PRESIDENT’S ADDRESS from the 2012 Annual
Membership Meeting
By Ivan Mulligan, President
I would like to take these next few minutes to provide you an update about where
we have been over the past year, highlight our accomplishments and identify
where I believe where our attention as an Association should be focused in
upcoming years. This year to say the least has been extremely busy. We continue
to assist in having the regulations finalized related to Act 38. I would like to
acknowledge and thank the efforts of the State Board of Physical Therapy. We all
know that this process has been arduous to say the least, but I would like to thank
the members of the State Board for their diligence in getting these regulations
finalized. It is expected these regulations should be finalized and will be in place
for the 2013-2014 licensure period.
The PPTA has continued to take a pro-active approach related to the advocating
our profession, the areas we treat and the techniques we perform. The PPTA has
actively participated in the Health Care Exchange discussion. If you recall, the
Affordable Care Act mandates that all states must have an exchange available for
those without insurance. As this process has been taking place the PPTA has
provided comments indicating the need to have rehabilitative services as a
mandatory benefit. These comments have been well received and we look
forward to the continued discussion related to the benefit structure.
The PPTA has also been active with the Department of Aging. Special thanks to
Mary Ann Hoffman our liaison to the Department of Aging for organizing the
PPTA’s involvement in the Falls Prevention Program that was held at the Capitol
on September 22nd. The PPTA joined the Departments of Aging and Health at this
event to educate the devastating consequences falls can be in the elderly and the
prevention programs that are in place that can limit the risk of falls. The physical
therapy profession was recognized for their contributions in this area and of fall
prevention programs and treatments provided to those who sustained an injury
following a fall.
The PPTA also has examined and addressed the issue of Dry Needling. There has
been much discussion on this topic over the past year, and the Executive
Committee in August passed a motion to reaffirm the Chapter’s position that
identifies the physical therapists’ ability to perform this technique through proper
education and training. The position taken by PPTA is in line with the Federation
of State Board of Physical Therapy and the APTA’s position related to this issue.
The PPTA formed a task force for Reimbursement Issues. This task force went
right to work and determined that high copayments were an issue that limited the
amount of services a patient would seek. In examining this issue and seeing
success in other states, the task force recommended and the board of directors
approved that the PPTA introduce legislation that would address this issue. In
April, as the PPTA was looking to introduce a bill it came to our attention that the
Pennsylvania Chiropractic Association was preparing legislation to be introduced
in the Senate. In discussions with the PCA it became apparent that both
organizations had similar interests and we agreed to work together to craft
language that would be acceptable to both organizations. In May, Senate Bill
1391, the Fairness in Copayment Act was introduced by Senator McIlhenny with
bipartisan support. We knew that this bill was going to meet resistance however
we were able to address any issues or concerns that were brought forward. As
you are aware SB 1391 was voted out of the Senate Banking and Insurance
Committee last week. Although this bill is far away from actually becoming law
this is a tremendous step. In less than five months we were able to have a bill
that we introduced come out committee. This is a testament to the language
crafted, groups working together and you answering the call when we needed
your assistance. Many times when we heard that information was needed, we
sent out blast emails and made calls to the get the information out and you
responded. This only continues to demonstrate to the Legislature that we as an
Association will provide pertinent information, a uniform message and they can
expect many members speaking to the Senators or Representatives. Once again,
we have momentum and we will continue to pursue this legislation as we believe
the language in this bill prevents insurers from shifting the cost of health care
from their responsibility to the patient. As you know the cost to pursue
legislation is costly. If you recall, last year I challenged you to donate and I set a
goal of $50,000.
Unfortunately, we did not achieve the goal set but we did identify and apply for a
grant that could offset some of our costs. The Private Practice Section of the
APTA has funding available for Chapters that are pursuing legislative issues to
advocate for the practice of physical therapy and reimbursement issues related to
physical therapy services. I am happy to report that on Thursday we were
notified that received $15,000 for our efforts related to SB 1391. We know that
the session in the Senate has essentially ended and there are only a few days left
in the House for the 2012 legislative calendar. This bill will no longer move this
year and it will need to be reintroduced next year.
Since June, the PPTA has be attempting to advocate the protection of physical
therapy services with Highmark. Highmark announced at that time that they
were beginning the Physical Medical Management Program (PMMP) and they
would change the medical policy that only four units per date of service were
medically necessary. From the onset it was recognized that this program is flawed
and will not meet the goals that Highmark identified when it introduced this
program. The PMMP on top of an already flawed benefit design for physical
medicine creates significant barriers for patients to receive the care they need.
During June and July, the PPTA identified several areas of concern including: the
arbitrary threshold of 8 visits for which Highmark has admitted they have no
substantive evidence for establishing this threshold, the batching of codes in
various categories that providers may used two or three visits on one date of
service, the lack of research and transparency that justifies the algorithm used to
determine if visits are approved or not approved, and the rationale for changing
the medical policy related to only allowing four units to be paid for services
provided. Sandy McCuen and Carole Galletta attempted to obtain answers to
questions related to this program. However, the answers they received were
either inaccurate, only partially answered, or were not answered at all. In July,
we wrote a letter expressing our concerns of these changes and requested a
meeting to discuss our concerns. On August 22 we met with Highmark and
attempted to discuss our concerns and issues with the PMMP and the benefit
design. During this meeting, it became apparent that Highmark did not fully
understand the difference between the various professionals that provide
rehabilitative services. Many times representatives at Highmark indicated that
there were essentially no differences in who provides rehabilitative services and
that other professionals could provide “physical therapy.”
At that time, we reached out to the Pa Department of Insurance and other
professional organizations to secure a delay in the implementation of this
program. We were able to achieve this goal as Highmark delayed implementation
for one month. During the month of September those who had patients with any
Highmark product experienced systems that were not working, denials of services
for patients, significant delays in processing authorizations and improper
reimbursement. Once again, this information was taken to Highmark and the
Department of Insurance and again PPTA was able to demonstrate that the
PMMP and the system were not ready for implementation and that a second
delay was needed. Because of these focused efforts, Highmark extended the soft
implementation until December 31.
Unfortunately, to date almost two full months into the soft implementation, the
program’s implementation is still not corrected despite Highmark assertions that
everything was fixed. During the soft implementation no denials are to take place
because medical necessity. However, providers and patients are seeing denials or
reduction of visits when additional visits are requested over the initial eight
authorized. There are also denials of services that are being generated because
there is no authorization although the provider obtains the authorization. When
denials are being obtained that have been reported to PPTA it is apparent that
there is no rationale for the denial of the service and that the information that is
required to be filled out by the provider does not affect this decision. Based on
this information received from providers, PPTA again met with Highmark to
attempt to discuss these issues. That meeting was held last week and we were
told that the system continued to have issues and denials were not supposed to
be happening. Furthermore, the issue was identified and the fix was going to put
in place and any services after October 19th should not have these issues. The
PPTA has learned for treatments given after October 19th denials are still
occurring and this has not been corrected. The PPTA requested at that meeting
the PMMP be abandoned until January 1 to allow the issues with the
implementation be addressed and the information that the provider is inputting
into the system is not needed given there are to be no denials this step is
unnecessary. As you know, Highmark denied this request for abandonment and it
became evident that we are at an impasse where we continue to believe that
although the system issues are slowly being improved, this continues to create an
unreasonable burden on the patient and provider. We continue to believe that
the PMMP and the benefit design continues to be a significant issue.
The PMMP and the benefit’s design does not adequately identifies what is
considered physical therapy and excludes the professional judgment of the
physical therapist who is assessing the patient and writing the plan of care.
We continue to work with the Department of Insurance, the APTA and other
organizations and professional associations on this issue. I would like to publicly
thank the Department of Insurance for hearing our issues and examining these
concerns. We look forward to continue to work with them. I would also like to
thank the staff at APTA, especially Carmen Elliott for her assistance on this issue
as well.
At this time, it is clear that Highmark is intending to implement the PMMP fully on
January 1 and while we are continuing discussions with Department of Insurance,
we have exhausted all conservative and reasonable avenues to remedy this
situation. At the board of directors meeting on Thursday there was much
discussion on this issue and at that time the Board voted to charge legal counsel
to take appropriate legal action to prevent Highmark from implementing this
program. This is a step that we attempted to avoid for four months. We
attempted to rectify this issue with little success. We believe that we need to
take this step to protect our patients and for them to receive the medically
necessary care they need and to ensure our professional identity and professional
judgment.
One may ask why we are going to this level with only one insurer that is only one
region of the state. I would to provide additional rationale for this decision. First,
Highmark is one of the largest insurers in the state with 5.9 million subscribers
(approximately 45% of the state’s population). Any program that is implemented
will have a significant impact on patient care in the state. Second, Highmark is
now an insurer in West Virginia and Delaware. We believe that this is a regional
issue as much as a state issue given that multiple states that are affected by this
program. Third, if you recall the Affordable Care Act requires all states to have an
exchange in place to allow for the uninsured to receive coverage. Highmark,
given their size, can become the group that would provide the exchange for the
uninsured. Given these reasons, the PPTA believes at we cannot stand by and
allow this program to be implemented. We will continue to keep you informed as
this process unfolds.
As you know, an undertaking like this it is going to require many resources. I am
requesting that you continue to provide us with problems you continue to see
with this program. These include denial of visits, improper payment, and delays
in approvals that are affecting care. This information has been extremely helpful
as we have working on this and I appreciate your diligence in providing this
information. Please contact Carole Galetta, Sandy McCuen or myself should you
have questions. If you receive a denial and you believe in your professional
judgment these patients need additional care, you should submit the case for
review. There is to be no denial of visits at this time and when you submit the
case for review you should expect to receive authorizations for the visits you
requested.
We have anticipated this is going to expensive endeavor and it is hard to
determine exactly how much we will need to resolve this issue but if every
member would contribute $25 would ensure the finances are in place to combat
this issue initially. I know you constantly hear requests for funding but at this
time we ask that you consider donating to assist in defraying the costs. We are
attempting to address your concerns and in order to do so we need you support
financially.
As you can see, the PPTA over the past year has been advancing and advocating
for physical therapists and physical therapist assistants. Although there have
been many issues we have been in the forefront to address these issues. These
issues unfortunately are not going to go away in the foreseeable future. I believe
that given the environment that we are in, we are going to face challenges related
to professional autonomy, a change in the way physical therapy is delivered and
expected to be delivered and reimbursement issues. Many of these processes
and issues are related to the implementation of the Affordable Care Act.
Although many may see this as a negative I and see opportunities. Payors,
providers and patients are looking for cost effective and efficient ways to provide
and receive services. Given this we as a profession need to understand that three
points to consider:
1. There will be an attempt to determine which treatments are ineffective
and subsequently not be paid
2. Payors and patients will be looking for alternative treatments that are
cheaper and equally effective when comparing more costly treatments
for conditions
3. Payors will be examining when the cost is excessive for treatment may
decide to not pay for the service without an equally effective
alternative.
I believe that when you examine these three areas physical therapy is well
positioned to move forward in the health care arena. However, the only way we
will be part of the process is if we are involved with committees at both the state
level and with insurers. We need to have people willing to discuss the benefits of
physical therapy in these terms as this is the way health care and health reform is
being examined. We need to be actively engaged in this process and I believe
that we will. I would encourage you to listen to the APTA podcasts related to
health care reform and the affordable care act. These provide information related
to the changes suggested and where we need to position the profession. We
have challenges ahead but I believe that if have a seat at the table we will
demonstrate the benefits of our profession.
In closing, this is my last address to you as my term concludes in January. I am
honored to have served you in this position over the past four years. I would like
to take a moment to thank some people that have enabled me to work in this
office to the best of my abilities. This is by no means a comprehensive list
because if it were we would be here until Monday. First, I would like to thank the
Chapter Office staff Kim, Cindy and Toni. You have been amazing to work with
and I appreciate all you have done for me and for this Association. To my
colleagues that I have served with on the Board as well as committee chairs, SIG
chairs and delegates. We have worked hard and I thank you for your counsel,
thoughts, ideas, and friendship. To Kent and Paul, our legal counsel, (or as my
kids know them as Uncle Kent and Cousin Paul since they usually call at any family
function) your advice, direction and friendship was invaluable and I appreciate the
fact that I always knew that I could count on wise advice. To my colleagues at
Saint Francis, your friendship and willingness to assist me was invaluable and I
appreciate your ability to assist me with changing schedules and being flexible so I
could attend a conference call or go to Harrisburg when needed. To my students,
for putting up with the changing schedules, I thank you for your patience and
flexibility. I would also like to thank you the membership for your insight and
input without your support none of this would be possible.
Finally, I would like to thank Andrea my wife and my boys Ian and Andrew. Your
love and support is immeasurable. I could not have done this without you and I
appreciate you every day.
As you can see, although I was the one who signed his name on a document or
was identified as the leader, I would have be unable to do what was needed, if I
didn’t have the people supporting me who I identified above. I hope that I met
your expectations when you entrusted me in this position. I look forward to
staying involved as an active member and I look forward to seeing the success we
will have as an Association under Greg’s leadership over the next few years.
Thank you again for your time tonight and your involvement in our Association.
CHIEF DELEGATE
By Robin Dole
As the weather turns colder, the holidays come and go, and our neighbors in New
Jersey and New York begin the process of re-building after the damaging
Hurricane Sandy, my mind turns to giving and thanksgiving. Know that the APTA
is helping to organize individuals and groups to support our physical therapy
colleagues in these neighboring states and you can help by going to
HelpingPTs.org and learn more from www.apta.org.
In the keeping with the spirit of the season, I would also like to share with you just
a few thoughts as your Chief Delegate. Your delegation has been keeping busy
with the first meeting of the new group in October after the PPTA Annual
Conference and with attendance of myself, President-elect Greg Waite, and
delegate Colleen Chancler at the Northeast Caucus meeting in November. PPTA
was host and Chapter Presidents and Chief Delegates from the northeastern
states and several APTA sections that comprise the caucus met at the Hilton
Philadelphia Airport for a day of discussion and planning for the 2013 House of
Delegates. As I have mentioned to you in previous articles, we anticipate that a
significant component of the work of the House next summer will be focused on
motions related to Governance Review for the APTA. Change is afoot! You can
learn more about the proposals that are being considered, listen to webinars
conducted to gather feedback, and read/participate in opinion-related blogs all
online at http://www.apta.org/GovernanceReview/.
In parallel with the governance review process at the national level, the PPTA has
been undergoing a process of analyzing at our organization at the state level. If
you haven’t looked already, the Governance Review Task Force has placed
information on the PPTA.org website for your review and feedback. In meetings
through the rest of the winter and spring, we expect that you will be hearing
about both governance review processes at the national and state level as you
attend your district meetings and review communications from your district
leadership. Your opinion is important, so make sure to weigh in on the
discussion!
If you have any questions about these issues or others that you feel are important
to the profession, please share it with you district delegates or feel free to contact
me at rldole@widener.edu. Be well!
DISTRICT NEWS
SOUTHEAST
By Jeff Ostrowski, District Director
The November District meeting, held on November 14 at the Main Line Health
facility in Newtown Square, was one of our best attended meetings in recent
memory. Thanks very much to Main Line Health for donating use of their facility
for our meeting. We had an excellent business meeting in which Vice-chair Scott
Voshell reviewed the news from the October Pennsylvania Chapter meeting. Of
note was the report on the ongoing struggle against the new Highmark payment
policy for rehabilitation. We were pleased to learn that the Chapter has made
opposition to this a high priority in the coming year. We will need to marshal
significant financial resources to do so. Your contributions to the Legislative
Issues Fund are needed.
Colleen Chancler, Chair of the Chapter Task Force on Governance Review talked
briefly on the status of the Governance Review project. Briefly, the large goal of
the Task Force is to increase participation of members in leadership roles and to
create the leanest efficient working organization possible without compromise to
the functions of PPTA. Colleen conducted a survey a members at the meeting on
topics such as the use of GoToMeeting, the best times to schedule meetings and
more. Please watch your email for additional surveys from the Task Force. Your
participation is needed to design a Chapter that works best for all of us.
The meeting concluded with an excellent continuing education program titled
“Advancements in Prosthetic Components” delivered by Joe Ricci, PT, MPT &
Tim Rayer, PO. Please mark your calendars for the next District meeting, to be
held on January 9, 2013 at Drexel University, Drexel University 245 North 15th
Street (on 15th Street between Race and Vine) Philadelphia, PA 19102. There is
easy (and cheap $5.00) parking across the street. Sarah Wenger, PT, DPT, OCS
will present the continuing education program titled “The Complicated Patient:
Don’t Panic, Prioritize.”
Finally, the District has formed a Task Force to develop a Southeastern District
“Combined Sections Meeting” to be held this spring, date to be announced soon.
The Task Force is being lead by Vrinda Hatti, PT, MPT, OTR. The SED “CSM”
will bring together content experts from many disciplines within physical therapy
practice for a one day continuing education and networking event in the district.
This is a bold undertaking and we are pleased to have Vrinda in charge. If you
wish to volunteer for the Task Force or to participate as a presenter or vendor,
please contact vrinda at vrinda.hatti@aumphysicaltherapy.com.
SOUTHWEST
By Jeff Rothman, District Director
The Southwest District of the PPTA looks forward to another exciting finish to the
2012 programming season of education and networking amongst our valued
Membership.
The Nineteenth Annual Scully Visiting Lecture was held, hosted, and refreshments
provided by the University of Pittsburgh’s Physical Therapy Department in
October brought Carolyn Oddo, PT, MS, FACHE to discuss ”Strategies for Health
Care Reform: Discover the Innovator in You”. It was well attended and presented
insight and techniques to improve efficiency and effectiveness in this time of
Health Care Reform.
Recently, we held our last SWD Meeting at the new VA Health System of
Pittsburgh. Jason Fay PT, DPT, and Amy Rebovich OTR, SCLV, CLVT provided an
education in low vision rehab and the newly functional ‘My Home’ to meet the
needs of Veterans as they prepare for home. We additionally recognized Veterans
Day and PT Month to those PT’s and their Patients.
 Membership Committee has initiated a student mentorship program to the
SWD Board and its various Committees. In addition, they sponsored the 8th
annual Membership Competition for PT and PTA Programs within the District.
Congratulations to the University of Pittsburgh on this year’s award winners!
Members of the Committee continue to make several presentations on the
value of belonging to the APTA to several area clinics and educational
programs.
 The Education Committee continued to coordinate outstanding educational
programs compromised of widely applicable topics for the valued
membership.
WESTCENTRAL
By Steve Podratsky, District Director
The Westcentral District sponsored a PAC fundraiser wine dinner this past
October at Amici’s Restaurant in Ebensburg. We had 38 participants and raised
$450 for the Pennsylvania PAC. Thanks to all who attended and sent additional
donations!
The Westcentral District donated three gift baskets for the silent auction at state
conference in Lancaster this past October. The three items netted $260 which
went to the PAC as well.
The Westcentral District also will make a donation to the Legislative Issues Fund
of the PPTA for $3,000.
This past fall District meetings had good attendance as the continuing education
topics proved to be of interest. In September Ivan Mulligan, PT DSc, SCS, ATC,
CSCS and Mark Boland PT, MPT presented “Current Concepts in Concussion
Management”. In October audiologists from ENT Associates reviewed VNG
testing for dizziness and vertigo. In November John Eger, PT presented on the
John Barnes’ method of myofascial release.
This spring the WCD lineup begins on March 12. Lee Duman, PT will present on
“Differential Diagnosis through EMG/NCV testing”. This will be held at the
Vantage Physical Therapy, Ebensburg Office. On April 9th, the continuing
education will be held at the HealthSouth Office in Altoona. The topic will be
Parkinson Disease. The May meeting will be moved up to April 30th to
accommodate the poster presentation of the St. Francis University students prior
to graduation. Nate Barr, PT will also present a detailed report on Governance
Review of the PPTA.
The Northwestcentral Subdistrict plans to sponsor an Imagining Course on April 6,
2013. Details are to follow and will be posted on the website. I would like to
thank Brittany Hutchinson, PT for assuming the Treasury duties of the WCD. She
took over in September for Kay Malek, PT who moved out of the area to pursue
additional interests. Thank you Kay for all your hard work and dedication!
COMMITTEE NEWS
MEMBERSHIP
By Susan Kreinbrook, Co-Chair
We wanted to thank each of the schools who nominated students for the 2012
PPTA Student Leadership Award. We had a great nomination pool this year, and
had 10 schools participate to nominate 12 students! Congratulations to all
applicants and special mention to our recipients:
Matthew DeBole, SPT – University of Pittsburgh
Brittany Hutchinson,SPT- Saint Francis University
Joeylyn Miller, SPTA- Community College of Allegheny County
Amanda O’Loughlin, SPT- Temple University
We are excited to see how these students will become leaders in the upcoming
years and are equally excited to see next year’s student applicants!
Remember to renew your license and direct access certificates by the end of the
year! Also, the continuing education requirement for the upcoming cycle 2013-14
will begin in January and will require 30 board approved CEU’s over the two years.
Finally, let’s continue to promote our association with your non-member
colleagues! You are our best advocates for “why to join” and can reach nonmembers on a daily basis tell them to add the $38 to THEIR monthly budget and
we can expand our reach and Move Forward!
SPECIAL INTEREST GROUP NEWS
PEDIATRIC
By Heather Merkel, Co-Chair
PPTA State Conference 2012 and Pediatric SIG Annual Business Meeting and
Education Session:
The Pediatric Special Interest Group Business Meeting and Education Session was
held on Friday October 26, 2012 at the Lancaster Marriott at Penn Square in
Lancaster, PA . The speaker for the education session was Robin Dole, PT, DPT,
EdD, PCS and the title of the education session was: “Behavior Basics for the
Pediatric Physical Therapist: Strategies to Turn Challenges into Triumphs.”
Approximately 20 people attended the education session and business meeting,
during which new leadership was elected for the PSIG as co-chairs Heather
Merkel, PT, DPT, PCS and Theresa Crytzer, PT, DPT, ATP. Christine Nordone
also stepped up to serve as Secretary for the PSIG. Please direct any questions or
concerns to us at pediatricsig@gmail.com.
Please share this information with your colleagues!
Please note that effective January 1, 2013. You will be required to have 30
continuing education credits for the 2013-14 license renewal period. These credits
must be from PA State Board of Physical Therapy Approved Courses. The PPTA
Annual Conference has been expanded to allow participants to gain 15 credits per
conference. So if you attend both the 2013 and 2014 PA State Conferences you
could attain the 30 credits needed for license renewal. For a list of qualifying
courses please refer to the PA State Board of Physical Therapy website and
download the PDF file of Approved Continuing Education Programs:
http://www.dos.state.pa.us/portal/server.pt/community/state_board_of_physical_th
erapy/12522 or on the PPTA website at:
http://216.197.105.206/Libraries/RESOURCES_LINKS/pt_list_of_direct_access_c
e_programs09-11.sflb.ashx
DIRECT ACCESS:
If you are utilizing direct access in your pediatric practice we want to hear from
you! Please send an email to Heather and Theresa, and describe how you are
incorporating direct access into your everyday practice. Why should you apply for
a direct access certificate of authorization? Although we have only limited direct
access at this point in time, obtaining a certificate of authorization can have a
positive impact on your practice. The certificate of authorization allows you to see
clients for 30 calendar days before a physician referral is required. This helps to
promote prompt access to physical therapy services. Additionally, it opens up a
tremendous opportunity to expand health and wellness services. Finally, if we are
hoping to petition for unrestricted direct access in Pennsylvania in the future, we
need to have much more than the current 15% or physical therapists in the state
who currently hold direct access certificates of authorization. The requirements for
a direct access certificate of authorization are minimal and they can be found at
http://www.dos.state.pa.us/physther by clicking on the ‘Direct Access’ link.
Regardless of your practice setting, direct access can be beneficial to you and your
profession as well as the clients that we serve!
Upcoming Continuing Education Opportunities in Pediatrics:
PPTA Annual Conference October 25-27, 2013 at Seven Springs Mountain Resort
in Champion, PA
Combined Sections Meeting January 21-24, 2013 in San Diego, California
APTA Section on Pediatrics Conference November 8-10, 2013 in Anaheim,
California
APTA National Conference June 26-29, 2013 in Salt Lake City Utah
PA PEDIATRIC FACILITIES LIST:
Your input is needed to help up the PPTA Pediatric SIG maintain our list of
facilities in Pennsylvania that are practice sites for pediatric physical therapists.
We recently updated our facilities based on information provided to the PSIG at
Annual Conference. If you were unable to attend this year’s annual conference
and have a facility to add to our facilities list or need to amend your facilities
information please send the following information on your place of employment to
the PSIG at pediatricsig@gmail.com .
Please include the following information
Facility Name and Address:
PPTA District (e.g. South Central):
Type of Services Provided (e.g., Early Intervention, School-based, Private Practice,
Academia, Hospital-based, Outpatient, etc.)
Name of Director of PT services:
Director’s &/or Contact’s email:
Director’s &/or Contact’s phone #:
Membership in the SIG is an easy way to keep informed on issues that are relevant
to your profession so, if you are not already a member, please consider joining
today! You do not automatically become a Pediatric Special Interest Group
Member when you join the PPTA so register today! Registration information can
be found at www.ppta.org. Membership is FREE with your PPTA Chapter
membership. If you did not receive the above information via email then you are
not currently on our PPTA Pediatric SIG email list. Please complete the
registration form (downloadable from www.ppta.org under the SIGs/Pediatric SIG
tab) and email it to the PSIG at pediatricsig@gmail.com
Annual Business Meeting:
Plans are underway for the 2013 PPTA Pediatric SIG’s Annual Business Meeting.
If you have suggestions for a topic or a speaker please contact us at
pediatricsig@gmail.com
PEDIATRIC JOURNAL CLUBS:
Please contact Heather Merkel pediatricsig@gmail.com if you have started a new
group or have interest in starting one.
APTA SECTION ON PEDIATRICS (SOP) NEWS:
Special Interest Groups--The APTA SOP has a variety of special interest groups
(SIGs) that help provide you with updated information on treatment techniques,
regulations, continuing education opportunities, etc. that may be relevant to your
area of expertise. The purpose of the SIGs is to provide an arena where Section and
Association members who have a common interest in providing effective physical
therapy services for children with disabilities may confer, meet, and promote high
standards of practice. Current SIGs include:
Adolescents & Adults with Developmental Disabilities SIG
Early Intervention SIG
Hospital-based Pediatric SIG
Pediatric Sports-Fitness SIG
School-based Physical Therapy SIG
Neonatology SIG.
Membership in the SOP SIGs is free if you are a SOP member. To join, visit the
SOP website (www.pediatricAPTA.org) and click on the link for ‘Special Interest
Groups’.
PHYSICAL THERAPIST ASSISTANTS
By Ann Lowrey, Chair
PPTA Annual Conference 2012 was very productive for the Physical Therapist Assistant!
We had two motions brought before the board of directors; to increase reimbursement for the PTA Caucus Representative to equal that of the PT Delegate
and to move the election date of the PTA Caucus Representative to coincide with
the PT Delegate election, both of which were passed.
The PTA Special Interest Group meeting was held Friday evening with 12 PTA
members present. We discussed current issues and future proposals. We plan to
increase the use of the PPTA website to share relevant information, so keep
checking the site and provide input on what you would like to see. Topics include
information surrounding the governance and structure of PPTA and the House of
Delegates. Please be aware that the governance of PPTA may be changing!
Change is not always a bad thing, so keep your eye on the website!
Kudos to Joe Shay for his poster presentation and Christina Clark and Tom Kane
on their Advanced Proficiency Awards. We did not present a Steven Kolumban
award this year as we had NO nominations. This is something that PTAs really
need to look at for next year.
PPTA Annual Conference 2013 will be held at the Seven Springs Resort. Great
news for the PTA!! There will be a PTA tract for continuing education surrounding
rheumatology. Support needs to be outstanding, if we want to see more of this
at future conferences. I am also looking for a topic for the PTA SIG presentation.
Please send me your ideas and possible presenters.
There has been a PTA Caucus Committee formed. Those included in this
committee are liaisons from each district, PTA Educators and PTA SIG executive
committee. This group of people will provide support to the PTA Caucus
Representative with all issues related to the PTA before and during the House of
Delegates. As always, contact me with questions or concerns related to the
Physical Therapist Assistant.
GOVERNANCE REVIEW TASK FORCE
By Colleen Chancler, Chair
Delivered to general PPTA membership meeting on October 27, 2012
Thanks to the Board for the opportunity to discuss work performed related to
strategic planning and governance review for PPTA. While some may be aware of
the governance review efforts happening with APTA, I would like to highlight that
the work and planning I will broadly discuss today and any work completed by the
PPTA Task Force for Governance review is focused on the PPTA only. Some of us
on the Task Force are participating in the discussions and town halls and will
continue to do so, however, these endeavors are not dependent upon each other
for success.
To offer a brief history of why the Task force was formed, approximately 3 years
ago, the executive committee and Board of directors began significant discussion
on how to increase participation of members in leadership roles and how to
become a leaner more efficient working machine. In 2010, a task force was
developed after posting information and soliciting volunteers to serve on the task
force from members. PPTA sent communication and district chairs tapped into
local resources. The task force met regularly via electronic conferencing with
GoToMeeting. Mike Johnson was the first chair of the task force and remained on
the task force and I am the current chair. At this time I would also like to thank
Nate Barr, Robin Dole, Rita Geddes, Karl Gibson, Sarah Jameson, Kris von Neida,
Greg Waite, Jeff Welk and Jane Wetzel. These individuals have provided many
hours of time and talents and negotiation skills to move the process forward.
The task force recommendations will now be discussed. Initially, we looked at our
operational structure and functions and compared PPTA with several other
components or states of similar size and a few of different size. After gaining
some information from comparisons of what other states are doing, we evaluated
the pros and cons of the existing committees and looked to see if adding or
subtracting current structure would better achieve the objective of more people
involved in leadership and decision making while maintaining efficient systems.
Our work culminated with some specific short term goals and long term goalsafter all, we are PT’s. We presented that written report to the Board of Directors
in April 2012.
The idea of shorter term goals was to provide some immediate action items to
streamline meeting structures and increase the commitment for leadership
training within PPTA. The longer term goals were focused on potential changes to
composition of existing committees, task forces, liaison roles in order to provide
better alignment of work. In addition, the TF was committed that the strategic
planning process that occurs with PPTA needed some strengthening in order to
drive vision and work plans for all involved.
I would like to briefly present the options for modeling the actual organization.
While this may be a lot of information right now, I would hope this presentation
provides you with a desire to learn more and become more involved in the
process via district meetings and GoToMeeting. GoToMeeting is available to
members for free and will allow us to facilitate conversations online.
The TF had essentially three plans for strategic planning related to structure and
organization and each option is not being presented in any preferential manner.
One plan is a modification of the current status, a second option is a hybrid of
new ideas and old and the third option is a complete revision of the current
status. The options being presented do not need to be considered as a package
and components of each option can be considered. Finally, at the current time,
nothing presented has been voted upon as the TF felt the need to hear form
members on their ideas of better ways to engage with PPTA.
Option one would provide organization in a different configuration from our
current system in that 6 committees would be formed:
1-Nominating, 2-Ethics, 3-Finance 4-Membership (PR) 5-Public Policy and
Advocacy (Insurance, RFP, DA, Legislative) and 6-Practice (Professional
development, research, SIG/CPG). The PAC would exist as separate and distinct
committee.
Each new committee would have a coordinator and that person would be
responsible for reports and attendance at the Board meetings. Others could
participate in the committee based on the invitation of the coordinator or
appointment of the Board of Directors. This new flexibility will allow toggling up
and down the number of participants based on the work of the group.
For instance, challenges in the legislative arena we are working on now would
allow the coordinator of the Public Policy and Advocacy group to quickly invite
more members for assistance and then allow those persons to finish the mission
and have their work assignment end on that group. A short term assignment with
the best people for the job would be possible. Responsibilities of the committees
would include working together and rely more on the PPTA Strategic plan goals;
sending reports to the Board; increased meetings more frequently than the
current quarterly schedule; attendance at the Board meetings by a representative
of the committee. Overall, this would condense some of the current work
groups/committees/SIG’s that exist separately now. It will also provide
opportunity to increase or decrease the number of participants on committees
based on the work that needs to be done and most importantly, get the right
person for the job engaged.
Option two splintered into 2a and 2b based on leaving as a standing committee or
incorporating the functions of the SIG’s into work group. So, specific standing
committees would include Finance, Ethics, Nominating and the SIG (based on
option 2a or 2b). In addition, 3 workgroups would be formed called: member
services, legislative and public health and governance. Each of these additional
work groups would encompass functions that currently exist as
committees/SIG’s/liaisons and the delegates for the House of Delegates. The
advantage identified in this model by the work group is that similar functions
completed or worked on by committees now would be better aligned, increased
communication with leadership throughout the year, and provide the ability of
work to be completed quickly by the right people with expertise and knowledge
and better integrate the role and wisdom of the PA delegates. This model does
present a far larger change to the current system but also offers some
opportunity.
Option three is the most radical change to our current structure. This model
suggests elimination of regional representation as we currently have by creating
topic areas that address the needs of the chapter as defined by strategic planning
process by the Chapter. This may allow creation of a Representative Assembly,
Committees / Panels, SIGs with the purpose of committees to drive the activities
across the chapter.
For all the options discussed, that is where we stand now-discussion. We will be
looking for further feedback on not only the options but the ideas represented in
the options.
In addition to larger structural changes for the existing
committees/SIG’s/TF/liaison assignments, the TF proposed shorter term goals
that may enhance participation and involvement in leadership roles. For instance,
consider changing the name of the SIG to indicate more clinical focus (such as
clinical practice community); redesign the professional development committee
to accommodate the work load; create better partnerships with academic
communities by adding an ex officio member to the Board as voted from the
academic program participants; and finally to restructure the format of Board
meetings held by Chapter to include a opportunity for networking and discussion
of concepts and motions prior to engaging the formality of Roberts Rules of
Order.
While I understand this is a lot of information to consider, the good news is that
we are going to be presenting this information in several more forums and look
for your input. By the November 10th, this information will be on the PPTA web
page and be presented at the next district meetings. We will be providing
electronic information that can be sent via US Postal and we will be hosting
GoToMeeting to further discuss the current options and plans. Finally, we will be
asking for the district directors assistance in obtaining the feedback from the local
areas. The TF plans on collecting feedback from the membership for
approximately three more months, reconvene on GoToMeeting for a final plan
and then present motions for the April BoD meeting. At the April Board meeting,
we will seek the advice of the Board for any further work or dissolution of the TF.
If anyone has questions, I can answer them now or we can look forward to your
input moving forward.
“Ethical Challenges in Today’s Health Care Environment: Access, Legislation,
and Professional Responsibility”
By: Ivan Mulligan, PT, DSc, SCS, ATC, CSCS,
President, PPTA
&
Mary Ann Wharton, PT, MS,
Chairman, PPTA Ethics Committee
As 2012 comes to a close, there is considerable concern among physical therapists
and physical therapist assistants about reimbursement, legislation, and health
care reform policies that are currently affecting access of patients to our services
and limiting reimbursement by third party payers, including Medicare and other
insurers. When you access the APTA home page, the first item that scrolls across
the screen is an announcement, “Stop the Cap” with a thank you message to
those who participated in the December 3 campaign to contact Congress
regarding the Medicare changes related to the therapy cap that went into effect
October 1, and a request for those who haven’t contacted congressional leaders
to do so now. The PPTA home page similarly contains a Call to Action, asking PTs,
PTAs, and physical therapy practices to respond to a request to assist the PPTA in
efforts to resolve issues that impact on patient access to our services and on fair
provider reimbursement. These issues are not new. We addressed similar
concerns during the Balanced Budget Act in 1989, and continue to address
current issues related to health care reform.
Specifically, in Pennsylvania, PPTA has identified multiple, complex challenges
related to reimbursement over the past year and has invested many resources to
address these concerns. A task force was created to examine issues such as high
copayments, policies that affect reimbursement for physical therapy services in
the Commonwealth and policies that restrict access to care. This task force along
with work performed by the reimbursement specialist, the insurance relation
committee, the practice committee, and legal counsel examined and
implemented strategies to deal with these issues. Through these efforts the PPTA
has undertaken the following initiatives:
 Introduction and supporting of SB 1391- Fairness in Copayment Act which
was voted out of the insurance and banking committee. This bill has wide
bipartisan support and will be reintroduced next session.
 Working with Capital Blue Cross to examine their management program
with Landmark and identify viable alternatives to the current system.
Capital has recently announced that they are changing their utilization
management program on February 1, 2013.
 Advocating a change in Highmark’s benefit design, Physical Medicine
Management Program and definition of medical necessity to only cover
four units. The PPTA believes that these policies: limit the professional’s
ability to practice physical therapy, is a burden to the patient and the
provider, and is arbitrary in nature. This process has been ongoing since
June and it appears that the PPTA voice is being heard.
 Providing information to the Department of Insurance and the Committee
working on the Commonwealth’s Health Exchange related to the Affordable
Care Act. These discussions are to ensure the proper rehabilitation benefit
is associated with this program.
Issues like those identified above will continue as the new Affordable Health Care
Act is implemented. The issues are not simple. They are time and resource
intensive and will not be completed in the foreseeable future. Specifically, they
are not problems to be resolved by “APTA” or “PPTA”; they are the responsibility
of every practicing PT and PTA – Association members and nonmembers alike.
This fact is clearly articulated the Preambles to the Code of Ethics for the Physical
Therapist1 and the Standards of Ethical Conduct for the Physical Therapist
Assistant.2 These core documents clearly delineate that ethical obligations are
the responsibility of all PTs and PTAs, regardless of Association membership.
So, what do ethical principles and standards have to do with reimbursement and
health care reform? Principle 8 of the Code of Ethics states, “Physical therapists
shall participate in efforts to meet the health needs of people locally, nationally,
or globally.”1 Specifically, 8B states that therapists shall “advocate to reduce
health disparities and inequities, improve access to health care services, and
address the health, wellness, and preventive health care needs of people”1. This
Principle is linked to the Core Value of Social Responsibility. Similarly, Standard 8
of the Standards of Ethical Conduct for the PTA states that the PTA shall
“participate in efforts to meet the health needs of people locally, nationally, or
globally”2. Principle/Standard 7 is linked to the obligation to justify social
advocacy for fair reimbursement policies.
Principle 7 directs PTs to promote organizational behaviors and business practices
that benefit patients/clients and society, and Standard 7 directs PTAs to support
those behaviors and practices. As stated in a 2011 PPTA Newsletter article, “one
way to fulfill this ethical obligation is to be vocal advocates for our patients and
clients when other entities propose business solutions that not only jeopardize
our practices, but more specifically, limit our ability to meet the health needs of
those who require and seek our services…One could arguably state that these
linked Principles/Standards place responsibility to advocate for just
reimbursement policies squarely on the shoulders of the therapists. Silence may
not be an option.”3
It is clear that it is the ethical obligation of all PTs and PTAs to participate in
efforts to address these issues. One way that therapists can assist APTA and PPTA
in their efforts is by informing employers, third party payers, legislators, and
regulatory agencies of the benefits that can be achieved when patients and
clients have access to adequate and affordable PT services, and then convince
those individuals to advocate for fair policies and laws that provide the needed
access. The nature of the advocacy must be rooted in evidence that
demonstrates the efficacy of what we do professionally. It must not be solely
focused on our own business needs. In other words, the arguments must be
based on the science of what we do, and on the benefit to society. Our
arguments must convince others that this science cannot be ignored by
regulations that arbitrarily limit access based on dollar amounts, number of visits,
or the judgment of others. Furthermore, arguments must be supported by a
belief that provision of these services, in the long run, will save dollars that
currently drain our economic system by permitting elderly patients to remain in
the community rather than in expensive institutional care; allowing working
individuals to return to gainful employment rather than rely on an expensive
compensation system; and allowing children with disabilities that require lifelong
interventions to attend school and receive needed services that allow them to
become productive members of society. For those not inclined to address
legislators or policymakers, another meaningful way to engage in the process is
simply to donate to the PPTA Legislative Issues Fund. The reality is that, without
sufficient financial resources, PPTA will be unable to effectively assist
practitioners in addressing these issues. A $20 donation from individual
therapists will go a long way to support the efforts of the PPTA leadership on
behalf of our patients.
Each and every physical therapist and physical therapist assistant that practices in
Pennsylvania MUST be engaged in this process. It is imperative!
The PPTA Ethics Committee welcomes inquiries and remarks about ethics, social
responsibility, and practice. Please feel free to contact any member of the PPTA
Ethics Committee with questions, comments, or concerns.
Mary Ann Wharton, PT, MS, Chair
Sandra Phipps, PT
Leesa DiBartola, PT, EdD, CHES
Tammy Frey, PTA
References:
1.
Code of Ethics. American Physical Therapy Association. Available at:
http://www.apta.org/uploadedFiles/APTAorg/About_Us/Policies/HOD/Ethics/Cod
eofEthics.pdf
Accessed December 9, 2012.
2.
Standards of Ethical Conduct for the Physical Therapist Assistant. American
Physical Therapy Association. Available at:
http://www.apta.org/uploadedFiles/APTAorg/About_Us/Policies/HOD/Ethics/Sta
ndards.pdf Accessed December 9, 2012.
3.
Wharton, MA. “Advocating for Patient/Client Needs – A Commentary on
Social Responsibility Defined in the Code of Ethics” Pennsylvania Physical Therapy
Association Newsletter, Spring, 2011. Posted 3-21-11.
RESEARCH AND PLATFORM PRESENTATIONS FROM ANNUAL CONFERENCE
CASE REPORTS
THE EFFECTS OF FAST FES TRAINING ON OVER GROUND GAIT SPEED AND GAIT MECHANICS IN
A PERSON WITH HEMIPLEGIA. Michael Parlatore PT, DPT
EARLY PHYSICAL THERAPY CONSULTATION IN REDUCING LENGTH OF STAY AND MEDICAL
COSTS IN A PATIENT WITH BENIGN PAROXYSMAL POSITIONAL VERTIGO (BPPV): A CASE
REPORT. Kelly Duszak McArdle, Alicia Hyon
CONSEQUENCES OF SERIAL BODY CASTING ON MOTOR DEVELOPMENT IN A CHILD WITH
IDIOPATHIC INFANTILE SCOLIOSIS Rebecca Lelonek, DPT and Mary Jean Taylor PT, MA, PCS
AN ALGORITHMIC APPROACH TO REHABILITATION FOLLOWING ARTHROSCOPIC SURGERY
FOR ARTHROFIBROSIS OF THE KNEE: A CASE SERIES Brian Eckenrode & Brian Sennett
FIRST RIB GRADE V THRUST MOBILIZATION FOR UNILATERAL NECK PAIN IN A FEMALE WITH A
THORACIC SPINAL FUSION. Michael L. Fink, PT, DSc, SCS, OCS.
TREATMENT OF CENTRAL PAIN IN A PEDIATRIC PATIENT WITH POST-HERPATIC NEURALGIA.
Bryce Meck, DPT, OCS; Michael L. Fink, PT, DSc, SCS, OCS; Adriann Louw, PT, M.App.Sc (physio),
GCRM, CSMT (Winner-Best Case Report )
MANAGEMENT OF POST-TRAUMATIC AGITATION DUE TO BRAIN INJURY: A CASE REPORT.
Robin Myers, Laura Krych, Claire McGrath
THE EFFECTS OF TWO PARADIGMS OF LOWER EXTREMITY FES CYCLING IN WOMEN WITH
CHRONIC COMPLETE SPINAL CORD INJURY Bethanne Bossert PT, DPT ; Erin Mattia PT, DPT;
Brian Porbansky PT, DPT ; Therese Johnston PT, PhD, MBA
SPECIAL INTEREST REPORTS
A PARADIGM SHIFT FOR EDUCATING THERAPISTS, INCORPORATING SAFE PATIENT HANDLING
WITH TRADITIONAL MANUAL TECHNIQUES. Joseph Shay PTA Deborah Dawson Bourbon PT
COLLABORATIVE INTERDISCIPLINARY LEARNING PROJECT: CREATING AN EDUCATIONAL
INTERACTIVE CHILDREN’S PHYSICAL THERAPY WEBSITE. Michael L. Fink, PT, DSc, SCS, OCS.
(platform)
SELF-ASSESSMENT OF STUDENTS’ ADMINISTRATION AND MANAGEMENT SKILLS AS
COMPARED TO A 2007 NATIONAL SURVEY. Sarah Jameson PT DPT MS GCS
THE PRESENCE OF COMPASSION FATIGUE IN PHYSICAL THERAPISTS AND STRATEGIES FOR
RESILIENCY: A CASE REPORT. Kelly Duszak, Risheeta Joshi
EVALUATION OF A COMMUNITY-BASED EDUCATION PROGRAM AND FREE BICYCLE HELMET
DISTRIBUTION PROMOTING BICYCLE HELMET USE IN ADULTS AND CHILDREN IN A RURAL
COMMUNITY. Robin Myers, Claudia Gazsi.
UTILIZATION OF MOTOR LEARNING PRINCIPLES TO CREATE A COMPREHENSIVE PT PLAN OF
CARE FOR A CHILD WITH MOBILITY LIMITATIONS. M. Benedetto, E Blessington.
RESEARCH REPORTS
THE IMPACT OF FUNCTIONAL WALKING TRAINING USING CONCENTRIC-ECCENTRIC
RESISTANCE ON HIP MUSCLE STRENGTH, BALANCE, AND FUNCTIONAL MOBILTY IN HEALTHY
OLDER ADULTS
Shaylea McCray, SPT, Carol Maritz, PT, EdD, GCS
A COMPARISON OF GAIT AND FUNCTIONAL MOBILITY OF FRAIL OLDER ADULTS TO
NORMATIVE DATA FROM HEALTHY COMMUNITY-DWELLING OLDER ADULTS Bianca Alves,
SPT, Carol Maritz, PT, EdD, GCS
GRADUATES’ IDENTIFIED LEARNING OUTCOMES ACHIEVED THROUGH A COMMUNITY HEALTH
INITIATIVES COURSE SEQUENCE Pamela Reynolds, PT, EdD
SPECIFICITY OF SPINAL MANUAL THERAPY: A PILOT SURVEY OF MANUAL PHYSICAL
THERAPISTS
Jillian Barnet DPT and Steve Karas DSc, PT, CMPT, OCS
EVALUATION OF CALF MUSCLE ENDURANCE: A COMPARISON BETWEEN STANDING HEEL-RISE
TEST AND SUPINE ANKLE PLANTAR FLEXION TEST USING THE BIODEX DYNAMOMETER
Justine Brown SPT, Rachel Feinberg SPT, Karin G. Silbernagel, PT, ATC, PhD
FEAR OF FALLING: A QUALITATIVE INVESTIGATION. Legters K, Cetina P, Lelonek R, Motter K,
Mowrer A.
HOW FAMILIAR/CONFIDENT ARE CIVILIAN PHYSICAL THERAPISTS IN TREATING MILITARY
SOLDIERS/VETERANS AND IN USING RESOURCES OF TELEMEDICINE THAT CAN AUGMENT
TREATMENT?
Hegarty C, Hollstadt K, Kowalski S, Kudlawiec B, Robine M, Weidner R
PRACTICING WHAT THEY PREACH? LIFESTYLE BEHAVIORS OF PHYSICAL THERAPISTS AND
STUDENT PHYSICAL THERAPISTS. Stacy L. Butt, SPT; Sarah M. Fenning, SPT; Katelyn M. Sharkey,
SPT; Michael L. Fink, PT, DSc, SCS, OCS.
SCREENING FOR CARDIOVASCULAR DISEASE RISK FACTORS IN PHYSICAL THERAPIST
PRACTICE. Michael D. Ross; Carrie W. Hoppes; Bryan Fillmore; Maureen Greenlee; Sarah Hill;
Brian Shea; John D Childs; Benjamin Hando (Winner- Best Research Report)
DO PHYSICAL THERAPISTS AND PATIENTS PERCEIVE COMPLEMENTARY AND ALTERNATIVE
MEDICINE (CAM) DIFFERENTLY? Caroline Dumm, Rebecca Gibson, Sean Gdula, Julia Simko,
Kristen Sieber, Ali Terchanik
Mentor: Dr. Kay Malek
EFFECTIVENESS OF A FITNESS AND NUTRITION BASED INTERVENTION FOR HIGH SCHOOL
GIRLS
Mary Jean Taylor PT, MA, PCS, Nancy Brown SPT, Krista Lam SPT, Katie McNellie SPT, Kelly
Maine SPT
CHANGE IN FUNCTIONAL STATUS FROM PREOPERATIVE TO ONE YEAR POSTOPERATIVE IN
PATIENTS WHO HAVE UNDERGONE ELECTIVE OPEN HEART SURGERY: A REPEATED-MEASURES
STUDY
Kate MacPhedran, MPT, CCS
RELATIONSHIP BETWEEN DEPRESSION, ANXIETY, AND FALLS IN AMYOTROPHIC LATERAL
SCLEROSIS. Brussock CM, Witmer, S, Stephens, H, Lyter JA, Simmons, Z
PLATFORM PRESENTATIONS
THE EFFECTS OF TWO PARADIGMS OF LOWER EXTREMITY FES CYCLING IN WOMEN WITH
CHRONIC COMPLETE SPINAL CORD INJURY Bethanne Bossert PT, DPT ; Erin Mattia PT, DPT;
Brian Porbansky PT, DPT ; Therese Johnston PT, PhD, MBA (Case Report)
THE IMPACT OF FUNCTIONAL WALKING TRAINING USING CONCENTRIC-ECCENTRIC
RESISTANCE ON HIP MUSCLE STRENGTH, BALANCE, AND FUNCTIONAL MOBILTY IN HEALTHY
OLDER ADULTS
Shaylea McCray, SPT, Carol Maritz, PT, EdD, GCS (Research Report)
A COMPARISON OF GAIT AND FUNCTIONAL MOBILITY OF FRAIL OLDER ADULTS TO
NORMATIVE DATA FROM HEALTHY COMMUNITY-DWELLING OLDER ADULTS Bianca Alves,
SPT, Carol Maritz, PT, EdD, GCS (Research Report)
FEAR OF FALLING: A QUALITATIVE INVESTIGATION. Legters K, Cetina P, Lelonek R, Motter K,
Mowrer A. (Research Report)
RELATIONSHIP BETWEEN DEPRESSION, ANXIETY, AND FALLS IN AMYOTROPHIC LATERAL
SCLEROSIS. Brussock CM, Witmer, S, Stephens, H, Lyter JA, Simmons, Z (Research Report)
TREATMENT OF CENTRAL PAIN IN A PEDIATRIC PATIENT WITH POST-HERPATIC NEURALGIA.
Bryce Meck, DPT, OCS; Michael L. Fink, PT, DSc, SCS, OCS; Adriann Louw, PT, M.App.Sc (physio),
GCRM, CSMT (Winner- Best Case Report)
COLLABORATIVE INTERDISCIPLINARY LEARNING PROJECT: CREATING AN EDUCATIONAL
INTERACTIVE CHILDREN’S PHYSICAL THERAPY WEBSITE. Michael L. Fink, PT, DSc, SCS, OCS.
(Special Interest Report)
EFFECTIVENESS OF A FITNESS AND NUTRITION BASED INTERVENTION FOR HIGH SCHOOL
GIRLS
Mary Jean Taylor PT, MA, PCS, Nancy Brown SPT, Krista Lam SPT, Katie McNellie SPT, Kelly
Maine SPT
(Research Report)
GRADUATES’ IDENTIFIED LEARNING OUTCOMES ACHIEVED THROUGH A COMMUNITY HEALTH
INITIATIVES COURSE SEQUENCE Pamela Reynolds, PT, EdD (Research Report)
SCREENING FOR CARDIOVASCULAR DISEASE RISK FACTORS IN PHYSICAL THERAPIST
PRACTICE. Michael D. Ross; Carrie W. Hoppes; Bryan Fillmore; Maureen Greenlee; Sarah Hill;
Brian Shea; John D Childs; Benjamin Hando (Winner-Best Research Report)
CHANGE IN FUNCTIONAL STATUS FROM PREOPERATIVE TO ONE YEAR POSTOPERATIVE IN
PATIENTS WHO HAVE UNDERGONE ELECTIVE OPEN HEART SURGERY: A REPEATED-MEASURES
STUDY
Kate MacPhedran, MPT, CCS (Research Report)
POSTER PRESENTATIONS
THE EFFECTS OF FAST FES TRAINING ON OVER GROUND GAIT SPEED AND GAIT MECHANICS IN
A PERSON WITH HEMIPLEGIA. Michael Parlatore PT, DPT
EARLY PHYSICAL THERAPY CONSULTATION IN REDUCING LENGTH OF STAY AND MEDICAL
COSTS IN A PATIENT WITH BENIGN PAROXYSMAL POSITIONAL VERTIGO (BPPV): A CASE
REPORT. Kelly Duszak McArdle, Alicia Hyon
CONSEQUENCES OF SERIAL BODY CASTING ON MOTOR DEVELOPMENT IN A CHILD WITH
IDIOPATHIC INFANTILE SCOLIOSIS Rebecca Lelonek, DPT and Mary Jean Taylor PT, MA, PCS
AN ALGORITHMIC APPROACH TO REHABILITATION FOLLOWING ARTHROSCOPIC SURGERY
FOR ARTHROFIBROSIS OF THE KNEE: A CASE SERIES Brian Eckenrode & Brian Sennett
FIRST RIB GRADE V THRUST MOBILIZATION FOR UNILATERAL NECK PAIN IN A FEMALE WITH A
THORACIC SPINAL FUSION. Michael L. Fink, PT, DSc, SCS, OCS.
MANAGEMENT OF POST-TRAUMATIC AGITATION DUE TO BRAIN INJURY: A CASE REPORT.
Robin Myers, Laura Krych, Claire McGrath
A PARADIGM SHIFT FOR EDUCATING THERAPISTS, INCORPORATING SAFE PATIENT HANDLING
WITH TRADITIONAL MANUAL TECHNIQUES. Joseph Shay PTA Deborah Dawson Bourbon PT
SELF-ASSESSMENT OF STUDENTS’ ADMINISTRATION AND MANAGEMENT SKILLS AS
COMPARED TO A 2007 NATIONAL SURVEY. Sarah Jameson PT DPT MS GCS
THE PRESENCE OF COMPASSION FATIGUE IN PHYSICAL THERAPISTS AND STRATEGIES FOR
RESILIENCY: A CASE REPORT. Kelly Duszak, Risheeta Joshi
EVALUATION OF A COMMUNITY-BASED EDUCATION PROGRAM AND FREE BICYCLE HELMET
DISTRIBUTION PROMOTING BICYCLE HELMET USE IN ADULTS AND CHILDREN IN A RURAL
COMMUNITY. Robin Myers, Claudia Gazsi.
.
UTILIZATION OF MOTOR LEARNING PRINCIPLES TO CREATE A COMPREHENSIVE PT PLAN OF
CARE FOR A CHILD WITH MOBILITY LIMITATIONS. M. Benedetto, E Blessington.
SPECIFICITY OF SPINAL MANUAL THERAPY: A PILOT SURVEY OF MANUAL PHYSICAL
THERAPISTS
Jillian Barnet DPT and Steve Karas DSc, PT, CMPT, OCS
EVALUATION OF CALF MUSCLE ENDURANCE: A COMPARISON BETWEEN STANDING HEEL-RISE
TEST AND SUPINE ANKLE PLANTAR FLEXION TEST USING THE BIODEX DYNAMOMETER
Justine Brown SPT, Rachel Feinberg SPT, Karin G. Silbernagel, PT, ATC, PhD
HOW FAMILIAR/CONFIDENT ARE CIVILIAN PHYSICAL THERAPISTS IN TREATING MILITARY
SOLDIERS/VETERANS AND IN USING RESOURCES OF TELEMEDICINE THAT CAN AUGMENT
TREATMENT?
Hegarty C, Hollstadt K, Kowalski S, Kudlawiec B, Robine M, Weidner R
PRACTICING WHAT THEY PREACH? LIFESTYLE BEHAVIORS OF PHYSICAL THERAPISTS AND
STUDENT PHYSICAL THERAPISTS. Stacy L. Butt, SPT; Sarah M. Fenning, SPT; Katelyn M. Sharkey,
SPT; Michael L. Fink, PT, DSc, SCS, OCS.
DO PHYSICAL THERAPISTS AND PATIENTS PERCEIVE COMPLEMENTARY AND ALTERNATIVE
MEDICINE (CAM) DIFFERENTLY? Caroline Dumm, Rebecca Gibson, Sean Gdula, Julia Simko,
Kristen Sieber, Ali Terchanik
Mentor: Dr. Kay Malek
2013 PPTA CONTINUING EDUCATION
PPTA/SOUTHCENTRAL DISTRICT
“It Takes a Village to Treat a Concussion”
February 2, 2013, 8:00 am – 4:00 pm
Wellspan Health-York Hospital
Medical Education Pavilion
1001 South George Street
York, PA 17403
PPTA/NORTHEAST DISTRICT
“Practical Approaches for Evaluating and Treating
Individuals with Parkinson’s Disease”
April 6, 2013, 9:00 am – 4:30 pm
Good Shepherd Health & Technology Center
850 South Fifth Street
Allentown, PA 18103
PPTA/NORTHCENTRAL DISTRICT
“An Evidence-Based Approach to Orthopaedic Manual Physical
Therapy of the Cervico-Thoracic-Coastal Cage Complex”
April 27, 2013, 8:00 am – 5:30 pm
Lycoming Physical Therapy
1009 Broad Street
Montoursville, PA 17754
PPTA/SOUTHWEST DISTRICT
“Anatomy of the Lower Limb: A Laboratory Based Course”
April 27, 2013, 8:00 am – 4:30 pm
Duquesne University
600 Forbes Avenue
Pittsburgh, PA 15282
PPTA/SOUTHEAST DISTRICT
“Advanced Manual Therapy Techniques for the Lumbopelvic Region”
May 18, 2013, 8:30 am – 4:30 pm
Riddle Health Care Center 4
1118 West Baltimore Pike
Media, PA 19063
PPTA ANNUAL CONFERENCE
October 25-27, 2013
Seven Springs Mountain Resort
777 Waterwheel Drive
Seven Springs, PA 15622
SCHOOL NEWS
ARCADIA UNIVERSITY
Highlights:
We are pleased to announce our highest enrollment to date in the transitional
DPT program; 223 physical therapists are enrolled to upgrade their degree to
level of clinical doctorate.
Our clinical laboratories for the PT program in the Health Sciences Building
underwent a substantial audiovisual technology upgrade over the summer.
The upgrade will improve significantly the opportunity for the students to view
similar teaching experiences. Our PT classrooms were enlarged to
accommodate the increase in class size.
We are delighted to reveal the launch of two new certificate programs. The
Health Policy Certificate program is a joint program between the Department
of Physical Therapy and the School of Global Business. The Readiness to
Practice Certificate is a program designed for foreign trained physical
therapists to prepare for doctoral training in physical therapy.
Awards:
Carol Oatis, PT, PhD will receive the 2012 Association of Rheumatology Health
Professionals Master Educator Award in November 2012.
Faculty News:
Rebecca L Craik, PT, PhD, FAPTA was invited to speak at the capstone
presentations session in the Program of Physical Therapy, School of Medicine,
Duke University on July 13, 2012.
Rebecca L Craik, PT, PhD, FAPTA was invited to speak at the White Coat
Ceremony for the Program in Physical Therapy at UMDJ-Camden on
September 4, 2012.
Rebecca L Craik, PT, PhD, FAPTA; Janet Readinger, PT, DPT, and Susan
Tomlinson, PT, DPT, attended a task force meeting held by the Private Practice
Section, APTA, on August 2-3, 2012, to discuss the development of a paid yearlong internship for the physical therapist students.
Kate Mangione, PT, PhD, GCS, and Rebecca L Craik presented recent evidence
for hip fracture recovery to the External Advisory Panel of the Claude Pepper
Center and Faculty in Epidemiology and Public Health, School of Medicine,
University of Maryland – Baltimore on September 12, 2012.
Phil McClure PT, PhD, FAPTA was an invited speaker at the Lexington Clinic
Sports Medicine 15th Annual Musculoskeletal Symposium, Clinical Implications
for Scapular Dyskinesis in Shoulder Injury July 27-28, 2012, Lexington, KY.
Topics: Effects of Thoracic Manipulation on Shoulder Pain; and Evidenced
Based Scapular Examination
Phil McClure PT, PhD, FAPTA was an invited speaker at Moss
Rehabilitation/Einstein Continuing Education Course “Current Concepts in
Treating the Athlete of All Ages” July 14, 2012, Phila PA. Topic: Rehabilitation
of Rotator Cuff SyndromePhil McClure PT, PhD, FAPTA was an invited speaker
at Pennsylvania Athletic Trainer’s Association Annual Meeting, June 9, 2012,
Lancaster, PA. Topic: Clinical Prediction Rules related to Management of Low
Back Pain.
Phil McClure PT, PhD, FAPTA was recently invited to be a member of the
American Academy of Orthopedic Surgeons Writing Panel for the “Appropriate
Use Criteria on Optimizing the Management of Rotator Cuff Problems.”
Janet Readinger, PT, DPT, and Susan Tomlinson, PT, DPT presented the
Credentialed Clinical Instructor Program of the American Physical Therapy
Association at Arcadia University September 14-15, 2012.
Scott Stackhouse, PT, PhD, presented a poster and Brian Eckenrode, PT, DPT,
OCS attended a scientific retreat sponsored by the Section on Research,
American Physical Therapy Association. The retreat was focused on
regenerative rehabilitation Retreat and was held August 5-9, 2012, in the
Beaver Hollow Conference Center, New York. Scott’s presentation was entitled
"Task practice with or without cellular transplantation promotes recovery of
reach-to-grasp function after cervical spinal cord injury."
Alumni News:
Marc Nowak, MSPT( ), was at the Olympic Games in London helping to
prepare the US National Rowing Team. Nowak serves as the Official Physical
Therapist for the US National Rowing Team.
CHATHAM COLLEGE
 Two faculty members presented poster presentations at this year’s PPTA
conference. Dr. Sarah Jameson’s poster: “Self-assessment of students'
administration and management skills as compared to a 2007 national
survey”; and Dr. Steve Karas ‘poster: “Specificity of spinal manual therapy:
a pilot survey of manual physical therapists.” Dr. Karas’ research was done
in collaboration with alumnus Dr. Jillian Barnett.
 Dr. Joseph Schreiber’s manuscript, “The Effect of Knowledge Translation
Procedures on Application of Information from a Continuing Education
Conference”, was published in Pediatric Physical Therapy
COMMUNITY COLLEGE OF ALLEGHENY COUNTY – BOYCE CAMPUS
The Fall 2012 semester began with 31 returning second year students and 32
newly admitted first year students. Elections for the class of 2014 included:
Rebecca Stevens, President
Eric Sampson, Vice President
Jon Watson, Secretary
Rachelle Warnock, Treasurer
The fall has been busy for the faculty and students with the following activities:
 Dr. Johnson was the Elected Delegate to represent PA at the Federation of
State Boards of Physical Therapy 2012 Annual Meeting & Delegate
Assembly in Indianapolis, IA September 20-22, 2012
 Three, 2nd year students Randi Johnson, Joeylynn Miller, and Rob Phillips,
attended and were chosen to be student volunteers at the PPTA Annual
State conference in Lancaster, PA on October 26-28, 2012.
 Joeylyn Miller, President of Class of 2013 Student Physical Therapy
Association received the PPTA Student Leadership Award. Joeylyn is the
first student physical therapist assistant to receive this award. Joeylyn’s
classmates and faculty are very proud of her achievement.
 Dr. Johnson was appointed to serve on the Federation of State Boards of
Physical Therapy, Physical Therapist Assistant Standards Setting panel
which convened May 18-20, 2012, in Alexandria, VA.
 Hosted PPTA Reimbursement and Regulations Update October 11th, 2012.
 The 16th Annual Alumni Poster Night was held on Thursday, November 8,
2012. Started in 1997, Poster Night provides graduating 2nd year students
an evening before finals to showcase their academic work via their poster
and portfolio. It also provides a means of program feedback from program
graduates as well as an opportunity to discuss current PT/PTA issues.
DREXEL UNIVERSITY
Faculty Presentations
Drs. Lisa Chiarello, PT, PhD, PCS and Robert Palisano, PT, ScD, FAPTA, presented
two research workshops and a research platform on determinants of outcomes
for young children with cerebral palsy and a participation-based approach to
therapy services at the 4th International Conference on Cerebral Palsy in Pisa,
Italy.
Dr. Maria Benedetto, PT, DPT, PCS, Associate Clinical Professor and Elise
Blessington, DPT (Drexel, 2011), presented a poster at the fall PPTA annual
conference in Lancaster, PA entitled: “Utilization of Motor Learning Principles to
Create a Comprehensive Plan of Care for a Child with Mobility Limitations”.
Dr. Jane Fedorczyk, PT, PhD, CHT, Clinical Professor had several presentations
this fall. She served as the keynote speaker at the 3rd Annual Hand and Upper
Limb Symposium at St. Joseph’s Health Care in London, Ontario, Canada on
November 2 and 3, 2012. The theme for the symposium was Specialized Topics of
the Upper Extremity- A “Hands-On” Approach. Dr. Fedorczyk’s presentations
included “Clinical Examination, Evaluation, and Treatment of Common Elbow
Pathologies” and “Theoretical and Practical Application of Electrotherapy for
Upper Limb Injuries”. During the symposium she also consulted on several
patient cases. Dr. Fedorczyk also presented at the Shoulder & Elbow 2012
Conference on November 16th & 17th, sponsored by the Philadelphia
Orthopaedic and Sports Rehab Foundation. Her presentations included “Clinical
Examination of the Elbow and Management of Nerve Injuries of the Upper
Extremity”.
Dr. Maggie O’Neil, PT, PhD, MHP presented “Fitness for Children with
Disabilities” on October 13 at the 2012 Advanced Clinical Practice in Pediatric
Physical Therapy course in San Antonio sponsored by the Pediatric Section.
Other news
Dr. Jan Meiers, PT, DPT, GCS, Clinical Associate Professor was certified by the
Geriatrics Section of the American Physical Therapy Association as a Certified
Expert on Exercise in the Aging Adult (CEEAA). The certification recognizes Dr.
Meiers as an expert in the design and application of exercise prescriptions and
outcomes measurement for all aging adults. Congratulations to Jan!
Please join us at our Alumni Reception at CSM on Tuesday, January 13 at the
Hilton Bayfront!
DUQUESNE UNIVERSITY
PUBLICATIONS:
Martin RL, Kivlan BR, Clemente FR; A Cadaveric Model for Ligamentum Teres
Function: A Pilot Study. Knee Surgery, Sports Traumatology, Arthroscopy. DOI
10.1007/s00167-012-2262-5; 2012
Kivlan BR, Martin RL Functional Performance Testing for Dysfunction of the Hip: A
systematic review of reliability and validity of functional performance tests for
hip-related pathology of the athlete. The International Journal of Sports Physical
Therapy. 7:402-412;2012.
Kivlan BR, Clemente FR, Martin RL, Martin HD; Function of the Ligamentum Teres
During Single Plane and Multi-Plane Movement of the Hip Joint; Knee Surgery,
Sports Traumatology, Arthroscopy. DOI 10.1007/s00167-012-2168-2; 2012.
PRESENTATIONS:
Leesa DiBartola, Ed.D., DPT, CHFS with Duquesne colleagues, Allison Morgan,
MPA, PA-C (Physician Assistant) and Sarah Wallace, Ph.D. (Speech Pathology)
presented a poster at the Association of Schools of Allied Health Professions,
titled “An Interprofessional Grand Rounds Seminar: A Pilot Educational Initiative”,
that illustrated the outcomes of an interprofessional educational grand rounds
session for students in physical therapy, physician assistant, speech pathology,
nursing, occupational therapy, and pharmacy.
Matthew C. Kostek, Ph.D., FACSM, HFS presented : The Homeobox Gene Six1
Alters Myosin Heavy Chain Isoform Expression During Skeletal Muscle
Regeneration.at the Second Annual Symposium on Regenerative Rehabilitation
sponsored by the McGowan Institute for Regenerative Medicine at the University
of Pittsburgh School of Medicine on November 12, 2012.
TEMPLE UNIVERSITY
Faculty News:
Dr. Mary Sinnott has been reelected to the APTA Board of Directors. Dr. Sinnott
was also awarded the APTA Acute Care Sections Acute Care Lectureship Award.
The award and the lecture were presented at CSM 2012 in Chicago. The title of
Dr. Sinnott’s presentation was “Acuity, Autonomy and the Intelligent
Conversation”. This is the second lectureship to be awarded by the Acute Care
Section. Dr. Richard Lauer has received a substantial grant from the National
Institutes of Health. Dr. Lauer will study balance reactions in individuals with
cerebral palsy. Dr. Amy Heath is completing the Educational Leadership Institute
sponsored by APTA.Dr. Andrew Yannacone, PT, PhD, has joined the faculty at
Temple.
Department News:
The Temple University Orthopedic Physical therapy Residency has received
recognition as an official APTA Credentialed Residency Program! The
credentialing process was a comprehensive and rigorous review of the Temple’s
residency program including an on-site visit by representatives from the APTA.
Physical therapy Residency and Fellowship programs are a growing trend in the
profession and Temple is proud to have first credentialed Orthopedic PT
Residency located in Philadelphia.
On May 10th, 2012 the Liacouris Center on the Main Campus of Temple University
hosted the graduation of students from the College of Health Professions and
Social Work. Among the graduates were 58 students from the transitional and
entry level Doctor of Physical Therapy program. Highlighting the event and
thrilling the students with his talk was comedian, actor, producer, educator,
musician and social activist Dr. William (Bill) Cosby Jr. In addressing the College’s
graduates Dr. Cosby referenced a little known aspect of his life: his tenure as a
Navy Hospital Corpsman and his work in the physical therapy department.
Following high school, Dr. Cosby joined the Navy and was stationed at Quantico,
Virginia, Newfoundland and eventually at the Bethesda Naval Hospital in
Maryland. According to Dr. Cosby he earned his physical therapy certificate at
Bethesda and was assigned to the physical therapy department at the
Philadelphia Naval Hospital. For two years Dr. Cosby worked with seriously
wounded Korean War casualties providing acute care and medical rehabilitation
services. Dr. Cosby shared with the audience that this experience of working
with injured veterans taught him the importance of an education. He later
obtained his high-school equivalency diploma and earned a track and field
scholarship to Temple University. He eventually earned his bachelor’s degree in
physical education (the precursor to kinesiology) and later his educational
doctorate.
Student News:
Rory English, DPT Class of 2013, is the inaugural recipient of the Fox Rehab
Scholarship. The application process was competitive and required volunteer
hours, letters of recommendation, curriculum vitae and evidence of academic
performance. Rory has expressed a desire to work with older adults. This
scholarship will help provide him with experiences and opportunities that can
lead to certification as a Board Certified Geriatric Clinical Specialist.
Allison Harris, DPT Class of 2013 received one of only five national student
scholarships to attend the inaugural Johns Hopkins Critical Care Rehabilitation
Conference. The course was entitled “Creating and Sustaining a Physical
Rehabilitation Program in the ICU”. It was attended by clinicians from all over the
country and was a great opportunity for Allison to expand her knowledge and her
professional network.
THOMAS JEFFERSON UNIVERSITY
Faculty is thrilled to be teaching in our new teaching space. These teaching spaces
include two new classrooms and two clinical labs. In addition, renovation to the
research lab has been completed.
We are pleased to welcome Dr. Therese Johnston PT, PhD, MBA who has joined
the faculty as an Associate Professor.
Faculty News
Grants:
Saylor J, Wainwright S. Delaware Health Science Alliance Education Award:
Instrument Development to Assess Facilitators Conducting Debriefing Simulation
Education for Healthcare Providers.
Publications:
Kietrys DM, Barr-Gillespie AE, Amin M, Wade CK, Popoff SN, et al. (2012) Aging
Contributes to Inflammation in Upper Extremity Tendons and Declines in Forelimb
Agility in a Rat Model of Upper Extremity Overuse. PLoS ONE 7(10): e46954.
doi:10.1371/journal.pone. 0046954
Presentations:
Toth-Cohen, Asai N, Wainwright S, Sakamoto M, Gilman F, Covelman K. Engaging
students in interprofessional collaboration: U.S.-Japan exchange via an Internet
Conference. Poster and platform presentation at the All Together Better Health VI
(Interprofessional Education Conference), Kobe Japan, October 2012.
Wolfram B, Zellers J, Hewston LA. A Partnership Model for Student Clinical Visits
during an Entry Level DPT Cardiovascular and Pulmonary Class. Platform
presentation at APTA Educational Leadership Conference: Cultivating Partnerships
from Classroom to Clinic, Greenwich, CT, October2012.
Service:
The students and faculty participated in the American Cancer Society’s annual
Making Strides Against Breast. Our team, PT Cruisers and Friends, raised over
$1000 this year. Team Leaders were Megan Chronister and Maggie Rinehart
Ayres, PT, PhD.
Student News:
Scholarships: Two students received Fox Scholarships: Megan Chronister and
Andrea Hassink. These scholarships are awarded to students demonstrating a
commitment to working with older adults. Brittany Baxter received the 2012
Otho Davis Scholarship at the awards banquet October 23, 2012.
Seventy-four students represented TJU the National Student Conclave in
Arlington VA.