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Academy of Clinical Electrophysiology and Wound Management

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Welcome to the Academy of Clinical Electrophysiology and Wound Management (ACEWM) website. The Academy is a component of the American Physical Therapy Association and consists of approximately 1,000 physical therapy practitioners who are interested in electrophysiology, electrotherapy/physical agents, and wound management.

View the ACEWM Section brochure and join today!

Section History: Interview with Dr. Andrew Robinson

The following are recorded interviews with people who were instrumental in the founding, growth, or development of the Section on Clinical electrophysiology and Wound Management of the APTA

Documented historical account of events leading to HCFA national coverage policy for physical therapist reimbursement of ENMG services

All physical therapists practicing in this arena know that Medicare payment to physical therapists for EMG/NCS services has always been “hit or miss” from region to region. This has been due to lack of national coverage

Contact Us

Office Name E-mail
President Harriett Loehne hloehne@earthlink.net
Vice President Karen Gibbs kgibbs@txstate.edu
Secretary Jeff Slear jslear1@verizon.net
Treasurer Kathy Galloway kathy.galloway@belmont.edu
Past President Bob Sellin rsellin@rmuohp.edu
Program Chair Jennifer Gardner jgard86037@aol.com
Publications Chair Michael Parker mparker@umary.edu
Membership Chair Sharon Lucich slucich@iupui.edu
Nominating Chair Sonya Dick sdick@dermasciences.com
Electrotherapy Practice Co-Chair Meryl Gersh mgersh@ewu.edu
Electrotherapy Practice Co-Chair Christine Conroy cconro@midwestern.edu
EMG/ENC Practice Co-Chair Rick McKibben rmckibben@bellsouth.net
Wound Management SIG
President Stephanie Woelfel-Dyess Stephpt@hotmail.com
Vice-President Melissa Johnson melissa.johnson@piedmont.org
Secretary/Treasurer Rose Hamm rhammpt@msn.com
Nominating Chair Renee Cordrey rcordrey@earthlink.net
Education Chair Melissa Johnson melissa.johnson@piedmont.org
Practice Chair Sonya Dick sdick@dermasciences.com
Membership Chair Sharon Lucich slucich@iupui.edu
Research Chair Glenn Irion glirion@mac.com
Past President Rose Hamm rhammpt@msn.com

Re-upholstering an armchair: how to do it?

Many people want to keep old objects, such as armchairs. These are decorative elements that bring style to an interior. And when the time comes when the chair is worn out and tired , should it be thrown away? No. It is possible to give it a second youth, and we will explain how to do it!

Why cover an armchair?

The reasons for reupholstering an armchair (see tutorial in French) are particularly numerous. It is with great pleasure that we share them with you:

The world is changing, the choice of tastes and colors too . It may happen at a time that you find that the armchair is no longer up to date, to add a nice place to it in your interior. This is normal, and you should not worry about it. On the contrary, now is the perfect time to consider a new look for your chair !
You decide to renew all the furniture, but not the armchairs. They are comfortable and have sentimental value . Why not change the armrests and upholstery to keep and modernize it? Thus, your furniture will be new, and your chair will be well preserved.
The act of re-upholstering armchairs is a beautiful renovation technique that works particularly well. The people who appreciate this technique are the seniors. They will be able to use their chair, and if it is stained or damaged, it is enough to change the upholstery! Nothing more.
The cost of remodeling the interior of a dwelling is particularly high. To reduce them, it is wise to work on the old . It is thanks to him that the savings will be realized. Often, it's a color story that doesn't match the new furniture, so all you have to do is re-upholster the chair to make it consistent with the new furniture.
The fabric of an armchair can be changed very easily. It is cheaper than buying a new modern and designer armchair. The charm of the old is back more and more in fashion ! In addition, it is a purely ecological approach since you avoid putting an object in the recycling center.
Once you have made the decision to upholster an armchair, you will need to choose the fabric.

Which fabric to choose?

The choice of upholstery fabric is the first step to take into account when re-upholstering an old armchair. Several fabrics are available on the market. We will present 4 of them to you.

The leather

The choice of leather can be compared to an excellent choice. People praise the strength and toughness of this material. However, it requires more maintenance than other fabrics (although it is easy to achieve!). The quality of the leather is there, and the cost remains important. We do not recommend that you look at leather effects (the famous imitation leather) which has nothing to do with leather. Real leather is a breathable material that has no equal .

For the choice of color, we recommend a dark color, if it goes well with your furniture.

The deer

A chic material that will catch the eye of your guests is suede. However, it is strongly discouraged for all people who own dogs or cats. Indeed, the hairs are complicated, even impossible, to remove.

The fabric

The fabric is classic because it can be present in several colors. People who are looking for an original fabric with patterns will not be disappointed with the fabric.

This material works very easily and without problem. This is the best solution, in particular, for a person who is re-upholstering their chair alone. The fabric will be more malleable and will suit him better.

Washable fabric

This one is appreciated for its easy maintenance side. Indeed, it is washable which greatly facilitates the removal of various stains. The lifespan of this tapestry is extended. Just like the fabric, the variety of colors and patterns is there .

The choice of upholstery fabric is not obvious. Only your heart can speak. You should not choose the cheapest fabric. A thicker fabric will cost more, but will be more solid and will be able to resist over time , in particular to fight against the various tensions that it will undergo with the weight of a seated person.

The necessary equipment

After choosing the fabric, you will need to find out about the necessary material. Let's take a closer look at what you'll need:

The fabric: this is the most important (after the armchair).
The upholsterer's hammer or a ramponneau hammer.
The pincer.
The crowbar designed for upholsterers.
Seeds of 12mm. You can find 14mm. Do not hesitate to ask the fabric seller for advice, who depending on its thickness, may need a larger size.
The upholstery nails in brushed aluminum.
For people who wish to rework the wood of their chair, we suggest that you take some carpentry material with you, according to your needs .

The steps to cover an armchair
Now that you are motivated and equipped, let's see how to do this work to restore a wheelchair.

Step 1

Go to a place where you will have space and good light. This step will consist of removing the old tissue that is present . The goal is to expose the chair! Due to the wide variety in the number of models present, we will be rather vague.
The most common is to turn the chair around to find staples or nails under the seat.
Using a screwdriver or a nail puller, you will remove them.
Then you will be able to remove the fabric.
A little check is needed to make sure all staples have been removed.

2nd step

Now is the time to tackle the renovation of the chair . To do this, you must take into account the condition of the wheelchair and take the necessary steps.

This moment is essential. It cannot be carried out after the resurfacing.

This is when you can use your woodworking equipment to breathe new life into the chair. You can remove the wax layer using the dewaxer. Then sand the wood with a fine grain. Your wood has some small holes? A little wood filler, a new light sanding and voila! Apply the shade of your choice to the wood and finally apply new wax to add protection to the wood.

Remember to check that the chair sponge is of good quality and still comfortable. If this is not the case, it will have to be replaced, and you will find it easily in the shops.

Step 3

This part will be the laying of the fabric . After taking the measurements of the chair, you will have to choose to cut the fabric accordingly. To be quiet, do not hesitate to leave a little margin (20cm for the backrest and 10cm for the armrests). You can make the adjustments later.

To lay the fabric, proceed in this order:

The fabric should be placed in the center of the seat. Be specific about his position.
The ramponneau hammer will be used to point the seeds. By "appointer", we mean a placement of the seed without sinking it. The advantage of this technique is to maintain the fabric to prevent it from moving. To make the work easier, start by pinning on the front of the seat, then continue to the sides.
The fabric should be tight. All the contours will have been pointed. If you notice part of the tissue that is a little softer, you must remove the seed to tighten the tissue again. The upholstery of the armchair should be well stretched!
This is the moment to cut the fabric correctly, on the seat, then the backrest and the armrests.
You are soon finished!

Step 4

This is the last step and it consists of installing the brushed aluminum nails . A final cut of the fabric can be made, while leaving a beat of 1 centimeter. Fold the remaining fabric over on itself, and hammer in the nails with the upholstery hammer. These should be side by side. No piece of fabric should be visible in between.

Little by little, the nails will replace the seeds and your chair will be brand new!

Now you have finished all the upholstery of the armchair in due form, like a real upholsterer!

Conferences

NEXT Conference (formerly APTA Annual Conference)

Awards

The Section has established the following annual awards for members. Please feel free to nominate active members.

The Award of Excellence

The Award of Excellence is established to recognize individuals who have made exemplary contributions toward advancement of the science and practice of clinical electrophysiology and wound management in scholarly endeavors which have promoted the academic, research, and clinical aspects of our profession.

Award of Excellence Nomination Form

The Distinguished Service Award
The Distinguished Service Award is established to recognize individuals who have made outstanding contributions in leadership and service roles within this section. The recipients of this award have had a noteworthy track record of performing beyond the call of duty to accomplish goals that are salient to the section.

Distinguished Service Award Nomination Form

The Professional Merit Award
The Professional Merit Award is established to recognize individuals who have served in an elected or appointed position in the section and have given laudatory service in that role.

Professional Merit Award Nominating Form

Second Annual Wound Management Research Award Winner!
Daryl Lawson, PT, DSc, Assistant Professor, Elon University. Daryl teaches the integumentary and some orthopedic classes in the department of physical therapy at Elon University. He has published past articles on electrical stimulation, blood flow and chronic, non-healing wounds. He looks forward to doing more research in this area of wound healing. Daryl’s collaborator was Jerrold Petrofsky, PhD, JD of Loma Linda University.

Electrotherapy

The purpose of the Electrotherapy/Therapeutic Technologies Group is to serve as a resource and forum for individuals who are interested in the use of electrotherapy and other therapeutic technologies as part of the management of patient/client medical conditions. The Electrotherapy/Therapeutic Technologies group will facilitate networking, mentoring, and sharing of resources for all individuals interested in these technologies.

Educational Guidelines
We are actively working on updating the Educational Guidelines from 2007. The updated guidelines will reflect updates in the Guide to Physical Therapy Practice, the newest version of The Normative Model of Physical Therapist Professional Education and the most recent evidence supporting the use of therapeutic technologies. The current guidelines can be found via the link below.

Curriculum Content Guidelines for Physical Agents & Electrotherapy
International Society for Electrophysical Agents in Physical Therapy (ISEAPT) Achieves Official Status
PARTNERSHIP WITH THE ISEAPT

On June 18, 2011, the General Meeting of the World Confederation for Physical Therapy (WCPT) approved the International Society for Electrophysical Agents in Physical Therapy (ISEAPT) as an official subgroup of WCPT. The ISEAPT was formed in February 2009 during its inaugural congress at CSM in Las Vegas. After substantial efforts by a core of highly committed individuals, ISEAPT was admitted as a subgroup of WCPT at the 17th General Meeting of WCPT in Amsterdam, June 2011.

SCEWM was instrumental in the development of ISEAPT by coordinating and hosting the first ISEAPT Congress and educational meeting at CSM 2009. APTA approved our organization to be one of 11 founding members of ISEAPT this past Spring. The subgroup’s website may be accessed through http://www.wcpt.org/iseapt and will be updated on a regular basis. If you have further questions about ISEAPT, please contact Meryl Gersh, PT, PhD at merylgersh@gmail.com.

There will be a meeting of the ISEAPT (International Society for Electrophysical Agents in Physical Therapy) on Tuesday afternoon, February 4, 2014, coordinated with the Electrotherapy Group Meeting. Join us for an opportunity to welcome our international colleagues and experts, receive updates on our international presence and activities, and dialogue about current electrotherapy challenges and opportunities. Please check your CSM schedules for exact time and room location.

Also, please register for our Electrotherapy Pre-Conference Course on Monday, February 3, 2014:

Show Me the Money: Applying the International Evidence for Electrophysical Agents in Your Practice
Our panel of 13 international experts in the fields of biophysical agents and electrotherapy will present the latest evidence on dose-response effects and the clinical applications of interventions including TENS, ultrasound, electrical stimulation of denervated muscle, pulsed shortwave diathermy, electrical stimulation for wound healing and neuromuscular function, functional electrical stimulation to facilitate gait, and the “cutting edge” research on therapeutic laser.

Join us at CSM!

EMERGING TECHNOLOGIES: DRY NEEDLING
In January of 2012 the APTA Department of Practice and APTA State Government Affairs published a document regarding the use of Dry Needling (a.k.a. trigger point dry needling or intramuscular manual therapy) by Physical Therapist. The document provides background information for state chapters, regulatory entities, and providers who are dealing with this issue.

Wound Management

Wound Management Special Interest Group (WMSIG)
The Wound Management Special Interest Group (WMSIG) of the Section on Clinical Electrophysiology and Wound Management (SCE&WM), as described in our bylaws, provides a forum where individuals interested in wound management may meet, confer, and promote patient care through education, clinical practice and research, as well as multi-disciplinary dissemination of PT-based knowledge. We meet every year at APTA Combined Sections Meeting for integumentary updates, WMSIG elections, and networking. During the year blast emails are sent to all members to address current issues.

Log into the CEWM WMSIG Group.

Integumentary/Wound Management Curriculum Recommendations Updated
The Section is happy to announce completion of the 2014 updates to the APTA’s Section on Clinical Electrophysiology and Wound Management Guide for Integumentary/Wound Management Content in Professional Physical Therapist Education. Originally approved by APTA in late 2007, the 2014 revisions were completed and accepted by APTA on July 17th.

This document was primarily designed to assist entry-level physical therapist education programs in developing integumentary curriculum. Section representatives have delivered two well-attended one-day Combined Sections Meeting (CSM) preconference sessions for educators over the past five years based on these recommendations.

It is our hope that by keeping this document up-to-date, it will serve as the “go-to” reference for educators when planning curriculum, clinical instructors in planning integumentary experiences for students during clinical rotations/internships, and for informing students regarding entry-level expectations in integumentary care. As this document has been utilized and referenced in the Section’s ABPTS petition to establish a wound management specialty, it also appears these recommendations are also being used to inform other stakeholders regarding entry-level integumentary content.

The next review cycle is slated to begin sometime in 2020. At that time a call for volunteers will go out to the membership for new/additional Task Force volunteers. A big “thank you” goes to the current review cycle Task Force: Harriett Loehne, Luther Kloth, Karen Albaugh, and Karen Gibbs. Additional appreciation goes to Lisa Culver, APTA Clinical Practice & Research, and Jody Frost, APTA Lead Academic Affairs Specialist, for their assistance in the review and approval process.

Download the Guide here: Guide for Integumentary/Wound Management Content in Professional Physical Therapist Education

Recent Events
Photo of Sonya and Luther
Luther Kloth and Sonya Dick at AMCICHA in Monterrey

Sonya Dick, PT, MSPT, CWS, FACCWS and Luther Kloth, PT, MS, FAPTA, CWS, FACCWS both presented in Monterrey during September 2013 at the 7th annual Asociación Mexicana para el Cuidado integral Y Cicatrización de Heridas
or
International Congress of the Mexican Association for Comprehensive Care & Wound Healing.

Wound Management Specialization Petition
The Task Force on Integumentary/Wound Management Clinical Specialty Certification in Phase I has submitted our Petition (over 500 pages!) to the ABPTS. We anxiously await their decision, and will immediately post any updates. Thank you to the many, many members who gave untold hours and their knowledge and expertise to this endeavor.

Second Annual Wound Management Research Award Winner!
Daryl Lawson, PT, DSc, Assistant Professor, Elon University. Daryl teaches the integumentary and some orthopedic classes in the department of physical therapy at Elon University. He has published past articles on electrical stimulation, blood flow and chronic, non-healing wounds. He looks forward to doing more research in this area of wound healing. Daryl’s collaborator was Jerrold Petrofsky, PhD, JD of Loma Linda University.

Active Wound Care Management FAQ Document
A new members only document has been posted on the APTA website addressing coding and documentation questions related to Active Wound Care Management. The address is http://www.apta.org/Payment/CodingBilling/. Scroll down to the Frequently Asked Questions section to locate the document. Thank you to APTA staff and Harriett Loehne for creating such a helpful document!

Membership
We would love to have you join our SIG. All you have to do is be a member of APTA and the SCE&WM, then let the following WMSIG officers know you would like to join the SIG. There are no other dues.

Stephanie Woelfel-Dyess, President: stephpt@hotmail.com
Rose Hamm, Secretary/Treasurer: rhammpt@msn.com
Sharon Lucich, Membership Committee Chair: slucich@iupui.edu
Please let us know if you would like to join one of our committees or run for office. If you will contact the President, you will be put in touch with the appropriate Committee Chair.

Officers & Committees
President: Stephanie Woelfel-Dyess
Vice President: Melissa Johnson
Secretary/Treasurer: Rose Hamm

Nominating Committee

Heather Hettrick, Chair
Education Committee

Melissa Johnson, Chair
Practice Committee

Sonya Dick, Chair
Membership Committee

Sharon Lucich, Chair
Research Committee

Glenn Irion, Chair
Educational Guidelines
Guide for Integumentary/Wound Management Content in Professional Physical Therapist Education
Documents of Interest
WMSIG 2011 Knowledge References
NPUAP Medical Device Poster

EMG Practice Group

The mission of the EMG Practice Group is to:
Protect & defend PT practice in electrophysiological examination by advocacy in regulatory, legislative & reimbursement arenas
Promote high standards of practice via member involvement in ABPTS
Promote growth in clinical EMG practice through support of education & training
ECS Specialist Certification
The American Physical Therapy Association (APTA), a national professional organization representing more than 66,000 members throughout the United States, established the specialist certification program in 1978. Specialization is the process by which a physical therapist builds on a broad base of professional education and practice to develop a greater depth of knowledge and skills related to a particular area of practice.

Application forms and information are available at www.abpts.org. If you need additional information contact the Specialist Certification Program by phone at 800/999-2782, ext 8520; or by e-mail at spec-cert@apta.org.

Position Statement
The American Congress of Electroneuromyography (ACE) and the Section on Clinical Electrophysiology and Wound Management (SCEWM) have developed a position statement on the minimum standards of performance and interpretation of electromyography (EMG) and nerve conduction studies (NCS). The position statement has recently been reviewed and approved by the American Physical Therapy Association.

Position Statement
Educational Guidelines
The purpose of these guidelines is to identify the student-oriented educational objectives that are recommended in the areas of electrophysiological examination and evaluation for the preparation of students in professional physical therapist educational programs.

We also have a list of individuals who are willing to be contracted by physical therapy educational programs to teach clinical electromyography and nerve conduction studies content. Please feel free to contact them directly.

Curriculum Content Guidelines for Electrophysiologic Evaluation
Electromyography & Nerve Conduction Content Instructors