Education Series

February Heart Awareness Month | Early Surgery or Conservative Care for Asymptomatic Aortic Stenosis

  In aortic stenosis, the major valve through which oxygenated blood leaves the heart narrows. The severity of a patient’s condition, however, does not correlate to their symptom load. Aortic stenosis is treated via an invasive valve-replacement procedure. As such, clinicians often debate whether operations are the right decision for asymptomatic patients. Evidence from Kang et al’s (New England Journal of Medicine 382, 111–119 (2020) recent trial asserts that early interventions significantly lower the risk of cardiovascular mortality among asymptomatic patients.   View Full Study

January – Vision & Balance

Kenny et al (BMC Sports Sci Med Rehabil 11, (2019)) submit that textured insoles offer tactile information that wearers can use to stabilize themselves as they stand. The researchers investigated the effect of textured insoles on postural sway in healthy adults under several standing conditions. The shoes’ had their greatest effects when subjects stood on both feet, with their eyes closed. The authors argue that this added somatosensory stimuli might be the basis of a host of fall interventions for people with impaired vision.   Read More

Pain Neuroscience Education for Adults With Chronic Musculoskeletal Pain: A Mixed-Methods Systematic Review and Meta-Analysis

Pain Neuroscience Education is built on the principle that patients are more equipped to cope with conditions that they understand. Watson et al (The Journal of Pain 20, 1140.e1-1140.e22 (2019)) reviewed evidence from more than a dozen PNE studies and trials. Provider-lead education helps patients reconceptualize chronic conditions, like musculoskeletal pain, and can ultimately mediate clinically significant improvements in pain catastrophizing and kinesiophobia. Download Article

November is National Diabetes Month

Researchers have reported prolonged latencies and decreased amplitudes among patients with diabetes in both ocular and cervical vestibular evoked myogenic potentials (VEMPs). Unfortunately, however, there is not a clear profile of diabetic vestibular dysfunction. Bayrum (J Otol 14, 89–93 (2019)) argues that conflicting results are the result of heterogeneous disease presentations. Notably, diabetes can impact both peripheral and central vestibular function.  Download Article

October is National Physical Therapy Month

Effect of exercise therapy on physical performance and functional balance in patients on maintenance renal hemodialysis: randomized controlled study Research supports Physical Therapy intervention with individuals with chronic conditions such as Parkinsons, Multiple Sclerosis, and Chronic Kidney disease. Abdelaal et al. (. J Exerc Rehabil 15, 472–480 (2019)) investigated the effects of different physical therapy interventions in a population of patients on renal maintenance hemodialysis. The researchers report that an aerobic exercise intervention produced better long term outcomes than even a strength training regimen. These findings highlight a potentially outsized role of fatigue in falls among patients with chronic conditions.  Download Article