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- W2316697948 abstract "A little more than a year ago (July 2005), over 600 physical therapy educators, clinicians, and researchers from around the world assembled at IIISTEP (Summer Institute on Translating Evidence into Practice) in Salt Lake City, Utah. These physical therapists attended IIISTEP to collaborate with leading basic and clinical scientists from the fields of neuroscience, neurology, developmental neurobiology, psychology, rehabilitation medicine, and motor behavior. The overall goal of IIISTEP was explicit and lofty—to serve as both a stimulus and initial mechanism for the advancement of physical therapy for individuals with movement dysfunction by translating knowledge about movement science into effective clinical interventions. Since IIISTEP, the demand for the digital conference proceedings, attendance at “IIISTEP Update” sessions, and feedback from participants suggest that IIISTEP achieved this overall goal. We are now in the post-IIISTEP era, where translating the knowledge gained at IIISTEP and developing mechanisms to apply evolving knowledge about movement science to physical therapy remain ongoing and critical goals. This special issue of JNPT addresses these post-IIISTEP goals. In this issue, we present some unique elements of IIISTEP that we feel need to be shared with the profession, and that are not available in any other publication or proceedings from IIISTEP. There were 2 sessions within the IIISTEP conference program in which researcher/clinician teams were selected to present case presentations that linked to ongoing research programs and illustrated management of patients with neurologic conditions. Both the researcher and the clinician participated in these presentations, underscoring the kind of collaboration that can lead to clinically meaningful investigations. One session focused on application of and evidence for current theories of neural plasticity in humans while the second session focused on perception-action and developmental considerations for recovery. In this special issue, we include articles on 4 presentations from these sessions. Patten and colleagues report on the outcomes associated with a combined functional motor retraining program and high intensity resistance training on upper extremity motor function in post-stroke hemiparesis. The authors present a beautiful balance between a systematic manipulation of an intervention progression while maintaining customization for individual clients. This work is particularly exciting as it presents research that will be very relevant to the way we practice. Sullivan, Klassen, and Mulroy describe outcomes associated with a combined program of task-specific training and strengthening for locomotor recovery post-stroke. Both Patten and Sullivan speculate on some of the underlying mechanisms contributing to recovery and provide preliminary evidence to support a role for neural plasticity. Their cases are rich descriptions of and rationale for the protocols that could not be reported in as much detail when the data from their ongoing clinical trials are published. What is particularly exciting is the combination of interventions, which reflect the some of the diversity of clinical practice. Stergiou, Harbourne, and Cavanaugh present the concept of using nonlinear dynamic analysis techniques to characterize optimal movement variability as a new and potentially useful theoretical framework for neurologic physical therapy. They apply their framework to measuring changes in postural control in a pediatric and an adult case. Fetters and Ellis describe the perception-action framework for human action, and illustrate its application to examination and intervention for individuals with neurologic dysfunction. They describe the concept of unitless ratios and it application to an individual post-stroke. The final 2 papers in this Special Issue are included as examples of how the information presented at the conference is stimulating research and practice. At IIISTEP the program included 2 evening sessions on developing trends in technology. Company representatives were invited to participate in panel discussions focused on how manufacturers and physical therapy researchers, educators, and clinicians can work together to influence the future development of technology related to rehabilitation. Butler and colleagues describe a case in which the application of a customized orthosis and training program called functional tone management is evaluated for a person with moderate motor control deficits post-stroke. Finally, to specifically address the challenge of translating knowledge gained at IIISTEP within the profession, we invited a group of clinicians and educators to write a paper that describes the impact of IIISTEP on clinical practice from their perspective. Callahan and colleagues have provided us with their reflections on IIISTEP and how it has influenced their practice to date, an account that many readers will find insightful and useful. One of the hallmarks of the case presentations at IIISTEP was the inclusion of patient videos. Readers of this special issue will find companion videos for several of the cases (look for the symbol icon). In addition there are commentaries on the lead article by Patten and colleagues that may be read in print or heard in the authors own voices as podcast at neuropt.org.SymbolThis issue marks the ongoing commitment of JNPT to communicate relevant and useful information presented at IIISTEP. We have written Editor's Notes, published this Special Issue, and will in the future publish other cases and papers presented at IIISTEP. We are confident that the papers contained in this special issue will contribute to one of the expected outcomes of IIISTEP–to serve as a stimulus for the growth of physical therapy practice for years to come." @default.
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- W2316697948 date "2006-09-01" @default.
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- W2316697948 title "Integrating IIISTEP into Practice, Education and Research" @default.
- W2316697948 doi "https://doi.org/10.1097/01.npt.0000281944.55816.a8" @default.
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