Patients with stroke may make more
functional gains if their postacute care includes treatment received at an inpatient
rehabilitation facility (IRF), say authors of an article published this month in Archives
of Physical Medicine and Rehabilitation. This finding may have important
implications as postacute care delivery is reshaped through health care reform,
Researchers conducted this prospective
cohort study at 4 northern California hospitals that are part of a single
health maintenance organization. They enrolled patients with stroke (N=222)
between February 2008 and July 2010.
Baseline and 6-month assessments
were performed using the Activity Measure for Post Acute Care (AM-PAC), a test
of self-reported function in 3 domains: basic mobility, daily activities, and applied
Of the 222 patients analyzed, 36%
went home with no treatment, 22% received home health/outpatient care, 30%
included an IRF in their care trajectory, and 13% included a skilled nursing
facility (but not IRF) in their care trajectory. At 6 months, after controlling
for variables such as age, functional status at acute care discharge, and total
hours of rehabilitation, patients who went to an IRF had functional scores that
were at least 8 points higher (twice the minimally detectable change for the
AM-PAC) than those who went to a skilled nursing facility in all 3 domains and
in 2 of 3 functional domains compared with those who received home
APTA members Alan Jette, PT, PhD,
FAPTA, Diane E. Brandt, PT, PhD, and Elizabeth K. Rasch, PT, PhD, coauthored
week APTA announced in a press release that Kansas
became the latest state to improve patient access to physical therapists. Gov
Sam Brownback signed HB 2066 into law on March 28, easing burdensome referral
requirements that impede timely care from skilled physical therapists.
Achievement of direct access in all 50 states has been a longtime and
fundamental goal of APTA.
NCD Alliance has published a detailed response to the World Health
Organization's (WHO) draft on a 2013-2020 global action plan
on noncommunicable diseases (NCDs). The alliance's 4-point plan includes
recommendations on leadership, aim, and scope; principles, objectives, and
action points; resourcing and implementation; and measuring progress,
reporting, and accountability.
plan says that the absence of a formal mechanism at the global level to
catalyze multisectoral action and collaboration on NCDs has been a major
weakness in the global NCD response to date. In 2011, the United Nations
mandated governments to work with "all relevant stakeholders" to
strengthen action on NCDs through effective partnerships, the alliance says.
According to a 2010 report from WHO, physical inactivity is 1 of 4 risk
factors that contributes to 80% of all NCDs. The other 3 risk factors are
tobacco use, the harmful use of alcohol, and poor diet.
APTA's House of Delegates adopted Physical
Therapists as Expert Providers for Exercise and Physical Activity—recognizing
physical therapists as health service delivery providers of choice to prevent
or treat NCDs and their related risk factors. The position
holds that APTA seeks participation in the development and/or update of
physical activity or exercise guidelines for NCDs.
American Physical Therapy Association | 1111 North Fairfax Street, Alexandria, VA 22314-1488 703/684-APTA (2782) | 800/999-2782 | 703/683-6748 (TDD) | 703/684-7343 (fax)
Contact Us | For Advertisers & Exhibitors | For Media | Follow APTA
All contents © 2014 American Physical Therapy Association. All Rights Reserved.