oh no, absolutely not! I don't feel attacked at all! Yes I refer to a chiro who has a PT in the office. but also the chiro I refer to is an applied kinesiologist.
Also lets clarify one thing. i don't diagnose! I can't tell you how many times someone comes up to me complaining about their back hurting, neck hurting, etc.... and wanting to know what they did or how to fix it. My answer has ALWAYS been: "I don't know, best to talk to a doctor about that, I can only guess but that's not good enough.
So again,
I don't diagnose.
Expand on your statement "
not qualified to determine what their dysfunction is"? I see muscular dysfunction daily in uncoordinated or people with poor posture. These people do not need to see a PT to fix this. Shown correct posture, stretches, exercises to activate muscles that aren't firing can fix this.
As a trainer I still see muscular dysfunction in a persons inability to do a push up properly, or their inability to do a squat properly. There are things we as trainers look for when they do these in correctly:
-Winging of the scapula when doing a push up,
-coming up on the toes when they try to do a squat
This is the type of dysfunction I see and can work on. Flexibility issues related to low back, weak glutes and tight hamstrings-muscular imbalances. Again another example.
Muscular activity is also a part of personal training, not just rehab.
Teaching someone to engage muscles properly to stop dysfunction is part of our job too. a client who has a weak core and flexibility issues and perhaps a tight or sore back related to their weak core IMO is not a candidate for PT. If this same person is experiencing numbness, tingling in the back/hip/leg or foot area along with the weak core, etc.... Then yes. they are a candidate for PT or some other form of intervention.
the CES description off the website:
The NASM Corrective Exercise Specialist (NASM-CES) Advanced Specialization was developed in response the growing need for professionals with the ability to assist clients experiencing musculoskeletal impairments, muscle imbalances or rehabilitation concerns. The NASM-CES provides the advanced knowledge, skills and abilities to successfully work with clients suffering from musculoskeletal impairments, imbalances or post-rehabilitation concerns.
The Course
With eleven modules of information on important corrective exercise topics such as movement assessments, inhibitory techniques, muscle activation techniques and common musculoskeletal impairments, the CES personal training program arms professionals with the most innovative education tools and techniques for optimal results. The NASM-CES is delivered online for your convenience.
the requirements:
A current NASM-CPT certification,
or
REPs Level 3 or higher credential (candidates outside of the US only),
or
4-year collegiate degree in related field
- Athletic training
- Biology
- Biomechanics
- Chiropractic
- Community health
- Ergonomics
- Exercise physiology
- Exercise science
- Health science
- Human movement science
- Kinesiology
- Nutrition
- Physical education
- Physical therapy
- Sport science
Seems we've started a sub topic within a topic. I hope the OP doesn't mind
Well, just to clarify, my point was not that PCPs are the best starting point for movement dysfunction. I agree, they are not well trained in it, and for the most part refer right out to PT. My point was that you are not qualified to determine what the cause of their dysfunction is, so how are you deciding whether to recommend PT or chiropractic to your client? It sounds like you mainly refer to a chiro w/ a PT in the office?
I think it's great you recognize dysfunction, but it makes me concerned that you believe you can diagnose the cause and treat it. Muscular activity is only a part of what rehab is.
As to the CES, I was under the impression that this course was primarily designed to treat people who are post- rehab or who have a diagnosed musculoskeletal disorder?
Hope you don't take this as an attack- all of us have the responsibility to be educated and learn about the other fields we work with.