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

2. Evidence-Based Practice

5. 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.” – http://www.ptnow.org/AboutPTNow/Default.aspx http://www.ptnow.org/AboutPTNow/Default.aspx

6. 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) – http://www.ptnow.org/ClinicalTools/Tests/Detail.aspx?ci d=ef9e1e4b-f751-4ab9-9e4a-f38e381c6fac#.VA3OZUt- R3c http://www.ptnow.org/ClinicalTools/Tests/Detail.aspx?ci d=ef9e1e4b-f751-4ab9-9e4a-f38e381c6fac#.VA3OZUt- R3c

7. 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=23-206 – http://www.ptnow.org/ClinicalTools/Tests/Detail.as px?cid=95e90937-116d-474b-8f3b- c3c294973ed6#.VA3PMEt-R3c http://www.ptnow.org/ClinicalTools/Tests/Detail.as px?cid=95e90937-116d-474b-8f3b- c3c294973ed6#.VA3PMEt-R3c

8. Do the clinical practice guidelines for Bell palsy recommend the use of oral steroids? – Yes – http://oto.sagepub.com/content/149/3_suppl/S1.lon g http://oto.sagepub.com/content/149/3_suppl/S1.lon g – http://www.ptnow.org/PracticeGuidelines/Detail.as px?cid=6f6c9661-19b3-4d07-9dc8- 5915d1b26436#.VA3QaEt-R3c http://www.ptnow.org/PracticeGuidelines/Detail.as px?cid=6f6c9661-19b3-4d07-9dc8- 5915d1b26436#.VA3QaEt-R3c

9. How long does it take to administer the Gross Motor Function Measure in children with cerebral palsy? – 45-60 minutes – http://www.ptnow.org/ClinicalTools/Tests/Detail.as px?cid=b85dd377-bb1f-494a-9710- aaa87d168769#.VA3Q7kt-R3c http://www.ptnow.org/ClinicalTools/Tests/Detail.as px?cid=b85dd377-bb1f-494a-9710- aaa87d168769#.VA3Q7kt-R3c

10. 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. – http://www.ptnow.org/SystematicReviews/Default. aspx http://www.ptnow.org/SystematicReviews/Default. aspx

11. When you search across all APTA ArticleSearch subscribed databases for “amyotrophic lateral sclerosis and physical therapy” how many articles are identified? – 85 – http://tq6wb9as6g.cs.serialssolutions.com/?EMPT Y_QUERY http://tq6wb9as6g.cs.serialssolutions.com/?EMPT Y_QUERY

12. Who participated in PTNow’s first audio blog? – Mary Blackinton and Sue Perry – http://www.ptnow.org/blog/detail.aspx?cid=46325 6a9-8a79-4f58-938c-9084f0bf6302#.VA3Sn0t-R3c http://www.ptnow.org/blog/detail.aspx?cid=46325 6a9-8a79-4f58-938c-9084f0bf6302#.VA3Sn0t-R3c

13. List 2 tips to improve your literature searching skills. – http://www.ptnow.org/blog/detail.aspx?cid=6006f6 65-6fca-4388-b9aa-6eaaad4fcee5#.VA3S6Ut-R3c http://www.ptnow.org/blog/detail.aspx?cid=6006f6 65-6fca-4388-b9aa-6eaaad4fcee5#.VA3S6Ut-R3c

14. 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 – http://guidetoptpractice.apta.org/content/1/SEC1.e xtract http://guidetoptpractice.apta.org/content/1/SEC1.e xtract

15. 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

16. Is the Guide to PT Practice 3.0 available on CD-ROM? – No – http://guidetoptpractice.apta.org/site/misc/revisions.xhtml http://guidetoptpractice.apta.org/site/misc/revisions.xhtml

17. Bonus Round – Name one member of the PT faculty who is on the editorial board of PTNow. George Fulk http://www.ptnow.org/Staff/Default.aspx#.VA3U-kt-R3c

18. How many clinical summaries are going to be released in the next 12 months? – 15 (10 in 12 months and 5 in 6 months) – http://www.ptnow.org/ClinicalSummaries.aspx http://www.ptnow.org/ClinicalSummaries.aspx

19. What is the name of the scale that is used to classify stages of Parkinson disease? – Hoehn & Yahr – http://www.ptnow.org/ClinicalSummaries/QuickD etail.aspx?cid=1c5b1a33-11bc-4000-8d33- b3a9cdbd71a2 http://www.ptnow.org/ClinicalSummaries/QuickD etail.aspx?cid=1c5b1a33-11bc-4000-8d33- b3a9cdbd71a2

20. What % of runners will likely have an Achilles tendinopathy injury every year? – 7%–9% – http://www.ptnow.org/ClinicalSummaries/QuickD etail.aspx?cid=d7303dd5-4557-44f2-b488- 62b07bde0d61#Overview http://www.ptnow.org/ClinicalSummaries/QuickD etail.aspx?cid=d7303dd5-4557-44f2-b488- 62b07bde0d61#Overview

21. 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 http://www.ptnow.org/ClinicalSummaries/QuickDetail.aspx?cid=d7303dd5-4557-44f2- b488-62b07bde0d61 http://www.ptnow.org/ClinicalSummaries/QuickDetail.aspx?cid=d7303dd5-4557-44f2- b488-62b07bde0d61

22. Which semicircular canal does BPPV most commonly occur in? – Posterior – http://www.ptnow.org/ClinicalSummaries/QuickD etail.aspx?cid=1fc833bb-ba6d-441f-b809- 0765d8b92ca7 http://www.ptnow.org/ClinicalSummaries/QuickD etail.aspx?cid=1fc833bb-ba6d-441f-b809- 0765d8b92ca7

23. 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 – http://www.ptnow.org/ClinicalSummaries/QuickD etail.aspx?cid=1fc833bb-ba6d-441f-b809- 0765d8b92ca7#Diagnosis http://www.ptnow.org/ClinicalSummaries/QuickD etail.aspx?cid=1fc833bb-ba6d-441f-b809- 0765d8b92ca7#Diagnosis

24. 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 – http://www.ptnow.org/ClinicalSummaries/QuickD etail.aspx?cid=335ed17b-3bb6-4e93-99e4- 2b2dbdbba517 http://www.ptnow.org/ClinicalSummaries/QuickD etail.aspx?cid=335ed17b-3bb6-4e93-99e4- 2b2dbdbba517

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

26. 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. – http://www.ptnow.org/ToolsMedia/MediaLibrary/ VideoDetail.aspx?cid=6d1235f5-2807-4407-a909- 2ac9452aeafb http://www.ptnow.org/ToolsMedia/MediaLibrary/ VideoDetail.aspx?cid=6d1235f5-2807-4407-a909- 2ac9452aeafb