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161. Diagnosis and Treatment of Osteochondritis Dissecans

of Orthopaedics Rehabilitation University of Rochester 601 Elmwood Avenue Rochester, NY 14642 Guidelines and Technology Oversight Chair William C. Watters III MD 6624 Fannin #2600 Houston, TX 77030 Guidelines and Technology Oversight Vice-Chair Michael J. Goldberg, MD Seattle Children’s Hospital 4800 Sand Point Way NE Seattle, WA 98105 Evidence Based Practice Committee Chair Michael W. Keith, MD 2500 Metro Health Drive Cleveland, OH 44109-1900 AAOS Staff: Charles M. Turkelson, PhD Director of Research

2010 American Academy of Orthopaedic Surgeons

162. Treatment of Symptomatic Osteoporotic Spinal Compression Fractures

participated in peer review of this clinical practice guideline and gave their explicit consent to have their names listed in this document: American Academy of Physical Medicine and Rehabilitation (AAPMR) American Association of Neurological Surgeons/Congress of Neurological Surgeons (AANS/CNS Joint Section) American College of Radiology (ACR) AO Spine International International Spine Intervention Society (ISIS) National Osteoporosis Foundation (NOF) North American Spine Association (NASS) Participation (...) ) 98 Kyphoplasty vs. Conservative – Difference in Pain 112 Kyphoplasty vs. Conservative – Difference in Physical Function (Roland-Morris Disability) 112 Kyphoplasty vs. Vertebroplasty - Difference in Pain 116 Kyphoplasty vs. Vertebroplasty - Difference in Physical Function 116 AAOS Clinical Practice Guidelines Unit v1.0 092510 xiii List of Tables MCII of outcomes 5 Descriptive terms for results with MCII 6 Strength of Recommendation Descriptions 9 AAOS guideline language 10 Summary of Calcitonin

2010 American Academy of Orthopaedic Surgeons

163. Diagnosis and Management of Stable Chronic Obstructive Pulmonary Disease: A Clinical Practice Guideline from the ACP, ACCP, ATS, and the ERS

of various inhaled therapies (an- ticholinergics, long-acting -agonists, and corticosteroids), pulmonary rehabilitation programs, and supplemental oxygen therapy. Methods: This guideline is based on a targeted literature update from March 2007 to December 2009 to evaluate the evidence and update the 2007 ACP clinical practice guideline on diagnosis and management of stable COPD. Recommendation 1: ACP, ACCP, ATS, and ERS recommend that spirometry should be obtained to diagnose airflow obstruction in pa (...) , ACCP, ATS, and ERS recommend that clinicians should prescribe pulmonary rehabilitation for symptomatic pa- tients with an FEV 1 50% predicted (Grade: strong recommendation, moderate-quality evidence). Clinicians may consider pulmonary rehabil- itation for symptomatic or exercise-limited patients with an FEV 1 50% predicted. (Grade: weak recommendation, moderate-quality evidence). Recommendation 7: ACP, ACCP, ATS, and ERS recommend that clinicians should prescribe continuous oxygen therapy

2011 American Thoracic Society

164. Cardiovascular Disease Prevention in Women: Evidence-Based Guidelines For

and Pulmonary Rehabilitation; American College of Chest Physicians; American Diabetes Association; American Society for Preventive Cardiology; American Society of Echocardiography; American Society of Nuclear Cardiology; Association of Women’s Health, Obstetric and Neonatal Nurses; Department of Health and Human Services Of?ce on Women’s Health; Hartford Institute for Geriatric Nursing; HealthyWomen; The Mended Hearts, Inc.; National Black Nurses Association; The National Coalition for Women with Heart (...) need to be considered such as age, language, culture, literacy, disability, frailty, socioeconomic status, occupational status, and religious af?liation, among others. A better understanding of these aspects of diversity may help to reduce disparities in healthcare delivery. The Institute of Medicine de?nes disparity as a difference in treatment provided to members of ethnic or racial groups that is not justi?ed by health condition differences or treatment preferences. The Institute of Medicine

2011 American College of Cardiology

165. Level of Care for Musculoskeletal Surgery

outside the inpatient hospital setting or is expected to be noncompliant with perioperative care (example: severe anxiety about receiving surgery in a nonhospital setting) • Functional status o Patient unable to care for individual needs o Functional impairment likely to necessitate inpatient rehabilitation after surgery (example: moderate to severe myelopathy) o Patient is at high risk for falls Note: The presence of medical and/or psychiatric comorbidities alone may not always justify an inpatient (...) with perioperative care (example: severe anxiety about receiving surgery in a nonhospital setting) • Functional status o Patient unable to care for individual needs o Functional impairment likely to necessitate inpatient rehabilitation after surgery (example: moderate to severe myelopathy) o Patient is at high risk for falls Note: The presence of medical and/or psychiatric comorbidities alone may not always justify an inpatient level of care but rather consideration should be given if poorly controlled, unstable

2018 AIM Specialty Health

166. Hoarseness (Dysphonia)

instructors, clergy, and coaches. Dysphonia can affect a person’s ability to work. An estimated 28 million workers in the United States experience voice problems daily. In the general population, 7.2% of individuals surveyed missed work for ≥1 more days within the preceding year because of a voice problem, and 1 out of 10 individuals with voice disorders file short-term disability claims. In fact, 20% of teachers miss work due to dysphonia, and absenteeism in this occupation alone has associated economic

2018 American Academy of Otolaryngology - Head and Neck Surgery

167. Botulinum neurotoxin in the treatment of autonomic disorders and pain

therapy, iontophoresis, or surgical procedures. Drooling may be a disabling problem in parkinsonian syndromes, amyotrophic lateral sclerosis, and cerebral palsy. In these disorders, drooling is primarily due to decreased swallowing rather than increased salivary production and may be amenable to pharmacologic treatment or local radiation and surgery in severe cases. Axillary hyperhidrosis. Two Class I studies and several Class II studies were identified in axillary hyperhidrosis (table e-1 (...) ; and by the AAN Board of Directors on January 30, 2008. The Mission Statement, Conflict of Interest Statement, Subcommittee and Panel members, AAN classification of evidence, and Classification of recommendations are available as supplemental data on the Neurology ® Web site at . Endorsed by the American Academy of Physical Medicine and Rehabilitation on March 14, 2008. Disclosure: Author disclosures are provided at the end of the article. Received September 29, 2007. Accepted in final form January 30, 2008

2008 American Academy of Neurology

168. Clinical Guideline on the Treatment of Carpal Tunnel Syndrome

postoperatively after routine carpal tunnel surgery (Grade B, Level II). We make no recommendation for or against the use of postoperative rehabilitation. (Inconclusive, Level II). Recommendation 9 We suggest physicians use one or more of the following instruments when assessing patients’ responses to CTS treatment for research: • Boston Carpal Tunnel Questionnaire (disease-specific) • DASH – Disabilities of the arm, shoulder, and hand (region-specific; upper limb) • MHQ – Michigan Hand Outcomes Questionnaire (...) Center Drive 2130 Taubman Health Care Center Ann Arbor, MI 48109-0340 Plastic and Reconstructive Surgery Peter C Amadio, MD Mayo Clinic 200 1st St S W Rochester, MN 55902-3008 Orthopaedic Hand Surgeon Michael Andary, MD Michigan State University B401 W Fee Hall (PMR) East Lansing, MI 48824-1316 Physical Medicine and Rehabilitation Neurology Richard W. Barth, MD 2021 K St Ste 400 Washington, DC 20006-1003 AAOS Board of Councilors Orthopaedic Hand Surgeon Kent Maupin, MD 1111 Leffingwell NE Ste 200

2008 Congress of Neurological Surgeons

169. Botulinum neurotoxin for the treatment of movement disorders

treatment. BoNT-A was superior to trihexyphenidyl for TWSTRS disability (2 points), Tsui scale (5 points), and general health perception (6 points). Although there was greater improvement in TWSTRS pain score with BoNT (2 points), this did not reach statistical significance. The total TWSTRS and TWSTRS severity scores were not given for either group. The trihexyphenidyl group had more adverse events (76 events vs 31 for BoNT-A, p < 0.0001). Four Class I studies enrolled subjects with previous response (...) . Adverse events were greater in the BoNT-B treated groups, with dry mouth and pain occurring in a dose-dependent way. All adverse events were mild. A similar study assessed the effect of BoNT-B compared to placebo in 77 patients with CD who developed resistance to BoNT-A. At 1 month following injection, the BoNT-B group had more improvement in total TWSTRS score (21% vs 4% in placebo, p = 0.0001). Treatment with BoNT-B improved the TWSTRS severity, disability, and pain subscales, and physician

2008 American Academy of Neurology

170. Antiepileptic drug prophylaxis in severe traumatic brain injury

-traumatic seizures, and the rate may be more than 50% for those with penetrating missile injuries. The use of AEDs to treat patients who have developed post-traumatic epilepsy is standard. However, the important question of whether to use AEDs prophylactically after TBI to prevent the development of post-traumatic seizures is unanswered. The development of seizures is both physically and psychologically debilitating, complicates acute management and subsequent rehabilitation, and contributes (...) to the substantial cost associated with the care of the head-injured patient. However, the prophylactic use of AEDs carries with it the risk of adverse effects that may be especially disabling in this population. There is substantial variability among clinicians in the practice of post-traumatic seizure prophylaxis. Two surveys of neurosurgeons reported that a majority prescribed AEDs for seizure prophylaxis at least some of the time, although the indications, choice of drug, and duration of treatment varied

2003 American Academy of Neurology

171. Neuroprotective strategies and alternative therapies for parkinson disease

C. An evaluation of the Alexander technique for the management of disability in Parkinson’s disease: a preliminary study. Clin Rehabil 1997 ; 11 : 8 –12. 42. Stallibrass C, Sissons P, Chalmers C. Randomized controlled trial of the Alexander technique for Parkinson’s disease. Clin Rehabil 2002 ; 16 : 695 –708. 43. Bohannon R. Physical rehabilitation in neurology. Curr Opin Neurol 1993 ; 6 : 765 –772. 44. de Goede C, Keus S, Kwakkel G, Wagenaar R. The effect of physical therapy in Parkinson’s (...) treatments for the management of Parkinson disease (PD). These recommendations are meant to address the needs of specialists and nonspecialists caring for people with PD. Background and justification. PD is a neurodegenerative disorder characterized by the classic symptoms of bradykinesia, rigidity, and rest tremor. Although symptomatic therapy can provide benefit for many years, the disorder slowly progresses, eventually resulting in significant disability. Strategies to delay onset or slow progression

2006 American Academy of Neurology

172. Distal symmetric polyneuropathy: a definition for clinical research

of Electrodiagnostic Medicine, and the American Academy of Physical Medicine and Rehabilitation J. D. England , G. S. Gronseth , G. Franklin , R. G. Miller , A. K. Asbury , G. T. Carter , J. A. Cohen , M. A. Fisher , J. F. Howard , L. J. Kinsella , N. Latov , R. A. Lewis , P. A. Low , A. J. Sumner First published January 24, 2005, DOI: https://doi.org/10.1212/01.WNL.0000149522.32823.EA J. D. England G. S. Gronseth G. Franklin R. G. Miller A. K. Asbury G. T. Carter J. A. Cohen M. A. Fisher J. F. Howard L. J (...) of this formalized case definition in clinical and epidemiologic research studies will ensure greater consistency of case selection. Mission statement. The American Academy of Neurology (AAN) in conjunction with the American Association of Electrodiagnostic Medicine (AAEM) and the American Academy of Physical Medicine and Rehabilitation (AAPM&R) determined that there was a need for a formal case definition of polyneuropathy. Because of inconsistency in the literature, no consistent case definition exists

2005 American Academy of Neurology

174. 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 (...) will not be authorized. VI. RETURN TO WORK (RTW) A. EARLY ASSESSMENT Timeliness of the diagnosis can be a critical factor influencing RTW. Among workers with upper extremity disorders, 7% of workers account for 75% of the long-term disability. 35 A large prospective study in the Washington State workers’ compensation system identified several important predictors of long-term disability: low expectations of return to work (RTW), no offer of a job accommodation, and high physical demands on the job. 36 Identifying

2010 Washington State Department of Labor and Industries

175. Radial Nerve Entrapment: Diagnosis and Treatment

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 State Industrial Insurance Medical Advisory Committee (IIMAC) and its subcommittee on Upper Extremity Entrapment Neuropathies. The subcommittee presented its work to the full IIMAC, and the IIMAC made an advisory recommendation to the Washington State Department of Labor (...) not improve despite conservative treatment Without confirmation of radial nerve entrapment by both objective clinical findings and abnormal EDS, surgery will not be authorized. VI. RETURN TO WORK (RTW) A. EARLY ASSESSMENT Timeliness of the diagnosis can be a critical factor influencing RTW. Among workers with upper extremity disorders, 7% of workers account for 75% of the long-term disability. 21 A large prospective study in the Washington State workers’ compensation system identified several important

2010 Washington State Department of Labor and Industries

176. Ulnar Neuropathy at the Elbow (UNE) Diagnosis and Treatment

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 updated in January 2015 by Washington State's Labor and Industries’ Industrial Insurance Medical Advisory Committee (IIMAC) and its subcommittee on Upper Extremity Entrapment Neuropathies. The subcommittee presented its work to the full IIMAC, and the IIMAC made (...) structures. Complete release may require nerve decompression at multiple sites and may also require Z-lengthening of the flexor pronator origin. VI. RETURN TO WORK (RTW) A. EARLY ASSESSMENT Timeliness of the diagnosis can be a critical factor influencing RTW. Among workers with upper extremity disorders, 7% of workers account for 75% of the long-term disability. [16] A large prospective study in the Washington State workers’ compensation system identified several important predictors of long-term

2010 Washington State Department of Labor and Industries

177. Achilles Pain, Stiffness, and Muscle Power Deficits: Achilles Tendiniti

Achilles Pain, Stiffness, and Muscle Power Deficits: Achilles Tendiniti Clinical Guidelines CHRISTOPHER R. CARCIA, PT , PhD ?HE8HE OB$C7H J?D" PT , PhD ?@; EK9A" PT , PhD ?: 7D;A$MKA?9>" MD Achilles Pain, Sti!ness, and Muscle Power De?cits: Achilles T endinitis Clinical Practice Guidelines Linked to the International Classi?cation of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association J Orthop Sports Phys Ther. 2010:40(9):A1-A26. doi (...) management of patients with musculoskeletal impairments described in the World Health Organization’s International Classi?cation of Functioning, Disability, and Health (ICF). 135 The purposes of these clinical guidelines are to:  = ^ l \ k b [ ^ ^ o b ] ^ g \ ^ & [ Z l ^ ] i a r l b \ Z e m a ^ k Z i r i k Z \ m b \ ^ b g \ e n ] b g ` diagnosis, prognosis, intervention, and assessment of out- come for musculoskeletal disorders commonly managed by orthopaedic physical therapists  _]^[h#gkWb_j oi

2010 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

178. Management of Stroke in Neonates and Children

presented as neonates and 44 whose strokes were discovered later. Seventy-six children (68%) exhibited cerebral palsy, and 55 of these individuals had at least 1 additional disability; 45 (59%) experienced cognitive or speech impairment, and 36 (47%) had epilepsy. Detailed neuropsychological testing often documents cognitive dysfunction, especially related to attention and executive function. Such functional deficits are more likely to occur in individuals with a larger infarction, with comorbid (...) , neonates with cardiac disease may have a higher recurrence risk, similar to older infants and children with cardiac disease. Rehabilitation An early intervention program based on best available evidence of interventions that work in older children, Goals Activity Motor Enrichment, was evaluated in infants in a single randomized trial with promising results showing improved motor outcomes of participants compared with standard care. Another study explored the effectiveness of baby constraint-induced

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2019 American Heart Association

179. Heart Disease and Stroke Statistics

as related deaths and disability-adjusted life-years lost, increased. The majority of global stroke burden is in low-income and middle-income countries. In analyses of 1 165 960 Medicare fee-for-service beneficiaries hospitalized between 2009 and 2013 for ischemic stroke, patients treated at primary stroke centers certified between 2009 and 2013 had lower in-hospital (odds ratio [OR], 0.89; 95% CI, 0.85–0.94), 30-day (hazard ratio, 0.90; 95% CI, 0.89–0.92), and 1-year (hazard ratio, 0.91; 95% CI, 0.90 (...) participation in cardiac rehabilitation after an acute MI. Between 2011 and 2015, compared with patients who did not participate in cardiac rehabilitation, those who declared such participation were less likely to be female (OR, 0.76; 95% CI, 0.65–0.90; P =0.002) or black (OR, 0.70; 95% CI, 0.53–0.93; P =0.014), were less well educated (high school versus college graduate: OR, 0.69; 95% CI, 0.59–0.81; P <0.001 and less than high school versus college graduate: OR, 0.47; 95% CI, 0.37–0.61; P <0.001

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2019 American Heart Association

180. AIM Clinical Appropriateness Guidelines for Interventional Pain Management

imaging if the exam findings are clearly diagnostic of nerve root compression or spinal stenosis. Repeat Therapeutic ESI may be indicated when all of the following criteria are met: ? The prior injection produced at least a 50% reduction in pain with functional improvement of at least three (3) weeks’ duration** ? The patient has a recurrence of pain with significant functional disability ? The patient continues to receive conservative treatment between injections **Note: If the initial therapeutic (...) controlled trials. The spine journal : official journal of the North American Spine Society. 2015;15(2):348-62. 3 Chou R, Loeser JD, Owens DK, et al. Interventional therapies, surgery, and interdisciplinary rehabilitation for low back pain: an evidence-based clinical practice guideline from the American Pain Society. Spine. 2009;34(10):1066-77. 4 Cohen SPH, S.; Semenov, Y et al. . Epidural steroid injections, conservative treatment, or combination treatment for cervical radicular pain: a multicenter

2019 AIM Specialty Health

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