the severity of your current condition, results can be noticed in as little as 3 visits. Some severe cases may take longer.

Be Wary Of…

Over-aggressive programs that do not take into account your individual mechanics and medical history.

Falls and fear of falling in our senior population are recognized public health crises.

According to the CDC, falls are the leading cause of injury-related deaths in older adults by a wide margin. Each year, more than two million seniors experience a fall severe enough to necessitate emergency medical treatment. This number along with the associated personal and societal costs of falling is expected to rise as our population ages. Despite these grim statistics, many falls are preventable with professional interventions that address the causes of falling in older adults.

Our expert clinicians are trained in evidence-based interventions that are proven by controlled clinical trials to effectively reduce the number of falls in older adults.

There are other factors that also contribute to falls. Neurological conditions such as Parkinson's Disease, stroke, multiple sclerosis, brain injury, vestibular disorders, and neuropathy also increase fall risk. Our therapy team is well equipped to address the problems of falling and the fear of falling in individuals living with these conditions.