Evidence Based Rehab

ALEXANDRIA, VA, July 13, 2009 — The American Physical Therapy Association (APTA) is urging elderly adults who use canes and walkers as walking aids to be properly assessed and fitted by a physical therapist to avoid fall-related injuries. This advice comes in response to a study published in the Journal of the American Geriatrics Society (June 2009), which found that 47,000 senior citizens end up in emergency rooms each year due to falls from improper use and fit of walkers and canes.

The study, conducted by government researchers, examined six years of emergency room records and found that the walker was associated seven times more with injury-related falls than was the cane. Physical therapists advise that these results indicate a strong need for proper fit and assessment.

According to physical therapist and APTA member Cathy Ciolek, PT, DPT, GCS, many patients often borrow walking aids from friends and family, which can result in injuries. "We see many patients use borrowed canes, walkers, and crutches without adjusting the fit and height appropriately, which can cause discomfort and result in further injury," she said.

In addition to providing a proper fit, your physical therapist can assess your individual needs to ensure you are using the proper walking aid and that it is in proper working condition. "In some instances a cane may not be the safest option, and it would be best to use a walker. Your physical therapist can help make that decision," says Ciolek. She provides some general tips for those using a cane or walker as a walking aid:

• The walker or cane should be about the height of your wrists when your arms are at your sides.
• When using a walker, your arms should be slightly bent when holding on, but you shouldn't have to bend forward at the waist to reach it.
• Periodically check the rubber tips at the bottom of the cane or walker. Be sure to replace them if they are uneven or worn through.

As experts in restoring motion and mobility in people's lives, physical therapists work collaboratively with physicians to ensure safe recoveries from illness or injury. Ciolek recommends seeing a physical therapist for an assessment and proper fit or asking for a referral to a physical therapist from your physician. Visit www.moveforwardpt.com to find a physical therapist near you.

Labels: APTA, physical therapist, Press Release

Often times it is the obvious that is the most difficult to grasp or realize:






Jason L. Harris

Labels: woo, You Tube

Labels: education, physical therapist

ALEXANDRIA, VA, June 17, 2009 — Legislation to establish a Frontline Providers Loan Repayment Program that includes physical therapists was introduced Tuesday by Representative Bruce Braley (D-IA). The Access to Frontline Health Care Act of 2009 (HR 2891) would encourage physical therapists to practice in underserved areas, says the American Physical Therapy Association (APTA).

HR 2891, which would amend the Public Health Service Act, creates a process that is similar to the National Health Services Corp (NHSC) in which a provider signs a commitment to practice in an area for at least 2 years in exchange for student loan repayment. Currently, physical therapists are not included in the NHSC's Loan Repayment Program. This legislation would complement the Physical Therapist Student Loan Repayment Eligibility Act of 2009 (HR 988), which would allow physical therapists to participate in the NHSC's program.

Under HR 2891, providers pledge to practice in a "Frontline Scarcity Area." Scarcity areas include a Health Professional Shortage Area as defined by the Health Resources and Services Administration Shortage Designation Branch of the US Department of Health and Human Services (HHS), or an area designated by a state as having a shortage of frontline care services. HHS' Secretary can give preference to a scarcity area in which an entity has demonstrated that it has an interdisciplinary program, or pledges to initiate such a program. The Secretary also determines the amount of the loan repayment.

"APTA applauds Representative Braley for introducing this much needed legislation and including physical therapists in it," said APTA President R. Scott Ward, PT, PhD. "With health care reform legislation on the horizon, it's imperative that our leaders address workforce issues as a part of overall reform. The Frontline Providers Loan Repayment Program would bring physical therapists to areas in the country where their services are greatly needed."

In addition to physical therapy, the following qualify as frontline services: general surgery, chiropractic, optometry, ophthalmology, audiology, speech language pathology, pharmacy, public health, podiatric medicine, dietetics, occupational therapy, general pediatrics, respiratory therapy, medical technology, and radiologic technology. All services must be performed by a health care provider with the appropriate education.

Physical therapists are highly-educated, licensed health care professionals who can help patients reduce pain and improve or restore mobility – in many cases without expensive surgery or the side effects of prescription medications. APTA represents more than 72,000 physical therapists, physical therapist assistants, and students of physical therapy nationwide. Its purpose is to improve the health and quality of life of individuals through the advancement of physical therapist practice, education, and research. In most states, patients can make an appointment directly with a physical therapist, without a physician referral. Learn more about conditions physical therapists can treat and find a physical therapist in your area at www.moveforwardpt.com.

Labels: APTA, Press Release

News out of the National Center for Complementary and Alternative Medicine reports the not so unexpected findings of $2.5 billion (yes, that is a "B" for billion) spent on testing "alternative" methods for treating everyday ailments. And, of corse, when a treatment is based upon what is counter to known human anatomy and physiology, they were found to be no better than placebo.

"You expect scientific thinking" at a federal science agency, said R. Barker Bausell, author of "Snake Oil Science" and a research methods expert at the University of Maryland, one of the agency's top-funded research sites. "It's become politically correct to investigate nonsense."

Scientific study demands that we need to be open to change and paradigm shifts. However, some sort of plausibility needs to exist in order for us tax-payers to be throwing or money at it.

"There's been a deliberate policy of never saying something doesn't work. It's as though you can only speak in one direction," and say a different version or dose might give different results, said Dr. Stephen Barrett, a retired physician who runs Quackwatch, a web site on medical scams.

As said by many smarter people than me, many times, the point of scientific thought is the ability to critique and understand that just throwing more money at a treatment until you get the answer you'd like (eg acupuncture can help in some cases - but, of course, so does sham acupuncture).

Jason L. Harris

MSNBC.COM Story

Labels: alternative medicine, sham