Eight randomized placebo-controlled trials provide further evidence that anodal transcranial direct current stimulation (a-tDCS) may benefit motor function of the paretic upper limb in patients with chronic stroke, say authors of a meta-analysis published online in Journal of Hand Therapy.
Prior reviews on the effects of a-tDCS have shown the effectiveness of a-tDCS on corticomotor excitability and motor function in healthy individuals but nonsignificant effect in participants with stroke. To summarize and evaluate the evidence for the efficacy of a-tDCS in the treatment of upper limb motor impairment after stroke, the authors conducted a meta-analysis of randomized controlled trials that compared a-tDCS with placebo and change from baseline.
A pooled analysis showed a significant increase in scores in favor of a-tDCS (standard mean difference [SMD]=0.40, compared with baseline). A similar effect was observed between a-tDCS and sham (SMD=0.49).
APTA members Margaret Shuster, PT, Kevin Hurley, PT, and Karen E. Guilkey, PT, DPT, coauthored the article.
Does your facility have the foundation of a health-literate organization? Check out this infographic based on the discussion paper Ten Attributes of Health Literate Health Care Organizations available on the Institute of Medicine's website. The interactive infographic includes a short description for each attribute; implementation strategies can be found in the discussion paper.
PTJ Editorial Board member Steven Z. George, PT, PhD, recently was awarded the Ulf Lindblom Young Investigator Award for Clinical Science from the International Association for the Study of Pain (IASP). This award honors an IASP member who is younger than 40 years old and has achieved a level of independence as a scholar in the field of pain in clinical science.
George is associate professor and assistant chair in the Department of Physical Therapy at the University of Florida. He has written more than 115 peer-reviewed articles and numerous guest editorials; letters to the editor, responses, and commentaries; and book chapters and monographs. He serves on the International Editorial Review Board for Journal of Orthopaedic & Sports Physical Therapy. In 2009 he received the University of Florida's Jack Wessel Excellence Award for Assistant Professors. He is a recipient of APTA's Eugene Michels New Investigator Award (2007) and the American Pain Society's John C. Liebeskind Early Career Scholar Award (2009).
George's research has been supported by grants from the National Institutes of Health, the Department of Defense, the University of Florida, APTA's Orthopaedic Section, and the Foundation for Physical Therapy. His current research projects include: developing and testing behavioral interventions for patients with low back pain; investigating the interaction between pain-related genetic and psychological factors in the development of postoperative chronic shoulder pain; and investigating the mechanisms and efficacy of manual therapy techniques.
George accepted the award earlier this month in Milan at IASP's 14th World Congress on Pain.
A new web-based security training module from the Office of the National Coordinator (ONC) for Health Information Technology aims to help health care providers understand some of the common privacy and security issues related to health information technology. The innovative game-based system requires users to respond to privacy and security challenges often faced in a typical small medical practice. Users choosing the correct response earn points and see their virtual medical practices flourish, while wrong security decisions can hurt their virtual practices.
CyberSecure: Your Medical Practice was developed with the assistance of the Regional Extension Center Program's Privacy and Security Community of Practice.
Join the conversation! The first virtual town hall to discuss APTA governance review proposals related to the House of Delegates is September 18. This town hall will focus on House process, House constituency, and the Resolutions Committee and will allow members to help shape the final proposals by providing feedback about elements they support, are uncertain about, or do not support. To offer members on both coasts ample opportunity to take part in the conversation, APTA has scheduled 2 town halls for September 18 (both on the same topic), at 6:00 pm-7:30 pm ET and 10:00 pm-11:30 pm ET. Contact Amber Neil if you are interested in attending. Additional town halls will be held on September 20 and 27 at the times indicated above, with topics to be shared in advance.
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