In a pilot study of children with cerebral palsy, constraint-induced movement therapy (CIMT) was found to promote changes in 2 spatial temporal parameters of gait, but no changes were noted in the participants' measures on the Standardized Walking Obstacle Course (SWOC) and Pediatric Balance Scale (PBS).
Sixteen children aged 4 to 12 years participated in a 3-week CIMT program. Participants were tested on the first and last day of the CIMT program using the SWOC, PBS, and the GAITRite Gold system (CIR Systems Inc Havertown, Pennsylvania).
Wilcoxon signed rank tests were used on all pretests and posttests. Only the spatial temporal parameters of cadence and velocity differed significantly, with 12 children displaying a faster cadence and 10 displaying a faster velocity.
APTA member Susan Winning, PT, coauthored this article.
A new online tool from the National Institutes of Health (NIH), the Genetic Testing Registry (GTR), aims to help health care providers and researchers navigate the landscape of genetic tests.
GTR provides a central location for voluntary submission of genetic test information by providers. In addition to basic facts, GTR offers detailed information on analytic validity, clinical validity, and how likely the test is to improve patient outcomes.
NIH offers FAQs about the development of the registry and detailed instructions on how to use it.
The incidence, mortality, and medical care costs of Clostridium difficile (C. difficile), a common and sometimes fatal health care-associated infection, are all at historic highs, according to a report released yesterday by the Centers for Disease Control and Prevention (CDC). The report shows that C. difficile is not just a problem in hospitals—it is a patient safety issue in all types of medical facilities, including nursing homes, physician offices, and outpatient facilities.
C. difficile causes diarrhea linked to 14,000 American deaths each year. Almost half of the infections occur in people younger than 65, but more than 90% of deaths occur in people 65 and older. About 25% of C. difficile infections first show symptoms in hospital patients; 75% first show in nursing home patients or in people recently cared for in physician offices and clinics.
To help reduce the spread of C. difficile, CDC provides guidelines and tools to the health care community, including a podcast on 6 steps to prevention for clinicians, in addition to information for patients. CDC notes that hospitals that follow infection control recommendations have lowered C. difficile infection rates by 20% in less than 2 years.