Yves Gege’s Background

• Yves was lucky from an early age that he knew I wanted to be a physical therapist. He had a family member with special needs whose life impacted his profoundly – she showed him the power of physical rehabilitation not only for her, but those around her. This desire only grew stronger as he battled multiple injuries playing soccer in high school and college. He attended the college of Charleston and MUSC for grad school. His entire career is built upon educating his patients on how amazing the body can be when given the tools to rehabilitate from injury and perform at the highest level. His speciality in physical therapy is peeling away the layers of a physical injury or problem and getting to the root cause, which is not always what you think. He has a knack for finding the perfect exercise to match the perfect patient. He started Made 2 Move in hopes to help individuals become completely free of their physical limitations and achieve their goals, regardless of what they may be! The Objective vs the Subjective
• Objective measures are ones that are impartial and quantifiable. Some examples would be orthopedic testing, muscle strength testing and range of motion testing.• Subjective measures are the ones that are taken based on what the patient says. These can be the patient’s experiences, thoughts, feelings, beliefs etc.• A practitioner will usually look at both objective and subject measures as a part of their assessment and differential diagnosis. Yves' Approach to Assessment
• Yves uses objective measures and understands their importance but prioritises subjective measures.• His big priorities are uncovering the individual’s beliefs about their body and getting to know them on a human level.• He goes 5 whys deep, allowing him to build a “Therapeutic Alliance” which is a relationship with the patient that allows him to cater the treatment to their fundamental system of beliefs.• The Therapeutic Alliance is taking firstly, what you know objectively as best practice, second your experience as a clinician and patient and three what matters to the patient in front of you.• This approach allows him to get more “buy in” from the client as they feel like they have been heard and understood.• Afterwards, he tries to empower the individual by showing them tangible changes to their problem via treatment protocols that are simple, low barrier of entry and pander to their beliefs. For example, using foam rolling to desensitize an area of pain, to then be able to load that tissue with a relative decrease in pain sensation. This displays to the patient that there are ways to work around and improve the problems they face.
Yves' Approaches to Treatment
• He now uses loaded and dynamic exercise. He tries hard to get people under fatigue and uncomfortable because that's where change occurs.• He tries to not overload the individual with too many exercises to avoid overtreatment and a loss of buy in.• With corrective exercise prescription, he prioritizes two aspects. Firstly, he chooses exercises that hit as many parts of the body and systems that he feels need change. For example, using a split squat to increase range of motion, improve strength as well as balance and stability. Secondly, he chooses exercises that are difficult to do incorrectly. For example, a side plank is an easier exercise to accomplish but is still impactful for strength and motor control.

The Objective and the Subjective
• Objective and subjective measures are both important as they pertain to building a relationship with the patient.• Depending on the type of practitioner you are and the person in front of you, you may lean towards prioritizing one over the other but it's for the purpose of being able to help the patient in front of you both personally and impartially.Working with the patient not on the patient• Building a relationship and trust with the individual you are treating allows you to gain a better understanding of them as people and their beliefs.• The mind is a powerful tool in healing and general health. If we can better relate to the patient's expectations and ideologies, we can better leverage the mental aspect of recovery.

Yves' Philosophy
• Yves focuses on the psychological and lifestyle aspects of recovery.• What are you doing every single day all day to maintain your health and wellness?• These problems we face are multifactorial, based on the lifestyle habits of the individual. We cannot out treat an unhealthy lifestyle.• He educates his patients on all aspects of health and attempts to make behavioural changes slowly so they may stick.• This is difficult for the individual trying to navigate through the internet and social media to find help and information. Not only are there potential issues in the information itself but there is no accountability to make those behavioural changes when you’re not building the therapeutic alliance.   
Resources
Website: https://www.made2movept.com/Instagram account: @made2movept and @ptbiz