Workers Comp and Guidelines- ” Is this reall the best evidence”

Our Texas Comp system is under constant change at the
present time.  Many so-called experts are putting on seminars that are making
over-whelming generalization or simply inaccurate information.  Dr. Melissa Tonn
of Dallas states
in her presentation on new developments in the workers comp system about the
“evidence” regarding various aspects of practice.  One that…

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PA assessment of the lumbar spine

What is the validity of PA mobility of the lumbar spine in determining appropriate interventions? I have attached a recently published article by our colleagues Julie, Julie and John. This is a sub analysis from John’s validation study. Patients exhibiting hypomobility who received the manip exhibited a NNT of 2.1 as compared to stabilization. And those who exhibited…

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Intangibles of Successful Practice

Larry sent this news article around to a group of us yesterday. It’s a great reminder about the intangible aspects of practice that, if left ignored, can overwhelm and interfere with even the best evidence-based practice. Does your front desk staff ‘WOW’ the individuals seeking care in your practice? Or do you fear for the patient sitting in…

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Connect and Optimal

I read with interest APTA’s testimony on CMS’ pay for performance initiative:

APTA Links Performance-Based Pay to Fixing Medicare Problems
APTA urged a congressional committee this week to repeal the therapy cap and fix payment problems that interfere with quality care incentives before adopting any pay-for-performance system for Medicare. In written testimony submitted to the House…

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EBP on the Fly!

There are many reasons why we have reached a tipping point for EBP, and included are technology and a supportive infrastructure.  However, I think often times we neglect to implement EBP or utilize EBP resources just because we are too busy or feel we don’t have time to go through the search steps, critically appraise, etc..  In…

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Marketing and PT Month II

Didn’t exactly get an overwhelming response to the last marketing post (with notable exceptions, thanks Andrew and Rob), so I thought I would get the ball rolling with some of my own things. Here are a couple of articles I wrote for the local paper. I stole the titles directly from APTA news releases, but wrote the text myself…

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Standardizing Care in Physical Therapy Practice

The attached article illustrates well how standardizing care processes and implementing evidence-based guidelines can improve health-related outcomes. Can you imagine the costs and disability associated with managing back pain that could be spared if we could replicate the behavior changes demonstrated in this study? The notion that practice variability reflects our ‘creative talents’ and the ‘art’ of physical…

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EBP Inertia & Running

Despite our constant calls for integrating evidence into
practice and best of intentions, often our human nature remains inclined toward
the path of least resistance resulting in EBP inertia.
Case in point: I discovered the joys of running (15 – 20 very slow miles a week) 3
years ago when I was 39…nothing like a runner’s high and the…

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Lumbar Stabilization CPR

Congrats goes out to our colleague Greg Hicks and company, whose dissertation work was just published in Archives of Physical Medicine and Rehabilitation. The study assessed predictors of successful outcome from lumbar stabilization exercise, providing specific insight into the clinical examination findings associated with successful outcome from this form of treatment. This is the first step in the development of…

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