On “The American Physical Therapy Association's top five Choosing Wisely recommendations.” White NT, Delitto A, Manal TJ, Miller S. Phys Ther. doi: 10.2522/ptj.20140287.

Bélanger, Alain; Cameron, Michelle; Michlovitz, Susan; Bellew, James W.; Freeman, Lynn

doi:10.2522/ptj.2015.95.1.142

Cited by 6 publications

(2 citation statements)

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“…42 This assertion triggered a vigorous rebuttal, in the form of letters to the editor of Physical Therapy, from international stakeholders. 6,43 The main rebuttal argument is that if the passive delivery nature of a therapeutic intervention may be harmful to patients, then what to make, for example, of the practice of manual therapy techniques in physical therapy, and of the usage of medications and surgical techniques in medicine? The relevant factor is delivering the most appropriate and necessary interventions at the proper time during the course of the patient's disorder, regardless of whether these interventions are passively or actively delivered.…”

Section: Three: "The Passive Delivery Nature Of Epas May Be Harmful T...mentioning

confidence: 99%

On Putting an End to the Backlash Against Electrophysical Agents

Belanger,

Selkowitz,

Lawson

2023

International Journal of Sports Physical Therapy

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Electrophysical agents (EPAs) are core therapeutic interventions in academic physical therapy curricula around the world. They are used concomitantly with several other therapeutic interventions such as exercise, manual therapy techniques, medications, and surgery for the management of a wide variety of soft tissue disorders. Over the past decade, the practice of EPAs has been the subject of intense scrutiny in the U.S. This has been colored by some physical therapists publicly engaging in bashing rhetoric that has yet to be officially and publicly addressed by the guiding organizations which, together, regulate the practice of physical therapy in this country. Published in world renowned public media are unsubstantiated mocking remarks against the practice of EPAs and unethical allegations against its stakeholders. This rhetoric suggests that EPA interventions are “magical” treatments and that those practitioners who include them in their plans of care may be committing fraud. Such bashing rhetoric is in striking contradiction to the APTA’s Guide to Physical Therapist Practice 4.0, which lists EPAs as one of its categories of interventions, the CAPTE’s program accreditation policy, and the FSBPT’s national licensing exam. The purpose of this commentary is to expose the extent of this discourse and to call to action the APTA, CAPTE, and FSBPT organizations, as well as physical therapists, with the aim at putting an end to this rhetoric.

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Section: Three: "The Passive Delivery Nature Of Epas May Be Harmful T...mentioning

confidence: 99%

On Putting an End to the Backlash Against Electrophysical Agents

Belanger,

Selkowitz,

Lawson

2023

International Journal of Sports Physical Therapy

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“…These sentiments and practices may be associated with long-held biases regarding overuse of physical agents without proper application of clinical decision-making by physiotherapists and use of other, additional treatment interventions. This might have been an issue more than 25 years ago, but is not based on sound evidence now [ 6 , 7 ]. There may also be a misconception that the evidence for use of electrotherapy is minimal or non-existent.…”

Section: Commentarymentioning

confidence: 99%

Observations and recommendations on the investigation of clinical decision-making and usage involving electrophysical agents

Selkowitz

2015

Isr J Health Policy Res

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Electrophysical agents (EPAs), including electrotherapy, are important components of patient/client management. A recent study by Springer et al. has elucidated the pattern of use and factors in clinical decision-making by Israeli physiotherapists regarding EPAs. It is evident from their data that EPAs, especially those related to electrotherapy, are still considered relevant to physiotherapy practice. Included in this commentary are observations on the findings of the current study, as well as recommendations on an alternative approach to the investigation of clinical decision-making and usage of EPAs. Discussion also includes a proposed and apparent de-emphasis of EPAs in physiotherapy education and practice in the USA, which may impact some of the factors found in the current study to be relevant in clinical decision-making and usage for EPAs.

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Effect of Negative Pressure on Proliferation, Virulence Factor Secretion, Biofilm Formation, and Virulence-Regulated Gene Expression ofPseudomonas aeruginosaIn Vitro

Wang

et al. 2016

BioMed Research International

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Objective. To investigate the effect of negative pressure conditions induced by NPWT on P. aeruginosa. Methods. P. aeruginosa was cultured in a Luria–Bertani medium at negative pressure of −125 mmHg for 24 h in the experimental group and at atmospheric pressure in the control group. The diameters of the colonies of P. aeruginosa were measured after 24 h. ELISA kit, orcinol method, and elastin-Congo red assay were used to quantify the virulence factors. Biofilm formation was observed by staining with Alexa Fluor® 647 conjugate of concanavalin A (Con A). Virulence-regulated genes were determined by quantitative RT-PCR. Results. As compared with the control group, growth of P. aeruginosa was inhibited by negative pressure. The colony size under negative pressure was significantly smaller in the experimental group than that in the controls (p < 0.01). Besides, reductions in the total amount of virulence factors were observed in the negative pressure group, including exotoxin A, rhamnolipid, and elastase. RT-PCR results revealed a significant inhibition in the expression level of virulence-regulated genes. Conclusion. Negative pressure could significantly inhibit the growth of P. aeruginosa. It led to a decrease in the virulence factor secretion, biofilm formation, and a reduction in the expression level of virulence-regulated genes.

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On “The American Physical Therapy Association's top five Choosing Wisely recommendations.” White NT, Delitto A, Manal TJ, Miller S. Phys Ther. doi: 10.2522/ptj.20140287.

Cited by 6 publications

References 1 publication

On Putting an End to the Backlash Against Electrophysical Agents

On Putting an End to the Backlash Against Electrophysical Agents

Observations and recommendations on the investigation of clinical decision-making and usage involving electrophysical agents

Effect of Negative Pressure on Proliferation, Virulence Factor Secretion, Biofilm Formation, and Virulence-Regulated Gene Expression ofPseudomonas aeruginosaIn Vitro

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