Exercise Specialists and the Health Priorities of the 21st Century: A New Perspective on Knowledge Translation for the Physical Therapist

Physiotherapy ◽  
2008 ◽  
Vol 16 (3) ◽  
Author(s):  
Elizabeth Dean
2021 ◽  
Author(s):  
Konrad J Dias ◽  
Michael J Shoemaker ◽  
Kristin M Lefebvre ◽  
John D Heick

Abstract The American Physical Therapy Association (APTA) has supported the development of clinical practice guidelines to promote and support evidence-based practice and reduce unwarranted practice variation. Essential to the success of this effort is the generation of knowledge translation—a concept that emphasizes the translation of global knowledge to an application that can be effectively integrated into clinical practice. The Physical Therapy Clinical Practice Guideline for the Management of Individuals with Heart Failure published in the Physical Therapy Journal in January 2020 provides a broad base of knowledge related to evidence-based treatment interventions for patients with heart failure. However, the application and integration of this knowledge in clinical practice need further elucidation. Therefore, this perspective paper aims to serve as a complementary knowledge translation resource to the recently published practice guideline to maximize the utilization of contemporary evidence in clinical practice. This resource provides the physical therapist with practical guidance in the management of patients with heart failure by placing research findings in the context of other knowledge and practice norms that can be applied at the point of care and across the continuum of care. We propose a novel ABCDE (Assessment, Behavior, Cardiorespiratory Fitness, Dosage, and Education) practical framework. This clinical paradigm is grounded in ongoing physical therapist assessment throughout the episode of care, along with behavior modification, assessment of cardiorespiratory fitness, appropriate selection and dosing of interventions and patient education. Examples highlighting the use of this model in patients with heart failure across the continuum of care are provided for application in clinical care.


2020 ◽  
Vol 02 ◽  
Author(s):  
Alyssa Arbuckle

Humanities research is extremely relevant for the challenges and opportunities of the 21st century. But despite the growing corpus of humanities research, there are few explicit translation mechanisms from academic work to broader communities. Building off of such a premise, this paper looks at where knowledge translation is occurring in other fields and what lessons might be learned for the wider and more efficient circulation of humanities work.


2019 ◽  
Vol 100 (2) ◽  
pp. 225-237
Author(s):  
Judy C Chepeha ◽  
Anelise Silveira ◽  
David Sheps ◽  
Lauren A Beaupre ◽  

Abstract Background Providing physical therapists with evidence-based and consensus-derived guidelines to manage postoperative shoulder patients is essential; these guidelines should be readily available and provide clinically applicable information. Knowledge translation (KT) initiatives that encourage interaction between clinicians and researchers, that have multifaceted components and use a variety of strategies, can significantly change practice. Objective The objective of this study was to determine the uptake and acceptability of standardized postoperative shoulder guidelines with an accompanying online KT resource through evaluation of website analytics and a quantitative survey. Design A multi-pronged approach was used to assess uptake and acceptability of the guidelines and online KT resource. Methods Website analytics of usage and geographical location of users was measured as were physical therapist survey responses. Results Website analytics revealed that 5406 individuals used the online resource between October 2012 and September 2013 with the average visit lasting 8 minutes; only 47% of users were within the guideline developers’ surgical referral region. Physical therapists who used the new shoulder guidelines were very satisfied or satisfied (96%) with the guidelines, reporting they promoted patient-specific clinical decision-making extremely or very well (68%). They viewed the online KT resource positively, with 79% rating it as “very useful” or “quite useful.” Physical therapists from regions beyond those expected to use the new shoulder guidelines were also aware of the website and also rated it as very useful. Limitations The survey sample was relatively small and did not directly assess patient outcomes. Conclusions An online KT web resource developed in conjunction with standardized postoperative shoulder guidelines was perceived as useful based on website analytics and survey responses. Active KT strategies such as this can improve uptake and dissemination of best practice in physical therapy.


Resonance ◽  
2021 ◽  
Vol 2 (2) ◽  
pp. 192-217
Author(s):  
Andy Birtwistle

This article attempts to lend an ear to the compact audio cassette: a key feature of the domestic soundscape from its introduction in the early 1960s until its gradual obsolescence in the first decades of the 21st century. The piece aims to provide a new perspective on the cassette by way of a discussion of the Start Here tapes project: a series of seven artist audio cassette tapes released in 2016 and 2017. Applying a practice-based methodology to a study of objects that are intimate and well known, the project seeks to foreground the material agency of the cassette by making work that reflexively references material objecthood. The article examines what is at stake politically in this focus on materiality, and considers the way creative forms of reflexivity might have renewed ethical and political value within a ecopolitical or biopolitical context.


Author(s):  
C. E. Passaris

The information age of the 21st century has transformed the economic, social, and political landscape in a profound and indelible manner. It also has changed the role and functions of government and redefined the scope and substance of good governance. Never before in human history has the pace of structural change been more pervasive, rapid, and global in its context. The information age has precipitated profound structural changes in the economic landscape and has given birth to the new economy. The new global economy is composed of a trilogy of interactive forces that include globalization, trade liberalization, and the information technology and communications revolution. Globalization has melted national borders, free trade has enhanced economic integration, and the information and communications revolution has made geography and time irrelevant (Passaris, 2001). Immigration has taken on a new perspective in the context of globalization. There is no denying that the spread of Internet-based technologies throughout society has become the dominant economic reality of the 21st century. E-economy—the use of information and communication technologies for product and process innovation across all sectors of the economy—has emerged as the primary engine of productivity and growth for the global economy. In large part due to advances in information and communications technologies, the role of international borders in this globalized economy has been transformed from the traditional geographical frontiers to virtual economic communities. Innovations in transportation and information and communications technology also has impacted immigration flows and made the world, in the phrase coined by Marshall McLuhan (1988), truly a “global village”. Borders have become less relevant for digital content communications and transactions. Cyberspace has no natural demarcations or border patrols. Indeed, knowledge-based products, such as software, games, and music, cross borders without impediment and with relative ease (Passaris, 2003). The advent of the information age has had a profound impact on the nature and scope of e-government and has given birth to the digital government of the 21st century. In particular, the interface between government and immigration management has been redesigned and restructured in terms of access to immigration information and application forms, the processing of immigration applicants for admission, enforcement of security measures and the prevention of terrorist infiltration, and the time line for adjudicating immigration applications, to name just a few of the significant changes to the contemporary process by which the governments of immigrant-receiving countries enforce their immigration policies.


2003 ◽  
Vol 44 (1) ◽  
pp. 1-15 ◽  
Author(s):  
Gary Greenberg ◽  
Ty Partridge ◽  
Emily Weiss ◽  
Wojciech Pisula

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