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  • HHS Delays ICD-10 Compliance Date

    In an effort to address the provider community's concerns about administrative burdens, Health and Human Services (HHS) Secretary Kathleen G. Sebelius today announced that HHS will postpone the date by which certain health care entities have to comply with ICD-10 codes. 

    The final rule adopting ICD-10 as a standard was published in January 2009 and set a compliance date of October 1, 2013—a delay of 2 years from the compliance date initially specified in the 2008 proposed rule. 

    APTA will update association members on the new compliance date forthcoming from HHS.   For general information and APTA's summary on the ICD-10 final rule, go to APTA's ICD-10 Web page.  

    New in the Literature: Tai Chi in Patients With Parkinson Disease (N Engl J Med 2012; 366:511-519.)

    Tai chi training appears to reduce balance impairments in patients with mild-to-moderate Parkinson disease, with additional benefits of improved functional capacity and reduced falls, say authors of an article published this month in NEJM 

    For this trial, researchers randomly assigned 195 patients with stage 1 to 4 disease on the Hoehn and Yahr staging scale (which ranges from 1 to 5, with higher stages indicating more severe disease) to 1 of 3 groups: tai chi, resistance training, or stretching. The patients participated in 60-minute exercise sessions twice weekly for 24 weeks. The primary outcomes were changes from baseline in the limits-of-stability test (maximum excursion and directional control; range, 0 to 100%). Secondary outcomes included measures of gait and strength, scores on functional-reach and timed up-and-go tests, motor scores on the Unified Parkinson Disease Rating Scale, and number of falls.

    The tai chi group performed consistently better than the resistance-training and stretching groups in maximum excursion (between-group difference in the change from baseline were 5.55 percentage points and 11.98 percentage points, respectively) and in directional control (10.45 percentage points and 11.38 percentage points, respectively). The tai chi group also performed better than the stretching group in all secondary outcomes and outperformed the resistance-training group in stride length and functional reach. Tai chi lowered the incidence of falls more than stretching did, but not more than resistance training did. The effects of tai chi training were maintained at 3 months after the intervention. No serious adverse events were observed.

    APTA member Johnny Galver, PT, coauthored the article.

    Delitto, Paris Appointed to Foundation's Board of Trustees

    The Foundation for Physical Therapy recently appointed Anthony Delitto, PT, PhD, FAPTA, and Stanley Paris, PT, PhD, FAPTA, FAAOMPT, to its Board of Trustees. The Board of Trustees plays an important role in the growth and development of the organization and its mission of funding physical therapy research. Board members provide leadership in developing official policies, direct all business and financial affairs for the Foundation, and actively promote its fundraising activities. Read brief bios on Delitto and Paris in this Foundation press release.