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.

You can take online courses.You can read the research.You can listen to the podcasts.But there’s something different abo...
05/19/2026

You can take online courses.
You can read the research.
You can listen to the podcasts.

But there’s something different about being in the room.

This weekend at the ICE Sampler 2026 didn’t just add more tools to the toolbox, it sharpened the lens you all use to evaluate and treat patients with back pain.

That’s the difference.

Not coming home and throwing every new technique at patients, but returning with more clarity, more confidence, and a more refined clinical process.

Patients notice it. Every single time.

Rounds for time? In the clinic? You bet!Don’t let your own fear about intensity affect your plans of care & hold your pa...
05/18/2026

Rounds for time? In the clinic? You bet!

Don’t let your own fear about intensity affect your plans of care & hold your patients back

Whether you’re working with the most sedentary or the most active person you’ve ever met, both need intensity to improve their capacity to begin or return to activity

Rounds for time programming not only facilitates a higher level of intensity but also creates a benchmark for you to measure against during future sessions

Are you using rounds for time in the clinic? Drop a comment below and let us know!

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On the road or online, we’re looking forward to serving you in 2026!

Join us for our 2-day Fitness Athlete Live Seminar around the country & learn the fundamentals of functional fitness: weightlifting, gymnastics, and conditioning

In our 8-week, online, guided, synchronous course, Fitness Athlete L1, starting June 1st, we’ll take you through all the research supporting the need for resistance training, including squatting/deadlifting/pressing. We’ll also tackle what happens in the other 23 hours outside of the gym: how the body adapts to load, sleep, nutrition, supplements, and recovery modalities

Already completed L1? Don’t forget to jump into the next Fitness Athlete L2 cohort starting August 4th with to tackle programming (strength/hypertrophy/CrossFit/mobility/gymnastics), advanced weightlifting & gymnastics movements, and business planning

One final run.Sampler 2027 is heading toColorado for what will be the final ICE Sampler experience before the future shi...
05/18/2026

One final run.

Sampler 2027 is heading toColorado for what will be the final ICE Sampler experience before the future shifts toward division-specific summits.

📍 Longmont, CO
📅 May 22-23, 2027
🎯 Theme: Shoulder Playbook

If you’ve ever wanted to be in the room where the future of ICE Physio is built, this is it.

12PM EST. Be ready.

If you wanted growth this weekend, this was the room to be in.
05/17/2026

If you wanted growth this weekend, this was the room to be in.

Our clinical reasoning is dependent on the information we’re able to gather, but there is never enough time to ask ALL t...
05/17/2026

Our clinical reasoning is dependent on the information we’re able to gather, but there is never enough time to ask ALL the questions or do ALL the tests. What are the MOST important details you need to move forward?
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Symptom detail?
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Running & training history?
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Conventional PT objective tests and measures?
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Running gait analysis?
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Minimal evaluation & maximal intervention?
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There may not be a right answer - which direction would YOU go for this case study?

Join us for Rehab of the Injured Runner LIVE and ONLINE! Sign up at ptonice.com

05/16/2026

Does it make you nervous with your clients in need of supplemental oxygen to push aerobic intensity??

There’s always so much to balance. Safety is one for sure but so is the need to increase function and exercise tolerance in order to optimize capacity for as long as possible.

HIIT training has evidence to back it up … the implementation can be a big scarier.

Check out Christina’s podcast on one of her clients and doing rowing intervals to help with his function.

This 10-year FIDELITY data just landed in the NEJM and it’s exactly what we expected. Arthroscopic Partial Meniscectomy:...
05/15/2026

This 10-year FIDELITY data just landed in the NEJM and it’s exactly what we expected. Arthroscopic Partial Meniscectomy: No benefit over placebo. Worse OA progression. Higher re-operation rates. A full decade of evidence confirming what conservative care has always argued.

Learn to deliver it by joining our Extremity Management course – evidence-based examination and treatment for the clinician who knows conservative care is the standard 🔥

DOI: 10.1056/NEJMc2516079

Gut Check Thursday🔥Intended Stimulus:This one is all about managing your breathing while your heart rate keeps climbing....
05/14/2026

Gut Check Thursday🔥

Intended Stimulus:
This one is all about managing your breathing while your heart rate keeps climbing. The row and burpees are going to spike the engine quickly, and the double unders will punish anybody who comes in too hot. The goal here is smooth, sustainable movement for all 15 minutes, not a sprint-and-survive approach. Expect shoulders, calves, lungs, and grip to all start talking by the halfway point.

Strategy Notes:
* Burpees over the rower should stay low and efficient. Don’t jump higher than you need to.
* Settle into a row pace you can immediately recover from while transitioning to the rope.
* Double unders should be controlled and relaxed. If you’re tripping every 10 reps, you’re moving too fast.
* The athletes who win this workout will minimize transition time and avoid redlining early.

Movement Standards:

* Lateral Burpees Over Rower: Chest and thighs touch the floor. Two-foot takeoff over the rower. No need to stand fully upright at the top.

* Row: Complete 300 meters before moving on. Damper setting shouldn’t feel like a leg press.
* Double Unders: Rope passes under the feet twice for every jump. Stay relaxed through the shoulders and wrists.

Modifications & Scaling:

* Reduce burpees to 6–8 reps if movement quality falls apart.
* Lower row distance to 200m if pacing becomes excessively slow.
* Scale double unders to:
* 50 single unders
* 25 penguin taps
* 25 plate hops
* Beginner option:
* 8 burpees
* 200m row
* 30 single unders

Patients can be prescribed many different kinds of medications to help regulate blood pressure. Here are some of the mor...
05/13/2026

Patients can be prescribed many different kinds of medications to help regulate blood pressure. Here are some of the more common types and examples of each.

Understanding how medications work can help us to better comprehend how a patient’s system is working and also what types of issues they are being treated for in the absence of having a good history.

1. Diuretics: removes excess salt and water from the body, thereby lowering blood volume and BP; often used first. Examples include hydrochlorothiazide and furosemide (Lasix)

2. ACE inhibitors: relaxes blood vessels by preventing the formation of the hormone that narrows them. Examples include lisinopril and enalapril

3. Calcium channel blockers: prevents calcium from entering the heart/vessels, allowing them to relax. Examples include amlodipine and nifedipine

4. ARBs (angiotensin ii receptor blockers):
relaxes vessels by blocking the action of the narrowing hormone. Examples include losartan and valsartan
Beta blockers, vasodilators, alpha-blockers, and central agonists can also be used to lower hypertension, but these are less common when solely treating high BP.

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

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