Does APTA Stand Behind it's Positions Or Is It All Rhetoric?

Well today I was one of the tens of thousands of recipients of the PT Bulletin email which in which was noted "This PT Bulletin sponsored by: US Physical Therapy".

A short visit to the US Physical Therapy web site and you will find the following:

U.S. Physical Therapy, Inc. ("USPh" or the "Company"), which was founded in 1990, is a publicly held company which operates approximately 350 outpatient physical and/or occupational therapy clinics in 42 states across the United States. The Company's clinics provide post-operative care for a variety of orthopedic-related disorders and sports-related injuries, treatment for neurologically-related injuries, rehabilitation of injured workers and preventative care. In addition to owning and operating clinics, the Company manages several physical therapy facilities for third parties, including physician groups.

 

Now while I've always found their claims of offering Physical Therapists "partnerships" and that it somehow was "private practice" a bit dubious, the fact that this same company promotes referral for profit practice settings seems to fly in face of our Association's position regarding the same.

This then seems to beg the question why would our Association would allow advertising and accept payment for the same in the Association's publications.  There is a word I think for this type of behavior and it has been flying around the 'Net in reference to certain behaviors.

Testimony on A2123

For those that may be interested.  Here is the testimony on A2123 before the Insurance and Financial Institutions Committee of the New Jersey General Assembly.

A2123 Passed by Insurance and Financial Institutions Committee of the New Jersey General Assembly

I'm very pleased to say that A2123 was passed today by the Insurance and Financial Institutions Committee of the New Jersey General Assembly.  This bill when enacted will provided for substantive consumer and provider protections with respect to coverage and reimbursement.

Testifying in Trenton Tomorrow

Tomorrow I will be in Trenton, NJ to testify before the New Jersey General Assembly's Insurance and Financial Institutions Committee in support of Assembly Bill 2123.  This bill if passed will restore some reason and sanity to a reimbursement system run amuck in New Jersey as well as ensure the continued access to services for New Jersey Consumers.

Cats and Faster Moving Matter

Although I will make every effort possible not to blog on other blogs it will happen from time to time simply because I read so darn many.  So I have to relent and continue comment on an ongoing discussion over at the Evidence in Motion Blog.  There is a vigorous discussion and dialogue on a post titled Myofascial Release - Time to Stop the Madness.  It has turned into essentially the well reasoned and rational versus the unreasoned and irrational. 

The foundations of science are built upon reasoned inquiry, observation, measurement, and conclusions.  When others forego reason substituting desire and imagination, the end results utterly lack credibility.  And no matter how many obscure scientific principles are misapplied their declarations and positions are nothing more than science fiction.  Unfortunately the unreasoned and those who do not have a well developed sense of skepticism will continue to fall prey to their nonsense. 

The best defense that we have has been and will continue to be science.  By dispelling their myths and mysticism and replacing it with hard irrefutable scientific evidence we will marginalize them.  There have been and always will be those who lack proper reason and they will continue to live on the margins.  The best we can do is to make sure they stay there.

Now one might ask about what all this has to do with the title of this post.  So I'll end with a little anecdote that this whole line of discussion brought to mind.

A number of years ago I had a friend who was and would probably always be a refugee from the 70's.  They had lived in a California commune when such things were more commonplace.  One evening sitting outside we were having a discussion that turned to her cat's behavior.  Anyone who has ever had a cat has seen their cat jump up for no apparent reason and run around the house like they were possessed.  When I asked Why do they do that?" , my friend's immediate response was "...that they could see faster moving matter."  I chuckled for a moment and then asked "Then why do they get hit by cars?"

I always attributed her thinking to one too many bad acid trips back in the day.

Forever skeptical and proud of it!

More Support for Physical Therapists as the First Line Interventionists for Back Pain

One of the primary obstacles to quick resolution of back pain is the medical gauntlet that many patients have to endure before seeing their physical therapist. This medical gauntlet often creates an unnecessary delay by waiting to be seen by a primary care physician, the typical course of several weeks of anti-inflammatory medications, then off to an orthopedist, then x-rays, then MRI THEN the physical therapist. By the time the patient has navigated this gauntlet of interventions mostly unsupported by the current best evidence, their condition is ingrained and the time required for resolution is dramatically increased. Nothing better demonstrates this that what has transpired at Viginia Mason Medical Center at the urging of Starbucks. This video from the local Fox affiliate should be of great interest to back pain sufferers as well as insurers and employers who bear the brunt of many unnecessary expenses in the treatment of back pain.

Here is the Video

*special thanks to the EIM folks again for bringing this to my attention.

OA and Evidence Based Treatment Recommendations

First I'd like to thank my colleague at Evidence Based Rehab for for bringing to my attention this document released by the Osteoarthritis Research Society International on their recommendations for treatment of knee and hip osteoarthritis. As I and many of my colleagues would have previously opined, Physical Therapy should figure prominently in the management of this disorder and based on this document the evidence is compelling. This is also consistent with the recent recommendations of the American Heart Association.

This is yet another example of the mantra now being repeated often by my colleagues at the Evidence in Motion Blog, "You got drugs, you got surgery, you got us."