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Assessment of Physical Function

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1. Routine Assessment and Promotion of Physical Activity in Healthcare Settings: A Scientific Statement From the American Heart Association (Full text)

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 PubMed abstract

2. Guide to the Assessment of Physical Activity: Clinical and Research Applications (Full text)

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 PubMed abstract

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 American (Full text)

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 PubMed abstract

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 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.

7. Falls - risk assessment: Scenario: Falls - risk assessment

service should offer a person identified to be at risk of falling. However, the guideline does state that a personalized intervention aimed at promoting independence and improving physical and psychological function should be offered. Strength and balance training, home hazard and vision assessment and intervention, and medication review are common components in successful multifactorial intervention programmes [ ]. A Cochrane systematic review (search date: March 2012) that assessed interventions (...) that can cause postural hypotension (such as anti-hypertensive drugs). Have a fear of falling. Are physically frail — tools such as the (eFI) may be used to identify people aged 65 years and over who may be living with moderate or severe frailty. Have other for falling, such as alcohol misuse, depression, or environmental hazards. For more information, see the CKS topics on and . For people who have had one or more falls or are considered to be at risk of a fall, assess their gait and balance

2018 NICE Clinical Knowledge Summaries

8. 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

9. Tinnitus: assessment and management

the recommendations on referring people with tinnitus and how they might affect practice, see rationale and impact. Full details of the evidence and the committee's discussion are in evidence reviews C-D: symptoms and features for urgent and non-urgent referral. 1.3 1.3 Assessing the impact of tinnitus using Assessing the impact of tinnitus using questionnaires questionnaires 1.3.1 Consider using the Tinnitus Functional Index for adults to assess how tinnitus affects them. Tinnitus: assessment and management (...) alongside the Tinnitus Functional Index in adults with tinnitus if further assessment of the psychological effects of tinnitus is needed. 1.3.8 If there are concerns about depression or anxiety in adults, a healthcare professional competent in mental health assessment should: • carry out an assessment using a questionnaire (for example, those in the recommendations on assessment in the NICE guideline on common mental health problems), or an ability-appropriate measure • consider assessment using

2020 National Institute for Health and Clinical Excellence - Clinical Guidelines

10. The Australasian Society for Infectious Diseases and Refugee Health Network of Australia recommendations for health assessment for people from refugee-like backgrounds: an abridged outline (Full text)

. Consider screening for vitamin B 12 deficiency in people with history of restricted food access, especially those from Bhutan, Afghanistan, Iran and the Horn of Africa. Chronic non-communicable diseases in adults: Offer screening for non-communicable diseases in line with the Royal Australian College of General Practitioners Red Book recommendations, including assessment for: smoking, nutrition, alcohol and physical activity; obesity, diabetes, hypertension, cardiovascular disease, chronic obstructive (...) not advisable to ask specifically about details in the first visits. Consider functional impairment, behavioural difficulties and developmental progress as well as mental health symptoms when assessing children. Hearing, vision and oral health: A clinical assessment of hearing, visual acuity and dental health should be part of primary care health screening. Women’s health: Offer women standard preventive screening, taking into account individual risk factors for chronic diseases and bowel, breast

2017 MJA Clinical Guidelines PubMed abstract

11. Clinical Practice Guideline for the Assessment and Treatment of Children and Adolescents with Anxiety Disorders

for the treatment of an anxiety disorder. Specialized clinical edu- cation, training, and experience are necessary to conduct a diagnostic evaluation of a child or adolescent in accordance with current psychiatric nomenclature (DSM-5 1 ). A diag- nostic evaluation identi?es the following: symptoms; syn- dromal symptom combinations; symptom frequency, severity, onset, and duration; degree of associated distress and functional impairment; developmental deviations; and physical signs. Clinical expertise (...) , supernatural creatures in preschoolers, physical well-being and natural disasters in school-aged children, and social and existential concerns in adolescents). In DSM-5, 1 mental disorders are de?ned as “a syndrome characterized by clinically signi?cant disturbance in an individual’s cognition, emotion regulation, or behavior that re?ects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning.” By DSM convention, a mental disorder is diagnosed if all

2020 American Academy of Child and Adolescent Psychiatry

12. Endocrine Society of Australia position statement on male hypogonadism (part 1): assessment and indications for testosterone therapy

, including information on smoking and the use of medication, alcohol and other recreational drugs, in particular androgens, is required. In addition, a focused review of the reproductive system should include any developmental history of undescended testes or other genital abnormalities, pubertal development, prior fertility, erectile function, sexual desire and any history of pelvic surgery, genital trauma or infection. The physical examination must include height and weight (and, if obese, waist (...) circumference), a check for gynaecomastia, the adequacy of age-appropriate virilisation and especially scrotal palpation, using an orchidometer to assess testicular volume (usually 15–35 mL in men aged 21–35 years with normal reproductive function ). Initial hormonal assessment Having identified the possibility of pathologically based androgen deficiency on clinical grounds, laboratory testing is undertaken. Measurement of serum testosterone levels is not otherwise warranted (eg, for population screening

2016 MJA Clinical Guidelines

13. Atopic dermatitis – Diagnosis and Assessment (Full text)

Atopic dermatitis – Diagnosis and Assessment Guidelines of care for the management of atopic dermatitis - Journal of the American Academy of Dermatology Email/Username: Password: Remember me Search JAAD & JAAD Case Reports Search Terms Search within Search Access provided by Volume 70, Issue 2, Pages 338–351 Guidelines of care for the management of atopic dermatitis Section 1. Diagnosis and assessment of atopic dermatitis Work Group, x Lawrence F. Eichenfield Affiliations Division of Pediatric (...) questions that arise in the management and care of AD, providing updated and expanded recommendations based on the available evidence. In this first of 4 sections, methods for the diagnosis and monitoring of disease, outcomes measures for assessment, and common clinical associations that affect patients with AD are discussed. Known risk factors for the development of disease are also reviewed. Key words: , , , , , , Abbreviations used

2014 American Academy of Dermatology PubMed abstract

14. Assessment and management of polycystic ovary syndrome: summary of an evidence-based guideline (Full text)

, challenges to feminine identity and body image due to obesity, acne, excess hair, infertility and long-term health-related concerns compromise QoL and adversely affect mood and psychological wellbeing. With a higher prevalence and greater severity of depression and anxiety, low self-esteem, negative body image, and psychosexual dysfunction, , assessment of psychological functioning in women with PCOS is vital. This is relevant to clinical care as mood disturbance, in turn, impairs QoL and adversely (...) affects ability to self-manage and optimise lifestyle. Optimal approaches to screening and assessment of psychological functioning in PCOS are unknown and recognition is generally poor; hence, this area was prioritised in the guideline (Section 4). If mood disturbance is detected during screening, further assessment and management is required. Reproductive and reproductive hormonal features are often the best-recognised features in PCOS as they form the basis of the diagnostic criteria. These include

2011 MJA Clinical Guidelines PubMed abstract

15. Assessment and Management of Patients at Risk for Suicide

. However, there was no increase in the prevalence of suicide attempts between 2016 and 2017 for this age group. SAMHSA notes that this increase in suicide-related behavior over the past 10 years co-occurs with a similar increase in the prevalence of mental health VA/DoD Clinical Practice Guideline for the Assessment and Management of Patients at Risk for Suicide May 2019 Page 8 of 142 conditions that cause significant impairment in daily life functioning, especially the occurrence of major depressive (...) Assessment and Management of Patients at Risk for Suicide VA/DoD CLINICAL PRACTICE GUIDELINE FOR THE ASSESSMENT AND MANAGEMENT OF PATIENTS AT RISK FOR SUICIDE Department of Veterans Affairs Department of Defense QUALIFYING STATEMENTS The Department of Veterans Affairs and the Department of Defense guidelines are based upon the best information available at the time of publication. They are designed to provide information and assist decision making. They are not intended to define a standard

2019 VA/DoD Clinical Practice Guidelines

16. 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

17. Perfusion Assessment in Critical Limb Ischemia: Principles for Understanding and the Development of Evidence and Evaluation of Devices: A Scientific Statement From the American Heart Association (Full text)

on the reduction of tissue perfusion, which is the primary pathophysiological problem and treatment target in CLI. Direct assessment of skin perfusion can be performed with fluorescent imaging of indocyanine green (ICG) and application of various transit rate functions, as well as indirectly by postocclusive skin perfusion pressure. , Techniques have also been developed that are able to quantify limb skeletal muscle perfusion with kinetic modeling of contrast-enhanced magnetic resonance, contrast-enhanced (...) clinicians on the expected degree of clinical improvement. Implicit in this application is that perfusion imaging or assessment of oxygenation will be an important asset in the development of new arterial revascularization strategies (ie, new devices or selection of surgical versus endovascular approach) or new drug, gene, or cell-based therapies that are designed to improve microvascular function. Figure 1. Examples of noninvasive techniques that have been used to assess the effect of revascularization

2019 American Heart Association PubMed abstract

18. Multimorbidity: Scenario: Assessment

. Reducing treatment burden. Improving the quality and length of life. Pain and symptom relief, including palliative care needs. Consider assessing in people with multimorbidity. Be cautious about assessing frailty in people who are acutely unwell. Do not use a physical performance tool to assess frailty in people who are acutely unwell. Clarify whether, and how, they would like their partner, family members and/or carers to be involved in key decisions about the management of their conditions and review (...) Multimorbidity: Scenario: Assessment Scenario: Assessment | Management | Multimorbidity | CKS | NICE Search CKS… Menu Scenario: Assessment Multimorbidity: Scenario: Assessment Last revised in May 2018 Scenario: Assessment From age 18 years onwards. Who should I assess for multimorbidity? Identify people who may benefit from an approach to care that takes account of multimorbidity : Opportunistically during routine care. Proactively using healthcare records, for example, assessing the number

2019 NICE Clinical Knowledge Summaries

19. Hypercholesterolaemia - familial: How should I assess a person with possible familial hypercholesterolaemia?

Hypercholesterolaemia - familial: How should I assess a person with possible familial hypercholesterolaemia? Assessment and diagnosis | Diagnosis | Hypercholesterolaemia - familial | CKS | NICE Search CKS… Menu Assessment and diagnosis Hypercholesterolaemia - familial: How should I assess a person with possible familial hypercholesterolaemia? Last revised in February 2019 How should I assess a person with possible familial hypercholesterolaemia? If familial hypercholesterolaemia (FH (...) ) is suspected, assess the person. (Consider referring children and young people [up to 15 years of age] to a specialist for the assessment to be caried out.) Take two measurements of low-density lipoprotein (LDL) cholesterol concentration. Consider a clinical diagnosis of homozygous FH in adults with LDL cholesterol concentration greater than 13 mmol/L. Consider a clinical diagnosis of homozygous FH in a child or young person (up to 15 years of age) with an LDL cholesterol concentration greater than 11 mmol

2019 NICE Clinical Knowledge Summaries

20. Hiccups: How should I assess a person with recurrent or protracted hiccups for an underlying cause?

leukocytosis in inflammation or infection, and anaemia in malignancy or gastrointestinal haemorrhage). Urea and electrolytes (to exclude uraemia, hyponatraemia, hypokalaemia, and hypocalcaemia). Further tests (some of which will be performed in secondary care) may be indicated by the clinical history and physical examination include: Liver function tests — AST and ALT may be elevated in hepatitis, and alkaline phosphatase may be elevated in biliary obstruction. Erythrocyte sedimentation rate or C-reactive (...) Hiccups: How should I assess a person with recurrent or protracted hiccups for an underlying cause? Assessment for an underlying cause | Diagnosis | Hiccups | CKS | NICE Search CKS… Menu Assessment for an underlying cause Hiccups: How should I assess a person with recurrent or protracted hiccups for an underlying cause? Last revised in June 2017 How should I assess a person with recurrent or protracted hiccups for an underlying cause? If the person has recurrent bouts of hiccups that persist

2016 NICE Clinical Knowledge Summaries

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