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81. Clinical Assessment Following Acute Cervical Spinal Cord Injury Full Text available with Trip Pro

.They used item response theory methods to determine the value of the use of ASIA motor score/subscores to predict motor Functional Independence Measure (FIM) instrument scores among a database of 4338 SCI patients discharged from inpatient rehabilitation between 1994 and 2003. They concluded that functional impairment following SCI is more accurately described by the use of separate upper- and lower-extremity ASIA motor scores rather than a single, total ASIA motor score. Similarly, in 2006, Graves et (...) with acute SCI, to a high degree of scientific certainty. , , , FUNCTIONAL OUTCOME SCALES Functional outcome scales are measures of human performance and ability/disability typically defined during medical rehabilitation, ie, how a person functions with activities of everyday life after injury/impairment/debilitating illness. Several scales have been employed or developed in an effort to accurately characterize an injury victim's functional skills and disabilities after SCI in order to quantify his

2013 Congress of Neurological Surgeons

83. An Update of Comprehensive Evidence-Based Guidelines for Interventional Techniques in Chronic Spinal Pain - Part 2 - Guidance and Recommendations

, to provide a set of recommendations that can support existing and future guidelines to provide appropriate strategies to manage chronic spinal pain and improve the quality of clinical care. The membership consists of multiple specialties across the globe even though it is an American society. The majority of the specialists include interventional pain physicians derived from the primary specialities of anesthesiology, physical medi- cine and rehabilitation, and neurology and psychiatry. There has been

2013 American Society of Interventional Pain Physicians

85. Thoracic Outlet Syndrome - Neurogenic

will not be authorized. Effective Date October 1, 2010; hyperlink and formatting update September 2016 Page 3 II. INTRODUCTION This guideline is to be used by physicians, claim managers, occupational nurses, and utilization review staff. The emphasis is on accurate diagnosis and treatment that is curative or rehabilitative (see WAC 296-20-01002 for definitions). An electrodiagnostic worksheet and guideline summary are appended to the end of this document. This guideline was developed in 2010 by the Washington (...) Holding tools or objects above shoulder level Reaching overhead Carrying heavy weights Several occupations have been associated with nTOS. This is not an exhaustive list and is meant only as a guide in the consideration of work-relatedness: Dry wall hanger or plasterer Assembly line inspector Welder Shelf stocker Beautician Dental hygienist IV. MAKING THE DIAGNOSIS A. SYMPTOMS AND SIGNS A case definition of confirmed nTOS includes appropriate symptoms, objective physical findings ("signs

2010 Washington State Department of Labor and Industries

86. Diagnosis and Treatment of Cervical Radiculopathy from Degenerative Disorders

with or with- out upper extremity clinical findings should prompt evaluation for a C4 radiculopathy and that this eval- uation should include C4 sensory testing. Post et al 38 reported a retrospective case series re- viewing experience with the surgical management of a series of 10 patients with C7-T1 herniations. Symptoms included shoulder pain radiating into the lateral aspect of the hand, hand weakness and weakness in finger flexion, finger extension and in- trinsic hand muscles. Sensation and DTRs were un (...) - remarkable. MRI on each patient revealed a soft disc compressing the C8 nerve root. Recovery of hand strength was noted in each patient; however, recov- ery was incomplete in two patients with symptoms greater than four months. In critique, no validated outcome measures were used and the sample size was small. This study provides Level IV evidence that C8 radiculopathy usually presents as weakness of the hand and pain radiating to shoulder, scapu- lar area, and to the fourth and fifth fingers. Physi- cal

2010 North American Spine Society

87. Pediatric Chronic Home Invasive Ventilation: An Official ATS Clinical Practice Guideline

family caregivers are prepared to care for the child in the home. Conditional Very low The experience of the Workgroup and available data indicate that alone trainedfamily caregiverwould rarelybecapable of shouldering the entire burden of care for a child using invasive ventilation in the home. This recommendation placeshighvalueonthesafetyofthepatient andqualityof life of caregivers and low value on increased resource use for training more than one caregiver. 3c. We suggest that ongoing education

2016 American Thoracic Society

88. Palliative Care and Cardiovascular Disease and Stroke: A Policy Statement From the American Heart Association/American Stroke Association

ventricular assist device (VAD) certification. Specifically, The Joint Commission requires involvement of palliative care specialists for patients undergoing VAD implantation as destination therapy; programs have used this as an opportunity to integrate palliative care into the care of all MCS patients. Integration of palliative care with the care of stroke patients varies, depending on the extensiveness of the stroke and the stage after stroke, from the acute phase to recovery, long-term rehabilitation (...) the postoperative period. , Stroke Approximately 6.6 million Americans (≥20 years old) have had a stroke. Stroke and HIE after cardiac arrest can cause severe acute brain injury (in addition to traumatic brain injury), which threatens what many people consider their essence. Treatment of and care for patients and families with stroke and HIE often involve multiple providers across many settings: emergency department, intensive care unit, hospital, acute rehabilitation unit, nursing home, and hospice. Survivors

2016 American Heart Association

89. Preventing and Experiencing Ischemic Heart Disease as a Woman: State of the Science Full Text available with Trip Pro

and risk behaviors (eg, psychosocial risk factors, physical inactivity [PI], cardiac rehabilitation participation, obesity, and tobacco use) that play a far greater role in outcomes among women with IHD than biological sex differences, given that 80% of heart disease is preventable. These differences affect the mechanism and expression of CVD between the sexes. Sex differences in the cardiovascular system are summarized in . Table 1. Sex-Related Differences in the Cardiovascular System Parameter (...) -risk minority women have the highest rate of PI. Research on the effectiveness of cardiac rehabilitation has consistently concluded that it is beneficial to all IHD patients in reducing cardiovascular risk factors after the occurrence of a cardiac event. Some of these benefits are improved exercise capacity, improvement in lipids, reduction in body mass index, reduction in morbidity and mortality, and improved psychological factors. , Historically, referral rates by healthcare providers to cardiac

2016 American Heart Association

90. AAN Guideline on Botulinum Neurotoxin

.), Stanford University, Palo Alto, CA; and Division of Physical Medicine and Rehabilitation (S.A.Y.), University of Alberta, Edmonton, Canada. Mark Hallett From the Department of Neurology (D.M.S., M.W.G.), Icahn School of Medicine at Mount Sinai, New York, NY; Human Motor Control Section (M.H.), National Institute of Neurological Disorders and Stroke (B.P.K.), National Institutes of Health, Bethesda, MD; Department of Neurology (E.J.A.), Bronson Neuroscience Center, Bronson Methodist Hospital, Kalamazoo (...) College of Medicine, Houston, TX; Department of Neurology and Clinical Neurophysiology (M.N.), Klinikum Augsburg, Germany; Department of Neurology and Neurological Sciences (Y.T.S.), Stanford University, Palo Alto, CA; and Division of Physical Medicine and Rehabilitation (S.A.Y.), University of Alberta, Edmonton, Canada. Eric J. Ashman From the Department of Neurology (D.M.S., M.W.G.), Icahn School of Medicine at Mount Sinai, New York, NY; Human Motor Control Section (M.H.), National Institute

2016 American Association of Neuromuscular & Electrodiagnostic Medicine

91. Management of Cardiac Involvement Associated With Neuromuscular Diseases: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

recessive (LGMD2) inheritance, with mutations at >50 loci reported. Prevalence estimates for LGMD are 1 in 14 500 to 1 in 123 000. , LGMD2 generally presents during childhood or adolescence as a progressive skeletal myopathy that results in severe disability, with phenotypic overlaps with DMD and BMD. The distribution and pattern of weakness at onset most often affect the pelvic or shoulder girdle musculature or both. shows a subset of LGMD2 disorders, each of which can have a cardiac phenotype

2017 American Heart Association

92. Introduction to the Centers for Disease Control and Prevention and Healthcare Infection Control Practices Advisory Committee Guideline for Prevention of Surgical Site Infection: Prosthetic Joint Arthroplasty Section

to perform prosthetic total hip arthroplasties (THA). The field of prosthetic joint arthroplasty has been expanded to include total knee, shoulder, elbow, wrist, ankle, temporomandibular, metacarpophalangeal, and interphalangeal joint arthroplasties [ , ]. Approximately 1.2 million arthroplasties are performed annually in the United States (US) ( ) [ ]. By 2030, the total number of arthroplasties expected to be performed in the United States is projected to exceed 3.8 million, and the related SSIs (...) ) 00.70-00.73, 81.53 Hip 43,150 (41.5) 81.52 Partial hip (hemiarthroplasty) 89,485 (8.2) 00.85-00.87 Resurfacing hip 3,535 (0.3) 81.80 Total shoulder 32,825 (3.0) 81.97 Upper extremity 5,450 (5.2) 81.84 Total elbow 1,665 (0.2) 81.56 Total ankle 3,730 (0.3) 81.59 Lower extremity 315 (0.3) TOTAL 1,092,940 (100) TOTAL 104,095 (100) ICD-9-CM = International Classification of Diseases, Ninth Revision, Clinical Modification. * Agency for Healthcare Research and Quality. Healthcare Cost and Utilization

2016 Surgical Infection Society

93. Proximal Median Nerve Entrapment (PMNE)

(PMNE) Diagnosis and Treatment II. INTRODUCTION This guideline is to be used by physicians, claim managers, and utilization review staff. The emphasis is on accurate diagnosis and treatment that is curative or rehabilitative (see WAC 296- 20-01002 for definitions). An electrodiagnostic worksheet and guideline summary are appended to the end of this document. This guideline was developed in 2009, and reviewed and updated in 2014, by Washington State's Labor and Industries’ Industrial Insurance (...) Medical Advisory Committee (IIMAC) and its subcommittee on Upper Extremity Entrapment Neuropathies. It focuses on work-related medical conditions. One of the subcommittee's goals is to provide standards that ensure a uniformly high quality of care for injured workers in Washington State. The IIMAC unanimously approved this guideline. The subcommittee is comprised of a group of physicians of various medical specialties, including rehabilitation medicine, occupational medicine, orthopedic surgery

2014 Washington State Department of Labor and Industries

94. Nonarthritic Hip Joint Pain

The Orthopaedic Section, APTA also selected consultants from the following areas to serve as reviewers of the early drafts of these clinical practice guidelines: • Claims review • Coding • Rheumatology • Hip pain rehabilitation • Medical practice guidelines • Manual therapy • Movement science • Orthopaedic physical therapy residency education • Orthopaedic physical therapy clinical practice • Orthopaedic surgery • Outcomes research • Physical therapy academic education • Physical therapy patient perspective (...) • Sports physical therapy residency education • Sports rehabilitation Comments from these reviewers were utilized by the authors to edit these clinical practice guidelines prior to submitting them for publication to the Journal of Orthopaedic & Sports Physical Therapy. In addition, several physical therapists practicing in orthopaedic and sports physical therapy settings volunteered to provide feedback on initial drafts of these clin- ical practice guidelines related to the guidelines’ usefulness

2014 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

95. 2014 AHA/ACC Guideline for the Management of Patients With Non-ST-Elevation Acute Coronary Syndromes Full Text available with Trip Pro

Management) e376 6.2. Medical Regimen and Use of Medications at Discharge: Recommendations e376 6.2.1. Late Hospital and Posthospital Oral Antiplatelet Therapy: Recommendations e376 6.2.2. Combined Oral Anticoagulant Therapy and Antiplatelet Therapy in Patients With NSTE-ACS e378 6.2.3. Platelet Function and Genetic Phenotype Testing e379 6.3. Risk Reduction Strategies for Secondary Prevention e379 6.3.1. Cardiac Rehabilitation and Physical Activity: Recommendation e379 6.3.2. Patient Education (...) , antihypertensives, anti-ischemic therapy, antiplatelet therapy, antithrombotic therapy, beta blockers, biomarkers, calcium channel blockers, cardiac rehabilitation, conservative management, diabetes mellitus, glycoprotein IIb/IIIa inhibitors, heart failure, invasive strategy, lifestyle modification, myocardial infarction, nitrates, non-ST-elevation, P2Y 12 receptor inhibitor, percutaneous coronary intervention, renin-angiotensin-aldosterone inhibitors, secondary prevention, smoking cessation, statins, stent

2014 American Heart Association

96. AIUM Practice Parameter for the Performance of Selected Ultrasound-Guided Procedures

Academy of Otolaryngology—Head and Neck Surgeons (AAO-HNS), the American Academy of Pain Medicine (AAPM), the American Academy of Physical Medicine and Rehabilitation (AAPMR), the American Osteopathic College of Radiology (AOCR), the American Physical Therapy Association (APTA), the American Registry for Diagnostic Medical Sonography (ARDMS), the American Society of Endocrine Physician Assistants (ASEPA), the American Association of Nurse Anesthetists (AANA), and the American Medical Society of Sports (...) of delivering a diagnostic or therapeutic agent or for aspirating fluid. Specifications in this section also apply to periarticular bursas (eg, subacromial bursa in the shoulder and greater trochanteric bursa in the hip). B. Indications and Contraindications 1. General indications for needle placement into a joint include but are not limited to the following: a. Delivery of diagnostic or therapeutic agents into the joint. b. Removal of fluid before injection of a diagnostic or therapeutic agent. c. Fluid

2014 American Institute of Ultrasound in Medicine

97. ACS/ASCO Breast Cancer Survivorship Care Guideline Full Text available with Trip Pro

patients if they are experiencing cognitive difficulties (LOE = 0); (b) should assess for reversible contributing factors of cognitive impairment and optimally treat when possible (LOE = IA); and (c) should refer patients with signs of cognitive impairment for neurocognitive assessment and rehabilitation, including group cognitive training if available (LOE = IA). Distress, depression, anxiety Recommendation 3.5: It is recommended that primary care clinicians (a) should assess patients for distress (...) that primary care clinicians (a) should assess for musculoskeletal symptoms, including pain, by asking patients about their symptoms at each clinical encounter (LOE = 0); and (b) should offer one or more of the following interventions based on clinical indication: acupuncture, physical activity, and referral for physical therapy or rehabilitation (LOE = III). Pain and neuropathy Recommendation 3.9: It is recommended that primary care clinicians (a) should assess for pain and contributing factors for pain

2015 American Society of Clinical Oncology Guidelines

98. The Non-Surgical Management of Hip & Knee Osteoarthritis (OA)

and judgment to master the prescribed aid. Before a patient uses an ambulation aid, contractures may need to be overcome or muscles strengthened. These factors speak to the skill required to effectively evaluate a patient for the most appropriate assistive device and ensure proper fit and training is performed. The upper extremity muscle groups used most often are the shoulder girdle depressors, elbow extensors, wrist Clinical Practice Guideline for the Non-Surgical Management of Osteoarthritis Page 29

2014 VA/DoD Clinical Practice Guidelines

99. Perineal care

of anal sphincter defect (e.g. defect > 30 degrees) o Low anorectal manometric pressures (e.g. incremental squeeze pressure 4 kg · OP position · Instrumental birth · Shoulder dystocia · Prolonged second stage · Midline episiotomy · Previous OASIS Woman elects vaginal birth? Elective CS Yes Yes No No Yes *Experienced clinician: The clinician best able to provide the required clinical care in the context of the clinical circumstances and local and HHS resources and structure. May include clinicians (...) and pelvic floor muscles. Pelvic floor muscle training A program of exercises used to rehabilitate the function of the pelvic floor muscles. Perineal injury Includes perineal soft tissue damage, tearing and episiotomy. Perineal tears Includes perineal tearing but not injury such as bruising, swelling, surgical incision (episiotomy). Reinfibulation Procedure to narrow the vaginal opening in a woman after she has been deinfibulated; also known as re-suturing. 1 Restrictive use episiotomy Where episiotomy

2018 Queensland Health

100. All-Terrain Vehicle Injuries, Prevention of

protective equipment on injury severity and none studying any possible effect independent of helmet use. [ ],[ ] There was one pediatric and one adult study including drivers and riders in both organized sport and recreational environments with contradictory results (Table 3). Protective equipment including vests, boots, shin guards, and pads for the shoulders, knees, and elbows are currently marketed for ATV riders. No study could be found which only separated helmets from other protective gear; however (...) of change between the two time periods. McBride et al. [ ] furthered investigated the outcomes of ATV legislation in North Carolina by comparing a larger time period (2003–2008), and found that children without helmets were five times more likely to have a head or neck injury ( p = 0.01). Passengers were five times more likely to die or require discharge to a rehabilitation facility ( p = 0.03) and 13 times more likely to suffer a head and neck injury ( p < 0.01) when compared to drivers. The authors

2018 Eastern Association for the Surgery of Trauma


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