Fun, Purpose and Community in 2017


Fun, Purpose and Community in 2017: 
President's Message
Submitted by Dee Daley, Chapter President
This year, NHAPTA is hoping to combine some of our favorite things and add a few new things into our activities.  In addition to great education, we are looking at NHAPTA #ChoosePT night at the Fisher Cats (tentatively set for Sat July 15), 
PT Night Out (Summer in Nashua, Fall in Plymouth NH), involvement in Cancer Walks around the state, 
participation at NH Bike Week in Laconia (June 11-17), 
and Falls Prevention/Arthritis initiatives in local communities. 
Also, trying something new to help keep meetings down and the fun factor up, we are trying something to help us plan for these events, we are calling this the "Bite Size Summits".  The first one will be in 2 weeks: March 16th from 4:30 to 6:30.  These are short work group sessions that don't require participants to be a member, but they can help with committees dedicated to our events.  We are also able to offer 1 hour of licensure CEUs for each 3 hours of participation (up to 2 total hours per renewal cycle per committee). 
Many of our initiatives will all take place in the "community"- and we want you to join us.  Join us in planning, co-sponsoring/co-branding with your organization or the professional association, or come learn the best parts of one of these events and host it with folks independently with your clinic.  We want the folks of NH to see and understand physical therapy- if we are going to "transform society" lets raise our image and visibility in our communities.  
March 16- NHAPTA Night of Events and CEUs- 
lots of opportunities
Join us at Franklin Pierce University, Manchester Campus
4:30-6:30 - Bite Size Summit- Committee work sessions for upcoming events (CEU eligible )
6:30-7:00 - Membership meeting (all the news in 30 minutes- legislation, licensure compact and more)
7:00-9:00 - Micki Harris Evening Lecture- LSVT (CEU) - an overview of one of the most popular treatment  programs for individuals with Parkinson's (come learn from LSVT Global faculty, Beth Marcoux)
Interested but can't join us on the 16th?
Send an email with one of the following areas in the header or reach out to us at: 
Fisher Cats (Manchester, tentatively set for Sat July 15)
PT Night Out (Summer in Nashua, Fall in Plymouth NH)
Cancer Walks
NH Bike Week (Laconia, tentative dates June 11-17)
Falls Prevention/Arthritis
NHAPTA Social Media Enthusiasts

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Clinical Corner:
The Iatrogenic Effect of Words and Language

Submitted by Dan Corsetti, NHAPTA BOD member

It is becoming increasingly more apparent that the language of healthcare and pathology may have an enduring impact on thoughts and perceptions of disability in those seeking medical advice or attention.  When individuals sustain an injury or experience pain, it is a cultural norm to suspect the worst case scenario leading to elevated fear, anxiety, stress, etc., which has shown to play a large role in the overall painful experience.  This may be further perpetuated by scary words and misunderstandings provided by diagnostic imaging, medical professionals, Dr. Google, friends and family, and our societal beliefs.  Negative assumptions about [injury] may affect information processing during an episode of pain which may reduce outcomes (Darlow, et al 2015).  Medical terminology is riddled with scary words like spondylosis, degenerated, herniated, torn, ruptured, compressed, bone-on-bone, etc.  People are already facing considerable uncertainty after an injury, and the words we choose to describe what is happening may play a larger role in the long-term outcome than previously thought.
               In recent years, the impact of the patient-clinician interaction and development of a therapeutic alliance is pivotal in the successful outcome of treatment, especially in those with low back or neck pain.  There is strong evidence that patients' beliefs about low back pain are associated with their clinicians' beliefs, and moderate evidence to suggest that the patient and clinicians' fear-avoidance beliefs are also associated.  Even well-meaning descriptions of painful scenarios, i.e. describing something as a simple, "sprain," can have a negative effect.  An excerpt from Darlow et al. 2013 describes this scenario, "[The doctor] said most likely a lumbar sprain...I guess that I move in a way that continually putting strain on an area that I've damaged and my assumption would be [when it hurts] I'm making it worse."  This scenario describes how a misunderstanding between the patient and practitioner may have hindered the long-term outcome by imparting kinesiophobia.  A particularly scary scenario presented in the same study:
"Basically all I've kind of been told to do by physios is to work on my core...I've been tested by various different physios, and Pilates, and apparently I'm ridiculously weak...I had an abortion because I didn't think I could have a baby.  I didn't think I could handle it...Carrying it, and having extra weight on my stomach."
With the help of individuals such as Darlow, Perry, Moseley, Butler, and many others, we can begin to see how pain is more complicated than anatomy and physiology, and can have biological, psychological, and societal influences which will contribute to a patient's success. 
               Not all individuals who walk into the clinic or present to a provider are so psychologically fragile as to become permanently disabled by words or phrases used, however the words that are chosen do help to shape an individual's perspective and understanding of their pain or injury.  All too often a message of fragility is preached instead of fortitude and strength.  When the opportunity presents to help shape a patient/client's beliefs about their pain, use this opportunity to structure an image of fortitude, hardiness and tenacity vs. weak, degenerated, and fragile 
LAMP Leadership Certification
April 8 and 9 / Worcester, MA
The Health Policy and Administration (HPA) Secton offers a certificate program that focuses on expanding physical therapy
professionals' leadership and professional potential by developing their leadership skills.
HPA awards the leadership certificate through the Institute for Leadership in Physical Therapy's LAMP (Leadership, Administration, Management, and Professionalism) Program,
following completion of two leadership development courses and two applied leadership activities. 

Two Full day workshops on May 6
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APTA NH PO Box 459
Tolland, CT 06084
(857) 702-9915