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News from the Foundation for Physical Therapy

	Foundation-Funded Research Presentations at CSM 2007

These presentations were made possible by your financial commitment to physical therapy research and to the future of the profession:

Poster

Geriatrics
Walking Dual-Task Performance in Older Adults: Feasibility of 3 Cognitive Tasks and Associations Among Measures of Balance and Attention. Tiffany Shubert, PT, and Karen McCulloch, PT.

Platforms

Geriatrics
Sarcopenia: A Common Pathogen Leading to Physical Frailty in Aging and Chronic Disease. Tiffany Frimel, PT, PhD.

Pediatrics
Predictive Validity of the Test of Infant Motor Performance Screening Items (TIMPSI).Suzann K Campbell, PT, PhD.

The Influence of Knee Extensor and Flexor Strength on Knee Kinematics and Kinetics of Children With Cerebral Palsy. Richard B Souza, PT, MPT.

Orthopedics
Effect of Two-Speed Manual Wheelchair Wheel on Shoulder Pain in Wheelchair Users. Margaret Anne Finley, PT, PhD.

Elevated Fear-Avoidance Beliefs for Subjects Participating in Physical Therapy Clinical Trials. Steven Z George, PT, PhD.

Frontal Plane Projection Angles of the Knee During Single-Leg Squats Among Females With and Without Patellofemoral Pain. John Willson, PT.

Influence of Trunk Position on Lower-Extremity Biomechanics During a Forward Lunge. Shawn Farrokhi, PT.

Relationships Between Tibiofemoral Rotation, Patellar Alignment, and Patellofemoral Join Contact Area in Subjects With and Without Patellofemoral Pain. Gretchen B Salsich, PT, PhD.

Strength Training Improves Muscle Strength, Power, Volume, and Overall Mobility One Year Following Total Knee Replacement. Whitney Anne Meier, PT, OCS.

Research
Skin Temperature Response to Stress and Activity on the Foot. Donovan J Lott, PT.

Sports
Development of Dynamic Knee Stability After Acute ACL Rupture Based on Age, Gender, and Mechanism of Injury. Wendy Jo Hurd, PT.

	Clinical Research Network (CRN) Update #13: Choosing Appropriate Outcomes—Considerations From PTClinResNet

Top Foundation-Funded Research... Clinical Research Network (CRN)... In This Month's Journal Grab Your Boots &... References

 
Ultimately, any health care intervention is intended to restore impaired body structures and functions, to overcome activity limitations and participation restrictions, and to prevent new symptoms and disabilities. The outcome of treatment is measured differently by the clinician and the patient. A clinician looks at outcomes relevant to the interventions through valid and reliable measurements. Patients are concerned with how well they feel and can participate in meaningful life activities. Increased recognition of the patient perspective and, more specifically, functioning and health has led to an increased effort in clinical research to develop concepts and instruments to measure "meaningful"outcomes. The recent Roadmap initiative of the National Institutes of Health (NIH)—Patient Reported Outcomes Measurement Information System (PROMIS, http://www.nihpromis.org/)¹—is currently under development to specifically address this need.

In its original proposal, the PTClinResNet used the Nagi disablement model² as a framework for outcome analysis. However, the network has since adopted the International Classification of Functioning, Disability and Health (ICF)³ in large part because of its acceptance by a broader community of health care professionals and its greater research potential. Using rules that specify links between items from specific instruments and corresponding ICF categories,⁴ the representation of ICF domains of "body functions and structures,""activities,"and "participation"as well as contextual factors can be investigated. The ICF is currently being applied in clinical research and practice in areas including rehabilitation medicine.⁵

The Table outlines the primary and secondary outcomes used for each of the 4 randomized clinical trials (RCTs) housed within PTClinResNet. With each RCT, there is at least one outcome specific to each of the major domains of the ICF framework ("body functions/structures,""activities,""participation"). Primary outcomes are those that are highly reliable, valid, and study specific (disability, population, specific aim). Furthermore, primary outcomes are the ones that were used for pre-proposal sample size estimates and accordingly are thought to be the outcomes that will be most directly influenced by the specific intervention.

	In This Month's Journal

Top Foundation-Funded Research... Clinical Research Network (CRN)... In This Month's Journal Grab Your Boots &... References

 
"Pattern of Lumbar Region Movement During Trunk Lateral Bending in Two Subgroups of People with Lower Back Pain" (pages 441–454)—co-authored by Sara P Gombatto, PT, MS; David R Collins, PhD; Shirley A Sahrmann, PT, PhD, FAPTA; Jack R Engsberg, PhD; and Linda R Van Dillen, PT PhD—is based, in part, on findings from research conducted by Gombatto while supported by Promotion of Doctoral Studies (PODS) scholarships (PODS I—2003 & 2004 and PODS II—2005 & 2006). Sahrmann (1977, 1978) and Van Dillen (1992) are also past Foundation-funding recipients.

	Grab Your Boots & Reserve Your Place at the Foundation's "Farewell to Frank" Dinner Dance in Denver

Top Foundation-Funded Research... Clinical Research Network (CRN)... In This Month's Journal Grab Your Boots &... References

 
Act now! Advance registration is required before you arrive at APTA's Annual Conference & Exposition in Denver for this once-in-a-lifetime event—the Foundation's Farewell to Frank. This black tie and boots dinner dance in honor of APTA's retiring CEO Frank Mallon will be held Thursday, June 28, 2007.

Order tickets or tables through the APTA Service Center at 800/999-2782, ext 3395, or visit APTA's web site. Tickets will not be sold at the conference.

	References

Top Foundation-Funded Research... Clinical Research Network (CRN)... In This Month's Journal Grab Your Boots &... References

 

1. Patient Reported Outcomes Measurement Information System, PROMIS. http://www.nihpromis.org/.
2. Nagi SZ. Disability concepts revisited: implications for prevention. In: Pope AM, Tarlov AR, eds. Disability in America: Toward a National Agenda for Prevention. Washington, DC: National Academy Press; 1991:309–327.
3. World Health Organization. International Classification of Functioning, Disability and Health. Geneva: World Health Organization; 2001.
4. Cieza A, Brockow T, Ewert T, et al. Linking health-status measurements to the International Classification of Functioning, Disability and Health. J Rehabil Med. 2002;34:1–6.[CrossRef][ISI][Medline]
5. Stucki G, Ewert T, Cieza A. Value and application of the ICF in rehabilitation medicine. Disability and Rehabilitation. 2002;24:932–938.[CrossRef][ISI][Medline]

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