Monday Memo 10/8/18

The Monday Memo

October 8, 2018                                                                           PITT DPT STUDENTS


What is CSM?


As Physical Therapists and Physical Therapy Students, we are always looking for educational opportunities to fulfill continuing education requirements, better understand a special topic, or simply satisfy our appetite for learning. Furthermore, we should continuously look for networking opportunities to connect with and learn from other professionals in the physical therapy field. Luckily, the American Physical Therapy Association, or APTA, organizes an annual event where all of this can be achieved. This event is called the Combined Sections Meeting, or CSM for short.


Each year CSM is held at a different location, this year it is being held in Washington D.C. from January 23rd through the 26th 2019. Here, thousands of physical therapists and physical therapy students gather to share their experiences and expertise with one another, making it great for professionals and students alike. Beginning on Wednesday, and extending through the weekend, hundreds of meetings and presentations take place encompassing almost any topic that you could wish to see. An extensive list of presentations can be found here.


From a student’s perspective, the conference can be beneficial during any point in your education. Whether you are a first or third-year student in your program, you are able to immerse yourself in the most cutting-edge research and equipment in the field, as well as begin to delve further into the branches of physical therapy that inspire you the most.


As of right now “Early-bird” registration is still open and is the cheapest option to enroll for the conference. Prices differ depending on if you are a licensed PT or a student, or APTA member or not. The link for registration prices and sign-up can be found here.


The opportunity to network with and learn from thousands of other professionals is invaluable. The cost and time commitment to attend this conference may seem substantial, but the benefit from relationships that you may form and the information that you will be exposed to far outweigh the cost.


-Jim Tersak, SPT, CSCS

October 8, 2018 |

Monday Memo 10/1/18

The Monday Memo

October 1, 2018                                                                           PITT DPT STUDENTS


Protect That Cuff


To no surprise, it has been supported through research that participation in sport leads to an increased risk of injury. More specifically, it has been shown that participation in sports leads to a 2.3 times greater risk of a rotator cuff tear in the paraplegic population1. Overhead sports have also been shown to have a 2.3 times increase in the likelihood of suffering a rotator cuff tear in wheelchair users2. This increased risk may come from muscular imbalances created by the mechanism of wheelchair propulsion and manipulation, as well as overuse and fatigue.


To reduce the risk of injury, it is important to incorporate significant rotator cuff strengthening and scapular stabilization training. This can be done through a series of exercises that recruit the rotator cuff muscles: infraspinatus, supraspinatus, subscapularis, and teres minor. Additionally, including movements that load the rhomboids and serratus anterior will aid in scapular stabilization. So how do we go about training these muscular groups? Luckily, significant research has been done on this subject and we are able to prescribe exercises that will target this area.


A commonly used program titled “Throwers 10” does just this. While many programs can be found that vary in an intervention or two, they all essentially aim to train the rotator cuff and surrounding musculature. Two Pitt Physical Therapy students, Christen Chiesa and Kevin Nguyen created an adapted thrower’s 10 program, the Wheeler’s 10, that can be found below. This exercise series is adapted from Wilk et al3 and is designed to improve strength, power, and endurance in arm and shoulder muscles for wheelchair users and adaptive athletes.



1.     Pepke, W., Brunner, M., Abel, R. et al. Orthopedist (2018) Risk factors for rotator cuff ruptures in paraplegics 47: 561.

2. Akbar M1, Brunner M1, Ewerbeck V1, Wiedenhöfer B1, Grieser T1, Bruckner T2, Loew M3, Raiss P4. Archives of Physical Medicine and Rehabilitation Volume 96, Issue 3, March 2015, Pages 484-488,

3. Kevin E. Wilk, A. J. Yenchak, Christopher A. Arrigo & James R. Andrews (2011) The Advanced Throwers Ten Exercise Program: A New Exercise Series for Enhanced Dynamic Shoulder Control in the Overhead Throwing Athlete, The Physician and Sportsmedicine, 39:4, 90-97, DOI: 10.3810/psm.2011.11.1943


-Jim Tersak, SPT, CSCS

October 1, 2018 |