1. How Can PTNow Help You When There Is No Clinical Summary? Searching for Your Answers David Scalzitti, PT, PhD, MS 1

2. Ms. T 70-year-old woman with diabetes, diabetic neuropathy, hypertension, and degenerative joint disease of the knee referred for knee pain and concerns about falling

3. Ms. T 70 years old and has diabetes, diabetic neuropathy, hypertension, and degenerative joint disease of the knee. Referred to a physical therapist for her knee pain, also expresses concern about falling. The therapist administers the AGS Falls Screen:AGS Falls Screen –She has had 2 falls within the past 12 months, but no acute injury. –She has difficulty rising from a chair for the TUG, she is slow on turning, and she has a 3-meter TUG time of 15 seconds, which indicates a higher risk of falls. Her goals for physical therapy are to reduce knee pain and improve her ability to walk. The therapist determines that she is appropriate for a comprehensive fall risk evaluation.

4. PTNow – Clinical Cases

5. Background Questions Information regarding the condition –Prevalence –Risk factors Information on medical management

6. PTNow – Clinical Summaries

7. Summary – Quick Takes

8. Portable Summary

10. Intervention Questions What treatments are effective? What treatments are more effective than others? What treatments are harmful?

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12. Clinical Summaries

13. 6S Model Systems Summaries Synopses of syntheses Syntheses Synopses of studies Studies Dicenso A, Bayley L, Haynes RB. Accessing pre-appraised evidence: fine-tuning the 5S model into a 6S model. Evid Based Nurs. 2009 Oct;12(4):99-101.

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15. Practice Guidelines

16. Cochrane Systematic Reviews

18. Full-text From PTNow ArticleSearch

19. PEDro

20. Hooked on Evidence

21. Diagnosis Questions What tests can be used for patients with different conditions? What is the diagnostic accuracy of different tests? Where do I get a copy of an instrument? How do I perform a test?

22. Clinical Summaries - Examination

23. Clinical Summaries - Diagnosis

24. Clinical Tools - Tests

26. Test Properties

27. Robinson JM, Cook JL, Purdam C, et al. The VISA-A questionnaire: a valid and reliable index of the clinical severity of Achilles tendinopathy. Br J Sports Med. 2001;35:335-341.

28. Test Properties

29. Binkley JM, Stratford PW, Lott SA, Riddle DL, North American Orthopaedic Rehabilitation Research Network. The Lower Extremity Functional Scale (LEFS): scale development, measurement properties, and clinical application. Phys Ther. 1999;79:371–383.

30. Clinical Tools - Media

31. Functional Limitation Reporting The PTNow Editorial Board collaborates with the following groups to identify and provide key outcome instruments that can be used to measure the severity of a patient’s functional limitations: EDGE (Evaluation Database to Guide Effectiveness) taskforces –StrokEDGE –Multiple Sclerosis EDGE –Traumatic Brain Injury EDGE –Spinal Cord Injury EDGE APTA sections APTA’s Department of Health Finance and Quality Rehabilitation Measures Database

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33. Prognosis Questions How long to achieve an outcome? What is the probability my patient achieves an outcome?

34. Clinical Summaries - Prognosis

35. My PTNow