234 Full-Text Publication Productivity in. 246 Head-Shake Sensory Organization Test. 254 Use of Presenteeism Scales in Chronic

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1 February 2011 Volume 91 Number 2 ProfessionWatch 165 The Revised Research Agenda for Physical Therapy Research Reports 178 Passive Mobilization of Shoulder Joints 190 Comprehensive Databases for Physical Therapy Trials 198 Whole-Body Vibration and Parkinson Disease 210 Content of Therapy in Postacute Inpatient Rehabilitation After Spinal Cord Injury 234 Full-Text Publication Productivity in Physical Therapy 246 Head-Shake Sensory Organization Test 254 Use of Presenteeism Scales in Chronic Work-Related Upper-Extremity Disorders 267 Reproducibility of Exercise Testing in Spina Bifida Technical Report 277 Sensor for Monitoring Activity in Older People With Impairments 225 Hip Strength in Patients With Total Knee Arthroplasty

2 Work hard. Breathe easy. You ve got HPSO. You work hard. On top of the pressures of running a physical therapy business, working with patients every day exposes you to a whole host of liabilities. The last thing you need is a malpractice lawsuit hanging over you. Talk about stress. Don t worry. There s peace of mind with HPSO. When you choose professional liability insurance offered through HPSO, it s more than just securing coverage. It s linking to a stable partner to help you protect your most valued assets and your livelihood. The specialists at HPSO understand the insurance needs of physical therapists, and they re ready to guide you through the important details to help you choose the right coverage for your practice. Most of all, you can be confident with HPSO as your insurance partner. We are endorsed by the APTA, and we ve been serving the needs of physical therapy private practice owners for nearly two decades. Why not compare the real value of your current program with HPSO? Then you can breathe a little easier. We can t promise you tropical air, but think of the peace of mind you ll find knowing you ve made such a wise choice to protect your livelihood. Call for a free no-obligation quote; or visit This program is underwritten by American Casualty Company of Reading, Pennsylvania, a CNA company, and is offered through the Healthcare Providers Service Organization Purchasing Group. Coverages, rates and limits may differ or may not be available in all states. All products and services are subject to change without notice. This material is for illustrative purposes only and is not a contract. It is intended to provide a general overview of the products and services offered. Only the policy can provide the actual terms, coverages, amounts, conditions and exclusions. CNA is a registered trademark of CNA Financial Corporation. Copyright 2011 CNA. All rights reserved. Healthcare Providers Service Organization is a division of Affinity Insurance Services, Inc.; in CA (License # ), MN & OK, AIS Affinity Insurance Agency, Inc.; and in NY, AIS Affinity Insurance Agency Affinity Insurance Services, Inc. PTJ211

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4 The Bottom Line Passive Mobilization of Shoulder Joints Passive mobilization of shoulder joints has been a common component of physical therapy for people who have shoulder pain. For patients with painful, restricted shoulder function, recent evidence indicates that the addition of this form of manual therapy to exercise and advice from a physical therapist may not improve outcome. For patients with shoulder pain without movement restriction, the results of this unblinded clinical trial indicate that the addition of passive mobilization of shoulder joints to exercise and advice from a physical therapist may not improve treatment outcome. For patients and caregivers: In terms of physical therapy, passive mobilization of the shoulder joints provides no additional benefit over advice and exercise alone. See page 178. Whole-Body Vibration and Parkinson Disease There is evidence that whole-body vibration therapy can enhance certain aspects of neuromotor function, such as sensory input and muscle activation, in older adults with Parkinson disease. This systematic review shows that there is insufficient evidence to prove or refute the effectiveness of whole-body vibration in improving sensorimotor function in people with Parkinson disease. For patients: Whole-body vibration should be studied more thoroughly before it can be recommended to treat sensorimotor symptoms in people with Parkinson disease. See page 198. Hip Strength in Patients With Total Knee Arthroplasty Although quadriceps femoris muscle weakness has been demonstrated to contribute to functional limitations in patients following total knee arthroplasty, the role of hip abductor weakness is not known. Hip abductor strength influenced physical function in patients following total knee arthroplasty more than quadriceps strength or demographic or anthropometric variables. For patients: If the same findings are replicated in larger studies, the hip abductors should be strengthened during rehabilitation after total knee arthroplasty. See page Physical Therapy Volume 91 Number 2 February 2011

5 The Bottom Line Head-Shake Sensory Organization Test The ability of the Sensory Organization Test (SOT) to detect subtle balance problems has been challenged. For example, patients with unilateral vestibular hypofunction may perform the SOT within normal limits. Adding head movements to the SOT increased the test s ability to distinguish between the balance performance of young adults who are healthy and the balance performance of older adults who are healthy. The Head-Shake Sensory Organization Test shows good reliability. For patients: The Head-Shake Sensory Organization Test may be a useful assessment tool to detect age-related decline in balance function. See page 246. Use of Presenteeism Scales in Chronic Work-Related Upper-Extremity Disorders Presenteeism scales have been developed to evaluate loss of work productivity due to illness or injury in people who are present at their job. Validity of available scales is emerging, but evidence on responsiveness remains scarce. The results suggest that 2 presenteeism scales the Work Limitations Questionnaire-25 (WLQ-25) and Work Instability Scale for Rheumatoid Arthritis (RA-WIS) are moderately responsive to change for workers with chronic work-related upper-extremity disorders. For patients: Following your treatment, 2 presenteeism scales the WLQ-25 and RA-WIS have the potential to measure changes in your health-related work productivity over time. See page 254. Reproducibility of Exercise Testing in Spina Bifida Children and adolescents with spina bifida who are ambulatory show lower levels of aerobic endurance as measured by incremental exercise testing. Earlier research has shown that an adapted treadmill protocol yields true peak values for peak oxygen uptake. It is not known how reliable endurance testing is or how large the measurement error is. Knowing the measurement error can help physical therapists interpret change after intervention; for instance, whether there is real change or whether this change falls within the limits of agreement. This study concerns the reproducibility of both peak and submaximal measures of functional endurance. The reliability of most measures is good to excellent, which means that high scores in the first test were high in the retest as well. However, when looking at agreement, peak measures are superior to submaximal measures, and maximum speed and the Six-Minute Walk Test show the best agreement. For patients: With this information, your physical therapist can prescribe and evaluate exercise training. See page 267. February 2011 Volume 91 Number 2 Physical Therapy 163

6 The Choice Is Yours. So many ways to learn. What s yours? Make the APTA Learning Center your first choice for continuing education. You decide the time, the place, and the pace. Log on to the Learning Center to access the most trusted and peer-reviewed content in physical therapy. The best way to learn is to Learn Your Way! Questions? Call us at 800/ x3395 learningcenter.apta.org