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  • APTA-FSBPT Collaboration: Developing Models of Continuing Competence

    For many years, APTA and the Federation of State Boards of Physical Therapy (FSBPT) have discussed and collaborated on continuing competence. Following the publication of a joint paper in 2010 to generate discussion on continuing competence and to move the conversation forward, members of APTA and FSBPT boards of directors met in early in 2011 to discuss several topics, including continuing competence.

    On Monday, APTA and FSBPT sent a joint communication to members that provided the 2011 discussion topics and outlined APTA's and FSBPT's preferred approach to developing models of continuing competence. The communication also provides information on voluntary tools that FSBPT has developed for state licensing boards.      

    For further information or to ask questions, contact Janet Bezner at janetbezner@apta.org or Susan Layton at slayton@fsbpt.org.

    New in the Literature: Classification Methods for Lumbar Impairments (J Man Manip Ther. 2010;18:197-204.)

    The majority of patients with lumbar impairments who are classified based on initial clinical presentation by manipulation and stabilization clinical prediction rules (CPRs) also are classified as derangements whose symptoms centralized, say authors of an article published in Journal of Manual & Manipulative Therapy. Manipulation and stabilization CPRs may not represent a mutually exclusive treatment subgroup, but may include patients who can be initially treated using a different classification method, they add.  

    Eight physical therapists practicing in 8 diverse clinical settings classified patients typically referred to rehabilitation by McKenzie syndromes (McK) (eg, derangement, dysfunction, and posture, pain pattern classification (eg, centralization [CEN], not centralization [Non CEN], and not classified [NC]), manipulation CPR (positive, negative), and stabilization CPR (positive, negative). Prevalence rates were calculated for each classification category by McK, pain pattern classifications (PPCs), and manipulation and stabilization CPRs. Prevalence rates for McK and PPCs were calculated for each CPR category separately.

    Data from 628 adults (mean age: 52±17 years, 56% female) were analyzed. Prevalence rates were:

    • McK-- derangement 67%, dysfunction 5%, posture 0%, other 28%
    • PPC -- CEN 43%, Non CEN 39%, NC 18%
    • manipulation CPR -- positive 13%
    • stabilization CPR -- positive 7%

    For patients positive for manipulation CPR (n = 79), prevalence rates for derangement were 89% and CEN 68%. For patients positive for stabilization CPR (n = 41), prevalence rates for derangement were 83% and CEN 80%.