We
have established PTClinResNet, a clinical research network
for the evaluation of the efficacy of physical therapist
interventions to enhance muscle performance in patients
with physical disabilities. Our clinical research network
consists of one coordination center (University of Southern
California, USC) and four primary satellite sites (two
University and two clinical) each with its own satellite
sites.
PTClinResNet has three specific aims: 1) to generate
evidence to evaluate the efficacy of resistance-exercise
based physical therapist interventions designed to
improve muscle performance and movement skill. Investigations
include one multi-site phase III and three phase I randomized
clinical trials (RCT); 2) to create the infrastructure
necessary to develop and sustain clinical trials research
in physical therapy; and 3) to provide education and
training opportunities for present and future clinician-researchers
in physical therapy and for the physical therapy practice
community at-large in its support of evidence-based practice.
PTClinResNet
has adopted the disablement model as a framework for analysis
allowing assessment of outcome interactions both within
a disability (impairment, functional limitation, disability),
and across disabilities (represented by the four RCTs,
adult stroke, pediatric cerebral palsy, chronic spinal
cord injury (paraplegia), and orthopedic/low-back) by
using a common set of psychometrically sound outcome measures.