progressive resistance strength training (HIPRST) improves lower limb strength
more than lesser training intensities in older adults, although it may not be
required to improve functional performance, say authors of a systematic review published this
month in Archives of Physical Medicine
and Rehabilitation. They note that training volume also is an important
variable, and HIPRST appears to be a safe mode of exercise in this population.
this systematic review, the authors searched online databases from their
inception to July 2012. Randomized controlled trials of HIPRST of the lower
limb compared with other intensities of PRST in older people (mean age ≥ 65
years) were identified. Two reviewers independently completed quality
assessment using the PEDro Scale and data extraction using a prepared
authors included 21 trials. Study quality was fair to moderate (PEDro Scale
range 3 to 7). Studies had small sample sizes (18 to 84) and participants were
generally healthy. Meta-analyses revealed HIPRST improved lower limb strength
greater than moderate- and low-intensity PRST, SMD 0.79 and 0.83, respectively.
Studies where groups performed equivalent training volumes resulted in similar
improvements in leg strength, regardless of training intensity. Similar
improvements were found across intensities for functional performance and disability.
The effect of intensity of PRST on mood was inconsistent across studies.
Adverse events were poorly reported; however, no correlation was found between
training intensity and severity of adverse event.
authors call for further research into HIPRST's effects in older people with
chronic health conditions across the care continuum.
you currently primarily see patients with arthritis in your practice and would
like to be included in a formative research project, contact Anita Bemis-Dougherty, PT, DPT, MAS, APTA department
of clinical practice, by Monday, April 1. You will be asked to complete a 20-minute
phone interview with Westat, a research company, to understand physical
therapists' (PTs) current knowledge, attitudes, and recommendation practices
related to arthritis community-based physical activity/self-management
education (PA/SME) programs, and to
explore communication preferences for learning about these programs.
is working with the National Association of Chronic Disease Directors (NACDD)
and the Centers for Disease Control and Prevention (CDC) to inform a strategy
to increase PT recommendations to PA/SME interventions for patients with
arthritis. To do this, NACDD is working with Westat to develop a marketing
strategy and arthritis educational materials to assist PTs in recommending
evidence-based community arthritis PA/SME interventions to their patients with
arthritis when indicated.
will conduct the primary research with the following objectives: (1) assess PTs'
awareness of and attitudes toward community-based interventions, (2) identify
messages that motivate PTs to recommend interventions to their patients, (3)
identify preferences about the form of the communications and additional
resources needed, (4) identify how to disseminate messages to PTs, and (5)
develop recommendations for marketing strategy and materials.
you have any questions, contact firstname.lastname@example.org.
of an article
published this month in Annals of
Internal Medicine report that many subspecialists are unable to accommodate
patients who use wheelchairs.
enrolled 256 subspecialty medical practices in 5 large US cities (Atlanta;
Dallas; Houston; Portland, Oregon; and Boston) in the study. The practices were
assigned to 1 of 2 groups: those where transfer from a wheelchair to an
examination table is required for adequate care (endocrinology, gynecology,
orthopedic surgery, rheumatology, and urology) and those where transfer might
not be necessary (otolaryngology, ophthalmology, and psychiatry).
researchers called practices and tried to make an appointment for a fictional
patient who was obese (99 kg) and was partially paralyzed on 1 side of the
body. The patient used a wheelchair and was unable to self-transfer from the
chair to an examination table. The patient could not bring a family member to
assist with transfer.
of the practices that would have to transfer the patient to provide adequate care
were accessible than those that might not have to transfer the patient to
provide adequate care (95% vs 74%). In all, 56 practices (22%) could not
accommodate the patient. Nine of these practices said that their buildings were
inaccessible, and 47 said that they could not transfer the patient to an
examination table. The practices gave different reasons for inability to
transfer the patient, including a lack of staff who could perform the transfer
(37 practices), a concern about liability (5 practices), and that the "patient
was too heavy" (5 practices).
the 160 practices in the group that required transfer for adequate care, 22
(9%) reported using special equipment for transfer, such as height-adjustable
examination tables and mechanical lifts. Another 88 (55%) planned to transfer
the patient from the wheelchair to a high table that was not height-adjustable
without using a lift. Gynecology had the highest rate of inaccessible practices
authors call for improved awareness about the Americans
with Disabilities Act requirements and the standards of care for patients with
Voting for APTA's "Fit After 50 Member Challenge" winner is in full swing! The top 10 featured
finalists were nominated for their commitment to being fit, active, and mobile
at age 50+. Read their stories and vote for
the member who you feel is most active and fit and who inspires others
to be the same. The winner should also have served the 50+ community and
promoted the role of the physical therapist. Encourage your friends, family,
community, and colleagues also to vote. Voting is open until April 5. The
top 3 winners will receive prizes from APTA and recognition at the APTA
Conference and Exposition in June.
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