The Upcoming Falling Epidemic & Why I Started This Journey At Age 21.

Video Transcript

Hi, I’m Dr. Jeffrey Guild, a physical therapist. Today, we’re going to talk about why Optimove was formed, a little bit about our story, and how we take on the upcoming epidemic about falls in our society that’s coming up in the next three to five to seven years. So, stay tuned!

For those of you who don’t know me, I’m Dr. Jeffrey Guild, a physical therapist. What we do is empower people to remain active and independent in their home and in the community and avoid going to a nursing home.

You may ask, how does Optimove do this?

The story for me started when I was 21 years old. At the time, I was a strength conditioning intern, working with division one athletes and, of course, training for power and strength and agility. These are very vital things for elite athletes.

As I was studying more and more, I realized the upcoming epidemic that would happen with Baby Boomers. As we get older, our muscle deteriorates, our fast-twitch muscle fibers and fast-twitch motor units decline, essentially lowering our ability to respond to falls.

Yes, some of this does happen naturally as we get older. However, for people who train, this decline is not as steep as it is for the rest of the population where it tends to be much steeper. For those of us who are not training, there’s going to be a fast, sharp decline in strength and power as we get older, affecting our ability to respond to falls.

I did my undergraduate thesis on training for leg power in the older population to prevent falls. The question then was, can older people, past 90 years old, even get benefit from strength training? The big conclusion was, absolutely yes. There’s a lot of benefit from strength training in the older population, especially past the age of 90, focusing on power and improvement in function.

As I studied more and more, I saw that this problem was going to become huge if we did not intervene. Thus, I devoted my career to change that. This upcoming epidemic is basically the Baby Boomers, who are going to be a large part of our population as we get older. In about five years from now, as of recording in 2023, the oldest baby boomers, currently 75, are going to be 80. So, what is our population going to be like at that time?

Now, with the silent generation – those over the age of 80 or 85 right now – it’s already a problem. Many are experiencing a massive issue with falls and a massive decline in their physical abilities because of what people think is the inevitable decline of strength, power, physical abilities, and balance.

The silent generation is experiencing an influx of falls and losing independence and moving to facilities at a very fast rate. We, as physical therapists, see this all the time as we’re working with this population.

There’s a major thought difference between the silent generation and the Baby Boomers, especially the younger Baby Boomers and the Gen Xers. The thought of, ‘Yes, you can do something about this. You can prevent these things from happening’ versus the thought process of the older medical community and the silent generation thinking that it’s inevitable.

Now, there are some challenges coming up due to the COVID pandemic and technology encouraging us to move less. This will become an increasing problem if we don’t get our population moving faster and acting more proactively. So, this is a major problem that is preventable, which we’re going to discuss.

The solution for this revolves around how our population reacts as they get older, how much we move, how proactive we are when a balance problem or a fall occurs. Having massive action, massive implementation, and maximum effort towards this problem can prevent the perceived inevitable decline of a generation.

After I graduated from undergrad and did my undergraduate thesis on training for leg power to prevent falls, I worked as a personal trainer in a healthcare fitness setting connected to a large hospital setting in the Dallas area. I mainly worked with older individuals and people with physical limitations. My passion was working with people to prevent injuries. So, we identified basic movement problems in people, and by correcting them, we could prevent many injuries.

Applying a lot of what I’d learned working with elite athletes, studying and then being able to take it towards an actual population of people, and successfully preventing many problems convinced me that prevention is key.

I went into physical therapy school, and there I found my passion in working with vestibular disorders – dizziness and vertigo types of disorders. This system was relevant to balance and falls, and I saw it as the key to preventing falls.

Working in different settings, I saw a gap in providing high-quality care to patients after they were discharged from facilities. Often, the plans for the care they were to receive at home were not adequate. Home Health was the only available option, but it provides relatively low-quality care and is not sustainable in the long term.

To fill this gap, I started bringing care to the patients’ homes. We could see exactly what real life was like for them and identify potential problems.

Over time, we’ve been able to prevent falls and decline in many patients, not only maintaining their physical abilities at a high level but in many cases increasing their physical abilities and helping them regain their abilities to fully engage with life and their families again.

Acting proactively is also important. When a fall occurs, immediate action can prevent a downward spiral.

Physical abilities are the number one frontline solution to prevent these falls. Improving mobility in home environments, working with rehab and fitness professionals, educating patients about their physical abilities – these are all things that can help. These are not Scare Tactics; these are realities. If we don’t accept and address these issues now, we’re going to face a major healthcare crisis.

Exercising regularly, addressing balance problems early, assessing and modifying home environments to reduce fall risk – all these are proactive measures you can take to improve your physical abilities and prevent falls. You don’t have to accept that, as you get older, you’re destined to fall and decline. You can act and prevent these problems by consistently exercising, regularly seeing a physical therapist, and addressing potential home environment risks.

We can prevent an epidemic of falls and declines. Buck the trend and don’t accept that you’re destined to succumb to these issues. It’s in your power to stay active, stay strong and stay independent for as long as possible.

I hope this was helpful to hear a little bit of our story, our mission, and how we’re sparking change. If you like this information, subscribe to our channel. We’re committed to broadening this discussion and empowering people to maintain and improve their physical abilities, regardless of age.

References

We all went through a lot during the epidemic, here is my story. This is my journey!

Do you or an aging loved one struggle with balance and falls? There is hope. Let us empower you to maintain your independence at home and in the community.

Click the link below to book your free in-home discover visit: https://optimovedfw.com/balanceandfallsfb

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At Optimove Physical Therapy & Wellness it is important for the decision-making power about our clients’ plan of care and treatment to be between the client and the therapist. Optimove allows you to experience what medicine used to be, so you and the healthcare provider determine your plan together. Decisions about your plan are made by you in collaboration with your licensed therapist. Once the evaluation is completed, you and the physical therapist will decide together on how long the treatment should last, how often, and what the end-result will look like. We never give up on you and we are always there for you. We are relentless in the pursuit of you achieving the outcome you want.

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In the State of Texas, a physical therapy evaluation and the beginning of treatment can be performed without a referral. After that, we will send our evaluation to the healthcare provider of your choice and we will take it from there. All you need to do is provide the contact information for that healthcare provider, and we will do the rest. This other healthcare provider can be a physician, chiropractor, dentist, physician assistant, or nurse practitioner.

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Matt Langford

Physical Therapist

Hi there! I'm Dr. Matt Langford. I have been working as a physical therapist in DFW for three years. My wife, our golden doodle named Birdie, and I love to spend our time going on different adventures whether it be hiking the Trinity trail or traveling to new places. I also love playing golf, pickleball, and serving at our local church in Fort Worth. My goals in life include learning more about the field of physical therapy so I can provide better care to individuals, pursuing my faith in a way that helps others know about Christ, and making as many memories as I can.

Kasondra Woodruff

Client Liaison

Kasondra is a mother and a pet lover, she loves spending time outdoors with her children and furry friends. With years of experience in client relations, her passion is ensuring that every client is heard and taken care of. As our Client Liaison, Kasondra takes pride in building strong relationships with our clients, ensuring that their needs are met and that they feel comfortable and confident throughout their time with us.

Jason Livas

Physical Therapy

Jason joined the Optimove team November 2023. He earned a Bachelor of Science in Exercise Science from the University of Texas at Arlington in 2012 followed by an Associate of Applied Science in Physical Therapy from Navarro College in 2019.
Jason’s clinical interests include neuromuscular training for healthy aging and longevity of the older adult, orthopedic rehabilitation and strength and conditioning. Jason also maintains certifications as a Certified Strength and Conditioning Specialist (CSCS) and trigger point dry needling (Cert DN).
Outside of work, Jason enjoys cooking, reading, strength training and spending time with his beautiful wife and kids.

Connie Thomason

Occupational Therapist

Connie holds a Master of Occupational Therapy from Texas Woman’s University (1997) and boasts over 26 years of experience as an Occupational Therapist. Her expertise lies primarily in neurological rehabilitation within a hospital-based outpatient setting. Throughout her career, Connie has worked across various healthcare settings including Acute, SubAcute, Skilled Nursing, and In-Patient Rehab.
Her specialization in Vestibular Rehabilitation since 2005 has equipped her to effectively treat a wide array of conditions, including BPPV, Vestibular Migraine, Meniere’s Disease, acute and chronic hypofunction, Acoustic Neuroma, PPPD, balance disorders, central vestibular disorders, concussion, and Superior Canal Dehiscence.
Connie holds numerous certifications, including the 360 Neuro Health Certificate of Competency in Vestibular Rehab, Emory University Vestibular Rehabilitation Competency-Based Course, 360 Neuro Health V2FIT for concussion, Lee Silverman Voice Therapy (LSVT) BIG for Parkinson’s patients, Neuro Developmental Treatment (NDT) for stroke patients, and NASM Corrective Exercise certification. She is also certified in the Montreal Cognitive Assessment (MoCA).
Active in professional communities, Connie is a member of the American Occupational Therapy Association and the Vestibular Disorders Association.
Outside of her professional endeavors, Connie enjoys spending time with her husband of 30 years, along with their two rescued bulldogs. Her hobbies include riding motorcycles, traveling, running, painting, and reading extensively about health, wellness, and vestibular research.

Andy Altmoyer

Operations Manager

Andy grew up as part of a military family, living all over the country and abroad. He is so glad to have finally landed back in Texas. He earned a bachelor’s degree in Secondary Social Studies Education, minoring in Vocal Music and Theater from West Liberty University in West Virginia. Since then he has used his outgoing nature, education background, and organizational skills in healthcare management and operations. When he isn’t working he enjoys spending time with his family and dogs, reading Marvel comics, and cooking.
During Andy’s first venture into healthcare, while living in Ohio, he worked for a practice focused on Orthopedics where he spent time managing their Physical Therapy front desk across multiple locations as well as being a group fitness instructor for seniors, folks with special needs, and those who have had total join replacements. It’s here that he realized his deep love of helping people navigate the healthcare system and connecting them with those can meet their mobility needs.
Sad to leave that company after over 7 years, Andy and his family moved to Dallas where Andy spent 3 years as Operations Manager for a large Neurology practice. He continued helping people connect with top tier healthcare providers, navigating the pandemic, and moving the practice’s location in stride. It was during this time that Andy met Dr. Guild. The Optimove Team became a favored referral source for some of the physicians on staff and Andy got to work with their team closely as they coordinated care for the patients.
This collaboration led to Andy joining the Optimove Team in August of 2021. Andy has a unique blend of experiences not only professionally but personally as well. He has been able to assist so many people reach the correct providers to have their needs met and provides valuable insight to the workings of the healthcare system at large and how to make it work better for our clients. This also comes from helping his mother navigate worker’s compensation and disability as well as assisting his family setting up his grandparents with memory care, assisted living, physical therapy, and other services. Andy has often been quoted as saying, “I may not be the one laying the healing hands but connecting folks to the right people who can help them makes me feel like I’m a part of something great and makes me feel good.”
Andy would like to be a part of your journey towards independence and wellness. He loves getting to know our clients and being one of their biggest cheerleaders throughout their journeys. Give him a call and take the first steps to achieving your goals.

Peter Langlois

Physical Therapy

Peter keeps our clients laughing, and the whole Optimove Team as well. Hand-picked by Jeffrey from their previous rehabilitation work, when he is not being “The Joint Whisperer” and making the seemingly impossible happen, Peter is MacGyvering up some gadget for our clients to help them move better.
Peter is originally from Rhode Island. He received his bachelor’s degree from the University of Rhode Island where his first career was as a ship captain, where he travelled the world and experienced many different cultures. Peter later developed a passion for physical therapy from his running career as a long distance runner doing marathons and ultramarathons. This led him to switch careers as he wanted to learn more about injury prevention and rehab. Peter has worked in various facilities over the last 8 years as a therapist throughout the metroplex including skilled nursing, outpatient orthopedics, and home health. He now enjoys working with our clients on various movement disorders, gait mechanics and balance issues. In his spare time Peter enjoys chopping wood and going for long trail runs with his family.

Jeffrey R. Guild, PT, DPT, (Former CSCS)

Owner, Therapist

When Dr. Jeffrey Guild is not working as business owner and clinician, he is dedicating time to his wife and children. His other hobbies include working out (Mainly in the weight room), music (Listening, playing, & researching), history, science, and studying business and successful people.
Jeffrey is originally from Bettendorf, Iowa and went to The University of Iowa and graduated with a bachelor’s degree in Health Promotion (Minors in Integrative Physiology & Psychology). He also worked as a Strength & Conditioning intern with The University of Iowa for 3 years and volunteered in cardiac rehabilitation at The University of Iowa Hospitals & Clinics. Upon arriving to Texas, he interned at the Cooper Aerobics Center.
Jeffrey’s first career was as a strength & conditioning professional and personal trainer. Even in the fitness industry he specialized in working with people who were older and with physical limitations. His particular emphasis as a personal trainer was identifying basic movement problems to prevent injuries BEFORE the training started, which gave him a greater understanding about human movement and was a natural segway towards Physical Therapy.
Jeffrey graduated with a Doctorate Degree in Physical Therapy at The University of North Texas Health Science Center in Fort Worth in 2013. He received the Dean’s research Award for the Allied Health Department and got published in multiple journals. After physical therapy school he started his career by receiving mentoring for over a year working in a vestibular/neurological specialty outpatient practice. Since then he has worked in a number of areas of physical therapy including inpatient rehabilitation, acute care, skilled nursing, memory care, and even pediatrics. In 2018 he started his own practice with the name “Optimove” with the emphasis on a combination of “optimal movement” and “optimism.”