Institute of Clinical Excellence

Institute of Clinical Excellence We help rehab pro's achieve clinical excellence through transformational educational experiences.
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Providing high quality continuing education for outpatient orthopedic physical therapists.

Confidence by Monday. That’s the goal.When education is done right, clinicians don’t just learn new skills, they actuall...
02/13/2026

Confidence by Monday. That’s the goal.

When education is done right, clinicians don’t just learn new skills, they actually use them.

Level up your pelvic health practice.

We believe exercise dosage is one of the most important things we do as physical therapists.Yes, specific dosage targets...
02/13/2026

We believe exercise dosage is one of the most important things we do as physical therapists.

Yes, specific dosage targets tissue adaptation.
That’s what we talk about most.

But we don’t always need to change tissue or “fix” an impairment to help someone in pain. Pain is complex.

But to adjust exercise and load well — to progress, regress, and respond to symptoms — we need specific dosage.

Without defined sets, reps, intensity, and rest, we’re guessing.

With them, we can intentionally steer the plan of care.

Gut Check Thursday 💀Brought to you by Dr. Justin DunawayBecause apparently we’re building character today.⸻Intended Stim...
02/12/2026

Gut Check Thursday 💀

Brought to you by Dr. Justin Dunaway
Because apparently we’re building character today.
⸻
Intended Stimulus
-Upper body muscular endurance
-Midline integrity under fatigue
-Mental toughness disguised as “simple”
-Consistent sets with minimal form breakdown

This workout should feel:
-Confident through 20
-Manageable through 40
-Questionable at 60
-Deeply personal after 75

The goal is to move fast with integrity, not flail your way to 100.

⸻

Movement Standards

Push-Up
-Start in a strong plank
-Chest touches the floor
-Full lockout at the top (elbows extended)
-Hips and shoulders rise together (no worming)

If your midline collapses, it’s no longer a push-up, it’s interpretive dance.

⸻

Strategy Suggestions
-Start with manageable sets (ex: 20-15-15-10-10-10-10-10)
-Shake out arms early
-Breathe at the top, not at the bottom
-Keep tension through glutes + core

⸻

Modifications

Because quality > ego
-Elevate hands on a box
-Knee push-ups (maintain straight line from knees to shoulders)
-Reduce volume (ex: 75 or 50 for time)
-Partner version: split reps evenly

02/12/2026

Is manipulation that effective for mobility?
Research says yes, temporarily. But is it actually a good intervention when we have true tissue stiffness? Maybe not.
The use case for manips vs mobs is very different. Start thinking about ** why ** there is a lack of mobility, then choose your intervention based on its primary mechanism (tissue change vs nervous system modulation).

Check out a *Total Spine Thrust* course to learn about how we make clinical decisions like this, how to choose techniques, and what comes next after manual therapy.

Meeting the patient where they are is key. 🔑 Learning what your patient thinks will help them will help build therapeuti...
02/11/2026

Meeting the patient where they are is key. 🔑

Learning what your patient thinks will help them will help build therapeutic alliance, promote positive expectations with treatment, and bridge the gap between where they want to start and where you want to go.Want to learn more about leveraging beliefs and expectations in people with chronic pain? 

Join is March 16th for our next cohort

Not feeling confident with how to properly strengthen these athletes during their pregnancy and postpartum journey? Our ...
02/10/2026

Not feeling confident with how to properly strengthen these athletes during their pregnancy and postpartum journey? Our Pelvic Female Live course will have you walking away with confidence.

Stop waiting for confidence.🔥Build it.Our upcoming courses are designed for clinicians who want to do, not just know.Evi...
02/10/2026

Stop waiting for confidence.🔥
Build it.

Our upcoming courses are designed for clinicians who want to do, not just know.
Evidence. Application. Real-world reps.

Be about it.
📅 Upcoming courses live → link in bio

Are you limited in your ability to prescribe modifications for your clients in the gym? Pro tip🗣️ Scaling isn’t a one si...
02/09/2026

Are you limited in your ability to prescribe modifications for your clients in the gym? Pro tip🗣️ Scaling isn’t a one size fits all process.

When you diversify your ability to scale for your clients you increase a client’s rehab engagement and progress. Take a look at all of these scaling options for pull ups based on where your client is at.

Not confident with your ability to scale for your patients? You need to register for our Fitness Athlete L1 Online course starting March 2!

Comment below your scaling ideas for pull ups!

Running mechanics provide clues about which tissues have to attenuate load. Changing mechanics can shift load away from...
02/08/2026

Running mechanics provide clues about which tissues have to attenuate load.

Changing mechanics can shift load away from aggravated tissues and onto other structures.

With no additional context, what symptoms do you think this runner was trying to offload by switching to the gait pattern demonstrated in these slides?

Bonus question: which tissues now have to attenuate more load?

Talk is cheap.Intentions are easy.Ex*****on is the difference.
02/08/2026

Talk is cheap.
Intentions are easy.
Ex*****on is the difference.

02/08/2026

You don’t have to stand at the front of a classroom to be a teacher.

Every cue you give.
Every correction you make.
Every explanation you offer a patient, athlete, or intern.

Teaching isn’t extra, it’s foundational.

The clinicians who teach well:
• communicate more clearly
• think more critically
• earn more trust
• and elevate everyone around them

If you can explain it, you understand it.
If you can teach it, you own it.

Better teachers create better clinicians.
And better clinicians change the profession.

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Charlotte, NC
28201-28237, 28240-28247, 28250, 28253-28256, 28258, 28260-28262, 28265-28266, 2

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