strengthening was more effective
than concentric strengthening in reducing pain and improving function in
patients with Achilles tendinopathy, say authors of an article
published online in American Journal of
Physical Medicine & Rehabilitation.
men with Achilles tendinopathy were assigned to either the experimental group (n
= 16) that performed eccentric strengthening or the control group (n = 16) that
performed concentric strengthening for 8 weeks (50 minutes per day, 3 times per
week). A visual analog scale, isokinetic muscle testing equipment, the
side-step test, and the Sargent jump test were used to assess pain, muscle
strength, endurance, and functional fitness factors before and after the
In comparison with the control group, the experimental group showed
significant improvement in pain, ankle dorsiflexion endurance, total balance
index, and agility after the intervention. However, there was no significant
difference in dexterity between the 2 groups.
In a new podcast titled "Using Evidence in a
Private Outpatient Setting," Jason
Grandeo, PT, DPT, OCS, shares the 3 main strategies that he and his
colleagues at Body Dynamics Inc in Falls Church, Virginia, use to incorporate evidence
in practice: monthly journal clubs, grand rounds focused on the hands-on
examination and treatment aspect of physical therapy, and Physicians'
Information and Education Resource (PIER) summaries. PIER summaries are
completed when a physician or other health care provider comes to the facility
to discuss an area in which he or she specializes.
also offers tips for physical therapists who have not yet incorporated evidence
in their practice. "Make a pitch for using 1 of the strategies we use,
such as a journal club, or doing it as a group. If there is no interest, you
may need to ask yourself if you are working at the best
place to support your career growth."
recording is part of the Research to Practice podcast series, which provides
practical information on implementing the use of research as part of
evidence-based practice in the physical therapy clinic.
involved in an innovative model of care delivery such as an accountable care
organization or pay for performance? If
so, contact your chapter or section and ask your leadership to nominate you to
attend APTA's Innovation Summit: 2013:
Collaborative Care Models.
will bring together innovators and thought leaders from physical therapy,
health policy, payment, and other health professions to explore the role of
physical therapists in new models of health care delivery and payment.
Participation in the summit will be available to all members through live web
streaming. Attendance onsite will be limited to speakers, panelists, and
invited attendees, including the member innovators selected through this
sections, chapters, and the Student Assembly are each invited to nominate a
member who is involved in an innovative model of care to attend and participate
in the Summit, to be held March 7-8, 2013, in the Washington, DC area. A panel
of member experts will select 20 member innovators to share their innovative
practice models as a part of the Summit. Those selected will receive free
registration and a stipend for travel and lodging expenses. Chapters and
sections whose nominees are selected will receive special recognition during
deadline for nominations is Monday, October 22. More information about the
Summit is available at www.apta.org/innovationsummit. Components can direct questions
about the nomination process to email@example.com.
study of the Greater Cincinnati/Northern Kentucky region, researchers found
that the rate of strokes among adults younger than 55 years of age increased
from 12.9% in 1993/1994 to 18.6% in 2005.
incidence rates in people aged 20 to 54 were significantly increased in both
black and white patients in 2005 compared with earlier periods. The
investigators also found that the mean age at stroke significantly decreased
from 71.2 years in 1993/1994 to 69.2 years in 2005.
explanations for the increase could be that physicians are detecting strokes in
young people more often, both as a result of better imaging technology and more
vigilant screenings, says a Reuters Health article.
really don't think that's the major reason," lead researcher Brett Kissela
told Reuters. "We're definitely
seeing a higher incidence of risk factors for stroke now."
developing obesity, diabetes, and high blood pressure at a younger age, they
also are increasing their risk of stroke at a younger age.
is of great public health significance because strokes in younger patients
carry the potential for greater lifetime burden of disability and because some
potential contributors identified for this trend are modifiable," the
The study is published in Neurology.
Don't forget to weigh in on the
topics to be covered in the next House proposal town halls scheduled for
Thursday, October 18, and Tuesday, October 23; 1 session will be offered on
each of those evenings at 9:00 pm-10:30 pm, ET. What would you like to discuss?
What topic have we missed? Let us know. Suggest ideas via the Additional Thoughts comment
blog posted to www.apta.org/governancereview. Contact Amber
Neil if you are
interested in attending. Can't join a town hall? Have your voice heard via the
comment blogs on the following topics: House
activity, and Resolutions
than 13,000 Medicare beneficiaries were affected by 14 breaches of protected
health information between September 23, 2009, and December 31, 2011,
requiring notification under the American
Recovery and Reinvestment Act, according to a new report by the Department of Health and Human Services' Office of Inspector General (OIG).
For the most part the breaches
involved beneficiaries' names, Medicare identification numbers, dates of birth,
diagnoses, and services received. One breach affected 13,412 beneficiaries. This
breach involved a Medicare Summary Notice printing error by a Centers for
Medicare and Medicaid Services' (CMS) contractor, which caused the notices to
be sent to incorrect addresses. Ten breaches resulted from other mismailings or
from loss of documents during transit. In another 2 breaches, beneficiary
information was posted online. In the remaining breach, a CMS contractor
employee was arrested for stealing beneficiary information.
Although CMS notified all
beneficiaries affected by the 14 breaches, it failed to meet the Recovery Act’s
standard for timeliness for 7 of them. Notification letters for 6 of the
breaches did not explain how the contractors were investigating the breach,
mitigating losses, or protecting against further breaches. Moreover,
notification letters for half the breaches, including the largest breach, were
missing either the date the breach occurred or the date it was discovered.
Notification letters for 3 breaches did not include the types of unsecured
protected health information involved, contact procedures for individuals who
want to learn more, or steps individuals can take to protect themselves from
"CMS has made progress in
responding to medical identity theft by developing a compromised number
database for contractors," says the report. "However, the database's
usefulness could be improved."
Based on its findings, OIG recommends that CMS ensure
that breach notifications meet Recovery Act requirements, improve the
compromised number database, provide guidance to contractors about using
database information and implementing edits, develop a method for ensuring that
beneficiaries who are victims of medical identity theft retain access to needed
services, and develop a method for reissuing identification numbers to
beneficiaries affected by medical identity theft.
realize the promise of whole genome sequencing, scientists and clinicians must
have access to data from large numbers of people who are willing to share their
private information, say authors of a report issued yesterday by the
Presidential Commission for the Study of Bioethical Issues. "This in turn
requires public trust that any whole genome sequence data shared by individuals
with clinicians and researchers will be adequately protected," they write.
The commission's investigation
found that current governance and oversight of genetic and genomic data varies
in its protection of individuals from the risks associated with sharing their
whole genome sequence data and information. In particular, a great degree of
variation exists in what protections states afford to their citizens regarding
the collection and use of genetic data.
improve current practices and help ensure privacy and security as the field of genomics advances,
the commission offers 12 recommendations, including proposals that clinicians and researchers use
robust and understandable informed consent procedures and engage in productive
exchanges of those collections of genomic information that are based on such
consent procedures. The commission recommends that the federal government
facilitate broad public access to the important clinical advances that result
from whole genome sequencing. The commission also urges federal and state
governments to ensure a consistent floor of individual privacy protections
covering whole genome sequence data across state lines, regardless of how the
data were obtained.