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Shoulder Rehabilitation

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101. Reducing risk in heart disease - an expert guide to clinical practice for secondary prevention of coronary heart disease

to the health professional’s judgement in each individual case, within the context of the goals of treatment. All treatments should be personalised according to the patient’s prognosis, comorbidities, drug tolerance, lifestyle/living circumstances and wishes. • This guide can be used by health professionals across the continuum of CHD care, including in acute settings, general practice, primary care, cardiac rehabilitation, and community and allied health services. • General practitioners (GP) can use (...) . Note: it is not generally recommended that patients with CHD do vigorous physical activity. • Incidental physical activity is also important to keep patients moving as often, and in as many ways, as possible. Encourage patients to sit less and move more throughout the day. • Refer patients to a cardiac rehabilitation program and/or an exercise physiologist where appropriate and available. • A structured rehabilitative physical activity program, supervised by qualified fitness personnel, should

2012 Clinical Practice Guidelines Portal

102. Guidelines for the prescription of a seated wheelchair or mobility scooter for people with a traumatic brain injury or spinal cord injury

Rehabilitation Centre Adrian Byak Physiotherapist Spinal Cord Injury Assistive Technology Seating Service Northern Sydney Central Coast Health Service Private Practice Danielle Collins Senior Occupational Therapist Spinal Cord Injury Prince of Wales Hospital Spinal Unit Allie Di Marco Occupational Therapist Spinal Cord Injury Private practice Linda Elliott Statewide Equipment Advisor EnableNSW Health Support Services NSW Health Bill Fisher Rehabilitation Engineer Assistive Technology Seating Service Northern (...) Sydney Central Coast Health Service Kate Hopman Senior Occupational Therapist Traumatic Brain Injury Liverpool Hospital Brain Injury Rehabilitation Unit Greg Killeen Spinal cord injury consumer representative Suzanne Lulham Director, Service Delivery Lifetime Care & Support Authority Jodie Nicholls Senior Occupational Therapist Brain Injury Westmead Brain Injury Rehabilitation Unit Representative of Occupational Therapy Australia – NSW Division Thi Hong Nguyen Brain injury consumer representative

2011 Clinical Practice Guidelines Portal

104. Management of Stable Coronary Artery Disease

. 110, DE-70376 Stuttgart, Germany.Tel:+49 711 8101 3456, Fax:+49711 8101 3795, Email: Entities having participated in the development of this document: ESC Associations: Acute Cardiovascular Care Association (ACCA), European Association of Cardiovascular Imaging (EACVI), European Association for Cardiovascular Prevention & Rehabilitation (EACPR), European Association of Percutaneous Cardiovascular Interventions (EAPCI), Heart Failure Association (HFA) ESC Working Groups (...) . . . . . . . . . . . . . . . . . . . .2977 Cardiac rehabilitation . . . . . . . . . . . . . . . . . . .2977 In?uenza vaccination . . . . . . . . . . . . . . . . . . .2977 Hormone replacement therapy . . . . . . . . . . . .2977 7.1.3 Pharmacological management of stable coronary artery disease patients . . . . . . . . . . . . . . . . . . . . . . . .2977 Aims of treatment . . . . . . . . . . . . . . . . . . . . . .2977 Drugs . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2978 ESC

2013 European Society of Cardiology

105. Canadian best practice recommendations for stroke care

unit care . . . . . . . . . . . . . . . . . . . . . . . . . . . . E45 4.2 Components of acute inpatient care . . . . . . . . . . . E48 5 5: : S St tr ro ok ke e r re eh ha ab bi il li it ta at ti io on n a an nd d c co om mm mu un ni it ty y r re ei in nt te eg gr ra at ti io on n E52 5.1 Initial stroke rehabilitation assessment . . . . . . . . . E52 5.2 Provision of inpatient stroke rehabilitation . . . . . . E54 5.3 Components of inpatient stroke rehabilitation . . E56 5.4 Outpatient (...) and community-based rehabilitation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E58 5.5 Follow-up and community reintegration . . . . . . . . E61 6 6: : S Se el le ec ct te ed d t to op pi ic cs s i in n s st tr ro ok ke e m ma an na ag ge em me en nt t E63 6.1 Dysphagia assessment . . . . . . . . . . . . . . . . . . . . . . . E63 6.2 Identification and management of post-stroke depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E65 6.3 Vascular cognitive impairment

2009 CPG Infobase

106. Perinatal brachial plexus palsy

trials, systematic reviews and meta-analyses on prevention and treatment of PBPP was performed. The background data on which this statement is based are found in the . There are no prospective studies on cause or prevention of PBPP. Whereas birth trauma is the most common cause, there is evidence suggesting that PBPP can occur before delivery. PBPP has been associated with shoulder dystocia, infants who are large for gestational age, maternal diabetes and instrumental delivery; however (...) of the nerve injury and its potential sequelae. This should include the following information: PBPP is not always preventable. 75% of infants recover completely within the first month of life. 25% experience permanent impairment and disability. If the physical examination shows incomplete recovery by the end of the first month, referral to a multidisciplinary brachial plexus team should be made. The team should include neurologists and/or physiatrists, rehabilitation therapists and plastic surgeons

2012 Canadian Paediatric Society

108. Physical activity for people with cardiovascular disease: recommendations of the National Heart Foundation of Australia

activity unless otherwise contraindicated. The associated benefits of regular physical activity for those with CVD include the following. Augmented physiological function Exercise rehabilitation consistently improves objective measures of functional capacity in those with heart disease. , Endurance training improves walking mobility among stroke survivors, and increases walking distance in people with PVD and exercise-induced claudication (NHMRC level of evidence [LOE] I, grade of recommendation [GOR (...) ] A ). (see for NHMRC classifications.) Reduction in symptoms Exercise training reduces recurrent anginal symptoms, lessens breathlessness associated with heart failure and stroke, and reduces severity of claudication pain with walking in patients with PVD (LOE I, GOR A). Enhanced quality of life Exercise rehabilitation is associated with small but consistently favourable changes in self-reported quality-of-life domains among survivors of myocardial infarction, people with heart failure and PVD (LOE II

2006 MJA Clinical Guidelines

109. Clinical Assessment Following Acute Cervical Spinal Cord Injury

.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

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2013 Congress of Neurological Surgeons

110. Hand Pain and Sensory Deficits: Carpal Tunnel Syndrome

Questionnaire functional scale (CTQ-FS) or the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire to assess function when examining pa- tients with CTS. Clinicians should use the CTQ-SSS to assess change in those undergoing nonsurgical management. EXAMINATION – ACTIVITY LIMITATIONS/ PHYSICAL PERFORMANCE MEASURES C Clinicians may use the Purdue Pegboard (PPB) or the Del- lon-modified Moberg pick-up test (DMPUT) to quantify dexterity at the onset of treatment and compare scores with es- tablished (...) Carpal Tunnel Questionnaire-symptom severity scale CTQ-FS: Boston Carpal Tunnel Questionnaire-functional scale CTQ-SSS: Boston Carpal Tunnel Questionnaire-symptom severity scale CTR: carpal tunnel release CTS: carpal tunnel syndrome DASH: Disabilities of the Arm, Shoulder and Hand questionnaire DIP: distal interphalangeal DM: diabetes mellitus DML: distal motor latency DMPUT: Dellon-modified Moberg pick-up test DSL: distal sensory latency ES: effect size FDP: flexor digitorum profundus FDS: flexor

2019 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

111. Management of Rotator Cuff Injuries

. Strength of Recommendation: Strong Description: Evidence from two or more “High” quality studies with consistent findings for recommending for or against the intervention. View background material via the RC CPG eAppendix 1 View data summaries via the RC CPG eAppendix 2 9 CORTICOSTEROID INJECTIONS FOR ROTATOR CUFF TEARS Moderate evidence supports the use of a single injection of corticosteroids with local anesthetic for short-term improvement in both pain and function for patients with shoulder pain (...) treatment, reverse shoulder arthroplasty for unrepairable tears with glenohumeral joint arthritis can improve patient reported outcomes. Strength of Recommendation: Consensus DEVELOPMENT GROUP ROSTER Gregory A. Brown, MD, PhD – Oversight Chair American Academy of Orthopaedic Surgeons Stephen Weber, MD Co-Chair Arthroscopy Association of North America Jaskarndip Chahal, MD Co-Chair American Orthopaedic Society for Sports Medicine Shafic A. Sraj, MD American Academy of Orthopaedic Surgeons Jason M

2019 American Academy of Orthopaedic Surgeons

112. 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

113. Acute Pain Medicine in the United States: A Status Report

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

115. 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

116. 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

117. Guidelines on Chronic Coronary Syndromes

test 18 Invasive testing 19 3.1.6 Step 6: assess event risk 21 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 Smoking 23 Diet and alcohol 24 Weight management 24 Physical activity 24 Cardiac rehabilitation 24 Psychosocial factors 24 Environmental factors 25 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

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2019 European Society of Cardiology

118. Patellofemoral Pain

- toms can recur and can persist for years. 74 Patients with PFP symptoms frequently present to health care professionals for diagnosis and treatment. 74,277 This CPG will allow physical therapists and other rehabilitation specialists to stay up to date with evolving PFP knowledge and practices, and help them to make evidence-based treatment decisions. 166 Content experts were appointed by the Academy of Ortho- paedic Physical Therapy, APTA, Inc to conduct a review of the literature and to develop (...) evidence A preponderance of evidence from animal or cadaver studies, from conceptual models/ principles, or from basic science/bench research supports this recommendation F Expert opinion Best practice based on the clinical experi- ence of the guidelines development team supports this recommendation DESCRIPTION OF GUIDELINE VALIDATION Identified reviewers who are experts in PFP management and rehabilitation reviewed this CPG content and methods for in- tegrity and accuracy and to ensure that they fully

2019 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

119. Pre-conception - advice and management

. Macrosomia and shoulder dystocia. Preterm delivery. Birth trauma. Caesarean delivery. Postpartum complications (for example haemorrhage, thrombosis and infection). Stillbirth. Congenital anomalies (for example neural tube defects, cardiovascular anomalies, cleft palate, limb reduction, anorectal atresia, hydrocephaly). Advise and encourage women who are obese (BMI of 30 kg/m 2 or more) to lose weight before becoming pregnant. Women should be informed that losing 5–10% of their weight (a realistic target (...) as appropriate to a treatment centre or higher level care [ ] . The US Centers for Disease Control and Prevention also recommend, as part of a pre-conception risk assessment, referral to a programme providing abstinence support and rehabilitation for women using illicit substances [ ]. Offering contraceptive advice This recommendation is based on expert opinion in a factsheet from the Centers for Disease Control and Prevention on Preconception clinical care for women: Exposures which indicates the importance

2017 NICE Clinical Knowledge Summaries

120. Stroke and TIA

up should be arranged to optimize secondary prevention lifestyle and drug strategies. Have I got the right topic? Have I got the right topic? From age 16 years onwards. This CKS topic is largely based on the clinical guidelines Stroke rehabilitation in adults [ ] and National clinical guideline for stroke prepared by the Intercollegiate Stroke Working Party [ ]. This CKS topic covers the primary care assessment and management of adults presenting with suspected acute stroke or transient ischaemic (...) serious interaction between proton pump inhibitors and protease inhibitors (atazanavir and saquinavir) has also been added. Issued in January 2012. September 2011 — minor update. Text added to include recommendations from the Scottish Intercollegiate Guidelines Network national clinical guideline 119 Management of patients with stroke: identification and management of dysphagia and national clinical guideline 118 Management of patients with stroke: Rehabilitation, prevention and management

2017 NICE Clinical Knowledge Summaries


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