Tag: PTJ

Vestibular Disorders: Fear-Avoidance Beliefs and Perceived Disability

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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

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During the Covid-19 Pandemic — One Size Does Not Fit All: Author Interview With Mark Werneke

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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.
https://academic.oup.com/ptj/advance-article/doi/10.1093/ptj/pzab110/6224412

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Help for Clinicians in Applying Clinical Practice Guidelines for Patients With Heart Failure: Author Interview With Dr Konrad Dias

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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.”

https://doi.org/10.1093/ptj/pzab079

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Integration of Nutrition in Physical Therapist Practice: An Author Interview with Dr. Patrick Berner

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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.
https://academic.oup.com/ptj/article-abstract/101/5/pzab062/6134600?redirectedFrom=fulltext
https://academic.oup.com/ptj/article-abstract/101/5/pzab061/6134190?redirectedFrom=fulltext

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START-Play and Motor and Cognitive Outcomes in Infants With Neuromotor Disorders: Author Interview with Dr. Regina Harbourne

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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.

https://academic.oup.com/ptj/article/101/2/pzaa232/6056331

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Cost-Effectiveness and Clinical Outcomes of Direct Access to Physical Therapy

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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

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The Essential Role of Home- and Community-Based Physical Therapists During the COVID-19 Pandemic

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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.
https://academic.oup.com/ptj/article/100/7/1058/5820965

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Physical Therapist Management of Total Knee Arthroplasty: An Author Interview

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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.

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Ordering of Diagnostic Imaging by Physical Therapists: A 5-Year Retrospective Practice Analysis – PTJ

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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

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Outpatient Physical Therapist Attitudes Toward and Behaviors in Cardiovascular Disease Screening: A National Survey

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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

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