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  • 'Choosing Wisely' List Subject of Move Forward Radio Episode

    APTA's contribution to the national Choosing Wisely campaign, released earlier this week, is designed to encourage conversations between physical therapists (PTs) and patients to avoid waste and improve care. Move Forward radio is helping to get that conversation started.

    To help consumers understand the list and be better informed, Move Forward Radio dedicated an episode to the list of "5 Things That Physical Therapists and Patients Should Question." 'It's really important that patients be involved in decision making about their care, and that they're really comfortable asking questions about the care that's recommended for them,' APTA's senior director of clinical practice and research, Nancy White, PT, DPT, OCS, told Move Forward Radio.

    In the episode, Tara Jo Manal, PT, DPT, OCS, SCS, discusses each of the "5 Things" and explains terminology and concepts found in the list such as "passive physical agents," "under-dosed strength-training programs," and "continuous passive motion machines."

    Manal emphasizes that it isn't a list of 5 things that should always be forbidden.

    Manal says that other than the recommendation related to whirlpools for wound management, "which we have really moved past in current practice," the list is about setting the stage for informed conversations. "It's important that patients realize that this list … is not a list of things that are inherently dangerous," she says. "They really are things that should be discussed."

    "If a therapist is doing interventions that are on this list, I think it's a very reasonable conversation to say, 'Is this really adding to my rehabilitation?' Or, 'Might we be able to spend our time [together] in a more productive way?'"

    PTs are encouraged to use the resources at MoveForwardPT.com to share the Choosing Wisely information with their patients and clients.

    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 podcasts via iTunes.

    APTA members are encouraged to alert their patients and clients to the radio series and other MoveForwardPT.com resources to help educate the public about the benefits of treatment by a physical therapist. Ideas for future episodes and other feedback can be e-mailed to consumer@apta.org.


    • I think there is going to be a huge misunderstanding of the recommendation that passive modalities are of little use. Dr. Delitto's comment that passive modalities are of minimal value is so misleading. I have 34 years of practice experience. When used PROPERLY, heat, ice, estim, ultrasound are useful adjuncts to help modulate pain, enabling pts. to perform meaningful, healing movement. Also, many therapists don't want to touch their patients, provide only exercise that is often painful but tell patients they have to exercise with pain to get better. That is nonsense - pain is a message from the tissues that they are not ready to do the movement. Find a way for your patient to move that is not painful. I hear from my patients so often that "the therapist hurt me". Therapists!! Stop hurting people!!

      Posted by Nancy Reynolds -> =JW\= on 9/24/2014 10:59 AM

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