Winter Injury Prevention: Alpine Skiing, Nordic Skiing, & Snowboarding - Part 1

By Jason Lunden, DPT, SCS

Winter Injury Prevention: Alpine Skiing, Nordic Skiing, & Snowboarding: Part 1

At Excel Physical Therapy, winter is often our busiest time of year; and with good reason, many of us choose to live here for our winter pursuits of skiing and snowboarding.  Unfortunately these sports have a high injury rate and can lead to serous injuries resulting in the need for surgery and extensive rehabilitation.  While one cannot completely prevent injuries in skiing and snowboarding, your risk can be reduced by following injury prevention guidelines.   This series of blogs will focus on injuries and their prevention for alpine skiing, snowboarding, and Nordic skiing.


Advanced Training News...we're at it again!

By Jason Lunden, DPT, SCS

Jason Lunden, physical therapist and co-owner of Excel Physical Therapy of Bozeman and Manhattan, Montana, recently completed Rehabilitation of the Injured Runner: An Evidence-based Approach course held at the University of Minnesota.  Hosted by the American Physical Therapy Association, the course focused on runner-specific treatment, including gait analysis and runner drills, for running injuries.

Truing Your Frame - Fit Your Bike to Avoid Injury from "Outside Bozeman"

By Jason Lunden, DPT, SCS

from Outside Bozeman Magazine

Spring 2014 Issue

Fit your bike to avoid injury

While cycling is relatively easy on your joints, because of the constrained position and

repetitive nature of the sport, it can be easy to develop overuse injuries.

These injuries are often attributed to ramping up training mileage too quickly or being improperly positioned on your bike. Training errors can be avoided by following a proper training schedule. Fitting your bike to your body—not the other way around—helps achieve proper positioning.

It’s best to see a professional bike-fitter at a physical therapy clinic or your local bike shop, but here are some tips to alleviate common pains associated with cycling.


Achilles’ Pain
Cause: foot positioned too far back on pedal
Solution: move foot forward on the pedal by moving your cleat further back

Arch Pain
Cause: foot positioned too far forward on pedal
Solution: move foot back on the pedal by moving your cleat further forward


Anterior Knee Pain
Cause: saddle too low and/or too far forward
Solution: move saddle up so there’s a slight bend in the knee at the bottom of the stroke

Posterior Knee Pain
Cause: saddle too low and/or too far back
Solution: move saddle so there is a moderate to slight bend in the knee


Lower Back Pain
Cause: stem too short
Solution: get a longer stem


Neck Pain
Cause: bars too low
Solution: raise your bars by getting a more upright stem or moving headset spacers from the top of the stem to the bottom

Jason Lunden is a board-certified clinical specialist in sports physical therapy at Excel Physical Therapy in Bozeman and a clinical BikeFit Pro Fitter. For more information on bike fitting or injury prevention, visit

Jason Lunden, featured presenter at Twin Cities Sports Medicine Conference

By Jason Lunden, DPT, SCS

Jason Lunden, DPT, SCS, physical therapist with Excel Physical Therapy of Bozeman and Manhattan, was a featured presenter at this year’s Twin Cities Sports Medicine Conference in St. Paul, MN.  Jason gave a podium presentation and a breakout session on the rehabilitation of hamstring injuries, to an audience of orthopedic surgeons, sports medicine physicians, physical therapists and athletic trainers. 

Why Runners Can't Eat Whatever They Want - from Wall Street Journal

By Jason Lunden, DPT, SCS

from the Wall Street Journal –

“Why Runners Can’t Eat Whatever They Want Studies Show There Are Heart Risks to Devil-May-Care Diets—No Matter How Much You Run”

By Kevin Helliker Updated March 26, 2014 11:25 a.m. ET- Wall Street Journal

Dave McGillivray at Fenway Park in 1978 completing a cross-country charity run. Associated Press

As a 10-mile-a-day runner, Dave McGillivray thought he could eat whatever he wanted without worrying about his heart. “I figured if the furnace was hot enough, it would burn everything,” said McGillivray, who is 59. But a diagnosis six months ago of coronary artery disease shocked McGillivray, a finisher of 130 marathons and several Ironman-distance triathlons. Suddenly he regretted including a chocolate-chip-cookie recipe in his memoir about endurance athletics. “My first reaction was, I was embarrassed,” he said. As race director of the Boston Marathon, McGillivray is a high-profile exhibit in a growing medical case against the devil-may-care diets of many marathoners. Their high-mileage habit tends to lower their weight, blood pressure, heart rate and cholesterol levels, leading them (and sometimes their doctors) to assume their cardiac health is robust regardless of diet. “‘I will run it off’—that attitude clearly prevails among the marathoners themselves, almost sometimes to an arrogance,” said Paul Thompson, a veteran marathoner who is chief of cardiology at Hartford Hospital. A growing body of research shows the error of that thinking. A study published in the current edition of Missouri Medicine found that 50 men who had run at least one marathon a year for 25 years had higher levels of coronary-artery plaque than a control group of sedentary men. A British Medical Journal study published this year compared the carotid arteries of 42 Boston Marathon qualifiers with their much-less active spouses. “We hypothesized that the runners would have a more favourable atherosclerotic risk profile,” says the article. As it turned out, that hypothesis was wrong. A small body of research suggests that heart problems may arise not in spite of extreme-endurance exercise but because of it. That has led some cardiologists to theorize that, beyond a certain point, exercise stops preventing and starts causing heart disease. “Studies support a potential increased risk of coronary artery disease, myocardial fibrosis and sudden cardiac death in marathoners,” Peter McCullough, a Baylor University cardiologist, wrote as lead author of an editorial in the current Missouri Medicine. But many cardiologists are skeptical. “The science establishing a causal link between vigorous exercise and coronary disease is shaky at best,” said Aaron Baggish, a Massachusetts General Hospital cardiologist who does triathlons and marathons. Even so, he said, “I’ve never once told a patient they need to run marathons or race triathlons to maximize health, as this is not accurate.”

McGillivray (at right) greeting a runner during a Boston 10k race in June. Boston Globe/Getty Images Reports

Reports of heart disease in runners are prompting some marathoners to obtain scans of their coronary arteries. Ambrose Burfoot, winner of the 1968 Boston Marathon and editor-at-large of Runner’s World magazine, is 67 years old, 6 feet tall and only 147 pounds. A lifelong vegetarian, he subsists mostly on fruits, vegetables and nuts, though he also eats “cookies and all dairy products—cheeses, ice creams etc.,” he wrote in an email. “Last March I learned that I have a very high coronary calcium,” he said, adding that “I have a condition perhaps similar to Dave McGillivray’s.” The medical profession’s recommendation for such runners depends on which cardiologist they visit. James O’Keefe, a Kansas City cardiologist and ex-triathlete who believes sustained endurance exercise can damage the heart, said he would recommend no more than 20 miles a week at a modest pace. Thompson and Baggish, however, believe that in many cases endurance athletes diagnosed with heart disease can safely continue doing marathons and triathlons, if their conditions are treated. Thompson argues that risk must be weighed against quality of life, an idea the Burfoot embraces. “I subscribe to the old saw: ‘Exercise—it might not add years to your life, but it adds life to your years,'” said Burfoot. But cardiologists are united in their campaign against the old notion that high-calorie workouts confer a free pass to eat anything. Those who run several hours a day often dream about cookies and ice cream. When McGillivray ran from coast to coast in 1978, he tended to finish each day at a Dairy Queen. “It wasn’t just replacing calories but a mental thing—that vanilla shake was my reward,” he said. Replacing thousands of calories with purely nutritious foods can be challenging. Since receiving his diagnosis last October—and radically changing his diet—the 5-foot-4 McGillivray has dropped to 128 pounds from 155, an improvement he celebrates. Far from cutting back his workout regimen, McGillivray has amped it up, boosting his weekly mileage to 70 from about 60. As race director of the Boston Marathon, which is April 21, he plans to continue his tradition of running that course after the last runner has crossed the finish line. And to celebrate turning 60 in August, he plans to complete an Ironman-distance triathlon.

Although McGillivray says that his cardiologist, Baggish, gave him “the green light” for such challenges, Baggish said in an email that, “I do not give patients (Dave included) green or red lights. We engage in an open discussion about known and uncertain risks and benefits and come up with a collective and very individualized plan about what is reasonable. “In Dave’s case,” he added, “we did just this and he is leaning toward doing the (Ironman) with full knowledge of the fact this his risk is elevated compared to the general field.” Some critics say that continuing to engage in endurance athletics despite cardiac disease is evidence of addiction. “I’m not afraid to call myself an exercise addict,” said Burfoot of Runner’s World. “I have always been afraid of dying on a run. But the way I look at it now, it’s not that running will have killed me. Running has enhanced my life immeasurably, but it could also ‘trigger’ a life-ending event that probably would have happened even sooner except for my running.”

Write to Kevin Helliker at

from Outside Bozeman "Tight Lines - Look Good and Ski Great"

By Jason Lunden, DPT, SCS

The following article is from the Winter 2013/2014 issue of Outside Bozeman. Click Here for the full article link:

Here is a snapshot from the printed issue:


“Tight Lines – Look Gook and Ski Great”

by Jason Lunden, DPT, SCS


Aside from protective gear like helmets and wrist guards, proper strength and conditioning is your number-one tool for staying healthy and safe on the slopes this winter. Here are some exercises to get you ready to shred and keep you on the mountain all season long. As an added bonus, all these exercises work your glutes, helping you build buns of steel.

Hamstring Curls

Lie on your back with your heels resting on a ball. Dig your heels into the ball to contract your hamstrings, and lift our hips off the ground. Roll the ball towards you by bending your knees, while maintaining good hip and knee control. Perform 10-30 repetitions.

Tele Jumps / Jumping Lunges

Start in a lunge position with your right leg forward with your knee over your ankle, and your left leg back with your knee just off the ground. Also have your left arm forward and your right arm back. Jump up, switching your legs so you land in a lunge position, maintaining proper form. Perform for 45-90 seconds.

Star-Balance Squats

Stand on one leg and perform a single-leg squat, reaching forward with your uninvolved leg, keeping your foot barely off the ground, reaching toward Point A. Repeat on the opposite leg, reaching toward Point B. Do 3-4 sets on each leg. For an advanced version, do the exercise while standing on an unstable object (BOSU ball, balance disc, etc).

Skier Leaps

Stand on one leg and leap to the side onto your other leg. Absorb the landing by performing a partial squat, bending at the hips. Stick the landing and pause for 1-2 seconds before leaping to other side. Perform for 45-90 seconds.

The numbers of repetitions listed above serve as a guideline; ideally you should perform each set to fatigue, doing 3-4 sets every other day. Focus on proper form: keeping your shoulders and hips level, and your knee over your ankle while performing squatting-type exercises.

Jason Lunden is a board-certified clinical specialist in sports physical therapy at Excel Physical Therapy in Bozeman and a physical therapist for the U.S. Freeskiing and Snowboarding teams. For more information on injury prevention, check out his blog at


Torn Rotator Cuff? You may not need surgery…

By Jason Lunden, DPT, SCS

Woman With Shoulder Pain

A new multicenter prospective study (good evidence!) shows physical therapy is very effective in the treatment of full-thickness rotator cuff tears.  In the October issue of the “Journal of Shoulder and Elbow Surgery”, JE Kuhn et al. showed that people with full thickness rotator cuff tears that were not the result of trauma (their injury was not the result of a fall, or blow to the shoulder) did very well with a 6-12 week course of physical therapy.  People with rotator cuff tears had improved pain-levels and shoulder function after 8-15 visits of physical therapy.  Furthermore, after a 2 year follow-up less then 25% of people elected to get surgery for their torn rotator cuff.  The authors conclude that “Physical therapy is effective in the nonoperative treatment of atraumatic full-thickness rotator cuff tears…” and “…physical therapy is highly effective in alleviating symptoms.”  This means that if you have a rotator cuff tear that was not the result of trauma you could save a lot of time and money by pursuing physical therapy instead of surgery. 


Reference: Kuhn JE, et al. Effectiveness of physical therapy in treating atraumatic full-thickness rotator cuff tears: a multicenter prospective cohort study. J Shoulder Elbow Surg. 2013; 22(10) 1371-1379.

Questions? Contact Jason for more information how physical   therapy can help you at 406.556.0562.


Jason Lunden DPT, SCS wins Emerging Leader Award from APTA

By Jason Lunden, DPT, SCS

Excel Physical Therapy is pleased to announce Jason Lunden, a member of their physical therapy team, has been awarded the 2013 Emerging Leader Award from the American Physical Therapy Association (APTA).

This prestigious award honors a physical therapist that has demonstrated extraordinary service early in his or her physical therapy career and has exceptional contributions to the APTA and the physical therapy profession. Jason has been recognized in the APTA’s October PT In Motion Magazine issue. Excel Physical Therapy has served the Bozeman and Manhattan communities since 2001.

Here is the article from the PT In Motion Magazine October Issue:

APTA’s 2013 Emerging Leaders: Translating Vision into Reality

American scholar Warren Bennis once said, “Leadership is the capacity to translate vision into reality.” Many of APTA’s 25 Emerging Leaders for 2013 started translating visions for their career, their patients, and the profession even before they graduated.

  • By Lisa Iannucci
  • October 2013
Feature - Emerging Leaders

Christine Ross’ vision of the future in physical therapy began with the love for her grandmother. “I was very close to my grandmother and I worked with the older population at the YMCA, so I knew that I wanted to take care of patients who are older,” says Ross PT, DPT, GCS. While completing her studies at Creighton University in Omaha, Nebraska, she founded the Geriatrics Physical Therapy Organization, a student organization designed to promote awareness and understanding of geriatric physical therapy within the university community.

Today, Ross-a staff therapist with the Cleveland Clinic Lou Ruvo Center for Brain Health in Las Vegas-is developing an innovative neurodegenerative fellowship to merge neurology and geriatric aspects of patient care.

Ross also has developed programs for specialized populations. She created a Stationary Bike Class in the MS Bike Ride for participants who could not complete the entire ride due to their condition. “There was an opportunity to raise money with individuals who have MS, and their caregivers, who are not functionally able to ride long distances, to ride stationary bikes,” she explains.

She also contributes to research on the participants of the National Senior Games in Nevada. “I’m helping Becca Jordre, PT, GCS, physical therapy professor at the University of South Dakota,” she says. “We collected 700 results on a fitness screen, looking at walking speed, balance, flexibility, and strength. Even though the individuals are playing in a senior game, we want to make sure they aren’t at risk for a fall or something else. If they have any issues, we provide them the resources in their community. They can address their problems and continue to play and participate in their sport.”

“One of my goals is to promote experts in the field of geriatrics to develop residencies that further educate the residents or graduating students to become experts and provide best practice for patients,” says Ross. “It makes sense to focus on the neurology aspect of this population, who might have Parkinson disease or Alzheimer’s disease. It’s a perfect example of APTA’s mission and provide the best practice and learning opportunities for practitioners who want to focus on working in these populations.”

Emily Sacca, PT, DPT, had a different yet equally clear vision. Sacca developed the Frankfort Advocacy Day in cooperation with the Kentucky Physical Therapy Association (KPTA) as part of her capstone project at Bellarmine University. Frankfort Advocacy Day has become a well-received annual event. This year, more than 130 KPTA members visited the capitol and advocated for physical therapy services to serve the citizens of the state.

As a staff physical therapist at Baptist Health Lexington, an acute care facility in Lexington, Kentucky, Sacca serves as the technician coordinator, the department’s representative for the facility’s ICU intensivists’ meetings, and a representative on the Patient Care Council. Her activities focus on patients in the hospital’s ICU, cardiac, neurological, orthopedic, and wound care areas.

“Not many new clinicians are committed to intensive care units,” she says, “It’s more of a niche and few are comfortable in an intensive care setting. However, I work with my community of doctors, nurses, and families on behalf of the patient.”

Sacca says that research shows benefits of early mobility programs for acute care patents. “Traditional bed rest is a thing of the past,” she asserts. “The quicker you can get people moving, the more capable they are of being able to tolerate procedures. I enjoy walking with patients who are on ventilators. We have seen incredible progress in strengthening with those patients.”

Unlike many other physical therapy settings in which PTs work with patients for weeks or months, the turnaround time in acute care is typically 3 to 5 days, Sacca says. That short time frame brings its own challenges. “The fast pace of acute care means you have new faces and challenges. That forces you to look at things differently.”

Speaking of looking at things differently, Sara Chan Reardon, PT, DPT, WCS, BCB-PMD, says that describes her career choice. From her early days of track and swimming in high school, she knew she wanted to help others, not sit behind a desk all day. She finished her physical therapy program and chose to specialize in women’s health.

“Entering the women’s health field was atypical for graduates,” says Reardon a physical therapist at the University of Texas Southwestern-Medical Center in Dallas.

She treats men and women with bladder and bowel dysfunction, sexual dysfunction, and pelvic pain. She educates them on the relationship between the pelvic floor and their symptoms. She uses internal and external techniques, strengthening exercises, education, and modalities to improve muscle and tissue function along the floor of the pelvis throughout the pelvic girdle.

“I love what I do because of the relationship I develop with my patient,” she says. “It’s very personalized. There’s no cookie-cutter approach because everyone presents differently.” But although it’s been less than 7 years since Reardon graduated, she says times are changing quickly in women’s health. “There were 63 graduates in my class and only 1 had any interest in women’s health,” she says. “However, today there are more options for PTs who want to study in that area-including student special interest groups, mentorship programs, and women’s health residency.”

Reardon has focused some of her career on pelvic floor research, having abstracts published in the Journal of Women’s Health Physical Therapy and presenting at the Missouri Physical Therapy Association annual conference.

But not all of the Emerging Leaders knew from an early age what they wanted to do. For example, Jason Lunden, PT, DPT, SCS, a graduate of the University of Minnesota, got a late start determining his career. It wasn’t until he became a physical therapy patient following knee surgery that he realized that physical therapy was the right career for him. Today, he works as a physical therapist at Excel Physical Therapy in Boseman, MT. He since has developed programs for injured runners and cyclists. In addition, he has developed injury prevention and treatment programs for athletes who play volleyball, soccer, and basketball. He also volunteers as a physical therapist for the US Snowboarding Team and the US Freeskiing Team.

Lunden says he’s pleased with the way the profession has expanded its focus. “There is more emphasis on injury prevention and screening and on the biomechanics of sports incorporated in one’s rehab,” says Lunden. “Today, we’re embracing more technology, including video analysis, to enhance what we’re able to do in the outpatient setting.”

When Megan Jahraus, PT, DPT, was growing up, she spent many years as a member of 4H and helped at a camp for children with disabilities. “As a lifeguard, I worked with campers with cerebral palsy and was amazed how much physical therapy helped them. 4H encompasses the head, heart, hands, and health, so it all ties in.”

Today, she works primarily with cancer patients at the University of Texas MD Anderson Cancer Center in Houston. She improved an existing program in the head and neck department that addresses discharge planning, resulting in a smoother, less traumatic transition to the patients’ post-treatment world.

Jahraus was nominated as an Emerging Leader by the Oncology Section. Lisa D. VanHoose, PT, PhD, CLT-LANA, president of the Oncology Section. VanHoose describes Jahraus’ accomplishments: “When moved to the stem cell transplant unit, she contributed to the Motivation and Moving program, an interdisciplinary group devoted to encouraging and rewarding these high acuity patients for their efforts to get out of their rooms and participate in physical activity. Central to these efforts was a unique group exercise class which she helped mold to meet the singular needs of this patient population.”

VanHoose adds, “She continued to demonstrate innovation when she moved to the outpatient unit of the Rehabilitation Department at MD Anderson. Here she developed exercise programs for the outpatient stem cell recipients, a program essential to their recovery from the rigors of the transplant process. In this setting she has been able to extend her inpatient experience with patients with head and neck tumors to their outpatient needs, creating a clinically useful and important continuity of care for these survivors.”

Jahraus comments, “These patients resonate with me. If I can do something to help them have their lives restored, that is great. The nurse, case worker, social worker, and chaplain discuss the patient’s needs and mobility. Is the patient in the right place? That’s a big deal when you’re going home.”

Committed to APTA’s Vision

In addition to following their own visions-whether it involves conducting research, helping patients with injuries, or injury prevention-this year’s emerging leaders also have embraced APTA’s vision.

“How we live is based on how we move” but there’s insufficient emphasis on teaching people how to move properly, says Reardon. “Physical therapists aim to be instrumental in everyone’s life.”

Addressing APTA’s new vision statement-that PTs should be involved in “transforming society by optimizing movement to improve the human experience”-Ross says, “We get physicals and gynecological exams every year, so ideally we should get PT exams every year too. We create plans to decrease pain, and create workout programs for New Year’s resolutions, or teach how to optimize health and fitness goals.”

Sarah Gross, PT, DPT, has focused her career on chronic pain intervention and management. She currently is the sole physical therapist in the Kaiser Permanente Pain Management Clinic in Portland, OR. Gross’ involvement and interest in chronic pain management connects with multiple elements of APTA’s strategic plan, including “improve the quality of life of their patients and clients” and “explore alternative and innovative models of care and promote implementation of innovative models of practice that target patient and client-centered care.”

Gross is a big proponent of motivational interviewing. She says, “Motivational interviewing is an approach for patient-therapist interaction that has its roots in helping patients change addictive behavior. I figured if the approach is successful in helping patients work through addiction, it also would be useful for improving adherence to the physical therapy plan of care and therefore improve patient outcomes. Instead of the usual information push, motivational interviewing draws out the patient’s reasons for wanting to make a change. It also allows for discussion about what obstacles they face.”

Gross says that she likes this approach because she partners with patients and work as a team. “We as PTs sell ourselves short if we just think of our role as treating a tissue, a bone, or a joint,” she says. “We are treating people.”

Another element of APTA’s strategic plan calls on PTs to “demonstrate and promote interprofessional and intraprofessional collaboration.” Gross created a regional pain management committee comprised of both physical and occupational therapists in order to improve how they treat patients with chronic pain. Further, says Chris Murphy, PT?-president of the Oregon Physical Therapy Association-“She also leads her clinic’s efforts to consult with pain management physicians in coordinating patient care, imaging needs, and differential diagnosis.”

Evidence-based practice is another focus of APTA’s strategic plan. Anson Rosenfeldt, PT, DPT, an emerging leader and a staff physical therapist at the Cleveland Clinic Foundation, has embraced that principle. According to Pamela Dixon, MOT, OTR/L, who nominated Rosenfeldt, “She is heavily involved in our Evidence Based Practice SIG in our health system which has the goal of elevating the use of evidence-based practice and increasing quality and education of all therapists.”

Advocating for the Profession

Not only are the emerging leaders hard at work at their day jobs, but they go beyond a 9-to-5 routine to advocate for their profession. “We have to advocate for ourselves and fight for what our patients need,” says Sacca, who developed the Frankfort Advocacy Day. “The community at large should learn what we do and how we can help as health care reimbursement and coverage expectations evolve.”

Reardon, who is treasurer of the Section on Women’s Health, revamped the budget process and worked to educate her fellow board members and committees on how the budgeting process works. “I wanted everyone to understand what the goals are-to put money in reserve and to help support the vision of our board members,” she says.

Reardon is dedicated to giving back to her local community, speaking several times a year at local prostate support groups. She also is a member of the Section on Women’s Health, committing 20 hours per month. “Getting involved in the community and the section is being part of something bigger than myself,” says Reardon. “I’m dedicated to advocating for women’s and men’s health and PT in the medical community.”

Claire Melebeck, PT, DPT-an emerging leader nominated by the Louisiana chapter-is working closely with the chapter’s New Orleans District Chair to put on a first-ever physical therapy public awareness fair this month as part of National Physical Therapy Month.

Lunden gives regular community lectures on topics ranging from injury prevention in running to overuse injuries in cycling and injuries in skiing and snowboarding. Even as a student, he devoted much effort to advocating for the profession. While at the University of Minnesota, he won both the Mary McEvoy Award for Public Engagement and Leadership and the President’s Student Leadership and Service Award. He adds, “Being an active member in one’s community is an essential part of improving the quality of life around us.”

Erik Jacobs, PTA-the only physical therapist assistant in this year’s class of Emerging Leaders-has served as the Wisconsin Physical Therapy Association’s PT Conduit Chair, which raises money for state legislative activities. According to WPTA president Kip Schick, PT, DPT, MBA, “Under his leadership, the PT Conduit balance has grown significantly, and the PT Conduit has increased contributions to support state legislative activities.”

Words of Advice

What advice does this year’s crop of emerging leaders offer for new PTs? Sacca encourages up-and-coming PTs to be continuous learners, benefitting from daily interactions with colleagues, supervisors, patients, and their families. “Being a PT means more than the credentials behind my name,” she says. “I encourage everyone to be involved in as many aspects of our profession as possible. Become saturated in patient care and understand the business and the advocacy side. These are huge components that can allow us to treat patients the way they should be treated.”

Lunden is as committed to involvement in the community as he is to his position as a PT. “Whether it’s educating on injury prevention or simple activities people can do if they are injured, all of that is within the APTA vision.”

Gross says, “I like being part of a team. I look for more ways to get educated and collaborate with other people. Stay open to opportunity. You may be outside of your boundaries, but what makes you happy?”

Megan Jahraus advises students and new grads to make a name for themselves. For example, she makes it a point to introduce herself to everyone she can. She explains what happened when she struck up a conversation with the plastic surgeons on the floor of the hospital at which she works. “From that conversation, I learned what they want their patients doing and not doing. And I got to watch a 12-hour procedure in which they took a bone from someone’s leg and rebuilt their jaw with it. It was incredible. You have to be willing to approach someone and try new things.”

Lisa Iannucci is a freelance writer.

Emerging Leaders Criteria

The purpose of the Emerging Leader Award is to identify and honor 1 physical therapist or physical therapist assistant “emerging leader” from each APTA chapter or section who has demonstrated extraordinary service early in his or her physical therapy career. The individual should have made exceptional overall accomplishments and contributions to the American Physical Therapy Association (APTA), the component, and the physical therapy profession to advance APTA’s vision.

The nominee must be a current member of APTA for at least 5 years and no more than 10 years from formal graduation. The nominee must have current or prior service on 1 or more appointed or elected groups at the component or national level.

Youth Sports Injury Seminar Handouts and Resources

By Jason Lunden, DPT, SCS

Here are the links to the injury prevention handouts and resources from Excel Physical Therapy’s Community Education Series Fall 2013 Seminar “Why Do Kids Get Injured? A Youth Sports Injury Seminar for Parents, Coaches and Athletes Ages 18 & Under”

For additional information, please contact Jason Lunden, DPT, SCS at 406.556.0562 or by email: jason “at”


Youth Sports Handouts:

Concussion Overview Handout

Overuse Injuries Sports Tips

Parents Encouraging Success with Young Athlete Tips

Teaching Kids Safe Ways to Participate in Sports

When Play is Too Much Handout

Soccer Injury Treatment and Prevention Tips

Skiing and Snowboarding Injuries Causes and Treatments

Football Injuries Sports Tips


Youth Sports Web Resources:

Sport Injury Prevention:
Sports Specific Tips –
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