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  • APTA Educates Members of Congress on Role of Physical Therapy in TBI

    Today, APTA participated in the Brain Injury Awareness Fair as part of the 12th annual Brain Injury Awareness Day on Capitol Hill. These events aim to educate members of Congress and their staff on the full range of effects of traumatic brain injury (TBI), the challenges and recoveries of people living with brain injury, and the services and supports that are available to them.

    Reps Bill Pascrell Jr (D-NJ) and Thomas J. Rooney (R-FL), cochairs of the Congressional Brain Injury Task Force, held a press conference to announce legislation advancing the treatment and prevention of TBIs. 

    An afternoon panel discussion titled "Promoting Brain Injury Awareness through Public/Private Partnerships" featured COL Jamie B.Grimes, MD, MC, national director, Defense and Veterans Brain Injury Center; Sara Patterson, associate director of policy, Centers for Disease Control and Prevention; Katie Clarke Adamson, director of health partnerships and policy, YMCA of America; Jeff Miller, chief security officer, National Football League;  Roland Gerritsen van der Hoop, chief medical officer, BHR Pharma, and  Ralph Ibson, national policy director, Wounded Warrior Project.

    Check out APTA's TBI webpage for advocacy and education resources on TBI and concussion. 

    New in the Literature: Physical Therapy for Acute Whiplash (Lancet. 2013;381(9866):546-556.)

    In a 2-step trial conducted in the United Kingdom, providing active management consultation for patients with acute whiplash injury in emergency departments (ED) did not show additional benefit compared with usual care consultations, say authors of an article published in February in The Lancet. Physical therapy resulted in a modest acceleration to early recovery of persisting symptoms but was not cost effective from the National Health Service's (NHS) perspective. Usual consultations in EDs and a single physical therapy advice session for persistent symptoms are recommended, the authors add. 

    Step 1 was a pragmatic, cluster randomized trial of 12 NHS Trust hospitals including 15 EDs that treated patients with acute whiplash associated disorder of grades I-III. The hospitals were randomized by clusters to either active management or usual care consultations. In step 2, the researchers used a nested individually randomized trial. Patients were randomly assigned to receive either a package of up to 6 physical therapy sessions or a single physical therapy advice session. Randomization in Step 2 was stratified by the center. Investigator-masked outcomes were obtained at 4, 8, and 12 months. The primary outcome was the Neck Disability Index (NDI). Analysis was intention to treat, and included an economic evaluation.

    In step 1, 12 NHS Trusts were randomized, and 3,851 of 6,952 eligible patients agreed to participate (1,598 patients were assigned to usual care and 2,253 patients were assigned to active management). Of the 3,851 eligible patients, 2,704 (70%) provided data at 12 months. NDI score did not differ between active management and usual care consultations (difference at 12 months 0.5).

    In step 2, 599 patients were randomly assigned to receive either a single physical therapy advice session (299 patients) or 6 physical therapy sessions (300 patients); 479 (80%) patients provided data at 12 months. At 4 months, patients who received physical therapy showed a modest benefit compared with advice (NDI difference -3.7, -6.1 to -1.3), but not at 8 or 12 months. Active management consultations and physical therapy were more expensive than usual care and a single advice session. No treatment-related serious adverse events or deaths were noted.

    APTA Launches CRE Webpage

    APTA's new carbapenem-resistant Enterobacteriaceae (CRE) webpage contains news, updates, and links to a variety of resources on these drug-resistant bacteria.

    As reported earlier this week in News Now, physical therapists and physical therapist assistants play an important role in protecting patients from CRE. CRE have high mortality rates, killing 1 in 2 patients who get bloodstream infections from them. Additionally, CRE easily transfer their antibiotic resistance to other bacteria. CRE are usually transmitted person-to-person, often on the hands of health care workers. Currently, almost all CRE infections occur in people receiving significant medical care. However, their ability to spread and their resistance raises the concern that potentially untreatable infections could appear in otherwise healthy people, including health care providers.

    Jacquelin Perry, Renowned Physical Therapist and Physician, Dies

    Jacquelin Perry, MD, a physical therapist who trained at Walter Reed Army Hospital (1940-1941) and practiced in the US Army for 5 years, died at her home in Downey, California, on Monday at age 94.

    Perry graduated from the University of California, San Francisco, in 1950 as a physician and became board certified as an orthopedic surgeon in 1958. At Ranchos Los Amigos, she was chief of the Pathokinesiology Service for 30 years.

    She published hundreds of articles and received APTA's Golden Pen Award and the Helen

    J. Hislop Award for Outstanding Contributions to Professional Literature. She was an honorary

    lifetime member of APTA. She also received the Orthopaedic Section's Steven J. Rose Excellence in Research Award. 

    Throughout her career Perry advocated for the profession of physical therapy and worked closely with numerous physical therapists.

    "The name Perry and the word movement are almost synonymous—we hear 'Perry,' and we think analysis of normal and abnormal movement of the trunk, upper extremity, and lower extremity and the restoration of movement through surgery, bracing, electrical stimulation, and exercise," Rebecca L. Craik, PT, PhD, FAPTA, wrote in a 2010 PTJ editorial.