PTJ talks about predicting low back pain improvement improvement. Read the article at https://academic.oup.com/ptj/article/101/10/pzab176/6326850
PTJ talks with Pamela Dunlap about fear-avoidance beliefs and how measurement of those beliefs can help clinicians identify people at a greater risk of disability after vestibular disorder. “We had hypothesized that fear-avoidance would be associated with symptom burden, function, quality of life, disability, and psychological distress,” Dunlap says, but until the development of the Vestibular Activities Avoidance Instrument, there was no measure. https://academic.oup.com/ptj/article/101/9/pzab147/6297426
See the history of the physical therapy profession in a different light! Editor-in-Chief Alan Jette, PT, PhD, FAPTA, talks with David Nicholls, author of PTJ’s latest history essay and of the controversial 2017 book titled “The End of Physiotherapy.”
Listen to this PTJ interview that discusses two recent essays on the history of physical therapy in the military, as well as important and insightful lessons on what can be learned from the military to empower the profession in civilian health care.
PTJ Editor-in-Chief Alan Jette, PT, PhD, FAPTA, talks with Kathleen Mangione, PT, PhD, FAPTA, about something critically important to physical therapists but rarely top of mind: treatment fidelity.
In a descriptive study that’s already been featured in 14 news stories, Mark Werneke, PT, and colleagues analyzed data on more than 222,000 patients in the Focus on Therapeutic Outcomes database. Werneke and Jette talk in depth about the relatively low use of telerehabilitation in the outpatient population studied.
Dr Dias and his coauthors provide an antidote to the barriers that make it difficult to apply clinical practice guidelines to patients. “There are many inconsistencies in the examination and treatment…[for patients with] heart failure, [and] so often physical therapists have developed their own biases…based on their years of clinical experience,” which present challenges to changing practice based on new evidence. Dias et al wanted to provide an easy-to-use 5-step approach to improve care: “Let’s face it, it’s challenging…to read through 25 pages or more of dense content published in guidelines.” In this interview with Editor-in-Chief Alan Jette, Dr Dias shares his passion for this patient population and practical frameworks at point of care. Dr Dias is coauthor of “A Knowledge Translation Framework for Optimizing Physical Therapy in Patients With Heart Failure.”
Dr. Jette and the author discuss a range of issues, from the relationship and professional boundaries between physical therapists and dieticians, to practical recommendations for identifying and understanding the behaviors, socioeconomic determinants, and environmental factors that can affect access to proper nutrition. Dr. Berner is coauthor of “Nutrition in Physical Therapist Practice: Setting the Stage for Taking Action” and “Nutrition in Physical Therapist Practice: Tools and Strategies to Act Now.
Editor-in-Chief Alan Jette gets at the practical—and ethical—realities involved in studying children. Dr. Harbourne shares insights from her decades of research with children, on such topics as parents’ insistence on usual care. What is the take-home message for early interventionists? It might surprise you.
Interview with Dr. Sandra Hon on her study—which found that direct access to physical therapy is more cost-effective than physician-first access in the United States, with greater functional improvement–in the context of current and especially pandemic-related economic realities. https://academic.oup.com/ptj/article-abstract/101/1/pzaa201/5999910?redirectedFrom=fulltext
Jason Falvey, PT, DPT, PhD, lays out key challenges facing the physical therapy profession, key research priorities, and key opportunities as a result of the COVID-19 pandemic. Reducing risk of avoidable hospitalization, helping offload the emergency department, and meeting post discharge rehabilitation demand for survivors of COVID-19.
Dr. Hunter and Dr. Jette share some of the experiences and insights of the total knee arthroplasty (TKA) guideline development group, including the comprehensive and systematic process used, the amount and quality of evidence analyzed, and the way in which the group approached recommendations when evidence was insufficient for a particular intervention.
In this PTJ podcast, The 50th McMillan Lecturer Dr. Thomas McPoil shares personal insights behind and beyond the lecture; for instance how he envisions allowing specialization to begin before completion of professional education. https://academic.oup.com/ptj/pages/podcasts
Interview with François Desmeules on the current evidence regarding physical therapist care for patients with MSKD in EDs and to update current recommendations for these models of care. https://academic.oup.com/ptj/article-abstract/99/9/1150/5554395
As more PTs transition into direct access roles, it seems prudent to consider how additional resources common to other first-contact providers might impact patient care. This study examines the appropriateness of diagnostic imaging studies referred by civilian physical therapists at an academic medical center. https://academic.oup.com/ptj/article/99/8/1020/5304994
Despite the high prevalence of patients either diagnosed with or at risk for CVD, few physical therapists consistently included BP and HR on the initial examination. The results of this survey suggest that efforts to improve understanding of the importance of screening and modifications of clinic policy could be effective strategies for improving rates of HR and BP screening. https://academic.oup.com/ptj/article/99/7/833/5382504
“Infant and Child Development: Innovations and Foundations for Rehabilitation.” By Jill Heathcock, PT, PhD, executive director of the Pediatric and Rehabilitation Laboratory (PEARL) at The Ohio State University; coeditor Jeffrey Lockman, PhD, professor of psychology at Tulane University’s Infant and Toddler Development Lab. https://academic.oup.com/ptj/issue/99/6