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Assessment of Physical Function

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1. Guide to the Assessment of Physical Activity: Clinical and Research Applications Full Text available with Trip Pro

on the individual accelerometer, because the onboard functions of different accelerometers process the raw accelerometer data differently. Accelerometer Data Converted to Meaningful Physical Activity Outcomes. For assessment of physical activity, accelerometers must be calibrated to translate monitor signals into energy expenditure units (ie, kilocalories or METs) or activity intensity categories. This operation results in either prediction equations or count thresholds that delineate a particular intensity (...) . It has also been shown to be accurate across individuals of various body weights and waist circumferences. A newer direction for the use of pedometers is to assess the number of steps per minute that an individual performs. Some enhanced pedometers have built-in functions that attempt to distinguish between physical activity intensity levels, such as by distinguishing aerobic steps (walking >60 steps/min and walking for >10 minutes continuously) from nonaerobic steps (all other accumulated steps plus

2013 American Heart Association

2. Routine Assessment and Promotion of Physical Activity in Healthcare Settings: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

Routine Assessment and Promotion of Physical Activity in Healthcare Settings: A Scientific Statement From the American Heart Association Routine Assessment and Promotion of Physical Activity in Healthcare Settings: A Scientific Statement From the American Heart Association | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 March 2019 March 2019 March 2019 March 2019 February 2019 February 2019 February 2019 February 2019 January 2019 (...) January 2019 January 2019 January 2019 January 2019 This site uses cookies. By continuing to browse this site you are agreeing to our use of cookies. Free Access article Share on Jump to Free Access article Routine Assessment and Promotion of Physical Activity in Healthcare Settings: A Scientific Statement From the American Heart Association , MD, PhD, FAHA, Chair , PhD, FAHA, Vice Chair , MD , MPH , PT, PhD, FAHA , MD, PhD , PhD, MSc , PhD, FAHA , MD, MS, FAHA , MD, MPH, FAHA , and MD, MSEE, FAHA MD

2018 American Heart Association

3. ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2019 Appropriate Use Criteria for Multimodality Imaging in the Assessment of Cardiac Structure and Function in Nonvalvular Heart Disease

ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2019 Appropriate Use Criteria for Multimodality Imaging in the Assessment of Cardiac Structure and Function in Nonvalvular Heart Disease APPROPRIATE USE CRITERIA ACC/AATS/AHA/ASE/ASNC/ HRS/SCAI/SCCT/SCMR/STS 2019 Appropriate Use Criteria for Multimodality Imaging in the Assessment of Cardiac Structure and Function in Nonvalvular Heart Disease A Report of the American College of Cardiology Appropriate Use Criteria Task Force, American Association (...) S, Mehran R, Schoenhagen P, Soman P. ACC/ AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2019 appropriate use criteria for multimodality imaging in the assessment of cardiac structure and function in nonvalvular heart disease: a report of the American College of Cardiology Appropriate Use Criteria Task Force, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society

2019 Heart Rhythm Society

4. Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 2: Assessment of functional outcome following lumbar fusion

& the mod ified RM DQ ( r = 0.89 ) . The mod ified RM DQ c or rela t ed less well w / the ps y chosoc ial d imen sion o f the SIP ( r = 0. 5 6 ) . The SIP & mod ified RM DQ ( s hor t er ) a re rel ia ble scales for the assessment of LBP that seem to follow the physical dimension of functional disability. The mod ified RM DQ is less wel l s u i t ed t o fol lo w the psychosocial dimension of functional disability. Salén et al., 1994 II 1 4 45 pa r ticipa n ts were d ivided in t o 3 grou ps : 1 0 92 v olu (...) . 18 Deyo showed the Sickness Impact Pro- file (SIP) and the modified RMDQ are reliable for the assessment of low-back pain, which appears to follow the physical dimension of functional disability. 5 Salén et al. found the Disability Rating Index (DRI) to be a reliable, valid, and responsive measure in patients with axial skel- etal pain (see Table 1). 19 Minimum Clinically Important Difference The validation of functional outcome measures al- lows the researcher to confidently select appropriate

2014 Congress of Neurological Surgeons

5. Pelvic Girdle Pain in the Antepartum Population: Physical Therapy Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Section on Women's Health and the Orthopaedic Section of the America

Therapy Association (APTA) have an ongoing effort to create evidence­based practice guidelines for women's health and orthopedic physical therapy management of patients with musculoskeletal impairments described in the World Health Organization's International Classification of Functioning, Disability, and Health (ICF). The purposes of these clinical guidelines are to: * Describe evidence­based physical therapy practice including diagnosis, prognosis, intervention, and assessment of outcome (...) including pain, generalized disability, pelvic girdle activity­specific function, work and physical activity limitations, and mental processing beliefs and perceptions. I. A common generalized disability outcome measure is the DRI. The DRI was developed to assess physical disability in patients with disability resulting in common motor functions including arthritis, neck, shoulder, and LBP. In the antepartum population, those with PGP have higher DRI scores than those with LBP. I. The ODI

2017 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

6. Pelvic Girdle Pain in the Antepartum Population: Physical Therapy Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Section on Women's Health and the Orthopaedic Section of the American Full Text available with Trip Pro

Organization's International Classification of Functioning, Disability, and Health (ICF). The purposes of these clinical guidelines are to: Describe evidence-based physical therapy practice including diagnosis, prognosis, intervention, and assessment of outcome for musculoskeletal disorders commonly managed by women's health and/or orthopedic physical therapists. Classify and define common musculoskeletal conditions using the World Health Organization's terminology related to impairments of body function (...) and body structure, activity limitations, and participation restrictions. Identify interventions supported by current best evidence to address impairments of body function and structure, activity limitations, and participation restrictions associated with common musculoskeletal conditions. Identify appropriate outcome measures to assess changes resulting from physical therapy interventions. Provide a description to policy makers, using internationally accepted terminology, of the practice of women's

2017 American Physical Therapy Association

7. Diagnosis & Assessment of Hypertension - Assessing CV Risk

Diagnosis & Assessment of Hypertension - Assessing CV Risk VI. Assessment of Overall Cardiovascular Risk in Hypertensive Patients | Hypertension Canada Guidelines Subgroup Members: Steven Grover, MD, MPA; Guy Tremblay, MD; Alain Milot, MD, MSc Central Review Committee: Stella S. Daskalopoulou, MD MSc DIC PhD (Chair); Kaberi Dasgupta, MD MSc; Kelly B. Zarnke, MD MSc; Kara Nerenberg, MD, MSc; Alexander A. Leung, MD MPH; Kevin C. Harris, MD MHSc; Kerry McBrien, MD MPH; Sonia Butalia, BSc MD MSc (...) ; Meranda Nakhla, MD MSc Co-Chairs: Doreen M. Rabi, MD MSc, Stella S. Daskalopoulou, MD MSc DIC PhD This information is based on the Hypertension Canada guidelines published in Nerenberg, Kara A. et al. Hypertension Canada’s 2018 Guidelines for Diagnosis, Risk Assessment, Prevention, and Treatment of Hypertension in Adults and Children. . Guidelines Global cardiovascular risk should be assessed. Multifactorial risk assessment models can be used to: Predict more accurately predict an individual’s global

2018 Hypertension Canada

8. Low back pain and sciatica in over 16s: assessment and management

and sciatica in over 16s: assessment and management (NG59) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 3 of 18This guideline replaces CG88. This guideline is the basis of QS155. Ov Overview erview This guideline covers assessing and managing low back pain and sciatica in people aged 16 and over. It outlines physical, psychological, pharmacological and surgical treatments to help people manage their low back pain (...) with or without sciatica but only as part of a treatment package including exercise, with or without manual therapy (spinal manipulation, mobilisation or soft tissue techniques such as massage). Low back pain and sciatica in over 16s: assessment and management (NG59) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 7 of 18Combined ph Combined physical and psy ysical and psychological pr chological progr ogrammes ammes 1.2.14

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

9. Canadian Cardiovascular Society Guidelines on perioperative cardiac risk assessment and management for patients who undergo noncardiac surgery

. 12 Preoperative Cardiac Risk Assessment Accurate preoperative cardiac risk estimation can serve several functions. Valid estimates of the risks and bene?ts of surgery can facilitate informed decision-making about the appropriateness of surgery. Accurate cardiac risk estimation can also guide management decisions (eg, consideration of endovascular vs open surgical approach) and inform decisions aroundmonitoring(eg,troponinmeasurements)aftersurgery. Which Patients Should Undergo Cardiac Risk (...) Supplemental Tables S5 and S6 show the summary of ?ndings and GRADE quality assessment for 3 clinical risk GOOD PRACTICE STATEMENT 1. In patients who require emergency surgery, we recommend against delaying surgery for a preoperative cardiac risk assessment. 2. In patients who require urgent or semiurgent surgery, we recommend undertaking preoperative cardiac risk assessment only if the patients’ history or physical ex- amination suggests there is a potential undiagnosed severe obstructive intracardiac

2017 CPG Infobase

10. Multimorbidity: clinical assessment and management

assessment and management (NG56) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 5 of 23requests it or if any of the following apply: they find it difficult to manage their treatments or day-to-day activities they receive care and support from multiple services and need additional services they have both long-term physical and mental health conditions they have frailty (see section 1.4) or falls they frequently seek (...) are prescribed fewer than 10 regular medicines but are at particular risk of adverse events. 1.4 How to assess frailty 1.4.1 Consider assessing frailty in people with multimorbidity. 1.4.2 Be cautious about assessing frailty in a person who is acutely unwell. 1.4.3 Do not use a physical performance tool to assess frailty in a person who is acutely unwell. Primary care and community care settings Primary care and community care settings 1.4.4 When assessing frailty in primary and community care settings

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

11. Motor neurone disease: assessment and management

and needs provide coordinated care for people who cannot attend the clinic, according to the person's needs. [new 2016] [new 2016] 1.5.3 The multidisciplinary team should assess, manage and review the following areas, including the person's response to treatment: Weight, diet, nutritional intake and fluid intake, feeding and swallowing (see section 1.10). Muscle problems, such as weakness, stiffness and cramps (see recommendations 1.8.1–1.8.9 in section 1.8). Physical function, including mobility (...) is it for? 4 Recommendations 5 1.1 Recognition and referral 5 1.2 Information and support at diagnosis 6 1.3 Cognitive assessments 9 1.4 Prognostic factors 9 1.5 Organisation of care 9 1.6 Psychological and social care support 13 1.7 Planning for end of life 15 1.8 Managing symptoms 16 1.9 Equipment and adaptations to aid activities of daily living and mobility 18 1.10 Nutrition and gastrostomy 19 1.11 Communication 21 1.12 Respiratory function and respiratory symptoms 22 1.13 Cough effectiveness 23 1.14

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

12. Cirrhosis in over 16s: assessment and management

guidelines on: non-alcoholic fatty liver disease (NAFLD), alcohol-use disorders: diagnosis and management of physical complications, alcohol-use disorders: prevention, alcohol-use disorders: diagnosis, assessment and management of harmful drinking and alcohol dependence, type 2 diabetes in adults, obesity and hepatitis B (chronic). 1.1.2 Discuss with the person the accuracy, limitations and risks of the different tests for diagnosing cirrhosis. 1.1.3 Offer transient elastography to diagnose cirrhosis (...) Cirrhosis in over 16s: assessment and management Cirrhosis in o Cirrhosis in ov ver 16s: assessment and er 16s: assessment and management management NICE guideline Published: 6 July 2016 nice.org.uk/guidance/ng50 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful consideration

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

13. Non-alcoholic fatty liver disease (NAFLD): assessment and management

, ischaemic stroke and death from cardiovascular causes. Lifestyle modifications for NAFLD Lifestyle modifications for NAFLD 1.2.12 Offer advice on physical activity and diet to people with NAFLD who are overweight or obese in line with NICE's obesity and preventing excess weight gain guidelines. 1.2.13 Explain to people with NAFLD that there is some evidence that exercise reduces liver fat content. Non-alcoholic fatty liver disease (NAFLD): assessment and management (NG49) © NICE 2018. All rights (...) Non-alcoholic fatty liver disease (NAFLD): assessment and management Non-alcoholic fatty liv Non-alcoholic fatty liver disease er disease (NAFLD (NAFLD): assessment and management ): assessment and management NICE guideline Published: 6 July 2016 nice.org.uk/guidance/ng49 © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

14. Guidelines for blood pressure measurement, diagnosis, and assessment of risk of pediatric hypertension

?rmed hypertension should undergo a hypertension-focused history and physical evaluation. Assessment of overall cardiovascular risk in hypertensive children We recommend that cardiovascular risk factors be assessed in hypertensive children. Routine laboratory tests for the investigation of children with hypertension Three recommendations are listed in this section: (1) routine tests that should be performed for all children with hypertension include (a) blood chemistry panels (sodium, potassium (...) is recommended for children with con?rmed hypertension and (2) the echocar- diographic assessment should include measurements of left ventricular mass index (LVMI), systolic and diastolic left ventricular (LV) function, and evaluation of the aortic arch. Updates CHEP will update these recommendations annually. Introduction The prevalence of hypertension in children is rising, 1-3 in large part because of the childhood obesity epidemic. Elevated BP in childhood tracks to adulthood, 4,5 in which hyperten- sion

2016 CPG Infobase

15. Guidelines for blood pressure measurement, diagnosis, assessment of risk, prevention, and treatment of hypertension

) annual follow-up is recommended (Grade C). 3. If the visit 1 mean non-AOBP or AOBP measurement is high (thresholds outlined in section I, Recommendation 3), a history and physical examination should be per- formed and, if clinically indicated, diagnostic tests to search for target organ damage (Supplemental Table S4) and associated cardiovascular risk factors (Supplemental Table S5) should be arranged within 2 visits. Exoge- nous factors that can induce or aggravate hypertension should be assessed (...) Guidelines for blood pressure measurement, diagnosis, assessment of risk, prevention, and treatment of hypertension Guidelines Hypertension Canada’s 2016 Canadian Hypertension Education Program Guidelines for Blood Pressure Measurement, Diagnosis, Assessment of Risk, Prevention, and Treatment of Hypertension Alexander A. Leung, MD, MPH, a Kara Nerenberg, MD, MSc, b Stella S. Daskalopoulou, MD, PhD, c Kerry McBrien, MD, MPH, d Kelly B. Zarnke, MD, MSc, e Kaberi Dasgupta, MD, MSc, c Lyne Cloutier

2016 CPG Infobase

16. Vestibular Assessment ? Eye movement Recordings

side equally, if at all. They would therefore be unlikely to affect any canal paresis calculation although they might affect interpretation of results suggesting hyper / hypo function. Recommended Procedure Vestibular Assessment – eye movement recordings BSA 2015 © BSA 2016 Page9 Patients should be advised not to wear any creams, foundations and eye make-up (especially mascara) as this may interfere with VNG recordings and make it more difficult to establish low electrode impedances with ENG. Local (...) be required for each ocular-motor function test. Light to dark and dark to light adaptation is non-linear (Davson, 1962) and not always predictable. Therefore if there is any doubt, recalibration is advisable. Recommended Procedure Vestibular Assessment – eye movement recordings BSA 2015 © BSA 2016 Page15 Figure 1-A Binocular Eye Recordings. Ch1 Ch2 Common + - + - Ch1 Ch2 Common + - + - Figure 1-B Monocular Eye Recordings. Recommended Procedure Vestibular Assessment – eye movement recordings BSA 2015 ©

2016 British Society of Audiology

17. Patients Hospitalized with Heart Failure: Risk Assessment, Management, and Clinical Trajectory

bypass surgery. Exercise program/cardiac rehabilitation. Behavioral Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality in Adults: US Preventive Services Task Force Recommendation Statement Malnutrition Assess for protein calorie malnutrition. Referral to dietician. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient Frailty, deconditioning Assess for frailty, consider physical therapy and/or referral for rehabilitation (...) . Psychosocial Dementia /cognitive decline Assess precipitating factors, possible delirium, evaluate cognitive and mental executive function. Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology Depression Screen for depression and other mood disorders. Consider referral (87) for counseling and potential pharmacotherapy. Nonpharmacologic Versus Pharmacologic Treatment of Adult Patients With Major Depressive Disorder: A Clinical Practice

2019 American College of Cardiology

18. American Society for Parenteral and Enteral Nutrition Clinical Guidelines: The Validity of Body Composition Assessment in Clinical Populations Full Text available with Trip Pro

on physical function in patients with traumatic brain injury To compare the accuracy of US with DXA To assess the relationships between anthropometrical data and self‐reported physical function N = 37 adults with moderate to severe traumatic injury (87% male, 13% female) BMI: 26.7 ± 6.5 kg/m 2 Age: 45 ± 16 y (mean ± SD) DXA (Prodigy GE Healthcare) vs US (SonoSite X Porte, 13‐6 MHz Transducer) LM (DXA) vs muscle layer thickness (US) LLM (DXA) vs QMT (US) DXA measures were obtained within 7 days after (...) American Society for Parenteral and Enteral Nutrition Clinical Guidelines: The Validity of Body Composition Assessment in Clinical Populations American Society for Parenteral and Enteral Nutrition Clinical Guidelines: The Validity of Body Composition Assessment in Clinical Populations - Sheean - - Journal of Parenteral and Enteral Nutrition - Wiley Online Library By continuing to browse this site, you agree to its use of cookies as described in our . Search within Search term Search term

2019 American Society for Parenteral and Enteral Nutrition

19. Choosing Wisely Canada recommendation - Don’t routinely do screening mammography for average risk women aged 40 – 49. Individual assessment of each woman’s preferences and risk should guide the discussion and decision regarding mammography screening in th

Choosing Wisely Canada recommendation - Don’t routinely do screening mammography for average risk women aged 40 – 49. Individual assessment of each woman’s preferences and risk should guide the discussion and decision regarding mammography screening in th Don’t do imaging for lower-back pain unless red flags are present. Red flags include, but are not limited to, severe or progressive neurological deficits or when serious underlying conditions such as osteomyelitis are suspected. Imaging (...) Vitamin D levels in patients with significant renal or metabolic disease. 1 2 3 Family Medicine Thirteen Things Physicians and Patients Should Question by College of Family Physicians of Canada Last updated: January 2018 4 5 6Don’t routinely do screening mammography for average risk women aged 40 – 49. Individual assessment of each woman’s preferences and risk should guide the discussion and decision regarding mammography screening in this age group. If, after this careful assessment and discussion

2019 CPG Infobase

20. Integrated care for older people (?ICOPE)?: guidance for person-centred assessment and pathways in primary care

integrated care for older people MNA mini nutritional assessment OSN oral supplemental nutrition PTA pure tone audiometry SPPB short physical performance battery WHO World Health Organization Denotes that specialized knowledge and skills are needed to provide the care vIntegrated Care of Older PeopleThe World report on ageing and health de?nes the goal of healthy ageing as helping people to develop and maintain the functional ability that enables well- being unctional ability is de?ned as the health (...) in intrinsic capacity can be done with the help of the integrated care for older people (ICOPE) screening tool. • Those identi?ed with these conditions are re- ferred to a primary health-care clinic for in-depth assessment, which informs the development of a personalied care plan • The care plan may include multiple interventions to manage declines in intrinsic capacity and to optimie functional ability, such as by physical exercises, oral supplemental nutrition, cognitive stimulation and home adaptations

2019 World Health Organisation Guidelines

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