News - Kinetic Edge Physical Therapy
Wednesday September 11, 2019

Former Kinetic Edge Team Members Spread Hope Globally

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At Kinetic Edge Physical Therapy, we’re passionate about making a difference in the world. That’s why it’s our mission to transform lives and restore hope through movement. We strive to do this every day in each one of our seven clinics, and we search for people who resonate with this mission before adding anyone to our team.

One sign we believe indicates our success and intention in this area is that two of our former team members left Kinetic Edge and are now working full time in missions. We thought it’d be fun this month to check in with each of them and provide you with an update of where they’re at in the world and how they’re spreading hope on a global scale.

From Joel Watters, former Physical Therapist at Kinetic Edge now serving in Costa Rica

Two years ago in August, I said a bittersweet goodbye to the Kinetic Edge team toPic 1 serve with InterVarsity Christian Fellowship, a ministry that serves on University campuses. My wife Rachel and I felt called to partner with a sister ministry overseas and were invited to serve in Costa Rica.

We spent our first year here working on our Spanish and serving alongside established student groups on the universities in the capital city of San Jose. This year in January we moved three hours over the mountain to the southern zone of Costa Rica where our ministry never had a presence before. When we began, we didn’t know anyone, but then we met one student named Mariela. In July, we led Mariela through a five-week discipleship training on how to lead an inductive bible study. She has caught the vision of the university being a strategic and unreached corner for the gospel. Two weeks ago, she led her first bible study and did fantastic! We have seen tremendous growth in her throughout the year as she studies the Bible with us, takes risks in sharing her faith, and begins to invest in other younger Christians. Just this week, we had two different bible studies each with eight people participating! God has been so faithful opening doors onto campus as well moving within the hearts of our students. Our dream is plant ministry and see lives transformed on each college campus in the southern zone of Costa Rica!

God has been so good to our family. There have been wonderful joy-filledPic 2 moments and also very difficult ones, each reminding us of God’s love and faithfulness. Our children are thriving, and it is a joy to serve the Lord as a family. We can also see God preparing the way on the University. We are praying for more people like Mariela to join us in reaching the Universities in Costa Rica for the Kingdom of God. We feel blessed to have been sent and to have the opportunity to do such meaningful work with our lives. Although, I do certainly miss caring for people as a physical therapist with the Kinetic Edge team. We send our blessings to you all from Costa Rica praying that God’s presence and peace would grow in your hearts.

If you feel led to support Joel’s work with a financial gift, please head to

From Shelly De Ruiter, former Physical Therapist at Kinetic Edge now serving in Haiti

My husband and I moved to Sylvan, Haiti in October 2018 with Many Hands 4 Haiti.  When asked what we do here, we both smile, because that question doesn’t have a nice neat answer! The reason we smile when asked is because much of our time is spent learning how to live here and communicate with our Haitian staff, program participants, neighbors, and market vendors!  Generally speaking, my husband serves as the Organization Development Manger which means he is here to put systems organization into place in areas like education, agronomy, and leadership.

I serve as the Spiritual Direction Manager which means that I am no longer working as a physical therapist while here. I am pursuing a passion I’ve always had and incorporated in my physical therapy work – soul care and relative rest. I get to invite people into new ways of understanding how God sees them and how we understand God.

So far, my work has been directed toward the American mission trip participants by creating a Path of Life Guide that gives tools of prayer along our path that encircles our campus. I hope to offer mini retreats to fellow non-natives here in our area as well.Pic 4Pic 3

Just this last week, we had a guest on our campus who was here to do consulting work with another organization in Pignon. But I think God had him do some consulting work right here at MH4H! He is a pastor, a lifelong missionary, and trained in “Strengths Finders”. He spent hours with Darryl and me helping us understand beyond our titles and duties how we each are specifically talented for this time in Haiti. The timing was beautiful for both of us due to some loss of focus and longing for the “good old days” when we both knew what our jobs were and what we were supposed to be doing. We are thanking God that Phillip needed a place to stay and that MH4H could provide it!

If you feel led to support Shelly’s work with a financial gift, please head to

Wednesday September 11, 2019

Do You Know Your Movement Vital Signs?

Vital Signs

By Dr. Troy Vander Molen, PT, DPT

Most people think of heart rate or blood pressure when they think of vital signs. Vital SignsIt is common to use numbers to quantify health and risk of disease. The American Heart Association encourages people to “know their numbers” referring to blood pressure, blood cholesterol, blood glucose, and weight. However, research is now showing the importance of moving properly for health. Let’s take a look at some of the numbers you can use to quantify your movement health.

Walking Speed

Walking speed has been called the “sixth vital sign” in medical literature recently. It is easy to measure and takes into account strength, balance, coordination, confidence, cardiovascular fitness, tolerance to activity, and a whole host of other factors. It has also been shown to be predictive of future hospitalizations, functional decline, and overall mortality. Normal walking speed is considered to be 1.2 to 1.4 meters per second, which means that you should be able to walk the distance of a football field from goal line to goal line in a little over one minute.


Pushups are popular to build strength, but a recent study found that they can show us a lot about your heart too. Researchers found that men who could do 40 or more consecutive pushups were at a 96% lower risk for cardiovascular disease than were men who could do less than 10. The pushup test was also more useful in predicting future cardiovascular disease than aerobic capacity measured on a treadmill.

Grip Strength

Hand grip strength has been shown to be strongly correlated with health. The stronger your hand grip is, the less likely you are to suffer from cardiovascular disease, respiratory disease, COPD, and all types of cancer. In the study, muscle weakness was defined as grip strength < 57 pounds for men and < 35 pounds for women. Grip strength below these numbers was highly correlated with an increase in disease.

 Standing from the Floor

If you can’t easily get down on the floor and back up your health might be in trouble, according to a study that looked at more than 2,000 people. The study asked people to go from standing to sitting on the floor and back up with as little support as needed. They found that if you need to use more than one hand to get up and down from the floor that you were 2 to 5 times more likely to die in the next 7 years than someone who can do it with just one hand, or even better, no hands at all.

Moving well is obviously important to overall health and longer life. These tests can give a snapshot of how you’re doing. If you’re having trouble with any of them, considering seeing a movement specialist – your physical therapist. Call Kinetic Edge today at 866-588-0230 if you’d like to have a free 20-minute screen with one of our movement experts to test these important capabilities or talk about a pain you’ve been experiencing.

Thursday August 8, 2019

Are You A Passive Patient or an Active Consumer of Healthcare?


Think about the last time you made a big purchase, say $1,000 or more. Did youhealthcare go out and buy the first thing you saw? Take one recommendation from somebody? Or did you research it, learn some things, compare it to other options, and select something that was right for you? Most people tend to be educated and research large purchases like cars, televisions, or the newest iphone. So why do we so often fail to do this with healthcare? By becoming more educated healthcare consumers we can go from passive patients who take the first recommendation that comes from a practitioner to an active consumer who weighs options and makes choices. Here are some questions to talk through with your practitioner the next time a healthcare decision comes up.

What are the benefits or expected results?

When a treatment or procedure is recommended, the patient often assumes that it will make them “better.” But what the patient expects and what the healthcare provider expects are often two different things. For example, a patient having back surgery expects to be pain free after surgery. The surgeon probably doesn’t expect that to happen. Outcomes from back surgeries are terrible. A large study of 1450 patients in the Ohio worker’s comp system showed that after 2 years 26% of patients who had surgery returned to work. Compare that to 67% of patients who didn’t have surgery. There was also a 41% increase in the use of painkillers in the surgical group.

What are the risks and downsides?

Patients want to hear about the benefits of a treatment, but they often don’t ask or care about the risks. To be an educated consumer, you need to. If one treatment has a 3% edge over another, but has a high risk of making you itchy or causing frequent headaches, do you want it? Going back to the back surgery study from before, the researchers found a 1 in 4 chance of a repeat surgery and a 1 in 3 chance of a major complication. With surgery you risk infection, blood clots, complications with anesthesia, and a whole host of other things. These risks need compared with other treatments. In the case of back pain, physical therapy is a valid alternative with a much lower risk profile. You might have some soreness with physical therapy, you might sweat some and be challenged with exercise, but the risks of PT compared to surgery are minimal.

What are the alternatives?

Don’t feel bad asking about alternative treatments. If you were looking at a certain car you wouldn’t go out and just buy it. You’d at least consider the competitors and probably even test drive them. You should at least look at the other options in healthcare too. Maybe the first recommendation that your practitioner makes is the right one for you, but if you don’t consider the alternatives you’ll never really know.

Why this treatment over the other ones?

This is the question where the rubber meets the road. You’ve learned about all the options, now you can see if your practitioner is balancing the risks and benefits to make the right choice for you. Staying with the back pain example, research shows that more than 40% of people who seek care for back pain will not receive a treatment of known effectiveness. Back pain is also the #1 reason for opioid prescriptions, despite a 2016 recommendation from the CDC to avoid prescribing opioids for back pain, and opt for non-drug treatments like physical therapy. By asking for the rationale and carefully weighing options, you can avoid being one of the people who gets an ineffective treatment.

What’s it cost?

This last question is becoming more important as patients bear an increasing share of the cost of healthcare. Even if you don’t have a high deductible plan or hefty co-pays, by being financially responsible today, you’ll probably see smaller price increases in your premiums down the road. That back surgery that we’ve been talking about? It’ll likely cost between $60,000 and $80,000. So if we put the whole picture together, a patient who takes the first recommendation for surgery will have a $60,000 procedure that leads to a higher risk of disability, and a higher risk of long term painkiller use, while risking infection, and blood clots. Don’t forget the 25% chance that you’ll get to do it all again in a repeat surgery. Seems like a bad deal. An educated consumer would learn that physical therapy is a viable alternative to surgery with comparable outcomes, much less risk and lower cost. In fact, a large study of 122,723 subjects showed that people with back pain who got physical therapy in the first 14 days lowered their healthcare costs by 60%. It’s easy to see why bargain shoppers love PT!

Thursday August 8, 2019

What is the Key to Growth


What is the Key to Growth?

August 2019

By Troy Vander Molen, PT, DPT

As I sit in a beautiful condominium just a few minutes’ walk from the Atlantic Ocean in Hilton Head Island, SC, I can’t help but feel conflicted. I am grateful for this time away with my family. These moments come infrequently, and our three kids – all teenagers – will be out of the house before my wife and I know it. We are blessed beyond measure!

However, there is still a small part of me that feels guilty for not being back home contributing to the Kinetic Edge team’s mission of transforming lives and restoring hope through movement. It is my life’s mission to help people grow in their ability to move and function using my unique, God-given gifts, talents, and passions, and for a few moments this week I’m stepping away from that mission.

As I sit here and contemplate the meaning of this inner conflict, I am reminded of a book that I read last year: Peak Performance: Elevate Your Game, Avoid Burnout, and Thrive with the New Science of Success. Written by Brad Stulberg and Steve Magness, the authors highlighted how the world’s best performers – in sport, art, and business – follow a common pathway to growth by taking on challenges that make themselves uncomfortable (stress) and then follow up with recovery and reflection (rest).

Stress + Rest = Growth

The best performers in the world will crash and burn if they get out of balance. Too much stress and not enough rest leads to injury, illness, or burnout, but too much rest and not enough stress leads to complacency.

In order to grow, we need to step out of our comfort zones. We need to seek out stress. We need to get comfortable with being uncomfortable. This path to personal development is active and counter to complacency.

In today’s culture of accomplishment, it seems counter-intuitive to rest. But rest is also essential.

Brad Stulberg states it well:

There is real magic in stepping away. Though it may seem paradoxical, after a certain point, it’s not hard work that is the key to improvement. It’s rest. It’s only when we step away – nothing more power than when we sleep – that both our bodies and brains rebuild and strengthen.

When we rest, hormones like testosterone and HGH are released, and these chemicals make us more resilient to future challenges. But the benefits of rest are beneficial for more than just our bodies. When we daydream, let our minds wander, and relax, our subconscious minds go to work, and when we sleep – really sleep – our brains process, consolidate, connect, and store all the information we were exposed to during the day. Cut that process short, and you will limit your growth and development.

This sounds like physical rehabilitation

I often explain my career as a physical therapist in the following simplistic way:Troy I stress the body. If someone comes to me with a pain or dysfunction, I have a variety of treatments at my disposal that can reduce the pain. These are important, but the physical issue isn’t truly resolved until we get to the root of the problem, and that requires me to find the right stress to the right tissue at the right time to generate the right response.

Our bodies are made to adapt. Apply a stress – the right stress at the right time to the right tissue – and the body will accommodate and get better at handling new and greater stresses.

But, here’s the tricky part. Most of the body parts that are hurting are likely experiencing an overload. For some reason or another, that part is getting too much stress and not enough rest, so the growth equation is out of balance. To take the load off the over-stressed body part, we need to find the root problem and make sure that this area is taking care of business in the way it was designed.

That’s physical rehabilitation. It’s about finding the right balance between stress and rest.

Maybe that’s the problem…

If you’ve been dealing with a physical problem for some time, think about it through the lens of the stress/rest equation.

If you’ve had treatments that simply attempt to eliminate the pain, you probably haven’t gotten to the root of the problem. Medications, injections, electrical stimulation, and ultrasound treat the site of the pain but not the root cause of the pain. Though they can be an important part of the rehab process, they don’t provide stress or rest. They simply mask the pain and the root problem.

If you have pursued treatment that simply looked at the site of the pain but not the entire movement environment, you’ve probably had incomplete care. Incomplete care leads to temporary results. Like growth in any area, your body needs a balance of stress and rest, and a physical therapist or occupational therapist with knowledge of how to stress the right tissues in order to eliminate stress (or provide rest) to the sore tissue is a great resource that can lead to a physical transformation.

So, if you want to find out how get to the root of the problem and grow out of your physical problem by finding the right balance to the stress/rest equation, just give us a call at 866-588-0230 and schedule a free screen. Our friendly movement experts will spend 20 minutes with you and let you know how you can solve your problem for good by applying the right stress to the right tissue at the right time.

Is that out of your comfort zone? Well, that may be necessary for you to find success. And one lucky client who takes us up on our offer in the month of August will win a free copy of the Peak Performance book by Stulberg and Magness. Call today!

Now, back to the beach!

Wednesday July 10, 2019

Katie Gosewisch’s Top Wedding Memories

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At Kinetic Edge, we’re celebrating the marriage of our occupational therapy Katie 1assistant Katie Williams to Sean Gosewisch. Katie and Sean were married on the Iowa State Fairgrounds on May 18.

The two met through mutual friends in Oskaloosa right after Katie graduated from William Penn. However, other relationships kept them from dating until they ran into each other about a year later and found out they were both single. So they went out for a simple date in Oskaloosa and ended up singing a ton of mutually loved songs in his car to end the night. Katie says even now that their shared love of singing is one of the things she loves most about him.

Sean proposed to Katie under the stars in the mountains while the two were visiting a friend in Aspen. Katie says he compared their love to the infinite number of stars and then completely surprised her with his proposal. Talk about a romantic!

We asked Katie to share some of the best parts of their big day, and this is what she had to say:

  1. My wedding dress: I am not a shopper, and I actually dreaded wedding dress shopping so much. I had been in the shop once before and was scheduled to go back with friends and family to make sure it was the one. It happened to be Black Friday so the lady informed us that their clearance dresses were even cheaper with it being Black Friday. I was pretty set on my previous dress I had picked out but figured it wouldn’t hurt to look. I tried a couple on and nothing was doing it for me, but there was one more that my sister-in-law found for me to try on. In my mind “the one” wasn’t really a thing… It’s a dress; they all look nice. However, this dress was “the one”! It fit like a glove, and it was a STEAL!
  2. My dancing dress: Yes, I know I said my wedding dress was “the one” and it was.Katie 2 But it was not going to allow be to me to dance at my wedding like I wanted to with it being a “mermaid” style dress. I was going to make it work anyway, but I ended up finding a place called New Hope in Oskaloosa. They had new wedding dresses for super cheap, and I fell in love with one that was 8 sizes too big for me. My amazing aunt reluctantly (at first) agreed to see if she could make it work for me. She also made my prom dresses so having her alter my dancing dress was very special for me. She did an AMAZING job, making it exactly what I wanted. She even voiced having fun with problem solving how to make it work.
  3. Our first look as I walked down the aisle: I remember being so nervous and excited to see Sean. When I actually did see him as I turned the corner down the aisle, that’s when it all became so real, and I had to fight tears of joy for most of the ceremony.
  4. Special music: I have some very vocally talented cousins in my family so one of them sang a song during our unity candle lighting. He and another cousin also sang our first dance song. It was so special having that extra special touch to both of those intimate moments of our wedding.
  5. Getting ready in the hotel room with my bridal party before the wedding: Katie 3One of my bridesmaids is a hair dresser so she and her co-worker, who is also a friend, did our hair. Her sister did all of our makeup. It was so nice knowing the people doing my hair and makeup because it was such a laid-back environment and everyone was really able to just be ourselves an relax. Plus, they did an amazing job!
  6. Setting up the venue: We spent Thursday and Friday setting up, and I loved seeing everything we’d prepared come to life.
  7. Our flowers furnished by family friends: It was so special to have my cousin and family friends make our gorgeous flowers. It wasn’t planned, but the family friend that made Katie 4my bouquet was actually the same person that made all of my prom flowers so having her do my wedding made for an extra special touch.
  1. Our wedding cake: A completely different cousin made our wedding cake. I am truly blessed with talented family and friends and loved having them share their talents to make our big day perfect.
  2. THE DANCE: Sean and I love dancing and even though we didn’t get to do as much as we’d have liked to, it was still a blast when we did dance as well as seeing everyone else have a good time.
  3. Reflecting on our day: Sean and I both loved getting to the hotel and Katie 6reminiscing of the day. We felt so blessed to have such wonderful family and friends that showed up to help celebrate such a monumental day for us!


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