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  • 2013 Strategic Plan Posted to Website

    The annual review and revision of the association strategic plan conducted in late 2012 by the APTA Board of Directors has resulted in a revised plan for 2013. Members can access the plan and related materials on the website at this link. The strategic plan represents the highest priorities of the Board of Directors as it manages the work of the association and was informed by member and external stakeholder input.

    New in the Literature: Treatment for ACL Tear (BMJ. 2013;346:f232)

    In a follow-up of a randomized controlled trial, a strategy of rehabilitation plus early acute anterior cruciate ligament (ACL) reconstruction did not provide better results at 5 years than a strategy of initial rehabilitation with the option of having a later ACL reconstruction. Results did not differ between knees surgically reconstructed early or late and those treated with rehabilitation alone. These results should encourage clinicians and young active adult patients to consider rehabilitation as a primary treatment option after an acute ACL tear, say the authors in their article published this month in BMJ

    This study included 121 young, active adults (mean age 26 years) with acute ACL injury to a previously uninjured knee. All patients received similar structured rehabilitation. In addition to rehabilitation, 62 patients were assigned to early ACL reconstruction and 59 were assigned to the option of having a delayed ACL reconstruction if needed. One patient was lost to 5-year follow-up.

    The main outcome was the change from baseline to 5 years in the mean value of 4 of the 5 subscales of the knee injury and osteoarthritis outcome score (KOOS4). Other outcomes included the absolute KOOS(4) score, all 5 KOOS subscale scores, SF-36, Tegner activity scale, meniscal surgery, and radiographic osteoarthritis at 5 years.

    Thirty (51%) patients assigned to optional delayed ACL reconstruction had delayed ACL reconstruction (7 between 2 and 5 years). The mean change in KOOS4 score from baseline to 5 years was 42.9 points for those assigned to rehabilitation plus early ACL reconstruction and 44.9 for those assigned to rehabilitation plus optional delayed reconstruction (between group difference 2.0 points after adjustment for baseline score). At 5 years, no significant between-group differences were seen in KOOS4, any of the KOOS subscales, SF-36, Tegner activity scale, or incident radiographic osteoarthritis of the index knee. No between-group differences were seen in the number of knees having meniscus surgery or in a time-to-event analysis of the proportion of meniscuses operated on. The results were similar when analyzed by treatment actually received.

    Volunteer Opportunities Available

    If you are interested in leadership development, collaborating with colleagues, and lending your expertise to APTA, then you need to join the Volunteer Interest Pool. Current opportunities include all awards subcommittees: Advocacy, Catherine Worthingham Fellows, Education, Lecture, Practice and Service, Publications, Research, and Scholarship. 

    To answer the call for these opportunities, you must first complete a volunteer interest profile. Creating this profile allows you to include your preferred level of involvement, willingness to travel, current availability, and interest/experience in a variety of areas. You only need to create the volunteer profile once. It can be updated at any time. Once you have created a profile, you will need to review the current opportunities and answer the questions specific to each committee.

    Deadlines will vary by group, so don't delay in checking out these opportunities! To learn more about the Volunteer Interest Pool, please contact Angela Boyd.