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  • The Good Stuff: Members and the Profession in the Media, August 2018

    "The Good Stuff" is an occasional series that highlights recent media coverage of physical therapy and APTA members, with an emphasis on good news and stories of how individual PTs and PTAs are transforming health care and society every day. Enjoy!

    Innovation + wellness = Grouphab: Patrice Hazan PT, DPT, MA, and Charlotte Walter PT, DPT, discuss the "grouphab" wellness program they designed to help keep people of all ages mobile and injury-free. (WSPA News 7, Spartanburg, NC)

    Lights, camera, caring: Winston-Salem State University PT students Sam Lucier, SPT; Corey Shelton SPT; and Apu Seyenkulo, SPT, discuss the benefits of a WSSU program that incorporates filmmaking into the physical therapy curriculum. (Fox 8 News, Winston-Salem, NC)

    Balance in all things: Libby Krause PT, DPT, and Lori Ginoza PT, DPT, help a USC doctoral student regain her balance after removal of an acoustic neuroma. (University of Southern California News)

    Return of the PT Ninja Warrior: Todd Bourgeois PT, DPT, who participated in the American Ninja Warrior competition in 2014, is back. And this time he's headed for the finals. (Ninjaguide.com)

    Concussion consciousness: Amanda Stewart, PT, explains the signs of possible concussion, and what to do after a concussion diagnosis. (KUTV 2 News, Salt Lake City, UT)

    Doing business like nobody's business: Bryan Wright PT, DPT, owner of Wright Physical Therapy in Twin Falls, Idaho, was named national Small Business of the Month for July. (legistorm.com)

    Alabama's a sweet home for Go Baby Go: University of Alabama-Birmingham PT students joined with UAB engineering students and occupational therapy students to adapt toy vehicles for children with mobility challenges. (CBS42 News, Birmingham, AL)

    When neck pain is a pain in the neck: Karen Litzy, PT, DPT, offers pointers to avoid neck pain. (Health.com)

    Making connections to the pelvic floor: Adrianne McAuley PT, DPT, and Erin Hartigan, PT, share perspectives—and plans for research—on the ways weak pelvic floor muscles can impact recovery from injury to other areas of the body. (Bangor, ME, Daily News)

    Collaboration is crucial: Eric Lederhaus, PT, and Rebecca Fung PT, DPT, write on the importance of applying integrated care to the opioid crisis. (Managed Care magazine)

    Quotable: “I think it’s something that I really want to do because you get to help so many people. You’re working with patients from different backgrounds with the same goal: to get better." - High schooler Heather Artz, on why she wants to pursue a career in physical therapy. (Herkimer, NY, Times-Telegram)

    Got some good stuff? Let us know. Send a link to troyelliott@apta.org.

    2018 ELI Fellows Class Brings APTA's Educational Leadership Program Past 100 Graduates

    Sixteen seasoned physical therapy educators have deepened their knowledge and skills over the past year, thanks to the APTA Education Leadership Institute (ELI) Fellowship. The latest cohort pushes the program past the 100-graduate mark.

    These physical therapists (PTs) made up ELI's seventh cohort of ELI fellows when they graduated in July after completing a yearlong higher education program that consisted of:

    • 9 online modules provided by content expert faculty;
    • 3 2-day face-to-face mentorship sessions and ongoing mentorship provided by experienced physical therapy program directors;
    • higher-education mentorship provided by physical therapy education leaders; and
    • implementation of a personal leadership plan and an institution-based leadership project.

    The ELI Fellowship strives to provide developing and aspiring program directors in physical therapist and physical therapist assistant education programs with the skills and resources they need to be innovative, influential, and visionary leaders who can function within a rapidly evolving, politico-sociocultural environment.

    Partners who help promote and support the ELI Fellowship include the American Physical Therapy Association, American Council of Academic Physical Therapy, Academy of Physical Therapy Education, and PTA Educators Special Interest Group. Find out more information about the ELI Fellowship on APTA's website, and view video testimonials of previous ELI graduates. Questions about the program? Contact eli@apta.org.

    The program was first accredited in 2012 by the American Board of Physical Therapy Residency and Fellowship Education (ABPTRFE), the accrediting body for postprofessional residency and fellowship programs in physical therapy, and it was reaccredited in 2017 for a 10-year period.

    The Good Stuff: Members and the Profession in the Media, July 2018

    "The Good Stuff" is an occasional series that highlights recent media coverage of physical therapy and APTA members, with an emphasis on good news and stories of how individual PTs and PTAs are transforming health care and society every day. Enjoy!

    A Good Stuff update: Back in 2016, Good Stuff shared the story of Leigh Anne Anger, PTA, who was fighting back after a triathalon bicycling accident that left her with multiple skull fractures, a broken clavicle, a fractured jaw, and detached ligaments in her shoulder. The road to recovery looked long and hard.

    Guess what? She's back.

    Leigh Anne's husband, Jay, tells PT in Motion News that not only is Leigh Anne competing again, but she just earned the top podium spot for her age group in the Rufus Racking Summer Roundup Triathalon. Congratulations, Leigh Anne!

    Turning over a new leaf at the Forest Service: Jess Kehoe, PT, DPT, and Leah Versteegen, PT, are helping members of the US Forest Service avoid injury and move more efficiently thanks to their experience working with tactical athletes from other professions. (Missoula, MT, Missoulan)

    Exercise? Just do it: Ryan Woods, PT, DPT, explains why any amount of exercise is better than none at all. (Picayune, MS, Item)

    Planting the seeds of prevention: Greg Bachman, PT, points out why it's important for gardeners to stay flexible year-round to avoid gardening-related injury. (Emporia, KS, Gazette)

    The realities of seeing a PT first: Mark Donald Bishop, PT, PhD, FAPTA, makes the case for physical therapy for pain management—and identifies obstacles in the health care system that make it hard for patients to connect with PTs. (theconversation.com)

    Weakness cometh before a fall: Strengthening exercises can help people who are older guard against falls, says Greg Hartley, PT, DPT. (AARP online)

    Concussion is a player in baseball, too: Jessica Schwartz, PT, DPT, says more awareness of concussion is needed in baseball and many other supposed "noncontact" sports. (New York Times)

    Oh, baby! Ronit Sukenick, PT, emphasizes the importance of rehabilitation for new mothers during the fourth trimester. (New York Times)

    No slouch when it comes to good advice: Eric Robertson, PT, DPT, provides insight on taking a realistic approach to improving posture. (Popular Science)

    Diving into falls: Sylvie de Rham Tortorelli, PT, answers questions about falls and falls prevention. (Bellingham, WA, Herald)

    Mighty Miss Maya: Anna Semelbauer, PT, DPT, has been helping 4-year-old Maya Tisdale achieve her dream of walking unassisted. (Traverse City, MI, 9&10 News)

    Making the PT vs personal trainer choice: Ann Wendel, PT, ATC, discusses the factors that should guide a person considering working with a personal trainer or a PT. (refinery29.com)

    Women and text-neck: Szu-Ping Lee. PT, PhD, and fellow authors of a study have found that text-neck pain disproportionately affects women. (ScienceDaily.com)

    Stretching for a long stretch of road: David Reavy, PT, MBA, provides tips on the best stretches for road trips. (Men's Journal)

    Taking a stand for healthy work environments: Rebecca Sanders Fung PT, DPT, and Eric Lederhaus, PT, discuss the importance of office environments that help employees avoid long periods of sitting. (Employee Benefit News)

    Quotable: "Physical therapists are on the front lines: they're really good at being able to say, 'You're normal for feeling this way, it's totally reasonable that you're crying.'" – Clinical psychologist Deborah Roche, PhD, on the emotional demands of recovering from injury. (refinery29.com)

    Got some good stuff? Let us know. Send a link to troyelliott@apta.org.

    From the 2018 APTA House of Delegates: Rimmer, Corcos, Polvinale, Receive Honorary APTA Membership

    Two researchers and a longtime APTA staff member were formally recognized as honorary members of APTA by the 2018 House of Delegates for contributions that have allowed physical therapists (PTs) and physical therapist assistants (PTAs) to better serve patients and clients.

    James H. Rimmer, PhD, has conducted research that is widely known for its emphasis on health promotion and wellness for people with disability, particularly as it relates to physical therapy. This, in turn, has fostered development of models for the integration of health promotion into PT practice. He is also the creator of large-scale centers that promote health and wellness, and currently directs 2 federally funded centers: the National Center on Health, Physical Activity, and Disability; and the Rehabilitation Engineering Research Center on Interactive Exercise Technologies and Exercise Physiology for People with Disabilities.

    Daniel M. Corcos, PhD, a scientist whose research focuses on the neural basis of motor control, has a 30-year history of collaborating with PTs in a variety of ways, from serving as a doctoral chair to coauthoring peer-reviewed publications. In addition, Corcos played critical roles in developing grants that have supported the work of PTs and has been the recipient of grants that have included PTs as principal or co-principal investigators.

    With more than 38 years as an APTA employee, Bonnie Polvinale, former APTA chief operations officer (now retired), is the longest-serving staff member in the association's history. During her tenure with APTA, Polvinale helped to refine or re-envision some of the association's most popular offerings including the NEXT Conference and Exposition, the APTA Learning Center, and the Combined Sections Meeting. APTA President Sharon Dunn, PT, PhD, described Polvinale as a "truly outstanding" individual "committed to helping others" whatever the need. "Bonnie Polvinale possess the same compassion and caring for the individual that called us all to our profession in the first place," Dunn said.

    Final language for these recognitions and all actions taken by the House will be available by September after the minutes have been approved.

    From PT in Motion Magazine: Pedaling Past Injury

    According to an industry survey, more than 100 million Americans ride a bike each year. Some ride recreationally or for exercise, some bike to work or school, and others race competitively. No matter the kind of riding they do, all riders face some of the same challenges, such as risk for falling, overuse injuries, and improper alignment due to a poor bike fit. That's where physical therapists (PTs) and physical therapist assistants (PTAs) come in.

    A feature in this month’s PT in Motion magazine explores the PT's role in helping cyclists avoid injury, not just recover from it. Author Keith Loria interviewed several competitive cyclists, as well as PTs who have helped cyclists of all types.

    Alex Fraser-Maraun, an emerging elite Canadian road cyclist, said it was after he saw a PT that he learned his injuries “all stemmed from poor training and recovery practices, and from poor bike fits." Fraser-Maraun credits his therapist, Erik Moen, PT, with helping him return to racing. Moen notes, "Physical therapy can help bicyclists achieve their goals by identifying musculoskeletal limiters in their ability to pedal well and maintain positions consistent with bicycling."

    Clinicians also share advice for recreational riders, who often experience overuse injuries, or back, neck, or knee pain. Robert Wellmon, PT, DPT, PhD, who also is a competitive cyclist, told PT in Motion, "One of the best ways to avoid these problems is having a bike that fits well: the seat is the right height and width, and aligned properly."

    Pedaling Past Injury" is featured in the July issue of PT in Motion magazine and is open to all viewers—pass it along to nonmember colleagues to show them one of the benefits of belonging to APTA. Printed editions of the magazine are mailed to all members who have not opted out; digital versions are available online to members.

    Working with patients who are cyclists? Have them check out MoveForwarPT.com's "Tips for Health Cycling" page.

    NEXT 2018: Rothstein Roundtable Takes on Reasons Payers Are Slow to Make Changes That Support Physical Therapy

    David Elton, senior vice president of clinical programs for Optum Health, describes the opioid epidemic as a lit match—the crisis that sparked payers to sit up and take notice of physical therapy's ability to not only reduce later opioid use, but to lower downstream health care costs for a variety of conditions. It didn't take long for the 2018 Rothstein Roundtable to reflect that same heat, as a discussion initially focused on increasing the use in physical therapy as an alternative to opioids spread to an exchange on both the promise of physical therapy to become more broadly supported by private payers, and the factors that could get in the way.

    The roundtable, a regular part of APTA's 2018 NEXT Conference and Exposition, held true to its reputation for facing hot topics in the profession head-on. This year, the title of the discussion was "Physical therapy decreases opioid use: what will it take to change policy?"

    The answer, more-or-less agreed upon by Elton and his fellow panelists: policy is already changing, but not as quickly—or as broadly—as some in the physical therapy profession might prefer.

    Moderator Anthony Delitto, PT, PhD, FAPTA, launched the discussion by asking, “What’s taking so long?” for payers to act on the evidence that shows physical therapy's efficacy in treating chronic pain, as many payers impose restrictions, high copays, and other barriers that make it hard for patients to get nondrug care.

    It's not simply a matter of payers being unaware of physical therapy's effectiveness, explained panelist Kenneth Schaecher, MD, associate chief medical officer for the University of Utah Health Plans—it's also that most clinicians don't think of physical therapy as an option for their patients. "And even if they do,” he said, “they're not aware of the evidence."

    Stephen Hunter, PT, PhD, physical therapy administrator at Intermountain Health Care, said that financial implications play a role, too. Often, he explained, physical therapy presents a disincentive for patients: multiple visits, with multiple copays—providing, of course, that the patient has made it past her or his high deductible in the first place. "Due to the historical approach to physical therapy … payers have created the circumstances that have pushed people away from physical therapy," Hunter said.

    Elton largely agreed with Schaecher and Hunter, but was more hopeful about the future. The evidence, he said, can no longer be ignored, particularly when an estimated 50% of all health insurance claims are related to back pain, and 75% are related to musculoskeletal conditions—the exact areas in which physical therapy has been demonstrated to be most effective. But, as panelists pointed out, change can't really start happening until payers and the profession itself do a better job of making the case for physical therapy to the public.

    Hunter explained that at Intermountain, it was commonly assumed that the reason patients weren't seeing physical therapists (PTs) is that physicians weren't referring them. That does happen sometimes, he explained, but when they looked closer they found the real problem was with the patients themselves.

    "Patients were referred to PTs but would never show up," Hunter said. "They don't see the value."

    Charles Thigpen, PT, PhD, clinical research scientist for ATI Physical Therapy and director of observational clinical research with the Center for Effectiveness Research in Orthopaedics at the University of South Carolina, agreed, saying that the issue is about "getting in front of the patient."

    "A lot of patients don't understand why they're coming to therapy," Thigpen said. "We have a messaging issue."

    Schaecher thinks it's not simply about better marketing to consumers—those within the physical therapy profession need to rein in unwarranted variation in practice and truly commit to value-based care.

    From a payer perspective, Schaecher said, the practice of physical therapy can seem broad and inconsistent, which can lead to a perception that PTs "are not engaged in a value-based approach to care—they're engaged in making money."

    "You need to start seeing therapists that are looking at their services as a value and not a revenue generator," Schaecher added.

    Elton only partially agreed. The variability issue is present in physical therapy, he countered, but is not nearly as bad as it is in some of the medical specialties.

    Thigpen added that the variability issue in physical therapy may have to do with issues other than revenue generation, such as payer variation and patient market factors that can add to variability in treatment.

    Thigpen said he also worries that for some PTs, their commitment to their profession and a belief in the good it can do can morph into a maybe-unconscious willingness to please the patient at all costs. "You feel obligated to give the patient what the patient wants," he said. "In that way, we sometimes don't do a great job in shared decision-making," he said, which leads to unwarranted variation in practice.

    Delitto acknowledged that the current payer landscape for physical therapy was created at least in part in reaction to what he described as the "free-for-all" days of the 1980s and 1990s, when payers were much less restrictive. Returning to a place where physical therapy receives the level of support warranted through evidence will require PTs to better track and report outcomes, but that begs other questions: will the administrative burden be too heavy? Are there simpler approaches to supplying the needed data?

    Elton pointed out that APTA is already attempting to respond to these questions by way of the Physical Therapy Outcomes Registry. According to Elton, profession-driven data collection efforts could make a key difference.

    But, he added, turning the corner toward value-based care that will open payment doors will also require collaborative efforts between payers, PTs, and other professions. "What we need to be asking is, how do payers and groups like APTA come together to get a total view of this?" he said. APTA and Optum are currently pursuing a joint initiative that will be announced in the coming months, he added.

    It could be possible that payers just don't care about data, Delitto said.

    Oh, but they do, countered Schaecher, because data show where the money's going, and payers care very much about that.

    Elton agreed, but framed the issue differently.

    "Cost is really a proxy for clinical outcomes," he said. The problem is that data are often limited to what happens during and at the end of treatment, with no tracking of what happens over time—if, for instance, the physical therapy patient eventually winds up getting other treatments, undergoing surgery, or pursuing imaging at some point down the road. That's what's known as "the tail" of a particular provider's treatment. The lack of sufficient data on physical therapy's tail is the "Achilles' heel" of the profession, Elton said.

    Still, with all the internal and external challenges in place, Elton believes that for physical therapy, the bottom line is the bottom line.

    "The fact is, there's a 10-to-1 [return on investment] with physical therapy," Elton said. "More physical therapy equals less cost."



    From the 2018 House of Delegates: Envisioning a Community

    If there was a single takeaway from the 74th gathering of the APTA House of Delegates (House), it's this: the House is working cohesively to see to it that as APTA approaches its centennial, the association continues to embrace its #BetterTogether ideal and lives out its commitment to making bold moves.

    Backed by a new mission statement rooted in community-building, the House took actions that point to the kind of community the association will build—one that's inclusive, collaborative, compassionate, and unafraid to take on issues that would impact pursuit of APTA's transformative vision. The actions taken by the House make it clear: for the foreseeable future, APTA will be an outward-facing organization that understands its capacity to be a change agent.

    Notable motions adopted by the House touched on the following topics:

    Sexual harassment
    In a unanimous vote, the House strengthened APTA’s position on sexual harassment in all forms, encouraging incidents of harassment to be reported, with permission of the affected individual, to that ensure others are not similarly harmed. Debate on the motion was marked by several delegates sharing their own experiences with sexual harassment.

    Person-centered services
    A resolution adopted by the House positions APTA squarely in opposition to policies that would permit a provider to deny services to a patient based on a provider's religious or personal objections to the patient that may be based on the patient’s age, gender, nationality, religion, ethnicity, socioeconomic status, sexual orientation, health condition, or disability.

    Essential health benefits
    The House adopted an APTA position that establishes the association's commitment to a specific set of comprehensive services it believes should be included in all insurance plans available to an individual across the lifespan and without limitations based on preexisting conditions.

    Elimination of the improvement standard
    The House charged the association with developing a long-term plan to pursue the elimination of the improvement standard—the idea that services are payable only if they result in the improvement of a patient's condition—in all settings and payment situations. The concept, debunked in Medicare thanks to the Jimmo v Sibelius settlement agreement, is used widely in other payment models.

    Physical therapist service delivery
    In a charge aimed at recognizing that physical therapists often provide person-centered services that are outside of the traditional episode of care model, the House directed APTA to explore revisions to the Standards of Practice for Physical Therapy that embrace concepts of long-term, lifetime, and ongoing relationships with patients.

    Professional well-being
    The House charged the association with developing a strategy to address issues that affect the overall well-being and resilience of PTs, physical therapist assistants (PTAs), and physical therapy students.

    The role of PTs and PTAs in disaster management
    The House directed the association to better define the role of PTs and PTAs in disaster preparation, relief, and recovery, and to promote this role to key stakeholders.

    Many other actions taken by the House were part of a 2-year effort to comb through all existing APTA House documents to bring them up-to-date, incorporate them into similar documents, or eliminate them. Topics addressed included durable medical equipment, clinical education, collaborative relationships with veterinarians, PTA supervision, mentoring, and pro-bono services.

    APTA members can view videos of the 2018 House of Delegates online once the archive is posted later this week. Final language for all actions taken by the House will be available by September after the minutes have been approved.

    2018 NEXT: Movement System Finding Its Way Into Education and Research

    As far as Paula Ludewig, PT, DPT, PhD, is concerned, the idea of anchoring physical therapy's identity in the movement system is, to put it simply, a big deal. "This is a huge opportunity for our profession," said the University of Minnesota professor and researcher. "We're at the doorstep of making significant change."

    The question is, just how does the profession get the door open?

    That was the idea at the heart of a presentation on incorporating the movement system into curriculum and research offered at APTA's 2018 NEXT Conference and Exposition in Orlando. Presenters offered 3 distinct perspectives: one from a physical therapist education program that has been infusing movement system concepts into its curriculum and other programs for years, one from a program that more recently accomplished what might be called a retrofit of its curriculum to create stronger links to the system, and one from a researcher and teacher who recounted her own transition away from the "pathoanatomic" perspective. The common thread: embracing the movement system concept can lead to stronger education programs, more useful research, and more effective practice.

    In her presentation on the longstanding incorporation of movement system concepts at Washington University in St Louis (WUSTL), professor Gammon Earhart, PT, PhD, outlined an approach that is now "the seat of everything we do in our department," informing not just education, but research and practice.

    According to Earhart, the first practical application of movement system concepts at WUSTL began with continuing education offerings. From there the concept expanded to residencies and fellowships, and finally worked its way into entry-level DPT training. Movement system concepts are now a part of every course offered in the program, she said.

    Likewise, the university's research efforts underwent a shift toward a more integrated system, resulting in the Department of Physical Therapy's Movement Science Research Center, a centralized facility that allows multiple disciplines to take a team approach to research.

    Eventually, the ripple effect touched the program's practice-related activities, making movement "the primary outcome and primary intervention," Earhart said. For example, patients who presented with back pain were offered another avenue of treatment: rather than focusing solely on exercises aimed at addressing a condition, PTs worked with patients to modify the ways they move in their everyday activities, such as loading a dishwasher or moving a vacuum cleaner.

    Sara Scholltes, PT, PhD, FAPTA, is a graduate of the Washington program and well-versed in the movement system approach, but she found herself teaching at the University of Montana's physical therapy program—which wasn't. Faculty in the program agreed that the school's curriculum needed to make a change, but where to start?

    In the end, it boiled down to tearing down silos, Scholtes said. Rather than structuring curriculum around isolated coursework (first semester, basic sciences; second semester, more of the same; second and third years, subjects seemingly cut off from each other), faculty began thinking about how movement system concepts and critical reasoning skills could be infused throughout the program. Classes were structured in ways that incorporated knowledge gained in other classes—and instructors were free to evaluate that combined knowledge. "The question 'is this exam cumulative?' didn't really matter anymore, because everything is cumulative," Scholtes said.

    For Ludewig, the transition to a movement system approach was personal. As a researcher focused on shoulder issues, Ludewig was driven by what she described as a pathoanatomic approach—"first I get the diagnosis, then I look at the impairment."

    The problem with this approach, Ludewig pointed out, is that it doesn't square with reality: patients don't present in homogenous groups that are cleanly identified within certain diagnostic buckets. They do present with various movement impairments that may share similar characteristics. Those perspectives make a difference. "When you address it from the pathoanatomic perspective, approaches [and] clinical reasoning are all over the place," Ludewig said.

    Instead, Ludewig began looking at impairment first, getting a bead on how patients were moving and associating those movement patterns with hypermobility, hypomobility, or what she termed "aberrant motion." It's a concept anchored in the movement system, and though use of the concept hasn't fully caught on at her school, Ludewig sees a transition happening, calling the shift a "work in progress."

    "We still care about pathoanatomy," Ludewig said. "But it's further down the food chain in how we think about it."

    The Good Stuff: Members and the Profession in the Media, June 2018

    "The Good Stuff," is an occasional series that highlights recent media coverage of physical therapy and APTA members, with an emphasis on good news and stories of how individual PTs and PTAs are transforming health care and society every day. Enjoy!

    A (motor) learning experience: Mike Studer PT, MHS, outlines innovative ways to apply motor learning principles to rehabilitation. (The Perception & Action Podcast)

    No ordinary rehab: At her clinic, Patrice Hazan, PT, DPT, oversees a model of physical therapy that employs functional wellness classes. (Greenville, South Carolina, News)

    Quotable: "The cornerstone of treatment should be physical therapy." – Huaiyu Tan, MD, rehabilitation physician, on shifting away from the overuse of opioids in pain treatment. (Pensacola, Florida, News-Journal)

    Much-kneeded research: Jay Irrgang, PT, PhD, FAPTA, is leading a study aimed at finding the most effective physical therapy approach for people 45 and older with both osteoarthritis and a meniscal tear. (Pittsburgh Post-Gazette)

    The net benefits of physical activity: Allie Muller, SPT; Tara Dorenkamp, SPT, and other students from the Creighton University (Nebraska) physical therapist program joined with the CU men's basketball team to host a basketball camp for children with disabilities. (Live Well Nebraska)

    Quotable: "I believe that no matter what age you are, you have the ability to change your habits and turn back the hands of time. Maybe not the hour hands, but certainly the minutes. Well, my physical therapist believes that, and I believe her, so I am on a new journey." Column by Fred Goldenberg, who's making a commitment to get back in shape with the help of his PT. (Traverse City, Michigan Record-Eagle)

    Water you waiting for: Carol Oatis, PT, PhD, shares her perspective on the advantages of water-based exercise. (Consumer Reports)

    All in the family: Heather Dragg, PT, is working with a very special patient—her grandmother, Marolyn Dragg, PT, who opened the clinic now run by Heather. (Ardmore, Oklahoma, Daily Armoreite)

    Man up and do Pilates: Rachel Tavel PT, DPT, explains why Pilates shouldn't be considered solely a "woman thing." (Men's Health)

    Walking with technology: Kim Kobata, PT, describes how her clinic is using robotic technology to help a patient walk. (KOMO News, Seattle)

    Stretching out the possibilities: Karen Joubert, PT DPT; and Scott Weiss, PT, explore the pros and cons of assisted stretch classes. (Shape)

    Helping a miracle happen: Mandy Alaniz, PT, talks about the recovery of Julian Maldonado, age 8, who experienced a severe abdominal infection that resulted in the loss of his leg. (KIIITV3, Corpus Christi, Texas)

    New moms and exercise: Carrie Pagliano PT, DPT, explains the factors that should be considered by new mothers wanting to know how soon after birth they can return to exercise.(whattoexpect.com)

    Watch how you watch: Jean Weaver PT, MBA, offers postural advice for tv binge-watchers. (Consumer Reports)

    Quotable: "I wish that my parents had made me stick with my physical therapy. If Mom and Dad tell you that you should go three days a week until you’re 18, please, listen to them. It will help with so many complications once you’re an adult and you’ll get into a routine that will help you live your best life later on." –Kristen Parisi, who, at age 6, was involved in a car accident that paralyzed her from the waist down, on "what I wish I could tell my 6-year-old self about living with a disability." (Today.com)

    Got some good stuff? Let us know. Send a link to troyelliott@apta.org.

    Don't Miss Out: 4 Events at NEXT You Have to See for Yourself

    With APTA's 2018 NEXT Conference and Exposition now less than a month away, it's time to start making the tough decisions about your trip to Orlando. No, we're not talking about nailing down how many pairs of flip flops to pack and trying to figure out whether sunscreen can actually expire (it can, btw, so please be careful). We're talking about which sessions and events to attend once you arrive for the June 27-30 event.

    With hundreds of options to choose from, it won't be easy. But there are 4 events—2 lectures, 1 panel discussion, and 1, well…something else—that should be on your "can't miss" list.

    Luckily, PT in Motion News breaks it down.

    What: The 49th Mary McMillan Lecture—Wisdom and Courage: Doing the Right Thing
    When: Thursday, June 28, 10:00 am–11:00 am
    Why it's a can't-miss: One-of-a-kind inspiration and education from a physical therapy thought leader

    First and foremost, being named a McMillan lecturer is one of the most distinguished honors that APTA confers, so you know that you'll be hearing from an individual who has made a mark on the profession. This year's lecturer is no exception: Laurita M. Hack, PT, DPT, PhD, MBA, FAPTA, is a leader and former APTA Board of Directors secretary who has focused on some of the most foundational elements of the physical therapy profession, including the development of clinical expertise and physical therapy education. Hack will explore the complexities of decision-making in a profession that aims to transform society, from the elements of cognitive psychology that help explain how decisions are formulated to the challenges involved in actually carrying out the decisions we make. Decide to attend.

    What: 2018 Rothstein Roundtable—Physical Therapy Decreases Opioid Use: What Will It Take to Change Policy?
    When: Friday, June 29, 8:00 am–9:30 am
    Why it's a can't miss: Smart and lively exchange on challenges and opportunities facing the profession from people who know a thing or two

    The event's namesake, Jules Rothstein, was known for his love of thoroughly exploring (some might say arguing) all sides of an idea. The Rothstein Roundtable lives up to that reputation by bringing together a diverse panel of experts—some physical therapists, some from other professions—for a conversation on some of the big issues in the profession. Not everyone agrees with each other, but that's part of what makes for great discussions. Moderator Anthony Delitto, PT, PhD, FAPTA, keeps the panelists on their toes by asking provocative questions at just the right time, and then stepping back and letting them have at it. This year's topic: How can the profession use data supporting physical therapy's role in decreasing opioid use to actually change health care policy?

    What: The 23rd John H.P. Maley Lecture—Lifecourse Health Development of Individuals With Chronic Health Conditions: Visualizing a Preferred Future
    When: Friday, June 29, 10:00 am–11:00 am
    Why it's a can't-miss: Insights on emerging trends and perspectives in physical therapy that you won't hear anywhere else

    The Maley lectures are delivered by speakers who have made significant contributions to clinical practice in the physical therapy profession, and they have covered everything from pain management to wearable technologies. This year the topic is an expansive one: "lifecourse health development," an emerging model that embraces nonlinear, person-in-environment concepts related to working with individuals with chronic health conditions. The lecturer, Robert Palisano, PT, ScD, FAPTA, senior editor of Physical Therapy for Children, has been instrumental in developing and applying this model in physical therapy through research, teaching, and writing. He will describe the model in the context of physical therapy and discuss innovative roles for physical therapists and physical therapist assistants in the future.

    What: The Oxford Debate—Is Good Nutrition the New Tradition?
    When: Friday, June 29, 5:00 pm–6:00 pm
    What it's a can't miss: Just…trust us. You've got to see this.

    Imagine bringing together 2 opposing teams of renowned physical therapists and physical therapist assistants to engage in a thoughtful, respectful debate about a challenging issue in the physical therapy profession. Now imagine the complete opposite of that, and you're getting close to the NEXT Oxford Debate experience.

    Sure, the renowned debaters are onstage, and, yes, there's a topic and opposing teams, but that's where the similarities end. Watch otherwise highly regarded professionals compete for your support by engaging in all manner of behavior that can include song, dance, skits, costume-wearing, and other, more…let's just say undefinable forms of performance, interspersed with an occasional point about the topic at hand. Your job as audience member is to support a team though noise-making and by physically moving from one side of the room to the other—and you're encouraged to change allegiances as often as you feel necessary to maintain the atmosphere of near-anarchy. Charles Ciccone, PT, PhD, FAPTA, serves as moderator and judge of the event while delivering jokes that you won't soon forget, regardless of whether you want to or not. The topic of this year's debate is whether the practice of physical therapy should incorporate nutrition as an essential part of patient and client management. The audience is bound to eat it up.

    Missed advance registration for NEXT? No worries: onsite registration will be available.