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Shoulder Rehabilitation

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121. Carpal tunnel syndrome

or altered sensation and burning or pain in the distribution of the median nerve (the thumb, index finger, middle finger, and radial half of the ring finger). Symptoms are often worse at night and can disrupt sleep. Symptoms may affect one or both hands. Pain in the hand may radiate up the arm into the wrist or as far as the shoulder. The person may complain of loss of grip strength, clumsiness and reduced manual dexterity for example when doing up buttons. Some people may present atypically, for example (...) . Royal College of Physicians. . [ ] RCS ( 2013 ) Commissioning guide: Treatment of painful tingling fingers. Royal College of Surgeons . [ ] Wainner, R., Fritz, J., Irrgang, J. and et al. ( 2005 ) Development of a clinical prediction rule for the diagnosis of carpal tunnel syndrome. Archives of Physical Medicine and Rehabilitation. 86 ( 4 ), 609 - 618 . [ ] Washington State Department of Labour and Industries ( 2014 ) Work-Related Carpal Tunnel Syndrome Diagnosis and Treatment Guideline. Washington

2016 NICE Clinical Knowledge Summaries

122. Sprains and strains

and overuse can cause the bursa in the shoulder, elbow, hip, knee, or ankle to swell. See the CKS topics on , , and for more information. Tendon rupture — indicated by an inability to effect movement served by that tendon's muscle and/or a palpable gap in the tendon. Meniscus injury — often affects the knee and involves a twisting injury with a tearing sensation, followed by severe pain. Mild to moderate swelling is expected within 24 hours. There may be locking of the joint. Achilles tendinopathy (...) . CKS has not recommended referral of all muscle strains, because conservative management will result in a good outcome in most cases [ ]. However, the expert opinion of previous reviewers of this CKS topic is that appropriate rehabilitation reduces the likelihood of a further strain and/or residual symptoms, so referral to physiotherapy may be justified. Prevention of further strains and sprains What should I advise on preventing further strains and sprains? Advise that the person should: Take care

2016 NICE Clinical Knowledge Summaries

123. Plantar fasciitis

around their foot, and pull it with the knees straight, causing dorsiflexion, and hold this position for 30 seconds. Repeat three times for each foot. Wall push-up or stretches for the Achilles tendon. Advise the person to place both hands (at shoulder height) on a wall, with staggered feet (one foot in front of the other). The front foot should be approximately 30 cm (12 inches) from the wall. With the front knee bent and the back knee straight, the person should lean towards the wall, until (...) . [ ] Foye,P.M. ( 2013 ) Physical medicine and rehabilitation for plantar fasciitis. eMedicine. Medscape. . [ ] Goff,J.D. and Crawford,R. ( 2011 ) Diagnosis and treatment of plantar fasciitis. American Family Physician. 84 ( 6 ), 676 - 682 . [ ] Hawke,F., Burns,J., Radford,J.A. and du Toit,V. ( 2008 ) Custom-made foot orthoses for the treatment of foot pain (Cochrane Review). The Cochrane Library. John Wiley & Sons, Ltd . [ ] Hyland,M.R., Webber-Gaffney,A., Cohen,L. and Lichtman,P.T. ( 2006 ) Randomized

2015 NICE Clinical Knowledge Summaries

125. European Society of Endocrinology Clinical practice guidelines for the care of girls and women with Turner syndrome

in Turner syndrome R 4.1. We recommend that an infant or child is examined with transthoracic echocardiography (TTE) at the time of diagnosis, even if the fetal echocardiogram or postnatal cardiac examination was normal (⨁⨁◯◯). R 4.2. We recommend that girls or women with aortic dilatation and/or bicuspid aortic valve be counseled to seek prompt evaluation if they are experiencing acute symptoms consistent with AoD, such as chest, neck, shoulder, back or flank discomfort, particularly if it is sudden (...) recommend a formal audiometric evaluation every 5 years regardless of the initial age at diagnosis, initial hearing threshold levels, karyotype and/or presence of a mid-frequency sensorineural hearing loss, to assure early and adequate technical and other rehabilitative measures (⨁⨁◯◯). R 6.2. We recommend aggressive treatment of middle-ear disease and otitis media (OM) with antibiotics and placement of myringotomy tubes as indicated (⨁⨁◯◯). R 6.3. We recommend screening for hypothyroidism at diagnosis

2017 European Society of Endocrinology

126. Early Breast Cancer: ESMO Clinical Practice Guidelines

of physiotherapy should include the prevention and treatment of lymphoedema, assuring full range of movements of arm and shoulder, and prevention or correction of postural defects resulting from mastectomy. There are no data indicating that any type of physiotherapy may increase the risk of recurrence. When indicated, patients should not be denied access to rehabilitation services [I, A]. Downloaded from by guest on 25 (...) remains one of the strongest predictors of long-term prognosis in primary breast cancer. ALND is associated with lymphoedema affecting the upper limb in up to 25% of women following surgery (up to 15% following axillary RT without surgical clearance and below 10% following SLNB) [72, 73]. The incidence of lymphoedema rises significantly (to 40%) when axillary clearance is combined with RT to the axilla. SLNB delivers less morbidity in terms of shoulder stiffness and arm swelling and allows

2019 European Society for Medical Oncology

127. Clinical practice guideline for the management of patients with Parkinson´s disease

of Navarre Clinic. Pamplona. Juan Antonio Martín Jiménez. Doctor of Medicine, Specialist in Family and Community Medicine. Buenavista Health Centre (SESCAM). Toledo. María Carmen Martínez Garre. Doctor of Medicine, Specialist in Physical Medicine and Rehabilitation. Vall d’Hebron University Hospital. Barcelona. Mª Elena Martínez Rodríguez. Doctor of Medicine, Specialist in Physical Medicine and Rehabilitation. Ramón y Cajal University Hospital. Madrid.CliniCal praCtiCe guidelines in the sns 11 Juan (...) and Community Medicine (SemFYC) Spanish Society of General and Family Physicians (SEMG) Spanish Society of Primary Care Physicians (SEMERGEN) Spanish Neurology Society (SEN) Spanish Psychiatry Society (SEP) Spanish Biological Psychiatry Society (SEPB) Spanish Society of Rehabilitation and Physical Medicine (SERMEF) Members of these societies participated as authors, collaborating experts, or external reviewers of this CPG. Declaration of interest: All members of the working group, as well as those who have

2015 GuiaSalud

128. Making Choices: A Decision Aid for Women with Breast Cancer. Deciding whether to join the SNAC2 trial

oral antibiotics, together with drainage of any infected seroma fluid. Risk of arm problems and lymphoedema X Axillary clearance can result in arm problems for some women, including altered sensation (numbness and/or uncomfortable sensation or even pain), less commonly some reduction in range of shoulder movement, and rarely some loss of function. These arm problems may be uncomfortable and can sometimes lead to difficulties in performing daily activities, such as carrying shopping, cooking (...) Drainage (a massage technique which encourages X lymph drainage), wearing a compression sleeve or sometimes using compression bandaging X (which limits the swelling), rehabilitation exercises, and X elevation of the limb. X12 13 Option 2: Sentinel Node Biopsy versus Axillary Clearance on the SNAC2 trial As axillary clearance has a number of disadvantages and side effects, surgeons are trying to find better ways to check if the cancer has spread to the lymph nodes. This has led to a new surgical

2015 SickKids Supportive Care Guidelines

129. Occupational therapy for people with Parkinson's disease

and Neurosurgery, London. Jill now works in independent practice undertaking consultancy, training and service development projects within neurological occupational therapy and rehabilitation. Specialist Section Neurological Practice In partnership withAbout the publisher The College of Occupational Therapists is a wholly owned subsidiary of the British Association of Occupational Therapists (BAOT) and operates as a registered charity. It represents the profession nationally and internationally (...) concludes that ‘there is inadequate evidence to evaluate the effect of occupational therapy for people with Parkinson’s disease’ (Dixon et al 2009). Nevertheless, emergent evidence and anecdotal clinical experience suggest that many functional and psychosocial issues that persist despite good medical management of Parkinson’s appear to be responsive to a condition- specifi c rehabilitative approach, such as the client- centred form of occupational therapy detailed in these Best Practice Guidelines

2010 British Association of Occupational Therapists

131. Acute pain management: scientific evidence (3rd Edition)

Acute pain management: scientific evidence (3rd Edition) ? ? ? ? Acute Pain Management: Scientific Evidence Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine ? ? ? Endorsed by: Faculty?of?Pain?Medicine,?Royal?College?of? Anaesthetists,?United?Kingdom?? Royal?College?of?Anaesthetists,? United?Kingdom?? Australian?Pain?Society? Australasian?Faculty?of?Rehabilitation?Medicine? College?of?Anaesthesiologists,?? Academy?of?Medicine,?Malaysia? College (...) . It was approved by the NHMRC and published by the Australian and New Zealand College of Anaesthetists (ANZCA) and its Faculty of Pain Medicine (FPM) in 2005. It was also endorsed by a number of major organisations — the International Association for the Study of Pain (IASP), the Royal College of Anaesthetists (United Kingdom), the Australasian Faculty of Rehabilitation Medicine, the Royal Australasian College of Physicians, the Royal Australasian College of Surgeons, the Royal Australian and New Zealand

2015 National Health and Medical Research Council

132. Management of Nasopharyngeal Carcinoma

/fraction) • IMRT recommended to minimise dose to critical structures Follow-up and Surveillance • Multidisciplinary team involvement (ENT specialist, oncologist, speech therapist, audiologist, etc) • Head & neck and systemic examination (including nasopharyngoscopy): • Cross-sectional imaging in the initial 5 years • Speech/swallowing assessment as clinically indicated • Hearing evaluation & rehabilitation as clinically indicated • Post-treatment dental management every 3 to 4 months by trained (...) imaging in the initial 5 years • Speech/swallowing assessment as clinically indicated • Hearing evaluation & rehabilitation as clinically indicated • Post-treatment dental management every 3 to 4 months by trained and experienced dental specialist • Weight assessment on follow-up • Annual thyroid function test (TFT) screening Local disease Distant disease Regional disease • Restage to assess recurrent or persistent disease – MRI or CT scan and PET/CT scan • Biopsy of recurrent lesion(s), as clinically

2016 Ministry of Health, Malaysia

133. 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

134. Care and Maintenance to Reduce Vascular Access Complications

Program, Thunder Bay, Ontario Marg Poling, RN, BScN, PHCNP Palliative Care Nurse Practitioner, Palliative Care Advisor, Victorian Order of Nurses, Thunder Bay and District, Thunder Bay, Ontario Wendy L. Pomponio, RN, BScN Nurse Clinician, Medical & Rehabilitation Services, Brant Community Healthcare System, Brantford, Ontario Donna Prenger, RN, ONA Registered Nurse (Oncology), Thunder Bay Regional Health Science Centre, Thunder Bay, Ontario Christina Purdon, RN, BScN Clinical Educator, Thunder Bay

2005 Registered Nurses' Association of Ontario

135. 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

136. 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

137. Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions

return to activity depending on the type of articular cartilage surgery. Interventions — Supervised Rehabilitation 2018 Recommendation Clinicians should use exercises as part of the in-clinic supervised rehabilitation program after arthroscopic meniscectomy and should provide and supervise the progression of a home-based exercise program, providing education to ensure independent performance. Interventions — Therapeutic Exercises 2018 Recommendation Clinicians should provide supervised, progressive (...) . 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 rehabilitation literature search, and to perform systematic searches for concepts associated with meniscus and articular cartilage injuries of the knee in articles published from 2008 related to classification, examination, and intervention strategies consistent with previous guideline development methods related

2018 American Physical Therapy Association

138. 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

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 therapy academic education Women's health physical therapy education Comments from these reviewers were utilized by the authors to edit this CPG prior to submission to the Journal of Women's Health Physical Therapy and the Journal of Orthopaedic & Sports Physical Therapy . In addition (...) , several physical therapists practicing in antepartum and PGP rehabilitation physical therapy practices were sent initial drafts of this CPG for assessment. | Reviewers Joseph J. Godges, DPT, MA—Orthopedic Section, CPG Director (Review of outline/format/permission of the Orthopaedic Section use of format) Anita Bemis-Doughty (coding) (Review of ICF language)—APTA Nancy Donovan, PT, PhD— Journal of Women's Health Editor (Review of guideline intent and content outline—for the Journal on Women's Health

2017 American Physical Therapy Association

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

soft tissue structures, such as those associated with knee extension range-of-motion loss. Interventions – Cryotherapy Clinicians should use cryotherapy immediately after ACL reconstruction to reduce postoperative knee pain. Interventions – Supervised Rehabilitation Clinicians should use exercises as part of the in-clinic supervised rehabilitation program after ACL reconstruction and should provide and supervise the progression of a home-based exercise program, providing education to ensure (...) , including how directly the studies addressed the question on knee stability and movement coordination impairments/knee ligament sprain population. In developing their recommendations, the authors considered the strengths and limitations of the body of evidence and the health benefits, side effects, and risks of tests and interventions. Guideline Review Process and Validation Identified reviewers who are experts in knee ligament injury management and rehabilitation reviewed the content and methods

2017 American Physical Therapy Association

140. 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


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