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  • January PTJ: A 'Spectacular' Way to Start the New Year

    Abandoning her "traditional linear approach" in this month's Craikcast, PTJ  Editor in Chief Rebecca Craik, PT, PhD, FAPTA, summarizes the research reports in the January issue by 4 themes—psychology, home-based physical therapy, measurement tools, and common assumptions made by clinicians. Craik also provides insights on the issue's technical report, 2 case reports, and 2 perspectives, including Stout et al's article on the direct costs of a prospective surveillance model and a traditional model of care in patients with breast cancer-related lymphedema.

    New in the Literature: Supervised Strengthening Exercises (J Rehabil Med. 2011 Nov 29 [Epub ahead of print]).

    Physical therapist-supervised rehabilitation with strengthening exercises of the rotator cuff and scapula stabilizers seems to be superior to home exercises focusing on mobility for improving shoulder function after arthroscopic acromioplasty, say authors of an article published online in Journal of Rehabilitation Medicine.

    Thirty-six participants entered this randomized, single-blinded, clinically controlled study; 13 of the participants in the physical therapy group and 16 in the home group fulfilled all the assessments. For 12 weeks following surgery, participants performed either supervised physical therapy or home exercises. Follow-ups were conducted periodically for 6 months after surgery to evaluate shoulder function, pain (Constant-Murley [CM]), and disabilities of the arm, shoulder, and hand ([DASH] scores), and health-related quality of life.

    The physical therapy group exhibited significantly greater improvements in CM and DASH scores. After treatment, the between-group mean difference in CM scores was 14.2 points. At the 6-month follow-up, the between-group mean difference in DASH scores was 13.4 points.