Schedule an Appointment Today

760-444-0102

We strive for 100% patient satisfaction.
Our clinics are spacious.
We offer on-site Aquatic Therapy.
We use the latest techniques and technologies.
Vista
Rancho Bernardo
National City
Mission Valley
Carmel Valley
Carlsbad
Laura

Laura - Clinic Director

PTA

Laura was born and raised in Poway, CA, and is a southern California girl through and through. She went to college at Loyola Marymount University where she played basketball and rowed crew. She received her Physical Therapist Assistant degree from San Diego Mesa College, and she has been working as an outpatient, orthopedic PTA since 1996. She started her career in Los Angeles, CA, working for HealthSouth and Select Medical at the Kerlan Jobe Orthopaedic Clinic for 10 years. Laura came back home to San Diego in 2007, and has been working with ProActive Physical Therapy and Sports Medicine ever since. She works out of the Rancho Bernardo clinic as well as covering at all of the ProActive clinics. She ran the Aquatic Therapy Program at Kerlan Jobe for 9 years, and now has been in charge of the ProActive’s Aquatic Therapy in Rancho Bernardo. Her other career passion is working with Industrial Rehab and Worker Compensation patients. She has been performing Functional Capacity Evaluations (FCE) and POETS (Post Offer Employment Tests) for her entire career, and has worked with companies like Chevron, Union Pacific Railroad, American and Hawaiian Airlines, and Chrysler. She loves working with and helping people get back to what they want to do. . . walking their dog to playing pickle ball/tennis to going on a trip with their grandchildren. She enjoys walking/hiking with her dogs on her spare time.

POETs in Physical Therapy

POET Physical Therapy Test

The POETs that occur in physical therapy have nothing to do with literature or rhyming. POET stands for post offer of employment testing or post offer employee testing. These tests are one of the most valuable injury prevention resources for both employees and their potential employers. This examination is given to a prospective employee to compare their physical capabilities to the physical demands required to perform the essential functions of the offered position. It ensures that an applicant is physically matched to the job they will perform, and is important for job success, injury prevention, and minimizing the associated costs with any chance of injury. The nice thing about a POET is that it truly benefits both the employee and employer.

More and more companies are using POETs. Companies don’t have to perform these tests for all of their jobs, but if they require a POET for a specific job then they need to test all applicants that apply for the specific job position. POETs are usually performed for jobs that require high physical demands or may be considered high risk occupations for injury. They can also be completed to get baseline data on an employee. Again they are used to safely match an applicant with the job being offered.

POETs occur after a conditional job offer has been made. They are usually performed at occupational health clinics, physical therapy clinics, or at the place of employment. Employers may have additional tests the employee must complete prior to employment (back ground check, drug test, and/or physical). Each POET is specific to the job and the employer. A formal job analysis will be performed; looking at heights of instruments and equipment, positions required for tasks, and the forces needed to grip, pinch, maneuver, push, pull, lift and/or carry to perform the job being analyzed. The heart rate is watched throughout the test for safety reasons; some companies may monitor an applicant’s blood pressure as well. An activity is usually performed at least 3 times so that companies can look at consistency and validity. It’s important that the applicant performs each test to their safe maximal effort. Realize that the employee normally will not be told if they pass or fail the test when the POET is completed. The clinician collects the data, and the employer or third party administrator analyze the data and compare it to the required physical demands. If the performed abilities don’t match the essential functions and physical demands, the job offer can be receded.

A POET shouldn’t scare any employee if they truly feel that they can perform the job they applied for, especially if they have already performed that type of work before. They should be relaxed, go in and perform the activities/tests to their best ability. Remember it’s just trying to ensure that an applicant is physically matched to the job they will perform, and is important to job success and injury prevention (keeping the employee safe).

Work Conditioning or Work Hardening

work_comp

Work Conditioning and Work Hardening are constantly intermixed and/or misunderstood as being the same thing, but they aren’t.

Continue Reading »

What Is A FCE And How It Can Help You

perform_full_fce

A functional capacity evaluation (FCE) is an objective, functional evaluation of a series of tests administered to help determine current functional and physical status of a patient/client. Not all worker compensation cases need a FCE. Some injuries don’t limit work duties and many times physical and/or occupational therapy provides the healing and assistance to return a patient to work safely. But there are many benefits of a FCE:

Continue Reading »

Industrial Rehabilitation

imagesIndustrial rehabilitation is a type of rehabilitation program aimed at helping an injured workers return to work safely and effectively and to help with prevention and reduction of work-related injuries. We must remember that industrial does not automatically mean that it is labor intensive. It includes jobs that are repetitive or that may involve awkward positions or motions. This type of program may include some if not all of the following types of programs/tests: physical and/or occupation therapy (worker compensation focused), Functional Capacity Evaluations (FCE), Work Conditioning, Work Hardening, Ergonomics, Job-Site Analysis, or Post-Offer Employment Test (POET).

Continue Reading »

The World of Workers’ Compensation

computer-stressThe workers’ compensation physical therapy world is different than the basic physical therapy world. If you get injured at work, it is imperative to report the injury to your employer/supervisor right away. If your injury occurs over time, then you should report it to your supervisor as soon as you feel that it may have been caused by your job. This is the beginning of a workers’ compensation (WC) case.

Continue Reading »

A Fun, Strengthening Aquatic Program

Embrace the “pressure” and push through the “resistance”!

Most people don’t like to be under pressure or deal with resistance from something, but these are two forces that are a huge benefit of aquatic therapy.

“Hydrostatic pressure is the pressure exerted by a fluid at equilibrium at a given point within the fluid, due to the force of gravity. Hydrostatic pressure increases in proportion to depth measured from the surface. This is due to the increasing weight of fluid exerting a downward force from above.” The force/pressure being put on the body, greatly enhances

Continue Reading »

Benefit of Aquatic Therapy

Most people don’t like to be under pressure or deal with resistance from something, but these are two forces that are a huge benefit of aquatic therapy.

“Hydrostatic pressure is the pressure exerted by a fluid at equilibrium at a given point within the fluid, due to the force of gravity. Hydrostatic pressure increases in proportion to depth measured from the surface. This is due to the increasing weight of fluid exerting a downward force from above.” The force/pressure being put on the body, greatly enhances venous return and cardiac functions. Buoyancy also assists with venous return by counteracting the downward pull of gravity with the up-thrust of the water. With increased venous return, you can exercise more vigorously with less stress on the cardiovascular system and reduce training heart rate. Another benefit of hydrostatic pressure, swelling is reduced in the injured or edematous joints or limbs below the water. As you can see, being put under this type of pressure allows you to work harder with less symptoms.

Resistance of the water will make you stronger because it provides about 12 times the resistance of air. The resistance of water also allows improvement in balance, sensory awareness, and strength in all muscle directions. The turbulence of the water and resistance during movements puts more demand on your balance and promotes circulation. Patients feel safe in the water due to their movements are slower and less likely to be jerky or ballistic.

With the assistance of therapeutic water temperature, buoyancy, hydrostatic pressure, and the normal resistance of water, aquatic therapy patients can get a workout without feeling like they are doing a workout. So embrace the “pressure” and push through the “resistance” and jump into a fun, strengthening aquatic program at ProActive Physical Therapy and Sports Medicine.

How to Lose Weight in Just 3 Steps

Literally, 3 steps will get you into the pool with ProActive Physical Therapy at Noonan Family Swim School. Buoyancy is what makes you feel the “weight loss”. Buoyancy is the upward thrust of the water acting in the opposite direction of the force of gravity. The buoyant force an object feels depends on the weight of the volume of fluid the object displaces. An object in water will experience a greater buoyant force compared to air, because water has more weight. Your center of gravity is generally located in the pelvic region, but your

Continue Reading »

Pool Therapy at ProActive

Pool therapy is not just for summertime at ProActive. ProActive Physical Therapy and Sports Medicine’s Aquatic/Pool Therapy is performed at a beautiful indoor pool at the Noonan’s Swimming School located next door to our 4S Ranch facility. The pool is heated to a therapeutic 90 degrees and is 3½ to 4½ feet deep. The patients participate in an individual, injury specific, aquatic exercise program where the instructor can and will get in the water with the patients or may instruct from the deck. The friendly warm environment is shared with no more than 6 patients. The pool provides support, relaxation, and comfort.

Aquatic therapy benefits numerous patients and you don’t even have to know how to swim. Patients who will benefit range from total joint replacements to athletes that need to maintain limited weight bearing; patients with fibromyalgia; patients with gait difficulty; patients with multiple injuries and overweight patients. There are numerous benefits to aquatic therapy over land-based therapy, and they start with the benefit of the warm water. Warm water relaxes muscles and allows for improved joint range of motion. Noonan’s Swimming School keeps their pool in the perfect therapeutic water temperature range 88-96 degrees. Buoyancy is a huge factor that wins over land-based therapy because the deeper you immerse yourself in water the less you weigh and the less shock is transmitted through you bones and joints. Also, the resistance of the water improves balance and sensory awareness. With all these benefits, the pool allows us to help you return to your pre-injury self safely and comfortably.