Navigation Links
Early physical therapy for low back pain associated with less subsequent health care utilization
Date:12/6/2010

The American Physical Therapy Association (APTA) is pointing to a new study on low back pain in Medicare patients in its efforts to encourage the newly established Center for Medicare and Medicaid Innovation to promptly launch a demonstration project on direct access to physical therapist services that was recommended in the recent health reform law. The study, published in the journal Spine, showed Medicare patients who received physical therapy in the acute phase following an episode of low back pain were less likely to receive epidural steroid injections, lumbar surgery, or frequent physician office visits in the year following their initial physician visit as compared with patients who received physical therapist treatment later.

"This study has demonstrated a decreased usage of medical services in patients who receive physical therapy early after an acute low back pain episode," remarked APTA President R. Scott Ward, PT, PhD. "Therefore, we encourage the Center for Medicare and Medicaid Innovation to swiftly undertake the direct access for physical therapy demonstration project recommended by the health care reform law. The results of this project could significantly change the way physical therapy services are delivered to our nation's seniorsputting them on a path to recovery sooner and decreasing future costs."

Researchers examined a nationally representative, 20% sample of physician outpatient billing claims from the Centers for Medicare and Medicaid Services. The 431,195 enrollees were categorized into acute (having received physical therapy in less than 4 weeks after an episode); sub-acute (having received physical therapy between 4 weeks and 3 months after an episode), and chronic (receiving physical therapy between 3 and 12 months after an episode) treatment groups. There was also a category of patients who did not receive physical therapist treatment.

Researchers also found that patients who were initially evaluated by a generalist specialist (internal medicine, family practice, emergency medicine, and general practice) were least likely to receive physical therapy within a year as compared with patients who were evaluated by physiatrists (physical medicine and rehabilitation), whose patients were most likely to receive physical therapy in the acute phase and also within 1 year of their initial evaluation.

"The study has also shown us that treatment practices among those who are utilizing less physical therapy, namely generalist specialties, may need to be modified since these providers also are responsible for evaluating the largest proportion of patients with acute low back pain," said Ward.

The most common condition experienced by the patients was nonspecific backache (63.6%), followed by sciatica (14.5%), degenerative disc disease (10.5%), and spinal stenosis (6.2%).

In November, the Centers for Medicare and Medicaid Services formally established the Center for Medicare and Medicaid Innovation, which will examine new ways of delivering health care and paying health care providers who can save money on behalf of Medicare and Medicaid while improving the quality of care. Included in the Innovation Center's initiatives is a demonstration project on direct access to physical therapists that was outlined in Section 3201 of the new health reform law, the Affordable Care Act, but no deadline was established regarding its implementation.


'/>"/>

Contact: Jennifer Rondon
jenniferrondon@apta.org
703-706-3216
American Physical Therapy Association
Source:Eurekalert

Related medicine news :

1. Minnesota Department of Health Report: Nearly 6,000 Hospitalizations for COPD in 2007
2. Moms Lifestyle in Early Pregnancy Affects Babys Size
3. Early life stress may predict cardiovascular disease
4. MDS Announces Agreements to Divest MDS Pharma Services Early Stage Business
5. Alzheimers Association Applauds Social Security Administration for Adding Early-Onset Alzheimers to Its Compassionate Allowances Initiative
6. Alzheimers Foundation of America Applauds Social Security for Speeding Disability Benefits for Early-Onset Alzheimers Disease
7. JCI online early table of contents: Feb. 15, 2010
8. 29 Clear Channel stations Nationwide Raise Nearly $2.8 Million to Help Save the Lives of Kids Fighting Cancer and Other Deadly Diseases
9. Researchers find biomarkers in saliva for detection of early-stage pancreatic cancer
10. Early On, Hormone Therapy May Raise Womens Heart Risks
11. FriendsofWater.com Responds to the National Acadamy of Sciences Report that Millions of Americans Get Sick Yearly from Contaminated Water
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/11/2016)... ... February 11, 2016 , ... The ... candidates for the Board of Commissioners. Individuals interested in volunteer board service are ... diversity of clinical practice settings and across allied health to contribute to its ...
(Date:2/11/2016)... SURPRISE, ARIZ. (PRWEB) , ... February 11, 2016 , ... ... kids,” a group of men, 60 and older, who gather once a year to ... , Besides a love for the game, the more than 50 players who competed ...
(Date:2/11/2016)... ... February 11, 2016 , ... AccuVein Inc. ... Infusion Therapy Standards of Practice, to include vascular visualization as a standard practice. ... 85% share of the market, facilitates adherence to this standard with its easy ...
(Date:2/11/2016)... ... February 11, 2016 , ... Dickinson Insurance & Financial Services ... a new fundraiser in support of a local boy named Barrett, who has been ... bring awareness to, and rally support for, all local families dealing with childhood cancer. ...
(Date:2/11/2016)... ... ... Be Well Medical Group (Be Well) is pleased to announce the ... Columbus St, Suite 201, Alexandria, VA. Be Well Medical Group is a concierge practice ... their homes, offices or at the practices’ local office. It is also one of ...
Breaking Medicine News(10 mins):
(Date:2/10/2016)... , February 11, 2016 ... of the "Molecular Diagnostics Reports Bundle" ... http://www.researchandmarkets.com/research/rp4pg8/molecular ) has announced the addition ... report to their offering. --> ... has announced the addition of the ...
(Date:2/10/2016)... REDWOOD CITY, Calif., Feb. 10, 2016   Genomic Health, Inc. ... progress for the quarter and year ended December 31, 2015. ... in the fourth quarter of 2015, compared with $69.1 million in ... a constant currency basis, revenue increased 9 percent compared with the ... --> U.S. revenue was $63.9 million in the fourth ...
(Date:2/10/2016)... -- Vanda Pharmaceuticals Inc. (Vanda) (NASDAQ: VNDA ), ... quarter and full year ended December 31, 2015. ... a transformational year for Vanda with the continued growth ... approval of HETLIOZ for Non-24," said Mihael H. Polymeropoulos, ... to our U.S. product portfolio builds on this success ...
Breaking Medicine Technology: