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.
member Becky Jo Olson-Kellogg, PT, DPT,
GCS, coauthored the article.
will host its next Move Forward radio show November 19 at noon ET on Holiday Shopping for Children
With Special Needs.
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
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/.
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,
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.
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.
the framework must take into account differences among communities that can
affect the link between interventions and outcomes.
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.
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
Make a Difference! Take the
Challenge! Get started by learning more with the interactive Challenge kit.
to see the schools that have already pledged this year.
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