Whether your goal is preventing or rehabilitating from an ailment or injury, improving your health and fitness, or enhancing job or sport performance, the process is identical: You begin with an initial consultation with a physician, nurse navigator or exercise physiologist to determine your health or performance goals. You are matched to a personal health or performance team that will conduct appropriate tests to assess your medical condition, fitness or athleticism. You meet for a follow-up consultation to learn test results and to receive lifestyle, training, or performance recommendations along with a schedule of appropriate physical or mental interventions. You are supported along the way by staff that answers your questions, monitors your activity, and provides emotional support. You are retested to measure your progress and modify your plan for the future.

Learn More About Our Health Services:

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Cellular Health (Bioimpedance)

Bioimpedance utilizes a minute electrical current to analyze body composition, cellular hydration and cellular fatigue (phase angle). Hydration is of special importance as a part of the training and recovery.  The loss of water through perspiration or insufficient infusion has important effects upon the central nervous system, electrolyte concentrations, muscle function, and fatigue. In conjunction with physiological testing, these data enable the staff to devise exercise or training prescriptions that enable you to better manage heat stress, fluid balance, intracellular mechanisms, motor functions, and plasticity of muscle fibers, critical elements for preventing overtraining.


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Chest X-Rays

X-rays are a form of electromagnetic radiation that pass through the body creating an image that is recorded in which structures that are dense such as bone will block most of the x-ray particles and will appear white while muscle, fat, and fluid will appear as shades of gray providing visual information for internal conditions.


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Echocardiogram

An echocardiogram uses sound waves to take pictures of your heart that can be seen on a monitor and recorded.  This test is performed to evaluate the valves and chambers of the heart in a noninvasive way to diagnose, evaluate, and monitor heart murmurs, abnormal heart valves, infection in the sac around the heart or around the heart valves, blood clots, and conditions such as congenital heart disease, atrial fibrillation, and pulmonary hypertension.


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Electrocardiogram (EKG/ECG)

An electrocardiogram measures the electrical activity of the heart to determine in the time intervals are normal or slow, fast or irregular and, in doing so, check for abnormalities.


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Electron Beam Tomography (EBT)

Using high-speed imaging coupled with sophisticated computerized 3-D imaging EBT (electron beam tomography) captures focused, detailed pictures of the inside of your heart.  The most significant finding of an EBT exam is the amount of calcified plaque in the arteries that supply blood to your heart muscle.


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Lab Panels

Blood, urine, and genetic tests can offer many clues about systemic health, predict elevated risk of cardiovascular disease, and provide evidence of heart, liver and muscle damage due to overtraining and excessive fatigue.


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Resting Metabolic Rate (RMR)

Resting metabolic rate (RMR) refers to the number of calories the body needs to support its basic physiological functions and biochemical reactions required to keep alive.  RMR is generally 60-75% of the total daily caloric expenditure for the day and knowing RMR is important for weight management and nutritional planning.


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Spirometry

Spirometry is the most basic and frequently performed test of pulmonary (lung) function.  A device called a spirometer is used to measure how much air the lungs can hold and how well the respiratory system is able to move air into and out of the lungs.


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Aerobic Capacity (VO2)

Cardiorespiratory fitness has long been measure by the maximal amount of oxygen an individual can consume and utilize for energy production. This value, known as a VO2Max is a measure of aerobic capacity expressed in milliliters of oxygen per minute.  It defines the size of your aerobic engine and demonstrates the ability of the respiratory system to take in oxygen, the ability of the cardiovascular system to transport oxygen, and the ability of the muscular system to utilize oxygen.  The measure serves as an excellent predictor of performance in high intensity endurance non-weight bearing sports such as cycling, swimming and rowing.  When the aerobic capacity score is divided by body weight in kilograms you get a measured called aerobic power which is an excellent predictor of performance in weight-bearing sports such as running, cross country skiing and speed skating.  VO2 max is obtained by exercising on an ergometer (treadmill, bicycle, rower, etc.) with progressively more demanding workloads in timed increments from light to maximal intensity or it may be obtained during an all-out sport-specific competitive effort.  Oxygen uptake is calculated from measures of oxygen and carbon dioxide in the expired air.  A predicted VO2 max can be obtained from a sub-maximal exercise test.


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Anaerobic Power

Anaerobic power determines an individual’s ability to work and exert energy over a short, fixed amount of time, which is predictive of explosive athletic performance such as in sprints, cycling hill climbs, soccer counter attacks and other sudden but short high-intensity demands. In general, the staff uses the Wingate Test to determine anaerobic power and fatigue.


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Exercise Stress Test

An exercise stress test shows how your heart works when you are physically active.  While you are exercising on either a treadmill or a stationary bike, an electrocardiogram records your heart electrical activity, allowing your doctor to see changes in your heart rate.


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Lactate Profile

Lactate is measured using a Lactate Pro device to analyze blood taken from a finger prick similar to managing blood sugar in diabetic patients.  Thresholds are determined during an extended period of exercise from trends presented by multiple samples until the level of lactate acid in the blood stream accumulates ceases to increase.


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Agility and Coordination

Agility and coordination are interrelated and are, therefore, tested in tandem.  Agility is the ability to change your body’s position efficiently, and it requires the integration of isolated movement skills using a combination of balance, coordination, speed, and reaction time.  Most often associated with sports, agility is demonstrated by effective responses to opposing players or moving target and is, therefore assessed by using one or more of a dozen tests that employ multi-directional movement against time.   Coordination is the ability to move two or more body parts under control, smoothly and efficiently such as in vertical jumping or throwing and catching which often serve as the tests for assessing this attribute.


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Anthropometrics

Anthropometrics is the comparative study of human body measurements.  Changes in lifestyles and nutrition lead to changes in the distribution of body dimensions.  Regular updating of these data plays an important role in optimizing body development and selecting sport clothing.  Anthropometric measurements include height, weight, waist-to-hip ratio, and body mass index (BMI), a statistical measurement that analyzes weight relative to height. These measurements are used as reference standards to assess current health status, risk of diseases, and fitness.


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Balance

Balance is fundamental for human movement because the ability to maintain and reposition the center of gravity over your base of support is critical for successful movement and reduction of injury, particularly as you age.  Our staff assesses both static (balance while not moving) and dynamic (balance while moving) components of balance through a series of activities that require precision and coordination of the musculoskeletal system.


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Body Composition

Body composition provides an accurate measure of fat and lean mass, both of which are vital aspects of health, sport performance and critical information for weight management.  The National Institutes of Health provides recommendations about the percentage of fat and lean mass that healthy adults should contain.


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Flexibility (Range of Motion)

Using several flexibility tests, manual muscle palpitation, and goniometers to quantify the degrees of movement, the staff assesses the functional capacity of the major joints at the shoulder, elbow, pelvis, hip, and knee.  Testing these joints uncovers problem areas where tight muscles and/or impaired movement could contribute to poor performance or injury.


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Muscular Fitness

Using computer monitored strength training equipment, staff can determine a 1RM for each exercise, assess muscle strength imbalances and proportionality, compute maximal power and decay of maximal power (fatigue profile) and thus determine the precise number of repetitions that can be performed without significant fatigue to the desired metabolic system.


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Musculoskeletal Integrity

The examination, conducted by a physical therapist, includes 64 passive and dynamic observations, palpitations or measurements of bones, joints, cartilage and muscles to ensure functional integrity of the body in all planes of motion.


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Stability (Core and Shoulder)

Our staff places the body in several unbalanced position to assess the strength and coordination of the core muscles, spine position and pelvic tilt and examines the integrity of the shoulder joint through a scripted set of upper body activities and through manual muscle palpitation.


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Accelerometry

Through the use of devices called accelerometers that measure acceleration and gravity-induced reaction force, our staff can determine the acceleration and deceleration of the entire human body, a part of the body or a piece of equipment during movement or during the performance of a sport skill.  Accelerometry is an important analytical tool for detection of movement faults and for matching equipment to need and personal capability such as in rowing, tennis, baseball, golf, and other sorts where propelling equipment is utilized.


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Aerodynamics

Our aerodynamic testing is accomplished using the Kirsten Wind Tunnel in the University of Washington Aeronautical Laboratory (technical information about the facility can be found on the official UWAL website www.uwal.org).  Athletes seeking this information (cyclists, skiers, etc.) are tested in three configurations; the equipment alone, the equipment and athlete, and the equipment and athlete after analysis/adjustments.  Each configuration is evaluated at speeds appropriate for the sport.  Using various flow visualization techniques, real-time force feedback, and video projection, the athlete’s position is adjusted to produce the optimal posture for aerodynamic efficiency and power generation.  The comprehensive evaluation results in a CD containing calculation of equipment and athlete reference areas, summary of drag and power data for each riding position, projected performance increase following adjustments, a Dartfish instructional video containing key recommendations at various aerodynamic positions.


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Electromyography (EMG)

Electromyography measures the electrical activity of muscle contraction and nerve conduction through sensors placed on the body over the designated muscles.  Data from these sensors enable the staff to diagnose neurological and neuromuscular problems and to analyze the function and coordination of muscles in different movements during daily, sport or vocational activities.


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Force Generation Trial

By performing motions on a force platform or load cell, our staff is able to measure applied forces generated by the movements.  Forces are measured in three planes: vertical (up-down), anteroposterior (front-back), and lateral (side-to-side).


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Pedography

By using a paper-thin sensor placed inside the shoe, pedography allows our staff to record a map of pressure distributed across the foot that presents important data to posture, gait and movement.


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2-D Video Analysis

Using a 2-D video camera and specialized editing software, our staff films you from several different angles while you are performing a designated skill/movement and reviews your movements from head to toe, looking for abnormalities that are creating problems or are caused by a problem. Our staff then creates an illustrated and anno­tated video and/or PowerPoint file that outlines modifications that can help you reduce pain and improve the performance.


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3-D Bike Fit

By placing reflective markers on the joints, the cameras provide the data to set up a 3-D model, which replicated the rider and the rider’s biomechanics. This data gives our staff precise information that enables them to make finite but critical adjustments. Not only does this system provide our staff with data that standard bike fitters can’t see, it allows them to make “real-time” changes and instantly see how hose changes affect the rider’s efficiency and positioning.


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3-D Gait Analysis

We offer a gait analysis that helps analyze, diagnose and document aberrant running or walking gait patterns with tools that compare the specified gait with optimal performance gaits, or before and after treatment of a gait-hampering injury. Our gait analysis is done using 3-D motion capture combined with force, pressure, acceleration and muscle activation technologies.


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3-D Golf Swing Analysis

If your goal is to hit every shot consistently while adding distance, you need to take a different approach. Not a more complicated approach. Not a more time-consuming approach. A more golf-specific approach. At POTENTRx, we provide this golf-specific approach by studying the connection between your body and your swing mechanics through our 3-D Golf Swing Analysis.


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3-D Performance Analysis

A computerized six-camera system is used to analyze mechanics in three dimensions.  By placing reflective markers on the joints, the cameras provide the computer with the data to set up a 3-D model of any movement or sport performance, including rowing, biking, pitching, hitting, and kicking.  This data gives to our staff precise information about loads on joints, tendons, and ligaments, angular velocity of each movement, and the sequence and magnitude of muscle contraction.


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ATC Therapy

Certified athletic trainers evaluate injuries to determine the best course of emergency medical action and implement immediate short-term therapeutic modalities as part of a long-term treatment program in cooperation and consultation with physical therapists.


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Consultation

Consultations are available with our medical director, performance director, nurse navigator, and all sport or intervention specialists. Sessions may be scheduled for any purpose, including medical or training record review, analyzing and discussing test data, and creating or revising an exercise prescription.


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Exercise Prescription

Our exercise physiologists can create an exercise prescription for anything. Just tell us what you need and we can create it. Whether you  need general recommendations or a day-to-day plan, POTENTRx is here to help.


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Nutritional Counseling

Nutritional planning guides food choices as treatment for medical conditions, behavior modification and matching eating with designated sport and exercise activity.  Certified nutritionists and licensed dieticians offer education about nutrition to help you make sensible decisions about processed, refined, and chemically treated foods, supplements and managing allergies or weight by developing dietary patterns that suit your lifestyle as well as your needs. Nutritional counseling begins by completing a 3-day food log using our web-based system www.foodprodigyonline.com.  While other easy-to-use online systems exist, (such as www.fatsecret.com; www.myfitnesspal.com; www.mynetdiary.com; www.fitday.com), they do not track micronutrients such as vitamins and minerals, deficiencies of which have important health implications and thus they do not provide a complete analysis.  We strongly encourage you to take the time to use our more enhanced FoodProdigy system.


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Personal Training

Using test data, the staff creates a training prescription designed for a specified purpose and supervises training to ensure proper movement techniques, specific workloads (intensity), number and duration of training sessions (frequency), nature and schedule of adjustments across time (periodization and progressive overload), and precautions related to overtraining, age, and health conditions.