new systematic review provides evidence that, in the short term, energy
conservation management (ECM) treatment can be more effective than no treatment
in reducing the impact of fatigue and improving quality of life in patients
with multiple sclerosis-related fatigue.
this review, the authors searched PubMed, CINAHL, EMBASE, and Web of Knowledge
to identify relevant randomized controlled trials (RCTs) and controlled
clinical trials. To select potential studies, 2 reviewers independently applied
the inclusion criteria. Two reviewers independently extracted data and assessed
the methodological quality of the studies included. If meta-analysis was not
possible, qualitative best-evidence synthesis was used to summarize the
searches identified 532 studies, 6 of which were included. The studies compared
the short-term effects of ECM treatment and control treatment on fatigue and quality
of life (QoL); 1 study reported short- and mid-term effects on participation
but found no evidence for effectiveness. Meta-analyses (2 RCTs, N=350) showed
that ECM treatment was more effective than no treatment in improving subscale
scores of the: (1) Fatigue Impact Scale: cognitive, physical, and psychosocial;
and (2) SF-36: role physical, social function, and mental health. Limited or no
evidence was found for the effectiveness of ECM treatment on the other outcomes
in the short- or mid-term. None of the studies reported long-term results.
is published online in Archives of
Physical Medicine and Rehabilitation.
Public Policy and Advocacy Committee is seeking members to provide strategic advice,
counsel, and options to the Board of Directors regarding: (1) how APTA can be
responsive to and advocate for society’s needs provided by physical therapists
and physical therapist assistants; (2) current and emerging public policy
issues impacting the provision of physical therapy, rehabilitation, and
health care services; and (3) how to advance the profession within public
policy arenas. Interested members should respond to the call by completing a
volunteer interest profile found on the Volunteer Interest Pool webpage. The
first step is creating a "profile" for service. After developing a
profile, to be considered for this committee members must then access the
"current opportunities for service page" and respond to the question
specific to this committee. The deadline to respond to this call is March 7.
For more information on this task force, click on the link above or contact Justin Moore, PT, DPT, vice
president, public policy, practice, and professional affairs.
sent a letter to the editor
of The New York Times regarding its February 20 article "No Consensus on a Common Cause of Foot Pain" by Gretchen Reynolds. APTA clarified the
physical therapist's role in treating plantar fasciitis and explained PT
education and how consumers may use direct access.
Americans reported having employer-based health insurance in 2012 than did in
2008, 2009, and 2010, but at 44.5% it is unchanged from 2011, says a new Gallup poll. At the same
time, more Americans continue to report having a government-based health
plan—Medicare, Medicaid, or military or veterans' benefits—with the 25.6% who
did so in 2012 up from 23.4% in 2008.
The percentage of Americans (11.9%) who say they get their coverage through
"something else," which could mean they buy it for themselves, has
been relatively unchanged over the years. While more Americans remain uninsured
than in the past, the percentage who are uninsured decreased slightly in 2012
(16.9%), after having risen each year previously going back to 2009.
High unemployment is partly to blame for the decrease in employer-based
health insurance from 2008-2010. The decline also may caused by fewer employers
offering insurance or by employees opting to not take their employers' plan due
to rising health insurance costs for employees, reports Gallup.
The decline in employer-based coverage from earlier years is apparent for
workers employed full time for an employer or for themselves. However, the
percentage of part-time workers who have employer-based insurance rose in 2012.
This group leans toward younger workers, who are likely to be insured since enactment
of the health care law provision allowing those up to age 26 to stay on their
The Department of Health and Human
Services (HHS) issued a final rule
last week implementing several consumer protections under the Affordable Care
Act (ACA) to
prevent insurance companies from discriminating against people with preexisting
conditions and protect consumers from insurance company abuses.
Under these reforms, all individuals
and employers have the right to purchase health insurance coverage regardless
of health status. In addition, insurers are prevented from charging
discriminatory rates to individuals and small employers based on factors such
as health status or gender, and young adults have additional affordable coverage
options under catastrophic plans.
These 5 key provisions
are applicable to nongrandfathered health plans:
In preparation for the health insurance
marketplaces and to streamline data collection
for insurers and states, the final rule amends certain provisions of the rate
review program. HHS has increased the transparency by directing insurance
companies in every state to report on all rate increase requests. A new
report has found that the law's transparency provisions have already resulted
in a decline in double-digit premium increases filed, from 75% in 2010 to,
according to preliminary data, 14% in 2013.
on previous studies that show many factors beyond medical care affect people's
health, the Institute of Medicine (IOM) recently established the Roundtable on Population Health Improvement to explore the interactions of these
influences. The new roundtable will provide opportunities for experts on
education, urban planning, medicine, public health, social sciences, and other
fields to interact and share their knowledge and perspectives with the goal of
catalyzing joint action.
a recent study by the National Research Council and IOM documented, Americans
experience worse health and shorter lives than people in other rich,
industrialized nations despite spending more on medical care than any other
nation. Several IOM studies have described the
effects of social and environmental factors that can lead to poor health
even when people have access to good health care. The nation's lagging
health burdens businesses, communities, and families, these reports note.
will engage roundtable members and outside experts, practitioners, and
stakeholders on 3 core issues:
hosts more than a dozen roundtables and forums, providing a neutral setting for
diverse groups of individuals to discuss issues of mutual interest and concern
and gain fresh insights and new understanding. A list of individuals who
serve on the roundtable can be found on IOM's website.
The US Preventive Services Task Force (USPSTF) recently released its updated 2012 Guide to Clinical Preventive Services—an authoritative source that can help primary care clinicians and patients decide together what preventive services are right for a patient's needs. This edition of the guide includes the USPSTF’s evidence-based recommendations on clinical preventive services from 2002 through March 2012, topics in development, and at-a-glance clinical summary tables.
Go to USPSTF's A-Z Topic Guide to access recommendation statements on interventions to prevent low back pain, falls in older adults, and osteoporosis. USPSTF also makes recommendations on screening for and management of obesity in adults and children.
The 2012 guide can be found on the Agency for Healthcare Research and Quality's website.