In this episode, we are talking about the rapidly expanding field of telehealth, which is the use of electronic communication to remotely provide healthcare information services to patients who need physical therapy. Telehealth is gaining more and more attention as providers, patients and payers all seek more effective, and cost-efficient ways to deliver care. Here to speak with us about telehealth and physical therapy is Rob Vining. He has been a physical therapist for many years and has worked across all settings with the focus on outpatient orthopedics. His current mission is to bring telehealth and technology into the practice of physical therapy. He Cofounded the software company, PTLive and created the educational platform Telehealth PT. He hosts the Telehealth 20 Podcast and PT TechTalk. He is also a guest lecturer at physical therapy programs about telehealth in the physical therapy profession.
As a free gift to accompany this episode, Rob is providing you with the telehealth library. This package is valued at over $120 and includes archived Q&A sessions, webinar training, featured in-depth discussions on telehealth, information on marketing, consumer engagement, technology, security, and much more. To download this free telehealth library, all you have to do is text the word 130Download to the number 44222. If you’re on your computer, you can go to the URL www.DrJoeTatta.com/130Download where you can enter your name and your email address. Take a moment to download this free gift and let's begin with Rob.
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I am excited that you're here with me as we discuss the latest in pain care and pain science. We are discussing the topic of pain catastrophizing, which has been identified as a prognostic indicator of poor outcomes for many types of chronic pain syndromes. Interventions to address pain catastrophizing are commonly used by many pain professionals including physical therapists and psychologists but have not been tested in patients who are undergoing total knee arthroplasty or what is known as a total knee joint replacement. To speak with us about whether pain coping skills training can potentially help patients undergoing total knee arthroplasty is Dr. Dan Riddle. He is a Professor of Physical Therapy, Orthopedic Surgery and Rheumatology at Virginia Commonwealth University. His clinical and research interests are in the lower extremity and musculoskeletal disorders with the primary focus on osteoarthritis and joint arthroplasty.
Dr. Riddle studies diagnostic, prognostic and intervention-based research techniques with an emphasis on the role of pain in both the disease and recovery process. He is currently the chair of the Neurological Aging and Musculoskeletal Epidemiology study section for the National Institutes of Health. He has received numerous awards for his work, including an award from the Foundation for Physical Therapy and the National Institute of Arthritis. He will discuss his multi-center three-arm single-blinded randomized controlled trial for pain catastrophizing. In his study, one group received usual care, one group received Cognitive Behavioral Therapy delivered by a physical therapist and one group receive arthritis education delivered by registered nurse. I love this study because of its three-arm design. I think you'll be surprised at the outcome as to which group did better. This study and this podcast is valuable information which can help you make better clinical decisions about your plan of care for patients undergoing total knee arthroplasty.
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Patients have a very unique perspective on what they are going through. Yet health professionals tend to leave them out of the picture. Showing the importance of how health systems should get feedback from what patients want is Zoe Letwin. Zoe has a master’s degree in Professional Education and is currently a second year PhD student in the Health Profession Education field at Western University. Gathering up all her knowledge and insights, she talks about Inter-professional Pain Education and shares her competency-based framework that details the ways practitioners can create a competent person-centered partner in pain care. Zoe builds up from her passion about creating a culture of empathy in pain education and values lifelong learning, taking us into how the complexity of pain should involve everyone together.
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Dr. Chad Cook, PT, PhD, the Program Director of the Doctor of Physical Therapy Program at Duke University, brings to light the value of psychologically-informed care. Getting deep into how it contributes to physical therapy and pain care, he lays down some literature about it - from the studies to the biases in them - showing how psychologically-informed practices are so hot right now and where they should improve. Dr. Cook talks about why pain mechanisms are important for every pain practitioner to understand and why this can benefit not only them as practitioners but those who are in pain or knows someone in pain.
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