HOST

Colin Hoobler, PT MPT, MS

Talk about dedication…

Rarely do you find a medical professional with the formal education, medical background and fitness experience to give health guidance.  Colin’s lifelong passion: demonstrate the power of exercise and healthy lifestyle to treat and prevent disease, especially in physical therapy.  Combining science and research with engaging humor, Colin motivates and educates the public and medical community on the use of exercise in place of pharmaceuticals to treat disease and injury.

Colin earned his Master of Physical Therapy (M.P.T.) degree from the Medical College of Pennsylvania, Hahnemann University (now Drexel University).  He earned another Master of Science (M.S.) degree in Exercise and Movement Science from the University of Oregon and a Bachelor of Science (B.S.) degree in Exercise and Sport Science from Oregon State University.  Colin is the author of Lose the Wait and The Advanced Training Specialist (A.T.S.) Textbook for Health Professionals. Throughout his years completing his formal education, Colin competed as a 100% natural bodybuilder, winning titles such as Collegiate Mr. Oregon and Ironman Naturally Competition before taking fourth place at the Drug-free Nationals in 1996 (Team Universe Competition).  Since April 2008, Colin has hosted the live health segment “Get Fit With Colin” Sundays as part of KGW Channel 8 news.  A personal trainer for 20 years and physical therapist (PT) for 8 years, Colin founded c.h. Physical Therapy and Personal Training (now 4 clinics).  Colin is also a guest faculty member of the Oregon Health and Science Medical School (www.ohsu.edu), teaching medical students how exercise can treat and prevent a wide range of diseases and injuries.  Colin is an inventor of the BalanceGym™ exercise device for use by older adults and people with balance impairments, used in retirement homes, health clubs, assisted living facilities, hospitals and physical therapy clinics.

PHYSICAL THERAPISTS

The time is now.

From each and every one of us all the way to the APTA, PTs must step up and assume the role as exercise experts, not just related to patient care but the normal healthy population as well. While there are (and always will be) many ways to treat patients for a wide variety of ailments, I believe that focused, intensive resistive exercise has been grossly under-applied in most PT settings, especially in outpatient orthopedics.  Based on conversations I’ve had with Department Chairs and Associate Professors of PT schools across the country, the overall consensus is that PT graduates are still not exercise experts, especially related to resistance training.  This is unacceptable, as other less qualified people (e.g., personal trainers) will likely continue to gain the confidence of consumers based on physical appearance and/or marketing ability.  I’ve experienced this shortcoming of our profession firsthand, teaching my Advanced Training Specialist (A.T.S.) Course for Health Professionals to PTs from all over the country and seeing how lost and confused PTs are in the exercise arena when it comes to practical application of scientific principles.  One of my goals with The Fitness Show is to motivate PTs to become fitness role models in and out of the clinic, discovering new and effective ways to treat patients with difficult conditions using exercise (especially resistance training).  The APTA has been and is well aware of my goals, and I hope that they will take my messages seriously by providing PTs more exercise (especially resistance training) courses and resources that are readily accessible.

My respect for PTs continues to grow as I’m constantly learning different treatment methods practiced in a wide variety of settings.  I only hope I’m able to contribute to this wonderful profession with my passion: safe, effective exercise.

Thank you for watching!

Colin Hoobler, MPT, MS


FOR PHYSICIANS

Exercise (especially resistance training) can be a powerful combatant against the most costly and potentially debilitating diseases you see in patients, with research showing that exercise may be more powerful than medications but without negative side effects.  By now you’ve probably seen “The Fitness Show” and how exercise can reform health care, but only if all of us insist patients take responsibility for their health.
Specifically, exercise has been shown to significantly:

  • Reduce blood pressure1-4
  • Be inversely correlated to coronary heart disease5
  • Reduce chronic low back pain6-8
  • Improve glucose control and insulin sensitivity in people with type II diabetes10-15
  • Increase HDL cholesterol16-23 while lowering LDL cholesterol24-28
  • Control obesity by maintaining basal metabolic rate (BMR)29-31
  • Increase bone density and thus offset effects from osteoporosis32-40
  • Potentially decrease pre-term labor in pregnant females41-43
  • Decrease joint reaction forces and pain in people with osteoarthritis44-46

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Exercise-based PT (e.g., the c.h. physical therapySM method) is becoming popular in the P.T. profession and is billable under all insurance plans (including Medicare) using CPT code 97110 (given medical necessity).  If you’re not currently referring patients with chronic disease for this PT method, you could be doing your patients a disservice and actually contributing to the health care crisis.  I recommend taking the Advanced Training Specialist Course for Health Professionals to get started in appreciating this evidence-based approach to treating patients with a more fiscally and morally responsible approach. 
Thank you for watching, now let’s all do our part!

Colin Hoobler, PT, MPT, MS

References

  1. Harris KA, Holly RG: Physiological response to circuit weight training in borderline hypertensive subjects. Med Sci Sports Exerc 1987; 19:246-252.
  2. Wilmore JH, et al.: Strength, endurance, BMR and body composition changes during circuit Weight training. Med Sci Sports Exerc 1976; 8:59-60.
  3. Stone MH, et al.: Cardiovascular responses to short-term Olympic style weight training in young men. Can J Appl Sports Sci 1983; 8:134-139.
  4. Hagberg JM, et al.: Effect of weight training on blood pressure and hemodynamics in hypertensive adolescents. J Pediatr 1984; 104:147-151.
  5. Powell KE, et al.: Physical activity and the incidence of coronary heart disease. Ann Rev Public Health 1987; 8:253-287.
  6. Waddell G: A new clinical model for the treatment of low back pain. Spine 1987; 12:632-644. Deyo RA, Diehl AK, Rosenthal M: How many days of bed rest for acute low back pain? A randomized clinical trial. N Engl J Med 1986; 315:1064-1070.
  7. Gilbert JR, et al.: Clinical trial of common treatments for low back pain in family practice. BMJ 1985; 291:791-794.
  8. Fordyce WE, et al.: Acute back pain: A control-group comparison of behavioral vs. traditional management methods. J Behav Med 1986; 9:127-140.
  9. Trovati M, et al.: Influence of physical training on blood glucose control, glucose tolerance, insulin secretion, and insulin action in non-insulin-dependent diabetic patients. Diabetes Care 1984; 7:416-420.
  10. Schneider SH, et al.: Studies on the mechanism of improved glucose control during regular exercise in type II (non-insulin-dependent) diabetes. Diabetologia 1984; 26:355-360.
  11. Landt KW, et al.: Effects of exercise training on insulin sensitivity in adolescents with type I diabetes. Diabetes Care 1985; 8:461-465.
  12. Wallberg-Henriksson H, et al.: Increased peripheral insulin sensitivity and muscle mitochondrial enzymes but unchanges blood glucose control in type I diabetics after physical training. Diabetes 1982; 31:1044-1050.
  13. Yki-Jarvinen H, DeFronzo RA, Koivisto VA: Normalization of insulin sensitivity in type I diabetic subjects by physical training during insulin pump therapy. Diabetes Care 1984; 7:520-527.
  14. Trovati M, et al.: Influence of physical training on blood glucose control, glucose tolerance, insulin secretion, and insulin action in non-insulin-dependent diabetic patients. Diabetes Care 1984; 7:416-420.
  15. DeFronzo RA, Ferrannini E, Koivisto V: New concepts in the pathogenesis and treatment of non-insulin-dependent diabetes mellitus. Am J Med 1983; 74:52-81.
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  20. Wood PD, et al.: Plasma lipoprotein distributions in male and female runners. Ann NY Acad Sci 1977; 301:748-763.
  21. Farrell PA, et al.: A comparison of plasma cholesterol, triglycerides, and high-density lipoprotein cholesterol in speed skaters, weight lifters, and nonathletes. Eur J Appl Physiol 1982; 481:77-82.
  22. Gordon DJ, et al.: Habitual physical activity and high-density lipoprotein cholesterol in men with primary hypercholesterolemia: The Lipid Research Clinics Coronary Primary Prevention Trial. Circulation 1983; 67:512-520.
  23. Altekruse EB, Wilmore JH: Changes in blood chemistries following a controlled exercise program. J Occup Med 1973; 15:110-113.
  24. Lopez SA, et al.: Effect of exercise and physical fitness on serum lipids and lipoproteins. Atherosclerosis 1974; 20:1-9.
  25. Tran ZV, et al.: The effects of exercise on blood lipids and lipoproteins: A meta-analysis of studies. Med Sci Sports Exerc 1983; 15:393-402.
  26. Johnson CC, et al.: Diet and exercise in middle-aged men. J Am Diet Assoc 1982; 81:695-701.
  27. Goldberg L, et al.: Changes in lipid and lipoprotein levels after weight training. JAMA 1984; 252:504-506.
  28. Donahoe CP Jr., et al.: Metabolic consequences of dieting and exercise in the treatment of obesity. J Consult Clin Psychol 1984; 52:827-836.
  29. van Dale D, Saris WHM: Repetitive weight loss and weight regain: Effects on weight reduction, resting metabolic rate, lipolytic activity before and after exercise and/or diet treatment. Am J Clin Nutr 1989; 49:409-416.
  30. Mole PA, et al.: Exercise reverses depressed metabolic rate produced by severe caloric restriction. Med Sci Sports Exerc 1989; 81:29-33.
  31. Bevier WC, Wiswell RA, Pyka G: Relationship of body composition, muscle strength, and aerobic capacity to bone mineral density in older men and women. J Bone Min Res 1989; 4:421-432.
  32. Pocock NA, et al.: Physical fitness is a major determinant of femoral neck and lumbar spine bone mineral density. J Clin Invest 1986; 78:618-621.
  33. Pocock N, et al.: Muscle strength, physical fitness, and weight but not age predict femoral neck bone mass. J Bone Min Res 1989; 4:441-448.
  34. Chow RK, et al.: Physical fitness effect on bone mass in postmenopausal women. Arch Phys Med Rehabil 1986; 67:231-234.
  35. Oyster N, Morton M, Linnell S: Physical activity and osteoporosis in postmenopausal women. Med Sci Sports Exerc 1984; 16:44-50.
  36. Ballard JE, McKeown BC, Graham HM: The effect of high-level physical activity (8.5 METs or greater) and estrogen replacement therapy upon bone mass in postmenopausal females, aged 50 to 68 years. Int J Sports Med 1990; 11:208-214.
  37. Talmage RV, Stinnett SS, Landwehr JT: Age-related loss of bone density and non-athletic women. Bone Min 1986; 1:115-125.
  38. Kanders B, Dempster DW, Lindsay R: Interaction of calcium nutrition and physical activity on bone mass and young women. J Bone Min Res 1988; 3:145-149.
  39. Aloia JF, Vaswani AN, Yeh JK: Premenopausal bone mass is related to physical activity. Arch Intern Med 1988; 148:121-123.
  40. Lane NE, Bloch DA, Jones HH: Long distance running, bone density, and osteoarthritis. JAMA 1986; 255:1147-1151.
  41. Collings CA, Curet LB, Mullin JP: Maternal and fetal responses to a maternal aerobic exercise program. Am J Obstet Gynecol 1983; 145:702-707.
  42. Jarrett JC, Spellacy WN: Jogging during pregnancy: an improved outcome? Obstet Gynecol 1983; 61: 705-709.
  43. Berkowitz G, et al.: Physical activity and the risk of spontaneous preterm delivery. J Reprod Med 1983; 28:581-588.
  44. Chamberlain MA, Care G, Harfield B: Physiotherapy in osteoarthritis of the knees: a controlled trial of home versus hospital exercises. Int Rehab Med 1982; 4:101-106.
  45. Minor MA, et al. (1989). Efficacy of physical conditioning exercise in patients with rheumatoid arthritis and osteoarthritis. Arth Rheum. 32: 1396-1405.
  46. Radin EL, et al. (1991). Relationship between lower limb dynamics and knee joint pain. J Orth Res. 9:398-405.