NYPD Health & Wellness x KAIROS Initiative

2022

Kai•ros Physical Therapy Service Proposal

Wellness Services for Law Enforcement Addressed to: NYPD DEPUTY INSPECTOR MARK WACHTER NEW YORK CITY POLICE FOUNDATION EXECUTIVE DIRECTOR GREGG ROBERTS NYPD HEALTH & WELLNESS SGT AARON LOHMAN

Addressed by: DR. JOSHUA GEE, PT, DPT, CSCS, EP

Our Proud Partnerships

Kai•ros Physical Therapy Service Proposal NYPD police officers, like others in the workforce, are exposed to on-the-job and non-employment related stress, trauma, fatigue, and burnout. When unaddressed, the critical decisions an NYPD police officer makes can be influenced by such conditions. As we know, these are significant factors that affect behavior and decision making.

As the demands of a police officer within the NYPD are higher than ever, officer health and wellness is becoming a topic of specific interest to myself, as well as my business partners at RFX Strength & Lucas's Fitness Lab. To compliment the newly renovated fitness facilities at all of the NYPD Precincts, Kairos Physio would like to propose a service that aligns with what the former Commissioner once said.

“Your job requires that you spend your day helping others. But before you can take care of anyone else, you must first take care of yourself.”

- Former NYPD Commissioner O'Neill Please read the following proposal to better understand what Kairos Physio can offer the Police Officers of the New York Police Department.

Yours Truly,

Dr. Joshua Gee, DPT, CSCS, EP Doctor of Physical Therapy, Founder of Kairos Physical Therapy Certified Strength & Conditioning Specialist Certified Exercise Physiologist

Our Story The Kairos Difference Kairos Physical Therapy is an all-embracing outpatient physical therapy clinic that provides rehabilitative services for general orthopedic, sports, & soft tissue injuries as well as wellness services for active individuals.

To provide a bespoke service, we aim to address 2 concerns: 1. The general rehabilitation industry is heavily influenced by volumebased clinics, sacrificing quality healthcare for profit driven outcomes.

2. The general medical model embraces a reactive approach to healthcare, prioritizing intensive medical interventions over wellness and prevention.

Our founder, Dr. Joshua Gee, recognized the need for more personable care and set out to launch his practice to prioritize individualized solutions.

He received his Doctorate of Physical Therapy from New York University with the goal of integrating preventative health with rehabilitation and fitness. He holds unique experiences working in cardiac rehabilitation, geriatrics, as well as sports performance.

Health & Wellness for Law Enforcement 23.2% of American adults meet the Physical Activity Guidelines [3]

$1,350 per year individuals save on average in medicare costs by regularly participating in moderate intensity physical activity [7]

80-90% of Police work has been found to consist of sedentary based-tasks. [1] An average day of a Police Officer consists of long periods of sitting and unexpected periods of maximal exertion. [2]

66% less likely to report back pain when physically active amongst Police Officers. [5]

77% fewer years of life expected after retirement of a male Police Officer versus a US 7.8 years

35 years

white male at age 50. [8]

Embracing an overall physical fitness program is not with the intention of simply producing officers who are "bigger, faster, and stronger."

A physical fitness program teaches officers techniques to relieve stress and exercise habits that maintain optimum health for life.

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What is considered insufficiently active? [6] Less than 150 minutes of moderate-intensity physical activity a week or Less than 75 minutes of vigorous-intensity physical activity a week or The equivalent combination

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What is a well balanced active lifestyle?

Physical Activity Guidelines for Adults

[6]

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How did they come up with these numbers?

Relationship between Physical Activity Time vs All-Cause Mortality

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How did they come up with these numbers?

Relationship between Physical Activity Time vs Years of Life Gained

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Intentional Interventions We aim to help address the following health outcomes:

!

Physical Activity has been shown to reduce mortality rates even for pre-existing medical conditions [10]

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Intentional Interventions We aim to help address the following health outcomes:

*Note how close the outcomes are when individuals are active, despite differences in sitting duration

Mortality risk is higher for longer versus shorter sitting times; however, this risk difference diminishes as the amount of physical activity increases—especially among those reporting the greatest volume of MVPA [10]

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Intentional Interventions We can aim to help address the following health outcomes:

Metabolic Syndrome Health Screen - Abnormalities in any 3 or more of the following clinical measures: 1. Waist Circumference (abdominal obesity) a. This means having a waist size of more than 35 inches for women and more than 40 inches for men.

2. Triglycerides a. This means having a level of more than 150 mg/dL

3. HDL Cholesterol a. This means less than 40 mg/dL for men and less than 50 mg/dL for women.

4. Blood Pressure a. This means blood pressure of 130/80 mm Hg or higher.

5. Fasting Glucose Level a. This means a level of 100 mg/dL or higher

*Metabolic Syndrome puts you at higher risk for diabetes, heart disease, and stroke.

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Intentional Interventions We aim to help address the following health outcomes:

MEtabolic Syndrome To summarize, previous studies have suggested that shift work and overtime may contribute to an increased risk of CVD associated with several or all components of the metabolic syndrome. [9] Police officers are an understudied population concerning increased CVD risk. *Physical Activity has demonstrated positive effects on all components of Metabolic Syndrome

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Common Barriers and Solutions Many officers report exhaustion and lack of time as common barriers to adopting an exercising program.

Our priority is to make fitness approachable for every police officer in the New York Police Department.

1. RFX Strength x NYPD Fitness Facilities 2. Kairos Initiative a. General Fitness/Health Screenings b. Immersion Workshops (Seminars) c. Online Fitness Education Platform d. Online Fitness Coaching App

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IMMERSION WORKSHOPS Who: For all NYPD Officers interested in wellness What: Learning the building blocks to a fitness program geared towards promoting officer health Where: At any of the newly renovated fitness facilities made

by RFX Strength & Lucas's Fitness Lab When: Once per week How: Live informal workshops, where we will go over demonstrations & discussions on the following...

1. Proper Self-Assessment 2. Proper Technique/Key Fundamental Movements 3. Proper Fitness Programming/Prescription 4. Q&A Session with Live Demonstrations

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General Fitness/Health Screening Services

Blood Pressure Screening

Heart Rate Screening

Musculoskeletal Screening Range of Motion Strength Balance Functional Mobility

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General Fitness/Health Screening Services

InBody Body Composition Body Fat, Muscle Mass, Water Weight Analysis

Metabolic/Respiratory Analysis Caloric Expenditure, VO2max, Ketosis, Respiratory Stats

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Online Teaching Platform

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Smart Phone Integrated Fitness App

Citations 1. Anderson, G. S., Plecas, D., & Segger, T. (2001). Police officer physical ability testing – re‐validating a selection criterion. Policing: An International Journal of Police Strategies & Management, 24(1), 8–31. https://doi.org/10.1108/13639510110382232 2. Boyce, R. W., Jones, G. R., Schendt, K. E., Lloyd, C. L., & Boone, E. L. (2009).

Longitudinal changes in strength of police officers with gender comparisons. Journal of strength and conditioning research, 23(8), 2411–2418. https://doi.org/10.1519/JSC.0b013e3181bac2ab 3. Centers for Disease Control and Prevention. (2021, June 11). Exercise or Physical Activity. Centers for Disease Control and Prevention. Retrieved February 9, 2022, from https://www.cdc.gov/nchs/fastats/exercise.htm 4. World Health Organization. (n.d.). Physical Activity. World Health Organization.

Retrieved February 9, 2022, from https://www.who.int/news-room/factsheets/detail/physical-activity 5. Nabeel, I., Baker, B. A., McGrail, M. P., Jr, & Flottemesch, T. J. (2007). Correlation between physical activity, fitness, and musculoskeletal injuries in police officers.

Minnesota medicine, 90(9), 40–43.

6. Piercy, K. L., Troiano, R. P., Ballard, R. M., Carlson, S. A., Fulton, J. E., Galuska, D. A., ... & Olson, R. D. (2018). The physical activity guidelines for Americans. Jama, 320(19), 2020-2028.

7. Coughlan, D., Saint-Maurice, P. F., Carlson, S. A., Fulton, J., & Matthews, C. E. (2021).

Leisure time physical activity throughout adulthood is associated with lower medicare costs: evidence from the linked NIH-AARP diet and health study cohort.

BMJ open sport & exercise medicine, 7(1), e001038.

8. Violanti, J. M., Fekedulegn, D., Hartley, T. A., Andrew, M. E., Gu, J. K., & Burchfiel, C. M. (2013). Life expectancy in police officers: a comparison with the U.S. general population. International journal of emergency mental health, 15(4), 217–228.

9. Violanti, J. M., Burchfiel, C. M., Hartley, T. A., Mnatsakanova, A., Fekedulegn, D., Andrew, M. E., Charles, L. E., & Vila, B. J. (2009). Atypical work hours and metabolic syndrome among police officers. Archives of environmental & occupational health, 64(3), 194–201. https://doi.org/10.1080/19338240903241259 10. Powell, K. E., King, A. C., Buchner, D. M., Campbell, W. W., DiPietro, L., Erickson, K. I., Hillman, C. H., Jakicic, J. M., Janz, K. F., Katzmarzyk, P. T., Kraus, W. E., Macko, R. F., Marquez, D. X., McTiernan, A., Pate, R. R., Pescatello, L. S., & Whitt-Glover, M. C. (2018). The Scientific Foundation for the Physical Activity Guidelines for Americans, 2nd Edition. Journal of physical activity & health, 1–11. Advance online publication. https://doi.org/10.1123/jpah.2018-0618