Beruflich Dokumente
Kultur Dokumente
(OSSIG)
Newsletter Editor
Carlos Ladeira PT, EdD, FAAOMPT, OCS
OSSIG Chairman
The OSSIG
The Orthopedics and Sports Special Interest Group (OSSIG) is
a physical therapy interest group of the Florida Physical
Therapy Association (FPTA) chapter of the American Physical
Therapy Association (APTA).
The OSSIG is a source for Florida PTs and PTAs to update
themselves as well as receive guidance with research proposals
and clinical residence development.
The mission of the OSSIG is to serve as an advocate and
resource for physical therapists and physical therapy assistants
practicing in the areas of orthopaedics and sports in the State of
Florida through excellence in education and professional
development.
Our members are PTs, PTAs, SPTs, and SPTAs from the State
of Florida. Please join us in our facebook page, twitter page,
and/or linkedin page, clinic below on our icons.
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We are offering an online journal club 4 times per year. We are giving 2 CEU credits for each meeting.
We had our first journal club meeting Feb 23rd, 2016. We discussed differential diagnosis for low back
pain with a real case scenario. We plan to run the club meetings at least 4 times per year. Our next
meeting should be May 2016, please check our facebook page for information in the first week of May
2016. Our meetings take place on Twitter Chat online (click logo above). We place articles and papers for
preparation for the journal club meetings ahead of time in our facebook page. If you want to receive credit
for the meeting you need to read the information and answer a few questions before you meet us online on
Twitter Chat. The answers to the case scenario need to be answered and emailed to the journal leader
before the meeting for you to receive CEU credit for participation.
Concussion
Update for PTs
Conrad Penner, DPT, FAAOMPT, MTC , OCS, , TPI Cert (Sarasota, FL)
Licensed health care professionals (LHCP), including physical therapists, commonly treat concussions.
Concussions occur most frequently in collision sports and especially football, rugby, hockey and soccer.1-4
Each year 1.6 to 3.8 million concussions result from sports injuries in the United States. Almost 9% of
High School sports injuries result in concussions.1-4 Concussion is a serious health issue for all athletes
regardless of gender or sport.1, 2
A concussion is a type of brain injury resulting from the head striking an object or a moving object
striking the head. It may also occur when the head experiences a sudden force without being hit directly.1
It is also known as a mild traumatic brain injury (mTBI).1, 3-7
The common signs of concussion include the injured athlete appearing dazed or stunned, moving
clumsily, answering questions slowly, loss of consciousness even if briefly, mood or behavior changes
from normal, or inability to recall events prior to or after the injury.1-7 Other common concussion
symptoms include headache or pressure in the head, nausea or vomiting, balance problems, dizziness,
blurry vision, light or sound sensitivity, feeling sluggish, hazy or foggy, confused or memory problems, or
just not feeling well.1-3, 7
Immediate testing of an athlete following suspected or known concussion includes Post-Concussion
Symptom Scale/Graded Symptom checklist (GSC) and the Standardized Assessment of Concussion
(SAC).1, 3 When administered early after injury, these tests have moderate to high sensitivity and
specificity in identifying sports concussions.1, 3 The Balance Error Scoring System (BESS) has low to
moderate sensitivity and moderate to high specificity in identifying sports concussions.1, 3, 4 Post injury
scores on these concussion assessment tools may be compared with age matched normal values.1, 3 Other
physical assessment may be required including cranial nerve testing, symptoms and mental status
assessment. Imaging is performed if symptoms are not abated after ten days.2
Risk factors for recurrent concussions occur most frequently among athletes who have a history of
concussion; longer duration of sports participation, and playing quarterback position in football.4 The
risk is highest in the ten days after initial concussion.3, 4
Following initial exam by field personnel, the athlete with a suspected concussion should be removed
from play immediately and should not be allowed to return to their sport until assessed by LHCP with
training in the diagnosis and management of concussions and in the recognition of more severe traumatic
brain injury.4, 5
6
Concussion
Update
Continued
issue, date
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FPTA Spring
Conference
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OSSIG Sponsored Courses
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Pellentesque venenatis.
Dry Needling (DN) is a skilled intervention that uses a thin filiform needle to penetrate the skin and
stimulate underlying myofascial trigger points, muscular, and connective tissues for the management of
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vel and movement impairments.1, 2 DN is a technique used to treat dysfunctions
neuro-musculoskeletal
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incommodo
skeletal muscle,
fascia, and
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est connective tissue, and diminish persistent peripheral nociceptive input, and
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dignissim of body structure/function leading to improved activity and participation.
reduce
or restore
impairments
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3
Acupuncture
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the other
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sed, hand is a derivative of Chinese medicine that dates back over 3,000 years.
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pede.
Acupuncture
is based
the theory that health is determined by the balance flow of chi, which is present
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libero,
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in all living organisms. Chi is described as an energy source, which moves through the body along
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meridian
lines. Chi circulates through the body along twelve major Meridian pathways. 3 Acupuncture
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uses
these
pathways
toidtarget
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In aliquam
ipsum
nisi. specific internal organs through the insertion of needles. The 12 meridians
are associated with the functioning of the internal organs. Based on traditional Chinese medicine,
imbalance of the internal organs causes musculoskeletal pain. Acupuncture may be used to help correct
these internal organ imbalances and manage musculoskeletal pain.3
Recent
publications
have
shown that DN may be effective in relieving pain and disability in a variety of
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conditions including low back pain, knee osteoarthritis, carpal tunnel syndrome, shoulder and cervical
pain as well as plantar fasciitis to name a few.4 A recent systematic review has shown that DN may help
PTs improve range of motion and musculoskeletal pain.5 The FPTA is currently working on the rights of
PTs to utilize DN in Florida (next article).
References
1. The APTA department of practice and state of government affairs: Physical Therapists and The
performance of Dry Needling, An Educational Resource Paper, 2012. Retrieved from
www.apta.org on Apr 5, 2015.
2. The APTA Public Policy, Practice, and Professional Affairs Unit: Description of Dry Needling in
Clinical Practice: An Educational Resource Paper, 2013. Retrieved from www.apta.org on Apr 5,
2015.
3. Sierpina VS & Frenkel MA: Acupuncture: A Clinical Review. South Med J. 2005; 98 (3): 330-337.
4. Dunning J, Butts R, Mourad F, et al. Dry needling: a literature review with implications for clinical
practice guidelines. Physical Therapy Reviews. 2013;000(000):1-13.
5. Liu L, Huang QM, Liu QG, et al: Effectiveness of dry needling for myofascial trigger points
associated with neck and shoulder pain: a systematic review and meta-analysis. Arch Phys Med
Rehabil. 2015 May; 96 (5):944-55.
Legislative News
The Florida Physical Therapy Association (FPTA) has been working diligently the last 5 years to update
our practice act. We were tremendously successful this year, passing a practice act expanding Direct
Access from 21 days to 30 days. Additionally, out of state referrals are now allowed as well as the ability
to introduce yourself as a doctor of physical therapy to your patients or the general public. Further, a few
years ago a law was passed to allow PTA schools to open without CAPTE accreditation. That law will be
reversed with legislation that passed in March that the Governor is expected to sign. Additionally, a new
2016 law governing the delivery of Telehealth will include physical therapists. By all accounts, this has
been the most successful legislative session for physical therapists on record.
The FPTA is planning an aggressive campaign for the 2017 legislative session to pass a Bill that will allow
Florida PTs to utilize this important modality. The prospective legislative battle is expected to be intense,
with several groups committed to opposing our DN bill. Even though physical therapists in over 30 states 9
The End
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