Mark Yanai, Author at Fukuji & Lum Physical Therapy

September 21, 2016 By Mark Yanai

Meet Jocelyn

Pediatrics and Pool Time with Jocelyn

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[image title=”Jocelyn Shiro, P.T., PAq” caption=”Jocelyn Shiro, P.T., PAq”]https://fukujilumpt.com/wp-content/uploads/2016/03/jocelyn-webpic.jpg[/image]
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Jocelyn Shiro, MSPT, PAq has been a licensed and practicing physical therapist for the past 30 years in California, Alaska, and Hawaii. Twenty-eight of those years have been in pediatric rehab, working with clients of various ages, ranging from birth to young adulthood. She has worked in neuro-rehabilitation, public schools, birth to three early intervention and private pediatric clinic settings.

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Jocelyn has experience with aquatic physical therapy, developmental assessments, sensory integration treatment, evaluation and treatment of children with global and motor developmental delays, Down Syndrome, Cerebral Palsy, Muscular Dystrophy, Autism and Autism Spectrum Disorder, Traumatic Brain Injury, Stroke, Spina Bifida, lower extremity amputation from disease, trauma, and birth defects, Failure to Thrive, FAS, seizure disorders, Brittle Bone Disease, and orthopedic anomalies.

In August 2016, Jocelyn became a certified Pediatric Aquaticist through the Aquatic Therapy University in Minneapolis. She currently works for Fukuji and Lum as a full time aquatic physical therapist, and for the Waianae Coast Early Childhood Services Parent Child Development Center.

Jocelyn joined us a year ago and has been busy at our Kokokahi location working daily in the pool. Her certification in Pediatric Aquatics brings us closer to providing lifelong care for our patients.

What makes you so drawn to working in pediatrics?
I have always had a soft spot for babies and children. No matter what deficit or diagnosis they have, no matter how high or low functioning they are, they just want to have fun and feel happy. If they are in pain or are unhappy, hugs tend to work much better than pills. They are also smaller than me, and being a rather small adult, it makes being a physical therapist much easier!

Who is your greatest influence in physical therapy?
My clients, both young and old are my greatest influences. I am often inspired by those who are overcoming pain, suffering and disability, and I strive to be a better therapist, so that I can better help them.

What is the most interesting thing or most rewarding thing in working with children?
Children’s bodies and nervous systems tend to be more plastic or resilient, because they are young and still developing. They tend to improve or recover relatively quickly, which makes working with them very rewarding. I also enjoy working with parents or other caregivers, educating them and empowering them to be their child’s best advocate and “therapist”.

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You moved from Alaska to work in Hawaii. What drew you to Hawaii?
I was tired of the cold, dark winters of Alaska and was ready for a change. I felt like I had made an impact and contribution to my small town in Alaska through teaching dance and being a PT for the hospital, public schools, and the birth to three early intervention organization. I wanted try making a new contribution to a new community, with the same feeling of “Ohana” if I could.

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What do you see in F&L that’s so different than other PT organizations?
The owners and clinic directors treat, make investments in, and take care of their employees like family. I am starting to really feel a part of it just after a year. I’ve worked many years in different settings, and it’s rare to find that special closeness between the different staff levels. Everyone is important and valued, regardless of title. When people feel invested like that, the company can run more smoothly and respectfully. I truly appreciate that and feel blessed to be a part of Fukuji and Lum Ohana.

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How have you adapted to life on the islands?
Haha, I think I have adapted very quickly and comfortably. I feel very at home here and have enjoyed getting to know a wide variety of people, both local and not local, and have involved myself in the medical, yoga, and dance communities this past year. And my son serendipitously ended up at the University of Hawai’i Manoa, which we both love (that was NOT planned, but he says I followed him).

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Happy at Work

September 12, 2016 By Mark Yanai

The Awesome Experience of Finding Yourself

One of the rewards of working with physical therapy students is being able to witness their amazing growth during their time with us. At the end of their internship, students normally see the success they accomplished with their work and have the realization of a learned skill. But with the Northeastern Co-Op students, it’s often a lot more than what happens in the clinical setting. They end up discovering their identity of who they really are and want to be in life.

While the experience of being in Hawaii for six months seems like an extended vacation, it is often much more than that. There’s a saying “You never leave a place you love, you take a part of it with you, leaving a part of you behind.” I find this is true for many of the Co-Ops, but much more so with Kara, one of our 5 Co-ops this past semester. When I first posted a blog introducing her back in Febuary, she wrote about her hopes to finding out what kind of therapist she could be. Six months went by fast and I could describe her tremendous growth in my words, but it’s more clear when you hear it from her.

My Co-Op Experience: Kara

So I guess now that I’m done with my first semester back I have no more excuses to not write this blog. It’s a big undertaking, however, because I am not particularly adept at putting my feelings and experiences into coherent thoughts. My usual encounter with anyone asking me how my 6-month co-op was in Hawaii might be something like this:

“So how was Hawaii?” Internal dialogue: ‘Ohmygosh it was so great I had so much fun I learned so much Fukuji and Lum is awesome they actually care so much about the co-ops and that we are having a good/educational time and the islands were great/magical/more than I ever imagined and I made friends and swam in the ocean with cute sea creatures and almost fell off a few mountains and ohmygosh I got so fit biking to work every day but it was scary in the rain and everyone was always so concerned and supportive of everything that we did and looked out for us like family wait what was I saying? What I actually say: “uhhhh…. Awesome?!?!”

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I’m pretty sure no one wants to hear me babble on like that, but that’s pretty much still all I can do. I cannot describe what a great experience working for Fukuji & Lum was, or how much all of my amazing coworkers mean to me. It wasn’t just 6 months of sun and fun in a tropical paradise, although there was plenty of that, I was welcomed into the F&L family as a long-lost relative. The Hawaiian concept of Ohana is now engrained in me, not by being told the definition over and over, but by being shown over and over in the kindness and love of everyone I encountered.

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The experience I gained in the different clinics will shape the type of therapist I become. Up till now, being a physical therapist was a VERY distant dream. Being back from Fukuji and Lum and taking classes this summer, this is the first time I have actually felt this dream was attainable. Working as a therapist was something I wanted to do, but honestly up till now it was something I never actually felt I was capable of doing. I continued semester after semester with the growing feeling that I wasn’t good enough, that I wasn’t smart enough. The people at Fukuji and Lum have been great mentors, and the confidence they have shown in me has in turn made me more confident. Since returning from Hawaii I find I have been able to accept the fact that no, I don’t know everything, but that’s ok, that’s what the rest of my education is for.

I am grateful for everything I came away from Hawaii having learnt and seen. In those magical 6 months I made lifelong friends, ate strange and delicious foods (does anyone want to send me some haupia?? no??), collected a hodgepodge of the culture and language, explored, learned much about myself, and fell in love…. with the Islands! So from the bottom of my heart, Mahalo Nui Loa!

Happy at Work

August 29, 2016 By Mark Yanai

More Than Teamwork

Earlier this year, F&L was fortunate to have five Co-Op students join us from Northeastern University as an education requirement of their physical therapy graduate program. Our relationship with the university is now going on nine years as we’ve hosted more than 20 students for their six-month stay at our clinics. Most of the students are placed at our Windward clinics, but since we had five of them this semester, one lucky Co-op was set to join our newest clinic in Honolulu, the Kuakini Physicians Tower in the Kuakini Medical Center.

When conducting interviews for the Co-Op Program, I look for candidates who will fit in well with our value-based organization. I knew that the student selected for our Honolulu clinic would have to be someone who could handle new and different challenges than previous co-ops. It didn’t take long for me to select Amelia, a fourth year student, to be the one to join our Honolulu team and be a part of the opening of our newest clinic. I was impressed by her maturity and work ethic and knew she would fit right in. It’s not surprising that the name Amelia is derived from the Latin words for “industrious” and “striving” as she fits the bill of what we look for in each of our employees.

Amelia is now back to her studies in Boston, but took the time to be a guest blogger for us and reflect on her experience working at the Honolulu clinic.

Guest Blogger: Amelia and the Meaning of “Team-work”

When I initially heard a week before coming to Hawaii that I would be the Co-Op joining the Honolulu clinic, I’ll admit I had a few reservations. My worries about being the only Co-Op at the clinic and the commute without a car were soon washed away and I couldn’t be more grateful to have been a part of the Kuakini family. As cheesy as it sounds, I never fathomed how inspiring and life-changing my experience at the Honolulu clinic would be. On my first day at Fukuji & Lum, a little silver Pontiac Vibe pulled into my driveway just after noon and drove me to see Lanikai beach. This would be the first of many car rides over the Pali Highway full of conversations with Art Lum, from which I have learned a great deal and truly cherish. During that first car ride Art explained to me the values based-culture of F&L, to which I could do little more than nod my head politely in reply.

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[one_half_last]However, after reflecting on my experience it is something I more deeply understand and hope to take with me as a clinician for the rest of my life. I’ve heard many peers and friends talk about the great “team” attitude they share with their coworkers and I’ve experienced it myself at other jobs, but there is something really unique about the F & L culture that makes it so special. I’m not quite sure I can put that into words, but I do know that each person I had the pleasure of working with in Honolulu for has influenced who I will become as a clinician and as a person. [/one_half_last]

[one_half]Art, Shaw, Brittany, Mike, Michelle, Lynn, Julie, and Terrence all went out of their way to make me feel at home; from feeding me endless Hawaiian snacks to teaching me new exercises to giving me weekend tips. They were continuously patient, kind, and supportive of me, of one another, and most importantly of our patients. Each of them brought something special to the table and our bond extended beyond the doors of the clinic to weekend hikes, Filipino restaurants, and Karaoke sessions. They showed me just what the F&L culture is all about and I hope to carry that with me wherever I go. [/one_half]

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Mauka a Makai

After cruising past Lanikai beach on that first day in Honolulu, Art and I headed over the mountains. He explained to me the first Hawaiian words I learned on the island, mauka and makai, to describe the mountains and the ocean. These words stuck with me and have come to mean a lot to me. Art marveled at how lovely the mountains looked that afternoon, and I can remember admiring that after many years in Hawaii he still found a new appreciation for the beauty of his surroundings every day. The beauty of the island was everywhere in Hawaii, filling my heart with joy day after day.

In the 6 months I spent in having some of the most beautiful experiences of my life I came to an understanding that I have taken with me back to Boston. We often think tropical islands are the most beautiful places in the world, yearning for them in daydreams and ending up unsatisfied or unhappy by our own current surroundings. But the simple realization that it is much more about attitude than it is about surroundings has made me more gracious and appreciative, and ultimately more happy. Hawaii has taught me to find beauty and happiness wherever I stand, mauka a makai. Joy can be found under streetlights and in sunsets if I open my eyes to it.

Happy at Work

August 18, 2016 By Mark Yanai

2016 Volunteer Recognition Dinner

The Start of the Next Generation

A profession is defined as “a type of job that requires special education, expertise or skill.” When working in the physical therapy profession, it is more than just a job. It is as most therapists say, “their true calling”, with a strong desire to spend the rest of their lives committed to this profession. At F&L, we are so passionate and engrossed in physical therapy, that we feel the need to share our enthusiasm with PT hopefuls to strengthen and promote physical, occupational and massage therapy.

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Each year, we accept 20-30 volunteers ranging from high school to college graduate students. The program is overseen by Brad Kaya, P.T., M.S., O.C.S., who coordinates the supervision and scheduling of the applicants. Accepted students of the program will receive first hand experience at one of our four outpatient orthopedic clinics. They are trained as regular staff members and become ambassadors of the organization. Students are encouraged to foster relationships with experienced therapists so that they gain valuable knowledge in preparation for applying into a graduate PT program.

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F&L recognizes the efforts and contributions of our volunteers by hosting a special Volunteer Appreciation Dinner every summer at one of our clinics. This year’s dinner was held at our Kokokahi facility and attended by 17 students. The event included staff speakers who shared their personal journeys about how they got into the PT profession and gave helpful advice to the students interested in applying for PT school. I never tire of listening to my co-workers and their experiences about getting into physical therapy school. We often have a great turnout and I always leave the dinner with admiration for our staff members as they themselves volunteer their time to come and talk to students interested in applying for PT school.

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As therapists, we all recall volunteering somewhere to find our calling and remember the day that we realized it was to work in the physical therapy field. It feels rewarding to give back to this profession, knowing we were able to give these volunteers the opportunity to discover their true calling. We look forward to seeing this next generation of therapists in the future, possibly working with us soon.

If you have any questions regarding the Volunteer Program, feel free to email me at [email protected].

Happy at Work

July 25, 2016 By Mark Yanai

The Hi Life of the Supposed

This past semester, Natalia, one of the five Northeastern University Co-ops worked with me at our W.O.R.C. site and with Randy at our Kailua clinic. She was one of the PT students that was exposed to and later immersed in Postural Restoration Institute (PRI) techniques, something exciting and new to F&L. Natalia has since returned to Boston to resume classes and continue her pursuit of her doctorate degree in Physical Therapy.

She spent her last weekend in Hawaii attending F&L’s closed course on PRI, which I wrote about in my last blog. I had just returned from my trip to Boston where I commented to everyone that “no one has heard of any student named Natalia”. She was then given the name “Supposed” by James Anderson, our course instructor.

I don’t always get to work closely with the Co-Ops as they are assigned to our various clinics, but when I do, I get very attached to them. Natalia was no different and we got to know each other well. She was a terrific student of the craft and I know she’ll become an excellent clinician. We will definitely miss her presence at the clinics and wish her the best in her future endeavors. We are so grateful to Natalia for writing about her experience working with F&L and the fun she had living on the island for six months.

My Co-Op Experience: Natalia

Upon my return to Boston, I’ve heard the same question over and over from my classmates and friends: “How was Hawaii?” This is a surprisingly difficult question for me. I usually answer with some variation on the words “spectacular”, “completely amazing”, or perhaps a succinct “epic”, but no matter what I say, the words seem lacking to describe how much the experience truly meant to me.

Living in Kailua and working at Fukuji & Lum has without a doubt been the best six months of my life to date. I got to work with such amazing, compassionate, intelligent people who provided me a real life example of what culture- and value-oriented health care is all about. I got to learn from uniquely skilled, experienced, and dedicated physical therapists who were incredibly generous in sharing their knowledge and went out of their way to give me an educational experience I don’t think I could have gotten anywhere else. I got to become familiar with types of treatments not all practitioners learn even after graduation, such as PRI, Strain-Counterstrain, and NAIOMT.

Over the past six months, I have grown so much and become more confident in myself as an individual, a healthcare professional, and a future physical therapist. And of course, I got to do all this in between weekends spent exploring sheer clifftops, cascading waterfalls, colorful pillboxes, jungle forests, ancient ruins, hidden treehouses, vibrant reefs, and white-sand beaches; eating amazingly ono grinds from all around the island, from the food trucks in Haleiwa to ramen in Honolulu; and visiting unique cultural places like the city graffiti of Kaka’ako or the tranquil beauty of the Byodo-in Temple, among so many others.

Along the way, I got to forge incredible friendships with my coworkers, roommates, patients and more. Living in Hawaii taught me to open up so much more than I ever used to and showed me just how easy it is to make friends, be it with someone I met on the top of the Makapu’u lighthouse hike, in downtown Honolulu, at the beach playing volleyball, or even in the clinic. I’m so grateful that I got to share some pretty awesome island experiences with such a large variety of people. No matter where I was or how much of a stranger I felt at first, I was always welcomed and treated like ohana. From my experience, the “aloha spirit” is very much a real and tangible thing; the islands really bring people together.

One of the things I’m really glad I did was visiting Kauai to take in the views along the steep Na Pali Coast hike and from the top of Waimea Canyon. Each island is so different and offers so many unique experiences, which I didn’t realize until after I had gone to Kauai. I hope to come back to Hawaii and experience more of the adventures each island has to offer. And despite all the hikes and adventures I managed to fit in, there are still things on my Oahu bucket list I have yet to do!

As I return to classes and adjust back to life in Boston (which, right now, is far hotter and stickier than Hawaii was, unfortunately), I am constantly reminded about how lucky and blessed I was to be surrounded by some of the most beautiful beaches, mountains, bays and waterfalls in the world, all within such close reach. I deeply treasure all of the connections and ongoing relationships I made there, and it’s hard to be so far away; the island life already seems so distant. I think warmly of the patients I helped to treat and the amazing people I worked with, and I’m trying to bring some of that aloha spirit they showed me along with me back to Boston. If I’m being honest, I wish I could still be working at Fukuji & Lum – six months seemed too short! But I know that the rest of my education lies in front of me, and the island will always be there to welcome me back. In the meantime, I’ll have to settle to listening to Kolohe Kai and Jack Johnson while studying for midterms in the library, dreaming of Lanikai beaches.

Mahalo and aloha oe to everyone in Fukuji & Lum and anyone who’s touched my life in Hawaii in someway. I hope to be back to say aloha again some day.

Love,

Natalia

Happy at Work

July 14, 2016 By Mark Yanai

My PRI Path

Postural Restoration Institute and F&L

This past June, F&L held a private Myokinematic Restoration course from the Postural Restoration Institute (PRI). The course was limited to F&L clinicians to introduce PRI’s philosophy to our organization and was instructed by James Anderson, MPT, PRC, who is one of the primary instructors for PRI as well as the Director of Affiliate Courses.

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I first met James back in April of this year when I traveled to San Francisco for the same course. I found the content in the Myokinematic Restoration challenged many of the traditional teachings of my profession, yet provided evidenced based results that supported it’s philosophy. I enjoyed James’ energy and passion for teaching and thought his style kept me engaged throughout the weekend course. I left excited to apply what I learned to my patients.

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I got mixed results, so I knew my skill and knowledge of PRI needed to improve. I signed up for another PRI primary class in Boston called Postural Respiration, hosted by Northeastern University. It was the perfect location for me to visit as we have a great relationship with NU’s Cooperative Program. The course was taught by Mike Cantrell, MPT, PRC, who also brought great passion to PRI’s teachings.

Both courses gave me a better understanding of PRI and its development of an innovative treatment approach that explains the primary contributors of postural kinetic and kinematic movement dysfunction. PRI’s founder, Ron Hruska, MPA, PT, recognized patterns with polyarticular chains that create asymmetry and adaptations to function. It’s these chains that create tone or inhibition of muscles that are addressed with PRI techniques. Recognition of these patterns and how they create dysfunction are critical in a clinician’s ability to apply PRI’s unique approach.

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PRI concentrates on the respiration and gait patterns that we all use to function on a daily basis. The use of the diaphragm and the specific exercises designed for PRI are unique for traditional orthopedic approaches. I found myself blowing into a balloon to improve my ribcage mobility and pelvic symmetry, which seemed comical at first. But as I continued down the path of PRI exercises and respiration techniques, I found that its unorthodox methods produce some significant changes in not only my patients, but in my own body and function.

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As for the Myokinematic Restoration course at F&L, it was a huge success for both our organization and myself. Hearing James a second time and now being equipped with two primary courses, I felt confident in my ability to apply PRI techniques with greater effectiveness. Our therapists have gained a terrific introduction to PRI and valuable knowledge that kept inline with our current practice methods.

It’s my hope that we continue down this path with PRI. It’s still early in our relationship with James and PRI but it has already produced great outcomes for our patients.

For more information regarding PRI, visit their website or contact our organization to schedule a visit.

Mark's Blog

May 26, 2016 By Mark Yanai

Contribution and EMS Week

Celebrating EMS Week

As an active member of the Nuuanu YMCA since 2006, I’ve been playing basketball or working out in the gym every week for the past ten years. I’ve come to know many of the other members during pickup games and have had some great memories while playing at the Y, but I’ll never forget one afternoon this past February when I met a few new friends.

Phil Tan, 52, a member of the Y much longer than I have been, played basketball together many times. But on February 20th after playing a pickup game, he collapsed from what turned out to be a heart attack. He was fortunate to fall on the shoulder of David Kim, a physical therapist from Queen’s Medical Center, who had just walked in to the gym to play basketball. It was a lucky coincidence that David and I just happened to be the only ones not playing and able to respond to Phil, who quickly became unresponsive. By the time I had returned from running down to the front desk to inform them to call 911, David and Eric Lalau, an off-duty police officer, had Phil on the ground and were assessing him.

http://khon2.com/2016/05/16/first-responders-good-samaritans-recognized-during-ems-week-celebration/

Within a span of ten minutes, Phil was given CPR and a shock by the Y’s AED unit. He was revived by a single shock. He was transported to Queen’s where he was treated and eventually released after a full recovery. In a recent interview, Phil was quoted as being “lucky” that there was someone there that knew what to do. He’s accurate that his recovery was a result of luck, preparedness, and the contribution of a team of first responders.

Last week in a ceremony to acknowledge first responders, Honolulu Mayor Kirk Caldwell recognized the Department of Emergency Services (EMS) for National EMS Week, May 15-21.

It was an honor to be a part of the ceremony and it really brought to light the importance of EMS employees, CPR certification, and the contribution of a team. The training that I received from Aaron Hepps, Morgan Hawley and the AED Institute two weeks prior to the incident was essential to me being prepared. I really could hear the instructors’ voices in my head about compressions and setting up the AED. It gave me confidence that Eric, an experienced police officer, was there and constantly talking to Phil. And the timing of the EMS group that arrived was amazing in that as soon as we felt a strong pulse on Phil they walked into the gym and took over.

The contribution by each team member was essential to the success of Phil’s recovery. No one was asked to assist; each person did so because the opportunity was presented and it was the values instilled in each that led them to jump in. It is the same type of action that represents one of our core values at F&L. Our team approach to therapy is unique in that we value the different skills each member of our organization brings to the table. The rehabilitation of one patient is the responsibility of all of us and we each take pride in what we do individually and collectively.

Initially, I did not feel that my participation in providing care needed recognition. I had a small part in what was a collective effort. But as I started to look into the success rate of CPR in response to heart attacks, I began to realize that the AED was essential in this effort. Without the AED, the success rate of CPR is less than 10% in Hawaii. Yet at the same time, the compressions were required to keep Phil in a state that a shockable heart was still there. So if this experience contributes to further training by others and allows someone to step in to a similar situation, then I can see the benefit of being recognized.

I look forward to keeping in touch with my new friends and renewing my CPR certification every two years with the AED Institute.

Mark's Blog

May 3, 2016 By Mark Yanai

2016 Hawai’i Strength Clinic

2016 UH Coaches Strength Clinic

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In January, I was fortunate to attend the 2016 UH Strength Clinic, an annual event organized by Tommy Heffernan, who heads the Strength and Conditioning Program at the University of Hawaii. I’ve attended the last three clinics and found it to be very useful in implementing training regiments and philosophies for our Work Hardening and Performance Plus Programs.

For the past seven years, Heffernan has organized the UH Coaches Strength Clinic. He always finds excellent speakers who bring great insight into various areas of strength and conditioning for athletes. Attendees are given hands-on instructions on improving mobility, speed and quickness, and of course, strength training.

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This year’s line up was filled with renowned strength coaches including:

Ivan Lewis, Head of Strength & Conditioning for University of Southern California.

Mike Vorkapich, Associate Head of Strength & Conditioning for Michigan State University

Wolfgang Unsold, Training Coach for Your Personal Strength Institute

Augusta Hathaway, Master Fitness Trainer for Special Operation Forces & Owner of Hathaway Fitness

Mike Blasquez, Director of Strength & Conditioning for the University of California-Berkley

Tanna Burge, Director of Sports Performance for Texas A&M University

Steve Watterson, Head of Strength & Conditioning for the Tennessee Titans

Ed Coan, Powerlifting Coach

(click on their names and teams for more info)

All of the speakers’ experiences in the field of strength training, translated to their expert knowledge in their various sports. Most of the college coaches spoke about off season programs and the key components to making their athletes better. Those not associated with a college or team, spoke about specific training regiments and systems in dealing with sport specific training.

While each of the speakers were captivating in their own way, I was most intrigued by the way Wolfgang Unsold, the strength coach from Germany, laid out his training system and how he used stories and examples of his athletes and their success to keep the audience engaged. He spoke about his focus on pull-ups, squats, dead lifts and bench pressing and how those key movements translate to functional improvements. Maybe it was his accent or his blunt comments, but his presentation was both funny and informative. Since the clinic, his exercises for upper back weakness and elbow flexion were added to our training programs and have benefited our clients significantly.

Heffernan is a member of the International Sports Science Association, the National Strength and Conditioning Association, and has been designated Master Strength and Conditioning Coach by the Collegiate Strength and Conditioning Coaches Association. He resides in Kane‘ohe, O‘ahu and was a member of the UH football program from 1988 to 1991. Heffernan represents Hawai’i and the Polynesian culture well by always including a presenter during the clinic that speaks about this connection.

This year, Heffernan invited Sam Kapoi from the Polynesian Voyaging Society to present “Malama Honua World Wide Voyage“. Kapoi served as the media specialist on the Hokulea and presented the journey of the ship’s ’14-’15 voyage around the world. The presentation offered breathtaking pictures of the voyage and stories about the challenges of a crewman. Kapoi spoke of both the physical and emotional transformation that occurs with being a part of such a challenge. It wasn’t lost on me the importance of the keeping in touch with our culture, restoring world-wide connections with each other, and how teaching is core to our survival. It was in a sense, a perfect example of what the weekend was about.

We were lucky to have several members of F&L attend the weekend and hope to attend every year. If you have interest in attending, please contact me at [email protected] or go to UH’s website.

Mark's Blog

April 14, 2016 By Mark Yanai

This Is How I Roll

Book Review: The Roll Model by Jill Miller

As part of my series of blogs about my morning routine, this book review is an essential read to understand how I prep my body for the day. After reading this book earlier in the year, I’ve added the practice of mobilizing my soft tissues every morning. It’s been a huge benefit to my well being and feel that it’s an essential component to my day.

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Jill Miller is the co-founder of Tune Up Fitness Worldwide, creator of the corrective exercise format Yoga Tune Up® and The Roll Model® Method. Jill and her products have been featured on various top rated television shows such as The Today Show and Good Morning America, and in popular publications such as O, Shape, and Fitness.

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Jill has created a system with tools and techniques that anyone can use. Her Roll Model® Method has become one of my favorite ways to release the myofascial tension in my body. In her book, The Roll Model, she describes the system of connective tissue that shapes and forms our soft tissue structures and the type of dysfunction that can arise with disruption to this system. The pictures and drawings in the book are excellent and the step by step description on how to address each body region are invaluable. The unique Yoga Tune Up balls are the focus of the technique and are essential in delivering the best results in her system.

She also includes short testimonials by those who have benefitted from using her system, including another of my favorite authors, Kelly Starett. These stories of life changing improvements in using these inexpensive balls are impressive and motivating to invest in her system.

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All of our clinics use the balls daily and instruct our patients on how to use them properly. We’ve found them to be more effective than foam rollers and lacrosse balls. The balls are soft and tacky which are key ingredients when addressing both pain and restriction for our patients.

The uses of these Yoga Tune Up balls are becoming more popular in other physical therapy clinics as well. They come in various sizes and some techniques require more than one ball.

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Physical therapists are experts in evaluating and improving movement patterns. I’ve had great success in using the Roll Model® Method in addressing limitations in the soft tissues. One example is that when I recognize a limitation in the cervical spine for someone who has difficulty looking down, I assess if there’s a restriction in the posterior muscle chain. If my assessment is accurate, I’ve been able to use a tune up ball on either the sole of the foot or in their hamstrings, which frees up the restriction and improves cervical flexion.

If you’re interested in how Jill Miller’s system works, contact us at [email protected] for a consultation or physical therapy appointment.

Mark's Blog

March 31, 2016 By Mark Yanai

Introducing Kaitlin

I can’t believe our Co-ops have been with us for two months already and all five of them have been wonderful additions to the F&L Ohana! We would like to introduce our final Co-Op student, Kaitlin, who works primarily at our clinics located at the Kokokahi YWCA in Kaneohe. She has been doing a great job of bouncing back and forth between the Aquatic center, WORC and Kaneohe clinic. She celebrated her birthday last week, so it’s only appropriate that we get to know her a little better and wish her a Hau’oli La Hanau!(HAPPY BIRTHDAY!)

What school did you attend in high school and what’s your current college?
I went to South Carroll High School in Maryland. I currently attend Northeastern University in Boston, Massachusetts.

What drew you to PT?
When I was younger I wanted to be a teacher, but as I got older I felt a draw to be more involved in the medical field. Physical therapy is a career that involves both teaching and medicine! Once I started looking at physical therapy schools, I knew that it was the right choice for me.

Why did you want to do your coop in Hawaii?
I love to travel and I wanted a change of pace from Boston.

What is the strangest thing you have eaten since arriving?
Natto! I tried it at a Japanese market in town with Mila.
What is on your to do list while here?
I really want to do a bicycle trip around the entire island! I also would love to learn how to surf.

What are your outside interests?
I really enjoy hiking, biking, and being outdoors! I love finding new places and meeting new faces, and any activities that can involve both : )

What kind of therapist do you hope to be?
I really hope that I can incorporate injury prevention programs into my career as a physical therapist. I am very interested in pediatric and geriatric orthopedics and hope to be able to work with both patient demographics.

Who is your greatest influence in your life?
My dad has been a huge influence in my life. He is the reason I hold so much value in being active and healthy. Growing up he always encouraged me to try new things, go new places, and find active ways to have fun. I wouldn’t be on the road to becoming a physical therapist if it weren’t for the experiences I had growing up with him.

Happy at Work

Pay Bill

Author: <span>Mark Yanai</span>

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2016 Volunteer Recognition Dinner

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Contribution and EMS Week

2016 Hawai’i Strength Clinic

This Is How I Roll

Introducing Kaitlin