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  • Move Forward Radio Discusses ACL Injury Prevention in Youth Athletes

    The latest episode of APTA’s Move Forward Radio includes advice to help youth athletes avoid an increasingly common injury: anterior crucial ligament (ACL) tears.

    Citing a recent clinical report in Pediatrics, the episode notes that while incidence of ACL injury has increased among youth athletes, research suggests that risk of ACL injury can be significantly reduced with a basic neuromuscular training program.

    Podcast guest Julie Eibensteiner, PT, DPT, CSCS, who has worked with numerous college and elite soccer players both as a physical therapist and a coach, urged parents to be more assertive in demanding the implementation of these programs for their youth athletes.

    “Too often I think parents feel like they’re a passive player in their child’s sport experience,” Eibensteiner said. “We need to get these [neuromuscular training] programs in place. Parents need to be asking, ‘Why aren’t these programs happening?’”

    Move Forward Radio airs approximately twice a month. Episodes are featured and archived at MoveForwardPT.com, APTA's official consumer information website, and can be streamed online via Blog Talk Radio or downloaded as a podcast via iTunes. Ideas for future episodes and other feedback can be e-mailed to katiekissal@apta.org.

    APTA members are encouraged to alert their patients to the radio series and other MoveForwardPT.com resources to help educate the public about the benefits of treatment by a physical therapist. Follow MoveForwardPT on Facebook, Twitter, and Pinterest, and share these resources with your friends and followers.

    Initiative to 'Re-Align' Care Debuts

    A new initiative to develop a model of care for older adults with complex chronic conditions will focus on a "realignment" toward patient-defined treatment goals. The project, which has received $750,000 in grant funding, is now in planning stages.

    Called CaRe-Align, the model being developed seeks to "incorporate the best available evidence for involving patients in their own care and facilitating communication and coordination between and among primary care and specialty care clinicians," according to a press release. The 18 month planning project is funded by the John A. Hartford Foundation and the Patient-Centered Outcomes Resource Institute (PCORI).

    The project is being led by Mary Tinetti, MD, of Yale University and Caroline Blaum, MD, of NYU School of Medicine, and includes a panel of over 50 patients, clinicians, family caregivers, and other health care stakeholders. The Hartford Foundation plans to test the model in the next phase of this initiative.

    A CaRe-Align website is in the works. Meanwhile, project organizers are updating progress through the Hartford Foundation blog.

    APTA is engaged in its own project to foster innovation in models of care. Check out the association's Innovation 2.0 webpage to find out how physical therapists are taking on the challenge of rethinking delivery and payment.

    'Magic Wand' Could Be the Future of Diabetic Foot Ulcer Treatment

    A wandlike device and a system that delivers a localized dose of antibiotics could be the next phase in the treatment of diabetic foot ulcers. Both methods are now entering human trial stage, according to an article in Medscape news (free registration required to view story).

    The WoundWand is a debridement device that uses radio energy to precisely dissolve soft tissue, a process that has been used to perform tonsillectomies for several years. The device itself has been used in Australia, and researchers are now recruiting 60 patients for clinical trials.

    Also ready for clinical trial is Osprey Medical's "Limb Recovery System" (LRS), a percutaneous system that can isolate an infected lower limb from the larger circulatory system using catheters, thus allowing higher doses of antibiotics than possible through other delivery methods. Researchers recently reported success with the approach in a 5-patient study. The 20-patient trial is expected to be completed by the end of 2014.

    APTA emphasizes the importance of prevention, wellness, and disease management, and offers resources on diabetes for physical therapists and their patients through its Move Forward.com diabetes webpage and in a pocket guide to diabetes. The association also offers 21 clinical practice guidelines on care for patients with diabetes as well as 3 Cochrane reviews related to care for patients with diabetes-related foot ulcers through its PTNow evidence-based research tool.

    Do you have patients or clients with a recent type 2 diabetes diagnosis? The American Diabetes Association is offering a free guide called "Where Do I Begin," that helps patients and clients understand the fundamentals of the disease and the steps that can be taken to live with it. The booklets are being offered at no charge and can be ordered online.