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  • New in the Literature: Continuous Passive Motion Post-total Knee Arthroplasty (J Arthoplasty. 2012; 27:193-200.)

    Continuous passive motion (CPM) gives no benefit in immediate functional recovery post-total knee arthroplasty (TKA), and the postoperative knee swelling persisted longer, say authors of an article published in the Journal of Arthroplasty.

    Researchers at the Department of Orthopaedic Surgery, Lilavati Hospital and Research Centre, in Mumbai, India, prospectively assigned 84 patients with TKA to 1 of the 3 standard rehabilitation regimes—no CPM, 1-day CPM, and 3-day CPM. They recorded a Timed Up and Go test, Western Ontario and McMaster Universities Index (WOMAC), and short form-12 (SF-12), in addition to range of motion, knee and calf swelling, pain, and wound healing parameters.

    Standardized and elaborate measurements preoperatively and on postoperative days 3, 5, 14, 42, and 90 showed no statistically significant difference among the 3 groups in each parameter.

    Last Call for PT 2013 Proposals

    The deadline to submit proposals for 90-minute and 3-hour sessions for PT 2013, to be held June 26-29, 2013, in Salt Lake City, is July 9. APTA would like to focus on the areas for programming where latest or emerging ideas are shared and discussed:  

    • delivery of care (medical homes, accountable care organizations)
    • payment (alternative payment models)
    • use of technology in the administration of care (electronic health records, etc)
    • use of technology in clinical care (virtual care, etc)
    • use of technology in entry-level education
    • knowledge translation from classroom to clinic

    The Call for Proposals with further details is posted on the submission site Welcome Page. For questions or to discuss specifics about programming, contact Mary Lynn Billitteri, APTA Professional Development.

    Researchers Find Association Between Brain Response to Injury and Chronic Pain

    Whether a person's injury will lead to chronic pain may depend on the level of communication between 2 parts of his or her brain, says a HealthDay  article based on a study published in the current issue of Nature Neuroscience.

    For the study, the researchers used brain scans to examine the interaction between 2 parts of the brain—the frontal cortex and the nucleus accumbens—in 40 patients who had recent onset of back pain for the first time. The patients were followed for 1 year.

    By analyzing the scans, the investigators were able to predict whether the patients would develop chronic pain with an 85% level of accuracy. Brain regions related to emotional and motivational behavior seem to communicate more in those who develop chronic pain.  

    Although the study showed an association between levels of communication in the brain and chronic pain, it did not prove a cause-and-effect relationship, the article says.

    The Affordable Care Act Going Forward

    With the Supreme Court upholding the Affordable Care Act (ACA), implementation of certain Medicare, Medicaid, and private insurance reforms will continue or begin in the next 2 years. In a June 28 presentation, the National Journal provided a rough timeline, shown below, for implementation of ACA-related reforms.

    APTA staff is reviewing the Supreme Court decision and will provide a more detailed analysis to members in the coming weeks. This analysis will allow APTA to continue to advocate for the profession and patients in areas such as direct access, innovative models of care, and the need for a robust rehabilitation benefit under state health care exchanges. As more information becomes available, look for information bulletins from APTA Government Affairs; follow News Now, Twitter, and Facebook; and visit APTA's health care reform webpage. Hear more in this APTA podcast.   

    ACA Implementation Timeline - 7/3/12 

    Source:  National Journal Editorial Research