{"id":36358,"date":"2026-02-05T14:50:58","date_gmt":"2026-02-05T19:50:58","guid":{"rendered":"https:\/\/www.med.unc.edu\/healthsciences\/?p=36358"},"modified":"2026-02-05T14:51:53","modified_gmt":"2026-02-05T19:51:53","slug":"a-new-model-for-rheumatology-care-louise-thomas-prevail-vision","status":"publish","type":"post","link":"https:\/\/www.med.unc.edu\/healthsciences\/2026\/02\/a-new-model-for-rheumatology-care-louise-thomas-prevail-vision\/","title":{"rendered":"A New Model for Rheumatology Care: Louise Thoma\u2019s PREVAIL Vision"},"content":{"rendered":"<p><a href=\"https:\/\/www.med.unc.edu\/healthsciences\/rmrlab\/people\/principal-investigator\/\"><span data-contrast=\"none\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-36339 alignright\" src=\"https:\/\/www.med.unc.edu\/healthsciences\/wp-content\/uploads\/sites\/628\/2026\/02\/Thoma_headshot_Oct2019-214x300.avif\" alt=\"Thoma headshot\" width=\"214\" height=\"300\" srcset=\"https:\/\/www.med.unc.edu\/healthsciences\/wp-content\/uploads\/sites\/628\/2026\/02\/Thoma_headshot_Oct2019-214x300.avif 214w, https:\/\/www.med.unc.edu\/healthsciences\/wp-content\/uploads\/sites\/628\/2026\/02\/Thoma_headshot_Oct2019-731x1024.avif 731w, https:\/\/www.med.unc.edu\/healthsciences\/wp-content\/uploads\/sites\/628\/2026\/02\/Thoma_headshot_Oct2019-125x175.avif 125w, https:\/\/www.med.unc.edu\/healthsciences\/wp-content\/uploads\/sites\/628\/2026\/02\/Thoma_headshot_Oct2019-768x1075.avif 768w, https:\/\/www.med.unc.edu\/healthsciences\/wp-content\/uploads\/sites\/628\/2026\/02\/Thoma_headshot_Oct2019-1097x1536.avif 1097w, https:\/\/www.med.unc.edu\/healthsciences\/wp-content\/uploads\/sites\/628\/2026\/02\/Thoma_headshot_Oct2019-1463x2048.avif 1463w, https:\/\/www.med.unc.edu\/healthsciences\/wp-content\/uploads\/sites\/628\/2026\/02\/Thoma_headshot_Oct2019-600x840.avif 600w, https:\/\/www.med.unc.edu\/healthsciences\/wp-content\/uploads\/sites\/628\/2026\/02\/Thoma_headshot_Oct2019.avif 1500w\" sizes=\"auto, (max-width: 214px) 100vw, 214px\" \/>Louise Thoma, PT, DPT, PhD,<\/span><\/a><span data-contrast=\"auto\"> began her academic training at The Ohio State University, where she completed physical therapy school and earned her PhD, focusing on how people move using tools such as biomechanics. Specifically, she worked with individuals who suffered cartilage injuries in their knees.<\/span><span data-ccp-props=\"{&quot;335559731&quot;:720}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Thoma continued her training at the University of Delaware, where she worked on understanding what people do outside the clinic. She examined patients\u2019 physical activity levels and the consequences of knee injuries and osteoarthritis.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559731&quot;:720,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">While Thoma had not initially planned to specialize in rheumatology, her perspective shifted during her first year at UNC after attending the American College of Rheumatology conference. Sitting next to a physical therapist at a networking lunch, Thoma learned that rehabilitation is needed for people with many other rheumatic diseases. This got her thinking about what those limitations are and why they are not discussed more in physical therapy education.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559731&quot;:720,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">After that conference, Thoma began to pursue her own research in this area. She wanted to understand the limitations of this patient population and why she had not learned more about it in PT school. She spoke with retired colleagues and conducted a literature review, <\/span><span data-contrast=\"auto\">which showed<\/span><span data-contrast=\"auto\"> that many physical therapists previously worked in rheumatology. However, the field became less common in the early 2000s due to advances in disease-modifying medications.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559731&quot;:720,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Thoma realized that while these medications were improving disease activity, physical function was not improving to the same extent. This gap highlighted an opportunity for rehabilitation to play a more prominent role in contemporary rheumatology care.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559731&quot;:720,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Thoma worked with colleagues at the Thurston Arthritis Research Center to develop a career development award proposal for the National Institutes of Health (NIH), which targeted how to better integrate rehabilitation into routine rheumatology care for people with rheumatoid arthritis. The grant was awarded in 2021 and gave Thoma five years to <\/span><span data-contrast=\"auto\">study <\/span><span data-contrast=\"auto\">how rehabilitation fits into rheumatology and why gaps in care exist.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559731&quot;:720,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Through this research, the <\/span><a href=\"https:\/\/www.med.unc.edu\/healthsciences\/rmrlab\/prevail-exercise-resource\/\"><span data-contrast=\"none\">PREVAIL<\/span><\/a><span data-contrast=\"auto\"> model of care was created. PREVAIL stands for Preserving Valued Activities in Life. This model focuses on how rehabilitation and exercise can help preserve people\u2019s ability to do the activities that matter most to them.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559731&quot;:720,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cWe tested a model of care that uses a functional screening tool during a routine visit,\u201d Thoma said. \u201cWe use that information to guide the rheumatologist and help them understand when a patient might benefit from rehabilitation, so people are learning about it earlier.\u201d<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559731&quot;:720,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The grant is now in its final year, with all planned projects completed and final data collection finished in November. Two major findings emerged from the research. First, patients do not learn much about rehabilitation during their care, but they want to \u2014 especially as an early option beyond medication to maintain function and overall health. Many people with rheumatoid arthritis and other rheumatic conditions are afraid to exercise due to past symptom flares or fear of making their condition worse. Second, rheumatologists are often hesitant to introduce rehabilitation because patients are managing a complex condition, and providers do not want to overwhelm them during a standard 20-minute visit.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559731&quot;:720,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">To address this gap, Thoma adapted a consultative physical therapy model originally developed in neurology, particularly for people with Parkinson\u2019s disease, where early and consistent exercise has also been shown to preserve function and quality of life. This led to the launch of the Consultative Physical Therapy for Rheumatology Program within UNC\u2019s faculty practice. Unlike traditional physical therapy, which is often short-term and intensive, this model focuses on long-term behavior change and confidence in exercise. Patients receive a comprehensive evaluation followed by one to three follow-up visits over two to four months, with the goal of helping individuals exercise confidently to maintain their function long-term and return to care as their needs change.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559731&quot;:720,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Moving forward, Thoma is developing additional grants to expand this work. Her next steps are to refine the model for implementation within UNC Health and eventually scale to other medical systems. Her long-term goal is to maximize participation and quality of life for adults with rheumatoid arthritis and other rheumatic diseases.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Louise Thoma, PT, DPT, PhD, began her academic training at The Ohio State University, where she completed physical therapy school and earned her PhD, focusing on how people move using tools such as biomechanics. Specifically, she worked with individuals who suffered cartilage injuries in their knees.\u00a0 Thoma continued her training at the University of Delaware, &hellip; <a href=\"https:\/\/www.med.unc.edu\/healthsciences\/2026\/02\/a-new-model-for-rheumatology-care-louise-thomas-prevail-vision\/\" aria-label=\"Read more about A New Model for Rheumatology Care: Louise Thoma\u2019s PREVAIL Vision\">Read more<\/a><\/p>\n","protected":false},"author":123228,"featured_media":36339,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[4,84,83],"tags":[],"class_list":["post-36358","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-pt","category-research","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>A New Model for Rheumatology Care: Louise Thoma\u2019s PREVAIL Vision | Department of Health Sciences<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/healthsciences\/2026\/02\/a-new-model-for-rheumatology-care-louise-thomas-prevail-vision\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A New Model for Rheumatology Care: Louise Thoma\u2019s PREVAIL Vision | Department of Health Sciences\" \/>\n<meta property=\"og:description\" content=\"Louise Thoma, PT, DPT, PhD, began her academic training at The Ohio State University, where she completed physical therapy school and earned her PhD, focusing on how people move using tools such as biomechanics. 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