APTA Resources for Clinical Practice An Introduction to PTNow and the Guide to Physical Therapist Practice

Evidence-Based Practice

Scavenger Hunt What is the mission of PTNow? – “PTNow translates physical therapy knowledge into action, supports evidence-informed care, and helps clinicians improve their clinical decision making. PTNow promotes using the best available evidence to achieve optimal patient outcomes and enhances collaboration within the physical therapy profession.” –

What is the minimal detectable change score for the Berg Balance Scale in people with chronic stroke? – MDC=2.5 points (Liston and Brouwer, 1996, chronic stroke) – MDC=4.66 (Hiengkaew et al, 2012; n=61; mean age=63.5 y [SD=10]; chronic stroke) – MDC=4.13 (Flansbjer et al, 2012; n=50; mean age=58 y [SD=6]; chronic stroke) – d=ef9e1e4b-f751-4ab9-9e4a-f38e381c6fac#.VA3OZUt- R3c d=ef9e1e4b-f751-4ab9-9e4a-f38e381c6fac#.VA3OZUt- R3c

What is the diagnostic odds ratio of a positive Lachman test in a person who may have an ACL tear? – Diagnostic odds ratio: 70; 95% CI= – px?cid=95e d-474b-8f3b- c3c294973ed6#.VA3PMEt-R3c px?cid=95e d-474b-8f3b- c3c294973ed6#.VA3PMEt-R3c

Do the clinical practice guidelines for Bell palsy recommend the use of oral steroids? – Yes – g g – px?cid=6f6c b3-4d07-9dc d1b26436#.VA3QaEt-R3c px?cid=6f6c b3-4d07-9dc d1b26436#.VA3QaEt-R3c

How long does it take to administer the Gross Motor Function Measure in children with cerebral palsy? – minutes – px?cid=b85dd377-bb1f-494a aaa87d168769#.VA3Q7kt-R3c px?cid=b85dd377-bb1f-494a aaa87d168769#.VA3Q7kt-R3c

What is the Cochrane library? – The Cochrane Library is a collection of “gold standard” databases that contain high-quality, independently generated evidence to inform health care decision making. Cochrane reviews represent a high level of evidence on which to base clinical treatment decisions. – aspx aspx

When you search across all APTA ArticleSearch subscribed databases for “amyotrophic lateral sclerosis and physical therapy” how many articles are identified? – 85 – Y_QUERY Y_QUERY

Who participated in PTNow’s first audio blog? – Mary Blackinton and Sue Perry – 6a9-8a79-4f58-938c-9084f0bf6302#.VA3Sn0t-R3c 6a9-8a79-4f58-938c-9084f0bf6302#.VA3Sn0t-R3c

List 2 tips to improve your literature searching skills. – fca-4388-b9aa-6eaaad4fcee5#.VA3S6Ut-R3c fca-4388-b9aa-6eaaad4fcee5#.VA3S6Ut-R3c

What is the purpose of the Guide to Physical Therapist Practice? – The Guide to Physical Therapist Practice (Guide) is the description of physical therapist practice for use by physical therapist and physical therapist assistant educators, students, and clinicians – xtract xtract

List 3 categories of interventions that physical therapists perform. – Patient or Client Instruction Patient or Client Instruction – Airway Clearance Techniques Airway Clearance Techniques – Assistive Technology: Prescription, Application, and, as Appropriate, Fabrication or Modification Assistive Technology: Prescription, Application, and, as Appropriate, Fabrication or Modification – Biophysical Agents Biophysical Agents – Functional Training in Self-Care and in Domestic, Education, Work, Community, Social, and Civic Life Functional Training in Self-Care and in Domestic, Education, Work, Community, Social, and Civic Life – Integumentary Repair and Protection Techniques Integumentary Repair and Protection Techniques – Manual Therapy Techniques Manual Therapy Techniques – Motor Function Training Motor Function Training – Therapeutic Exercise Therapeutic Exercise

Is the Guide to PT Practice 3.0 available on CD-ROM? – No –

Bonus Round – Name one member of the PT faculty who is on the editorial board of PTNow. George Fulk

How many clinical summaries are going to be released in the next 12 months? – 15 (10 in 12 months and 5 in 6 months) –

What is the name of the scale that is used to classify stages of Parkinson disease? – Hoehn & Yahr – etail.aspx?cid=1c5b1a33-11bc d33- b3a9cdbd71a2 etail.aspx?cid=1c5b1a33-11bc d33- b3a9cdbd71a2

What % of runners will likely have an Achilles tendinopathy injury every year? – 7%–9% – etail.aspx?cid=d7303dd f2-b b07bde0d61#Overview etail.aspx?cid=d7303dd f2-b b07bde0d61#Overview

List 2 possible conditions that may present as similar to Achilles tendinopathy. – Achilles tendon rupture – Partial tear of Achilles tendon – Calf strain – Retrocalcaneal bursitis – Posterior ankle impingement – Sural nerve irritation and/or neuroma – Tarsal tunnel syndrome – Peroneal tenosynovitis and/or dislocation – Os trigonum syndrome – Accessory soleus muscle – Ossification of Achilles tendon – Systematic inflammatory disease – Lumbar radiculopathy b488-62b07bde0d61 b488-62b07bde0d61

Which semicircular canal does BPPV most commonly occur in? – Posterior – etail.aspx?cid=1fc833bb-ba6d-441f-b d8b92ca7 etail.aspx?cid=1fc833bb-ba6d-441f-b d8b92ca7

List 1 test that can be used to help diagnose BPPV that has a video with it that can be used to see how the test is performed. – Dix-Hallpike – Bow and Lean – Roll test – etail.aspx?cid=1fc833bb-ba6d-441f-b d8b92ca7#Diagnosis etail.aspx?cid=1fc833bb-ba6d-441f-b d8b92ca7#Diagnosis

What intensity is necessary when providing treadmill training in children with Down syndrome to improve their walking ability? – 8 minutes/day, 5 days a week – etail.aspx?cid=335ed17b-3bb6-4e93-99e4- 2b2dbdbba517 etail.aspx?cid=335ed17b-3bb6-4e93-99e4- 2b2dbdbba517

You are working with a patient in the ICU. At what HR levels should you stop your intervention? – 130 bpm – etail.aspx?cid=9d2691f3-b5df-45a9-ac2d- 97f7935c746f etail.aspx?cid=9d2691f3-b5df-45a9-ac2d- 97f7935c746f

You are working with a 75-Year-Old Woman With Stiff Knee 3 Weeks Following Total Knee Arthroplasty. She has limited carry-over, with improvements in knee PROM. Describe how you would instruct her in performing self ROM using wall slides. – VideoDetail.aspx?cid=6d1235f a909- 2ac9452aeafb VideoDetail.aspx?cid=6d1235f a909- 2ac9452aeafb