Category: Autism

Yanni Anyone? Headbanging Linked to Brain Injury, Whiplash

It turns out that so-called heavy metal “headbangers” do just that, and violently enough to occasionally result in brain injury, whiplash, and other problems.

The July 5 issue of The Lancet includes a letter to the editor that describes treatment of a subdural hematoma in a 50-year-old man who presented with a worsening headache that had been going on for 2 weeks. He had an unremarkable medical history and denied substance abuse.

What he did mention was that just before his headache began, he attended a concert by Motorhead, a seminal speed metal band. And like many others in the audience, he spent much of the concert headbanging, which letter author Ariyan Pirayesh Islamian, MD, describes as “a contemporary dance form consisting of abrupt flexion-extension movements of the head to the rhythm of rock music, most commonly seen in the heavy metal genre.”

Full story of heavy metal headbanging and brain injury at Science Daily

Log ‘N Blog: Get Happy—and Help Physical Therapy

Want to feel good about yourself? Add up all those miles you ran, or biked, or swam, or hours you worked out since February. Whoa, kind of impressive, right?

Want to feel really good about yourself? Help physical therapy research by documenting those activities in the Foundation for Physical Therapy’s Log ‘N Blog campaign.

And yes, there’s still time. But not much.

July 31 is the deadline to join the Foundation for Physical Therapy’s “Log ‘N Blog” initiative, the physical therapy student-led fundraiser in which teams and individuals compete by tracking their fitness activities. Proceeds from Log ‘N Blog are used to support physical therapy research.

Full story of Log ‘N Blog for physical therapy at APTA

Rehabilitation Research Back in Advocacy Spotlight

Physical therapy researchers returned to Capitol Hill June 24-25 to advocate on behalf of rehabilitation research funding, and to press for passage of a Senate bill that would better coordinate these efforts within the National Institutes of Health (NIH).

Coordinated by APTA and sponsored by the Section on Research, the “fly-in” involved 10 researchers from 10 states who met with staff of the House and Senate appropriations committees and their individual members of Congress to talk about the value of rehabilitation research. The researchers also urged passage of the Rehabilitation Improvement Act (S 1027), a Senate bill introduced by Sens Mark Kirk (R-IL) and Tim Johnson (D-SD), that calls for a working group comprising various NIH institutes and centers to update and streamline NIH’s rehabilitation research priorities.

Full story of rehabilitation research at APTA

EHR and Patient Safety: A Real Danger, Even for Experienced Users

When it comes to electronic health records (EHRs) and patient safety, experience might be a great teacher, but it doesn’t guarantee straight-A performance. According to a new study, even in longstanding EHR systems such as the one used by the Department of Veterans Affairs (VA) health care system, “many significant EHR-related safety concerns … remain.”

In a study of investigations of EHR-related safety violations launched through the VA’s Informatics Patient Safety office (IPS) from 2009 to 2013, researchers looked at 100 closed cases at 55 VA facilities. Of those cases, 74 involved unsafe technology, and 25 involved unsafe use of technology, which authors write “most commonly involved the dimensions of people, clinical content, workflow and communication, and human interface.” A majority of cases (70%) involved both unsafe technology and unsafe use. The study was published online in the June 20 issue of JAMIA.

Full story of EHR and patient safety at APTA

BioMed Journal Focuses on Physical Therapy

A recent issue of BioMed Research International is entirely devoted to role of physical therapy in the treatment of chronic wounds, cancer-related lymphedema, and urinary incontinence, with an accompanying editorial stating that “well-documented, promising, and inexpensive methods for physical therapy are necessary” in order to respond to these “common and costly” problems.

The issue is available free and covers topics including new promising methods in wound healing, physical therapy of urinary incontinence, electromyography and biofeedback in rehabilitation of pelvic floor muscles, and kinesiology taping in lymphedema.

Full story of BioMed Journal on PT at APTA

Study: Rethink Benefits of Antihypertensive Meds vs Risk of Serious Falls

For adults over 70, could the risk of falls due to the effects of antihypertensive medications outweigh the risks of not taking those medications? According to a recent study of nearly 5,000 community-living adults over 70 with hypertension, it’s a valid question that should be asked at the individual level.

In an article e-published ahead of print (abstract only available for free) in the February 24 issue of JAMA Internal Medicine, researchers led by Mary Tinetti, MD,concluded that “antihypertensive medications were associated with an increased risk of serious fall injuries,” with those taking antihypertensive medications who have already experienced a fall more than twice as likely to experience a subsequent serious fall than those who are not taking the drugs.

Full story of meds vs falls at PTA

AMA: Massive CMS Data Release Could Be Misleading

With the Centers for Medicare and Medicaid Services’ (CMS) release of provider payment data now 3 days old, media attention is turning to discussions of what the data really means, and the American Medical Association (AMA) is facilitating the discussions by way of media guidelines and a webpage that explains how the data could be easily misinterpreted.

On its “9 ways CMS claims data could mislead patients, reporters” page, AMA walks readers through issues of accuracy and context that should be considered before drawing conclusions from the massive amounts of data on payments to over 880,000 health care providers. AMA was opposed to the data release.

Full story of the massive CMS data release at APTA

Reorganized APTA Resource Provides Ethics Information

Making an ethical decision or evaluating the ethics of a colleague’s action requires careful consideration of facts and circumstances that can vary dramatically from one situation to the next. It can be a complicated process for any practitioner, particularly when opinions on ethics can differ, but familiarity with ethical decision-making can help—that’s the thinking behind a reorganized APTA members-only offering that collects all of PT in Motion’s “Ethics in Practice” articles into one easy-to-access webpage.

The articles, a regular column of the monthly APTA member magazine and written by Nancy R. Kirsch, PT, DPT, PhD, tackle current and complex ethical issues as they appear in real-world practice. APTA’s webpage organizes the articles by topic as well as by their relationship to provisions in the Code of Ethics for the Physical Therapist and Standards of Ethical Conduct for the Physical Therapist Assistant. The page also includes links to articles that guide readers through an ethical decision-making process.

Full story of ethics in motion at APTA

NPR Story Describes New Leg Brace, Interviews PT

A new leg brace that is reducing amputations and allowing wounded soldiers to run again was the focus of a recent National Public Radio feature story that included an interview with the physical therapist (PT) involved in the project.

The story, which aired during the March 31 broadcast of “All Things Considered,” describes the success of the IDEO brace, a “deceptively simple” device that is being used on wounded veterans at the Center for the Intrepid facility in the Brooke Army Medical Center near San Antonio, Texas. According to reporter Melissa Block, when used correctly the device allows some wearers to run again, “virtually pain free.”

Full story of new leg brace story at APTA

This Issue of PT in Motion: Skilled Maintenance Care and CMS

Whether you call it a “change” or a “clarification,” the fact is this: the Centers for Medicare and Medicaid Services (CMS) is providing more details on skilled maintenance care in the wake of the landmark Jimmo v Sebelius settlement. An article in the April Edition of PT in Motion, APTA’s monthly member magazine, helps to explain the explanations.

In this month’s “Compliance Matters” column, APTA Director of Regulatory Affairs Roshunda Drummond-Dye, JD, writes that the CMS manual updates “shatter the longstanding myth that skilled therapy services can be provided to Medicare beneficiaries only if material improvement in the patient’s condition can be proven.” The column outlines the history of the settlement and the ways in which CMS has revised Medicare manuals to shed light on exactly how maintenance care will be evaluated.

Full story of skilled maintenance care at APTA