So in the philosophical debate between physical therapists and personal trainers, it would seem that there are either two choices: a Deathmatch or a team hug. Personally, I prefer hugs. But for the sake of healthy argument lets have a few swings before we buy each other a beer and call it evens…
One of my readers ‘Selena’ wrote an excellent response to my last post (see my responses in blue below)
There isn’t an “ugly” truth between physical therapists and personal trainers.
Truth #1: Physical therapists are licensed providers of care.
Very true! Physical Therapist are licensed providers of care and also jolly good fellows (which nobody can deny). But aren’t personal trainers licensed at some level of care? Even if it is just checking to see if they can touch their toes or if they have any history of heart disease?
Truth #2: The educational background for physical therapists has evolved to the point where physical therapists graduate with a doctorate in physical therapy.
100% agreed – a huge issue is that personal trainers nowadays can have a degree or a weekend cert and the public does not know the difference. Point to you Selena, well said!
Truth #3: Fellowships and residencies are now post-graduate options for physical therapists.
Ok so this is an extension of #2, so let me ask if these physical therapists are going to actually make their money back on their education or just become professional students.
I mean, any physical therapist will tell you that if they accept insurance then they live according to what scraps the measly, scrooge-like insurance company will begrudgingly toss their way after treating the client with all their heart and soul.
So I will give you a point, yes – they can be very very educated. But is that to a point where they become so specialized that they become true experts at one very small range and not necessarily what their true market might need? Educational point to Selena, Philosophical point to be further discussed I think.
Truth #4: Literature indicates that physical therapists are just as well-versed and qualified at evaluating patients with orthopaedic complaints as orthopaedic surgeons.
Ok so I dont want to sling mud at anyone, but are you trying to say that PT’s are as good as Orthopaedic surgeons? Or are you saying that orthopaedic surgeons are not very good at evaluating patients? I know the surgeon that wanted to operate on my back after three visits wasnt really helping me feel the love. Especially since on his desk he had magazines of luxury cars.. I still swear I heard him say ‘I think we need to get you into leather upholstery.. I mean surgery!’
Besides which I am not trying to say that injured people should use personal trainers, but that physical therapists generally are not taught how to get a person to peak fitness – just to ‘not in pain anymore’ fitness. There is a difference, right?
Truth #5: Physical therapists are knowledgeable about the impact various co-morbidities have on pain and function (i.e. diabetes, congestive heart failure, multiple sclerosis, dialysis, osteoporosis, balance deficits, cerebrovascular accidents, post-operative healing, pharmacological side effects, osteoarthritis, central versus peripheral pain mechanisms, depression anxiety, fear…)
Ok I gotta contest this one. I can agree that they study it, but I would argue that they dont use it to help people get to their healthiest.
Now I agree that personal trainers should know all of the above. I think the industry is moving towards that. So although physical therapists may know more, they dont necessarily get to use that knowledge nor do they use it to help people achieve peak fitness.
Truth #6: Exercise is easy… the skill is in knowing what exercise, when, at what intensity, at what duration, how often, in what manner and the effect the exercise will have on the sometimes multiple co-morbidities.
Now come on. Exercise is easy? Have you been to a gym recently? Did you know that only 16% of the population belongs to a gym? That we have never had more opportunities to exercise but have record obesity across the globe?
I say that the skill is not in the mechanics you outlay, but in the application to the person behind the flesh and bones and finding the motivation within them to rise to a level greater than they had previously acheived. But I recognize your point in regards to multiple co-morbidities (nice word by the way! I am totally going to use that one if you don’t mind) however for people with no ‘morbidities’, does a personal trainer become the right option? (ahh, the moment of zen, where we can consider things in a different light, if ever so briefly).
Truth #7: Physical therapists also aim at educating patients to such a degree that patients can be safe and can independently exercise within their abilities taking into consideration any co-morbidities.
Nup. You lost me. When I work with personal training clients I often ask what they do and they show me an old photocopy of some textbook exercises that the therapist gave them to do… 6 months ago. Now, you may be an exception Selena (and I am sure you are, with all the excellent points and arguments you are making) but I think we can both agree that Physical therapists educate as much as their budget will allow and that they dont necessarily teach them that they need to keep progressing their exercises past whatever black and white rotator cuff handout they have slipped into their workout folder.
In my opinion, public safety is at risk with the lack of regulations on personal trainers – no substantial education and the lack of consistency in certification. Personal trainers can spew out “optimum health” but reality is personal trainers don’t measure “optimum health.” How does a personal trainer measure “optimum health” to ensure clients are optimally healthy? They don’t.
Selena, with all our back and forth – well, all my back and forth 🙂 I agree 100% with the statement of “public safety being at risk with the lack of regulations on personal trainers”. We need trainers to be better organized in their knowledge and to have standards of care that we all meet and agree on – we dont necessarily have to agree on those standards, but there must be standards nonetheless.
But let me ask you this:
If the physical therapist is not going to ensure the client moves past a level of ‘pain free’ and into ‘optimal health’, then who will? Are physical therapists taught about exercise periodization? Do they know the different systems that burn fat? Do they understand which machine will help with which movement pattern and which wont? Do they know the difference between the cardio machines and are they willing to train people for free while they build up their business?
Personal trainers are not the best choice for consumers.
I agree that personal trainers are not the best choice for injured consumers.. But I also feel that personal trainers are currently the best choice for those that dont show ‘co-morbidities’ and want to get to a new level of health.
But as I have said in the past, this is changing. The lines between personal trainer and physical therapist are starting to cross and soon both will have similar skillsets and interests. And then all we need a marraige between the two and lots of drinkies to realize that we aren’t that different after all (awwwww).
Selena
Thanks Selena for your comment on my post! I truly appreciate where you are coming from and am truly grateful for your thoughts. If anyone else would like to comment lets keep it civil and work towards a new understanding of each other, not a division of doctrines, ok? (wow, division of doctrines! That one sounds awesome! Selena, I get the co-morbidities and you get the division of doctrines, ok? Deal!)