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Shoulder Rehabilitation

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101. Achilles Pain, Stiffness, and Muscle Power Deficits; Midportion Achilles Tendinopathy Revision

and function and soft tissue mobilization to increase range of motion for patients with midportion Achilles tendinopathy. INTERVENTIONS – PATIENT EDUCATION: ACTIVITY MODIFICATION B For patients with nonacute midportion Achilles tendinopathy, clinicians should advise that complete rest is not indicated and that they should continue with their recreational activity within their pain tolerance while participating in rehabilitation. INTERVENTIONS – PATIENT COUNSELING E Clinicians may counsel patients (...) recommendations to support evidence-based practice. The authors of this guideline revision worked with the CPG Editors and medical librarians for methodological guidance. The research librarians were chosen for their expertise in systematic review and rehabilitation literature search and to perform systematic searches for concepts associated with classification, examination, and intervention strategies for Achilles Pain, Stiffness, and Muscle Power Deficits: Midpor - tion Achilles Tendinopathy. 22 Briefly

2018 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

102. Ankle and Foot Surgical Guideline

are of the highest quality, this guideline emphasizes: ? Conducting a thorough assessment and making an accurate diagnosis. ? Appropriately determining work-relatedness. ? Making the best treatment decisions that are curative or rehabilitative. b ? Facilitating the worker’s return to health, productivity, and work. The guideline was developed in 2016-2017 by a subcommittee of the Industrial Insurance Medical Advisory Committee (IIMAC). The subcommittee was comprised of practicing physicians in rehabilitation (...) are both surgical options when the ankle cartilage is so damaged by arthritis that joint movement and weight bearing activities cause intolerable pain. Fusing the tibia, fibula, and talus (arthrodesis) or replacing the ankle joint (arthroplasty) are major procedures and require inpatient hospitalization and several weeks of protected weight bearing followed by a structured rehabilitation program. Full recovery generally takes several months. These procedures are usually reserved for advanced stages

2017 Washington State Department of Labor and Industries

104. Botulinum neurotoxin for the treatment of blepharospasm, cervical dystonia, adult spasticity, and headache

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. 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 (...) Clinic (J.J.), Department of Neurology, Baylor 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

2016 American Academy of Neurology

105. Management of Chronic Pain in Survivors of Adult Cancers (Full text)

and comprehensive assessment Informal consensus used — Nonpharmacologic treatment Physical medicine and rehabilitation Two systematic reviews, three RCTs Table 8 Integrative and neurostimulatory therapies Six systematic reviews Table 9 Interventional therapies One systematic review, three RCTs, two observational studies Table 10 Psychological approaches Seven systematic reviews Table 11 Pharmacologic treatment Adjuvant analgesics 10 systematic reviews, one RCT Table 12 Cannabinoids Five systematic reviews, one (...) ↑ — — — — Andreae √ — — Inhaled cannabis ↑ — — — ↑ Lynch √ — — Cannabinoids ↑ — ↑ — ↑ Campbell √ — — Cannabinoids ↑ — — — ↑ Johnson — √ Sativex ↑ — — — ↑ Ware — — √ Cannabis ↑ — — — ↑ Nonpharmacologic management Physical medicine and rehabilitation Mishra √ — — Exercise ↑ — — — ↑ Fong √ — — Physical activity — ↑ — Cantarero-Villanueva — √ — Water exercise ↑ — — — ↑ Fernández-Lao — √ — PT program ↑ — — — — May — √ — Training program v CBT ↑ — — — — Integrative therapies Paley √ — — Acupuncture — — — — — Garcia

2016 American Society of Clinical Oncology Guidelines PubMed abstract

106. Hip Pain and Mobility Deficits ? Hip Osteoarthritis

with respect to their conclusions. The recommendation is based on these conflicting studies E Theoretical/ foundational evidence A preponderance of evidence from animal or cadaver studies, from conceptual models/ principles, or from basic science/bench research supports this conclusion F Expert opinion Best practice based on the clinical experience of the guidelines development team GUIDELINE REVIEW PROCESS AND VALIDATION Identified reviewers who are experts in hip OA management and rehabilitation reviewed (...) - etitions completed in 30 seconds • Measurement method: a standard/folding chair is placed with the back against the wall. The clinician should dem- onstrate the movements and ask the patient to complete a practice trial. Then, the patient begins, seated on the chair with feet shoulder-width apart and flat on the floor and arms crossed at the chest. The patient rises to a full stance and repeats as many as possible in the time allotted. The clinician records the total number of completed chair stands

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

107. Imaging Program Guidelines: Pediatric Imaging

include: ¾ CT brain and CT sinus for headache ¾ MRI brain and MRA brain for headache ¾ MRI cervical spine and MRI shoulder for pain indications ¾ MRI lumbar spine and MRI hip for pain indications ¾ MRI or CT of multiple spine levels for pain or radicular indications ¾ MRI foot and MRI ankle for pain indications ¾ Bilateral exams, particularly comparison studies There are certain clinical scenarios where simultaneous ordering of multiple imaging studies is consistent with current literature

2017 AIM Specialty Health

108. Neck Pain

extremity strengthening to enhance program adherence. C Clinicians may provide cervical manipulation and/ or mobilization. Subacute For patients with subacute neck pain with mobility deficits: B Clinicians should provide neck and shoulder girdle endurance exercises. C Clinicians may provide thoracic manipulation and cervical manipulation and/ or mobilization. Chronic For patients with chronic neck pain with mobility deficits: B Clinicians should provide a multimodal approach of the following: • Thoracic (...) manipulation and cervical manipulation or mobilization • Mixed exercise for cervical/ scapulothoracic regions: neuromus- cular exercise (eg, coordination, proprioception, and postural training), stretching, strengthening, endurance training, aerobic conditioning, and cognitive affective elements • Dry needling, laser, or intermittent mechanical/ manual traction C Clinicians may provide neck, shoulder girdle, and trunk en- durance exercise approaches and patient education and counseling strategies

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

110. Knee Stability and Movement Coordination Impairments: Knee Ligament Sprain

, such as those associated with knee extension range-of-motion loss. INTERVENTIONS – CRYOTHERAPY B Clinicians should use cryotherapy immediately after ACL reconstruction to reduce postoperative knee pain. INTERVENTIONS – SUPERVISED REHABILITATION B Clinicians should use exercises as part of the in-clinic super- vised rehabilitation program after ACL reconstruction and should provide and supervise the progression of a home-based exer- cise program, providing education to ensure independent performance (...) based on the clinical experience of the guidelines development team GUIDELINE REVIEW PROCESS AND VALIDATION Identified reviewers who are experts in knee ligament injury management and rehabilitation reviewed the content and methods of this CPG for integrity, accuracy, and to ensure that it fully represents the condition. Any comments, sugges- tions, or feedback from the expert reviewers were delivered to the authors and editors to consider and make appropri- ate revisions. These guidelines were also

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

111. 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

, Pennsylvania. Oncology Rehab, Centennial, Colorado. Department of Physical Therapy, Chatham University, Pittsburgh, Pennsylvania. Department of Physical Therapy, Andrews University, Berrien Springs, Michigan. The authors declare no conflicts of interest. Abstract RECOMMENDATIONS Risk Factors: A Postural Changes: B Clinical Course: A/B Diagnosis/Classification: B Differential Diagnosis: A Imaging Studies: F Examination—Outcome Measures: A Examination—Activity Limitation and Participation Restricti (...) modified to include the role of consensus expert opinion and basic science research to demonstrate biological or biomechanical plausibility (Table 2). Review Process The authors in conjunction with the SOWH APTA selected reviewers from the following areas to serve as reviewers of the first draft of this CPG: * ACOG guidelines * Coding * Manipulative therapy * Obstetric physical therapy * Orthopedic physical therapy rehabilitation * Outcomes research * Pain science * PGP rehabilitation * Physical

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

112. AIM Clinical Appropriateness Guidelines for Joint Surgery

AIM Clinical Appropriateness Guidelines for Joint Surgery Appropriate.Safe.Affordable © 2017 AIM Specialty Health 2062-0617 v.1 Joint Surgery Guidelines Musculoskeletal Program Joint Surgery EFFECTIVE NOVEMBER 1, 2017 LAST REVIEWED JULY 17, 2017 Copyright © 2017. AIM Specialty Health. All Rights Reserved. Joint Surgery 2 Table of Contents Description and Application of the Guidelines 4 Shoulder Arthroplasty 5 Description & Scope 5 General Requirements and Documentation 5 Indications (...) and Criteria 7 Contraindications 8 Exclusions 8 Selected References 9 CPT Codes 9 Shoulder Arthroscopy and Open Procedures 10 Description 10 General requirements 10 Indications and Criteria 11 Selected References 16 CPT Codes 16 Hip Arthroplasty 18 Description & Scope 18 General Requirements and Documentation 18 Indications and Criteria 20 Contraindications 20 Selected References 21 CPT Codes 21 Appendix 22 Hip Arthroscopy 23 Description 23 General requirements 23 Indications 24 Exclusions 25 Selected

2017 AIM Specialty Health

113. Management of Orthopaedic Trauma

Management of Orthopaedic Trauma ACS TQIP BEST PRACTICES IN THE MANAGEMENT OF ORTHOPAEDIC TRAUMATable of Contents Introduction 3 Triage and Transfer of Orthopaedic Injuries 4 Open Fractures 6 Damage Control Orthopaedic Surgery 9 The Mangled Extremity 12 Compartment Syndrome 15 Management of Pelvic Fractures with Associated Hemorrhage 18 Geriatric Hip Fractures 21 Management of Pediatric Supracondylar Humerus Fractures 26 Rehabilitation of the Multisystem Trauma Patient 28 Appendix (...) and Performance Improvement Although damage control interventions in orthopaedic surgery are necessary at times, delay of definitive fixation leads to higher rates of skin breakdown, prolonged hospital length of stay, increased pain, decreased patient satisfaction, and delays to rehabilitation. The utilization of damage control orthopaedic surgery and subsequent complications should be monitored through the performance improvement process. Similarly, failure to employ a damage control approach to orthopaedic

2015 American College of Surgeons

114. Stroke Assessment Across the Continuum of Care

Barreca, PT, BA Research Clinician, Orthopedic and Rehabilitation Services, Hamilton Health Sciences Centre. Hamilton, Ontario Mark Bayley, MD, FRCPC Assistant Professor, Faculty of Medicine, University of Toronto. Medical Director, Neuro-Rehab Program, Toronto Rehabilitation Institute, Toronto, Ontario Jennifer Bean, RN, BScN Utilization Coordinator – ED/ICU/Medicine, Northeastern Regional Education Coordinator. Thunder Bay Regional Health Science Centre. Thunder Bay, Ontario Sandy Beckett, BA, BSc (...) Registered Nurses’ Association of Ontario Nursing Best Practice Guidelines Program 111 Richmond Street West, Suite 1100 Toronto, Ontario M5H 2G4 Website: Stroke Assessment Across the Continuum of Care 45 Nursing Best Practice Guideline Linda Kelloway, RN, BScN, CNN(c) Team Leader Regional Stroke Education Consultant West GTA Stroke Network Etobicoke, Ontario Anna Bluvol, RN, MScN Nurse Clinician, Stroke Rehabilitation St. Joseph’s Health Care Parkwood Site London, Ontario Paula

2005 Registered Nurses' Association of Ontario

115. Risk Assessment and Prevention of Pressure Ulcers

of Canada, London, Ontario Dr. Marisa Zorzitto Regional Geriatric Service, West Park Healthcare Centre, Toronto, Ontario RNAO also wishes to acknowledge the following organizations in Ottawa, Ontario, for their role in pilot testing the original guideline: SCO Health Services The Rehabilitation Centre of the Royal Ottawa Health Care Group St Patrick’s Nursing Home Perley Rideau Centre of the Royal Ottawa Health Care Group Hôpital Montfort Saint Elizabeth Health Care VHA Home Healthcare RNAO sincerely (...) should be considered. – Level Ib 3.12 Institute a rehabilitation program, if consistent with the overall goals of care and IV the potential exists for improving the individual’s mobility and activity status. Consult the care team regarding a rehabilitation program. Discharge/Transfer 4.1 Advance notice should be given when transferring a client between settings IV of Care Arrangements (e.g., hospital to home/long-term care facility/hospice/residential care) if pressure reducing/relieving equipment

2002 Registered Nurses' Association of Ontario

116. Cerebral palsy

disability services, mental health services, orthopaedic surgery (and post-surgery rehabilitation), rehabilitation engineering services, rehabilitation medicine or specialist neurology services, secondary care expertise for managing comorbidities, social care, specialist therapy services, and wheelchair services. The main roles of a GP in the management of a person with CP are in coordinating care, identifying associated problems early (and managing/referring where appropriate), and providing support (...) neurodisability, neurology, neurorehabilitation, respiratory, gastroenterology and surgical specialist care, orthopaedics, orthotics and rehabilitation services, social care, visual and hearing specialist services, and teaching support for preschool and school-age children, including portage (home teaching services for preschool children). The key responsibilities of a general practitioner in the management of a child with CP are in: Coordinating care where necessary. Identifying associated early

2019 NICE Clinical Knowledge Summaries

117. CVD risk assessment and management

factor modification and cardiac rehabilitation (where appropriate). Secondary prevention of CVD is not discussed further in this topic. For more information on secondary prevention of CVD, see the CKS topics on , , , . Population–based strategies to prevent CVD Population–based strategies have the potential to provide large societal health gains because most cardiovascular deaths occur in people who are not at a high risk. Although many people have a low or moderate risk of developing CVD, because (...) breathlessness), or Muscle-strengthening activities on two or more days a week that work all major muscle groups (legs, hips, back, abdomen, chest, shoulders, and arms). Activity in bouts of 10 minutes or more is as effective as longer bouts so long as the total per week is as above. Moderate intensity activities include those that can be incorporated into everyday life such as brisk walking, using stairs, and cycling. Encourage people who cannot manage moderate intensity physical activity because

2019 NICE Clinical Knowledge Summaries

118. MI - secondary prevention

and persisting blockage of the artery Non-ST-segment elevation myocardial infarction (NSTEMI), reflecting partial or intermittent blockage of the artery. There are a variety of possible complications which can occur following an MI. including heart failure, angina, depression, and sudden death due to another MI or an arrhythmia. Secondary prevention aims to prevent complications or reduce impact, and to prevent further cardiovascular events. Secondary prevention include cardiac rehabilitation, addressing (...) relevant lifestyle risk-factors, and drug treatment. Lifestyle changes that can reduce the risk of having further MI or other cardiovascular events following an MI include: Smoking cessation. A healthy diet. Aiming to be moderately physically active for at least 150 minutes per week. Losing weight if overweight or obese. Keeping alcohol consumption within recommended limits. All people who have had an MI should be given advice about, and offered, a cardiac rehabilitation programme with an exercise

2019 NICE Clinical Knowledge Summaries

119. Child Abuse, Elder Abuse, and Intimate Partner Violence

by the application of tests, examinations, history or other procedures which can be applied rapidly.” 1 A positive screen identifies patients with higher probability of abuse that require additional testing or evaluation. However, screening does not lead to a diagnosis of abuse, and an initial negative screen does not “rule out” abuse. Screening must occur across the trauma/emergency care continuum (emergency department [ED], intensive care unit [ICU], medical-surgical units, and rehabilitation (...) for infants too young to defend themselves or toddlers too afraid to say anything. The burden of safety rests on the shoulders of trauma and medical professionals to correctly interpret these (often subtle) skin and oral injuries. Studies of sentinel injuries identified missed opportunities for earlier diagnosis of PCA by medical and/or CPS providers. 2-4,7-9 In many cases the repeat injury was more severe, 2,3,5,7-9 with mortality rates significantly increasing with repeat episodes of physical abuse. 9

2019 American College of Surgeons


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