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1. Canadian Stroke Best Practice recommendations: rehabilitation, recovery, and community participation following stroke. Part one: rehabilitation and recovery following stroke; 6th edition update 2019

Level B). International Journal of Stroke, 0(0) 12 International Journal of Stroke 0(0)Section 5.3: Recommendations on management of shoulder pain and complex regional pain syndrome (CRPS) following stroke The incidence of shoulder pain following stroke has been reported to be approximately 30% during the ?rst year, 32,33 although estimates vary widely from study to study. Shoulder pain has been associated with impaired arm movement, reduced participation in rehabilitation activities, longer lengths (...) Canadian Stroke Best Practice recommendations: rehabilitation, recovery, and community participation following stroke. Part one: rehabilitation and recovery following stroke; 6th edition update 2019 Guidelines Canadian Stroke Best Practice Recommendations: Rehabilitation, Recovery, and Community Participation following Stroke. Part One: Rehabilitation and Recovery Following Stroke; 6th Edition Update 2019 Robert Teasell 1,2 , Nancy M Salbach 3 , Norine Foley 4 , Anita Mountain 5,6 , Jill I

2020 CPG Infobase

2. Management of Stroke Rehabilitation

patient. Additional materials including an abbreviated provider summary, patient summary, and pocket card are available at the following link: https://www.healthquality.va.gov/guidelines/Rehab/stroke/. A. Methods The current document is an update to the 2010 Stroke Rehabilitation CPG. The methodology used in developing the 2019 CPG follows the Guideline for Guidelines, an internal document of the VA and DoD EBPWG that was updated in January 2019.[10] The Guideline for Guidelines can be downloaded from (...) Management of Stroke Rehabilitation VA/DoD CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF STROKE REHABILITATION 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 of care and should not be construed as one

2019 VA/DoD Clinical Practice Guidelines

3. Stroke rehabilitation in adults

recommendations 32 2.1 Upper limb electrical stimulation 32 2.2 Intensive rehabilitation after stroke 32 2.3 Neuropsychological therapies 33 2.4 Shoulder pain 33 3 Other information 35 3.1 Scope and how this guideline was developed 35 3.2 Related NICE guidance 35 4 The Guideline Development Group, National Collaborating Centre and NICE project team 37 4.1 Guideline Development Group 37 4.2 National Clinical Guideline Centre 38 4.3 NICE project team 39 About this guideline 41 Strength of recommendations 41 (...) to the shoulder if they are at risk of developing shoulder pain (for example, if they have upper limb weakness and spasticity). 1.9.21 Manage shoulder pain after stroke using appropriate positioning and other treatments according to each person's need. Stroke rehabilitation in adults (CG162) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 27 of 431.9.22 For guidance on managing neuropathic pain follow Neuropathic pain (NICE

2013 National Institute for Health and Clinical Excellence - Clinical Guidelines

4. Prosthetic and Amputee Rehabilitation - Standards and Guidelines (3rd Edition)

Prosthetic and Amputee Rehabilitation - Standards and Guidelines (3rd Edition) Amputee and Prosthetic Rehabilitation – Standards and Guidelines (3 rd Edition) A Report of the Working Party of the British Society of Rehabilitation Medicine Published by the British Society of Rehabilitation Medicine in 2018 Amputee and Prosthetic Rehabilitation – Standards and Guidelines (3 rd Edition) A Report of the Working Party of the British Society of Rehabilitation Medicine Co-Chairs: Professor Rajiv (...) Hanspal & Dr Imad Sedki Published by the British Society of Rehabilitation Medicine 2018 (registered charity number 293196) The British Society of Rehabilitation Medicine (BSRM) is the society which represents the specialty of Rehabilitation Medicine. It promotes an understanding of the specialty through education and the development of clinical guidelines and standards. Membership is open to all registered medical practitioners interested and concerned with its objectives. Further information

2018 British Society of Rehabilitation Medicine

5. Management of Stroke Rehabilitation

, PhD; Elliot J. Roth, MD; Tim Shephard, RN, MSN: Canadian Best Practice Recommendations for Stroke Care (Update 2008) Guidelines 2006. These literature searches were conducted covering the period from January 2002 through March 2009 that using the terms Cerebrovascular Disorders and rehabilitation or rehab. Adding a stroke text word did not appear to be useful in that sensitivity was not enhanced but specificity was decreased. Electronic searches were supplemented by reference lists and additional (...) Management of Stroke Rehabilitation VA/DoD CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF STROKE REHABILITATION Department of Veterans Affairs Department of Defense And The American Hea rt Association/ American Stroke Association Prepared by: THE MANAGEMENT OF STROKE REHABILITATION Working Group With support from: The Office of Quality and Performance, VA, Washington, DC & Quality Management Division, United States Army MEDCOM QUALIFYING STATEMENTS The Department of Veterans Affairs (VA

2010 VA/DoD Clinical Practice Guidelines

6. AHA/ASA Guidelines for Adult Stroke Rehabilitation and Recovery

tendon and supraspinatus. Hemiplegic shoulder pain is multifactorial. Pain is associated with shoulder tissue injury, abnormal joint mechanics, and central nociceptive hypersensitivity. About one third of patients with acute stroke have abnormal ultrasound findings in the hemiplegic shoulder when studied at the time of admission to acute inpatient rehabilitation, including effusion in biceps tendon or subacromial bursa; tendinopathy of biceps, supraspinatus, or subscapularis; and rotator cuff tear (...) . , Such findings are more prevalent in the hemiplegic shoulder than in the nonhemiplegic shoulder and in those with more severe hemiplegia, subluxation, spasticity, limited joint range, and shoulder pain. The frequency of abnormal ultrasound findings in the hemiplegic shoulder increases over the course of rehabilitation in patients with more severe motor impairment. , Although there is an association between abnormal findings on shoulder ultrasound and hemiplegic shoulder pain in patients with acute stroke

2016 American Heart Association

7. The Management of Upper Extremity Amputation Rehabilitation (UEAR)

81 Appendix B: Summary of Assessments and Interventions in Rehabilitation Phases 98 Appendix C: Outcome Measures 107 Appendix D: Essential Elements of the Annual Contact 114 Appendix E: Activities of Daily Living 115 Appendix F: Advantages and Disadvantages of Prostheses 120 Appendix G: Surgical Considerations 121 Partial Hand Amputation 121 Wrist Disarticulation Amputation 121 Transradial Amputation 122 Elbow Disarticulation Amputation 122 Transhumeral Amputation 122 Shoulder Disarticulation (...) The Management of Upper Extremity Amputation Rehabilitation (UEAR) VA/DoD CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF UPPER EXTREMITY AMPUTATION REHABILITATION 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

2014 VA/DoD Clinical Practice Guidelines

8. Guidelines for adult stroke rehabilitation and recovery

Guidelines for adult stroke rehabilitation and recovery e1 Purpose—The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. Methods—Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council’s Scientific Statement Oversight Committee and the AHA’s Manuscript Oversight Committee (...) Committee review before consideration and approval by the AHA Science Advisory and Coordinating Committee. Results—Stroke rehabilitation requires a sustained and coordinated effort from a large team, including the patient and his or her goals, family and friends, other caregivers (eg, personal care attendants), physicians, nurses, physical and occupational therapists, speech-language pathologists, recreation therapists, psychologists, nutritionists, social workers, and others. Communication

2016 American Academy of Neurology

9. Management of patients with stroke: rehabilitation, prevention and management of complications, and discharge planning

General rehabilitation principles 12 4.2 Gait, balance and mobility 15 4.3 Upper limb function 19 4.4 Cognition 22 4.5 Visual problems 23 4.6 Communication 25 4.7 Nutrition and swallowing 26 4.8 Continence 29 4.9 Post-stroke spasticity 31 4.10 Prevention and treatment of shoulder subluxation 34 4.11 Pain 35 4.12 Prevention of post-stroke shoulder pain 36 4.13 Treatment of post-stroke shoulder pain 39 4.14 Post-stroke fatigue 42 4.15 Disturbances of mood and emotional behaviour 43 4.16 Sexuality 46 (...) ? Recurrent stroke ? Shoulder pain ? Shoulder subluxation ? Spasticity ? Venous thromboembolism 4.1 Gene Ral Rehabilitation PRin CiPles 4.1.1 SUMMARy OF RECOMMENDATIONS Recommended ? early mobilisation ? therapeutic positioning ? personal ADL training1 + 1 ++ 3 2 + 2 + 13 4.1.2 EARLy MObILISATION A number of post-stroke complications are associated with immobility. In the systematic review of stroke unit trials, there was a high degree of consistency in the reporting of policies of early mobilisation

2010 SIGN

10. Shoulder Pain - Atraumatic

still provides an excellent method to assess repair integrity, as well as potential complications following surgery and during rehabilitation. The ability to perform provocative maneuvers can further demonstrate abnormalities that other forms of imaging would be incapable of performing. Nuclear Medicine Nuclear medicine studies are not routinely used in the evaluation of pain after rotator cuff repair. Variant 8: Atraumatic shoulder pain. Neurogenic pain (excluding plexopathy). Initial imaging (...) Shoulder Pain - Atraumatic New 2018 ACR Appropriateness Criteria ® 1 Shoulder Pain–Atraumatic American College of Radiology ACR Appropriateness Criteria ® Shoulder Pain–Atraumatic Variant 1: Atraumatic shoulder pain. Initial imaging. Procedure Appropriateness Category Relative Radiation Level Radiography shoulder Usually Appropriate ? CT arthrography shoulder Usually Not Appropriate ???? CT shoulder with IV contrast Usually Not Appropriate ??? CT shoulder without and with IV contrast Usually

2018 American College of Radiology

11. Shoulder Conditions Diagnosis and Treatment Guideline

as an educational resource for health care providers who treat injured workers in the Washington workers’ compensation system under Title 51 RCW and as review criteria for the department’s utilization review team to help ensure treatment of shoulder injuries is of the highest quality. The emphasis is on accurate diagnosis and treatment that is curative or rehabilitative (see WAC 296-20-01002 for definitions). This guideline, focusing on work-related shoulder conditions, was developed in 2013 by a subcommittee (...) case series [46-52] . It does not, however, remedy the underlying imbalance of forces that act on the humeral head caused by an irreparable rotator cuff tear. Thus, the usefulness of superior capsular reconstruction is as a salvage procedure that, with post-operative shoulder rehabilitation, may result in a more functional shoulder. If considering an SCR procedure for an injured worker who meets surgical criteria, L&I recommends that the procedure be performed within the framework of a clinical

2018 Washington State Department of Labor and Industries

12. Shoulder Conditions Diagnosis and Treatment Guideline

workers in the Washington workers’ compensation system under Title 51 RCW and as review criteria for the department’s utilization review team to help ensure treatment of shoulder injuries is of the highest quality. The emphasis is on accurate diagnosis and treatment that is curative or rehabilitative (see WAC 296-20-01002 for definitions). This guideline, focusing on work-related shoulder conditions, was developed in 2013 by a subcommittee of the statutory Industrial Insurance Medical Advisory (...) work require modifications in position, force, repetitions, and/or duration. Those workers returning to jobs with heavy lifting or prolonged overhead work may need additional weeks of rehabilitation to regain full strength. 19 VII. SPECIFIC SHOULDER TEST Specific shoulder tests Rotator cuff impingement ? Neer’s test assesses for possible rotator cuff impingement. Stabilize the scapula (place your hand firmly upon the acromion, or hold the inferior angle of the scapula with your hand

2013 Washington State Department of Labor and Industries

13. Shoulder Pain and Mobility Deficits: Adhesive Capsulitis

outcome scores on the simple shoulder test (SST) and the DASH, but pain with activity rat- ing did correlate with functional loss. Diabetes mellitus and male gender were related to worse ROM outcomes. Seven percent of the patients were eventually treated with manipu- lation under anesthesia and/or capsular release. A history of prior rehabilitation and workers’ compensation or pending litigation was associated with being treated with manipula- tion and/or capsular release. Shaffer et al 119 (...) therapy cal conditions, clinicians should screen for the presence of psychosocial issues that may affect prognostication and treatment decision making for rehabilitation. For example, elevated scores on the Tampa Scale of Kinesiophobia or the Fear-Avoidance Beliefs Questionnaire have been associated with a longer recovery, chronic symptoms, and work loss in patients with shoulder pain. 42,59,79 Accordingly, identifying cognitive behavioral tendencies during the patient’s evalua- tion can direct

2013 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

14. Shoulder Adhesive Capsulitis Decision Tree and Components

and treatment decision making for rehabilitation. For example, elevated scores on the Tampa Scale of Kinesiophobia or the Fear-Avoidance Beliefs Questionnaire have been associated with a longer recovery, chronic symptoms, and work loss in patients with shoulder pain. 42,59,79 Accordingly, identifying cognitive behavioral tendencies during the patient’s evalua- tion can direct the therapist to employ specific patient edu - cation strategies to optimize patient outcomes to physical therapy interventions (...) Shoulder Adhesive Capsulitis Decision Tree and Components Adhesive Capsulitis: Clinical Practice Guidelines Evaluation/Intervention Component 1: medical screening Evaluation/Intervention Component 2: dierential evaluation of clinical ?ndings suggestive of musculoskeletal impairments of body functioning (ICF) and the associated tissue pathology/disease (ICD) Shoulder pain and mobility de?cits/ adhesive capsulitis Rule in if: • Patient’s age is between 40 and 65 years • Patient reports a gr adual

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

15. Shoulder pain

a short time off work, for example, one week, if there appears to be a direct link between this and the shoulder pain. Advise rest from activities that worsen the shoulder pain for a few weeks, such as sport, and if relevant, advise 'light duties' at work for a few weeks. Explain that although common shoulder problems tend to be self-limiting, the rehabilitation period can be at least 6 months. Consider reviewing the person in 2 weeks. If symptoms are severe, arrange an earlier review. Advise (...) Shoulder pain Shoulder pain - NICE CKS Share Shoulder pain: Summary Causes of pain arising from the shoulder include: Rotator cuff disorders. Frozen shoulder. Instability disorders. Acromioclavicular joint disorders. Glenohumeral joint osteoarthritis. Inflammatory arthritis Septic arthritis Causes of pain which arise from elsewhere include: Malignancy Referred pain from the neck, heart or lungs. Polymyalgia rheumatica Assessment of a person with shoulder pain involves taking a history

2017 NICE Clinical Knowledge Summaries

16. Joint replacement (primary): hip, knee and shoulder

making and information for people offered hip, knee or shoulder replacement 6 1.2 Preoperative rehabilitation 8 1.3 Anaesthesia and analgesia 8 1.4 Tranexamic acid to minimise blood loss 10 1.5 Preventing infections 10 1.6 Avoiding implant selection errors 11 1.7 Procedures for primary elective knee replacement 11 1.8 Surgical approaches and implants for primary elective hip replacement 12 1.9 Procedures for primary elective shoulder replacement 13 1.10 Postoperative rehabilitation 13 1.11 Long-term (...) care 15 Recommendations for research 17 Key recommendations for research 17 Other recommendations for research 18 Rationale and impact 23 Shared decision making and information for people offered hip, knee or shoulder replacement 23 Decision aids for elective joint replacement 24 Preoperative rehabilitation 24 Anaesthesia and analgesia for hip replacement 25 Anaesthesia and analgesia for knee replacement 26 Anaesthesia and analgesia for shoulder replacement 27 Tranexamic acid to minimise blood loss

2020 National Institute for Health and Clinical Excellence - Clinical Guidelines

18. Guidelines on Chronic Coronary Syndromes Full Text available with Trip Pro

test 18 3.1.5.6 Invasive testing 19 3.1.6 Step 6: assess event risk 21 3.1.6.1 Definition of levels of risk 22 3.2 Lifestyle management 23 3.2.1 General management of patients with coronary artery disease 23 3.2.2 Lifestyle modification and control of risk factors 23 3.2.2.1 Smoking 23 3.2.2.2 Diet and alcohol 24 3.2.2.3 Weight management 24 3.2.2.4 Physical activity 24 3.2.2.5 Cardiac rehabilitation 24 3.2.2.6 Psychosocial factors 24 3.2.2.7 Environmental factors 25 3.2.2.8 Sexual activity 25 (...) in the chest, near the sternum, but may be felt anywhere from the epigastrium to the lower jaw or teeth, between the shoulder blades, or in either arm to the wrist and fingers. The discomfort is often described as pressure, tightness, or heaviness; sometimes strangling, constricting, or burning. It may be useful to ask the patient directly about the presence of ‘discomfort’ as many do not feel ‘pain’ or ‘pressure’ in their chest. Shortness of breath may accompany angina, and chest discomfort may also

2019 European Society of Cardiology

19. Musculoskeletal Strains and Sprains - Guidelines for Prescribing NSAIDs

pain (8.42/1000 ), shoulder pain ( 6.97 /1000 ), and neck pain ( 6.50/1000 ). Because pain and inflammation increase prostaglandin production, drugs that inhibit peripheral prostaglandin production reduce pain by decreasing the transmission of pain impulses from the periphery to the CNS. For more information, go to: Clinical Knowledge Summaries – . (Free access, registration required) e-therapeutics+ - Musculoskeletal Disorders: Sports Injuries. Available at Patients with musculoskeletal injuries (...) . Heat therapy is an alternative for patients with non-inflammatory pain persisting for more than 48 hours after the injury. It has been studied in the treatment of acute low back pain with increasing blood flow. Although its mechanism of action is not fully understood, heat may help to reduce pain by increasing blood flow. Do not use with other topical agents or on broken skin. Physical and rehabilitative therapies have been used to treat acute pain from sports injuries and to treat chronic pain

2017 medSask

20. Acute Pain Medicine in the United States: A Status Report Full Text available with Trip Pro

to empower patients and to address their wants , needs, and rights . These trends have relevance to the area of acute pain medicine (APM). The practice of APM involves the practice of medicine at multiple levels of inpatient healthcare, rehabilitation, and recovery of the patient at home. Specialists in APM diagnose variants of and conditions related to acute pain, offer medical, interventional, and complementary and integrative medicine therapies, and provide for primary and secondary prevention (...) and effective acute pain care at the patient-population level. For example, it is no longer sufficient to simply perform a nerve block or place an indwelling catheter: APM teams must consider how these interventions affect patient safety, rehabilitation, and disposition; the training of healthcare providers in multiple disciplines; the logistics of supply chain management and financing; and optimal healthcare delivery. Although acute pain management occurs in a variety of patient care settings (e.g

2015 American Academy of Pain Medicine

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