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  • New in the Literature: Physical Therapy Interventions for Knee Pain Secondary to OA (Ann Intern Med. 2012;157(9):632-644.)

    To evaluate physical therapy interventions for adults with knee osteoarthritis (OA), investigators from the University of Minnesota School of Public Health, University of Minnesota Medical School, and Minnesota Evidence-based Practice Center searched MEDLINE, the Cochrane Library, the Physiotherapy Evidence Database, Scirus, Allied and Complementary Medicine, and the Health and Psychosocial Instruments bibliography database from 1970 to February 2012.

    A total of 193 randomized, controlled trials (RCTs) published in English were included in the review. Means of outcomes, physical therapy interventions, and risk of bias were extracted to pool standardized mean differences. Disagreements between reviewers abstracting and checking data were resolved through discussion.

    Meta-analyses of 84 RCTs provided evidence for 13 physical therapy interventions on pain (58 RCTs), physical function (36 RCTs), and disability (29 RCTs). Meta-analyses provided low-strength evidence that aerobic (11 RCTs) and aquatic (3 RCTs) exercise improved disability and that aerobic exercise (19 RCTs), strengthening exercise (17 RCTs), and ultrasonography (6 RCTs) reduced pain and improved function. Several individual RCTs demonstrated clinically important improvements in pain and disability with aerobic exercise. Other physical therapy interventions demonstrated no sustained benefit. Individual RCTs showed similar benefits with aerobic, aquatic, and strengthening exercise. Adverse events were uncommon and did not deter participants from continuing treatment.

    Free full text of the article is available in Annals of Internal Medicine. A report on the review also is available from the Agency for Healthcare Research and Quality.  

    APTA member Becky Jo Olson-Kellogg, PT, DPT, GCS, coauthored the article.

    Move Forward to Host Radio Show on Holiday Shopping for Children With Special Needs

    APTA will host its next Move Forward radio show November 19 at noon ET on Holiday Shopping for Children With Special Needs. Two popular mommy bloggers, Ellen Seidman of Love that Max and Jennifer Byde Myers, a founder and editor of The Thinking Person's Guide to Autism and blogger at www.jennyalice.com, will share their personal experiences raising children with special needs and tips for holiday shopping. They also will discuss the role of physical therapy in their children's development. Joan Bohmert, PT, MS,will share her expertise as a physical therapist and discuss the impact that physical therapy can have on children with communication disabilities and developmental delays. For more information about the show and this initiative, click here. APTA's press release on the show is available at www.apta.org/.       

    IOM Provides Framework to Assess Community-based Prevention and Wellness Strategies

    A new report from the Institute of Medicine (IOM) proposes a framework to assess the value of community-based, nonclinical prevention policies and wellness strategies, especially those targeting the prevention of long-term, chronic diseases.

    The report's authors conclude that a comprehensive framework for valuing community-based prevention programs and poli­cies should meet 3 major criteria. First, the framework should account for ben­efits and harms in physical and mental health, community well-being, and community process. The physical and mental health domain includes reductions in the incidence and prevalence of dis­ease, declines in mortality, and increases in health-related quality of life.

    Second, the framework should consider the resources used and compare the benefits and harms associated with those resources. To effec­tively compare interventions, it is essential to quantify the magnitude of benefits in relation to the associated cost for each intervention.

    Third, the framework must take into account differ­ences among communities that can affect the link between interventions and outcomes.

    Because selecting 1 community-based prevention pol­icy or program over another can be difficult, the report recommends that decision makers weigh the ben­efits and harms to health, community well-being, and community process as they assign value to specific interventions.

    The authors caution that although a community-based preven­tion action may improve the overall health of a community, it may achieve more strikingly positive results among citizens with a certain income level or occupation, exacerbating health disparities. If achieving health equity is at odds with improving overall community health, priorities will have to be determined, they say.  

    Marquette Challenge in Full Swing

    The 25th annual Marquette Challenge officially launched at NSC 2012 and participating schools are holding various fundraising events around the country.

    This year's goal is to raise $200,000 to help reach a total of $2.5 million raised in 25 years of the Marquette Challenge.

    Make a Difference! Take the Challenge! Get started by learning more with the interactive Challenge kit.

    Click here to see the schools that have already pledged this year.

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