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knee rehabilitation

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201. Single Event Multi-Level Surgeries for Children, Adolescents, and Young Adults with Cerebral Palsy or Other Similar Neuromotor Conditions

-operative, post-operative, and long-term PT management. A group of clinically experienced physical therapists generated consensus-based statements when evidence was insufficient. Clinical staff needs to be aware of PT recommendations, rehabilitation protocols, and the progression of strength and function following SEMLS (Karol, 2004 [5b]; Buckon, 2004 [3b]; Park, 2010 [4a]; Saraph, 2002 [4b]; Sung, 2013 [4b]; van der Linden, 2003 [*]; Amichai, 2009 [4a]; Spruit, 1997 [*]; Dobson, 2005 [4b]; Rutz (...) [*]). The domains of the ICF include body structures and function (functioning at the level of the body); activities (functioning at the level of the individual); participation (functioning of a person as a member of society) and environmental factors (facilitators or barriers) (WHO, 2001 [*]). Researchers and clinicians have used the ICF to classify outcomes and develop rehabilitation programs (Wilson, 2014 [1b]; Dodd, 2003 [2a]; McGinley, 2012 [1b]; Thomason, 2012 [*]). Outcome measures that cross the ICF can

2019 Cincinnati Children's Hospital Medical Center

202. Physical Therapy Evaluation and Treatment After Concussion/Mild Traumatic Brain Injury

therapy | volume 50 | number 4 | april 2020 | cpg5 Concussion: Clinical Practice Guidelines Concussion: Clinical Practice Guidelines therapy to the cervical and thoracic spines, as indicated, for pa- tients who have experienced a concussive event. Vestibulo-oculomotor A If BPPV is identified as a potential impairment, physical therapists should use canalith repositioning interventions. B Physical therapists with appropriate expertise in vestibu- lar and oculomotor rehabilitation should implement (...) an in- dividualized vestibular and oculomotor rehabilitation plan for patients who have experienced a concussive event and exhibit vestibular and/ or oculomotor dysfunction. If visual vertigo/visual motion sensitivity (dizziness provoked by repetitive or moving vi- sual environments) is identified, an individualized visual-motion habituation program may also be beneficial. Patients with neck pain or other cervical impairments may exhibit worsening of cer- vical impairments due to repetitive head movement as part

2020 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

203. Canadian guidelines on opioid use disorder among older adults

Health, consisting of two addiction medicine specialists, two psychiatrists, a physical medicine and rehabilitation special- ist, a nurse practitioner, a pharmacist, a family physician with expertise in care of the elderly, as well as a person with lived experience. The committee members identified the top quality guidelines on OUD published using the Appraisal of Guidelines for Research & Evaluation Instrument (AGREE II). (24) We then modified the existing key guidelines using the ADAPTE (...) . 2012;172(5):425–30. Epub 2012/03/14. 55. Shah A, Hayes C, Martin BC. Characteristics of initial prescrip- tion episodes and likelihood of long-term opioid use—United States, 2006–2015. W ashington DC: Centres for Disease Control; 2017. Available from: 66/wr/mm6610a1.htm 56. Krebs EE, Gravely A, Nugent S, et al. Effect of opioid vs nonopioid medications on pain-related function in patients with chronic back pain or hip or knee osteoarthritis pain: The SPACE randomized

2020 CPG Infobase

204. Consensus Practice Guidelines on Interventions for Lumbar Facet Joint Pain

in the back, buttock, leg or groin, signs of spasms or deformity, para- vertebral tenderness, pain with motion and neurological exam- ination. Back pain radiating to the groin or leg, pain worsened with extension- rotation and well- localized paraspinal tenderness were associated with a positive outcome, which was defined as prolonged relief lasting >6 months. Pain radiating below the knee was negatively associated with a positive response to facet blocks. In a prospective study performed by Jackson et al (...) pain relief from hours to months IA (single block) A 100- point scorecard was developed: Back pain with groin or thigh pain: +30 Well- localized paraspinal tenderness: +20 Reproduction of pain with extension- rotation: +30 Significant corresponding radiographic changes: +20 Pain below the knee: -10 Individuals with high scores (=60) were likely to be responders but a low score could not reliably predict negative response to facet joint injections. Jackson et al 39 Prospective n=454 Difference

2020 American Academy of Pain Medicine

205. Standardization of Spirometry 2019 Update. An Official American Thoracic Society and European Respiratory Society Technical Statement

be documented in the report. Tests done while standing are similar to sitting in studies of adults (28), obesity (29), and children (30). Fowler’s position (elevated head and torso) yields higher values than supine or Crook’s position(knees raised)(31).In moststudies involving healthy subjects or patients with lung, heart, neuromuscular disease, or obesity, FEV 1 and FVC were higher in more erect positions, whereas for subjects with tetraplegic spinal cord injury, FVC and FEV 1 were higher in supine than (...) people for adverse effects of exposure to injurious agents To watch for adverse reactions to drugs with known pulmonary toxicity Disability/impairment evaluations To assess patients as part of a rehabilitation program To assess risks as part of an insurance evaluation To assess individuals for legal reasons Other Research and clinical trials Epidemiological surveys Derivation of reference equations Preemployment and lung health monitoring for at-risk occupations To assess health status before

2020 European Respiratory Society

206. Consensus Practice Guidelines on Interventions for Lumbar Facet Joint Pain from a Multispecialty, International Working Group Full Text available with Trip Pro

with diagnostic criteria that included pain in the back, buttock, leg or groin, signs of spasms or deformity, paravertebral tenderness, pain with motion and neurological examination. Back pain radiating to the groin or leg, pain worsened with extension-rotation and well-localized paraspinal tenderness were associated with a positive outcome, which was defined as prolonged relief lasting >6 months. Pain radiating below the knee was negatively associated with a positive response to facet blocks (...) no association between physical signs and symptoms for the most part did not evaluate this metric. Studies have also shown that maneuvers associated with radicular signs (eg, pain worsened by coughing, pain radiating below the knee) may be predictive of negative diagnostic facet blocks. Similar to other interventions for chronic pain, greater disease burden and psychiatric comorbidities may be associated with definitive treatment failure. When selecting targets for blocks, levels should be determined based

2020 American Society of Regional Anesthesia and Pain Medicine

207. Cerebral palsy: Scenario: Adult with confirmed cerebral palsy

methods and information resources to take account of the needs and understanding of the person and their family or carers (if appropriate). Adults with cerebral palsy (CP) should ideally be able to access a network of specialist services that (depending on local availability) may include advocacy support, learning disability services, mental health services, orthopaedic surgery (and post-surgery rehabilitation), rehabilitation engineering services (centres that design, develop, and adapt technological (...) solutions to overcome challenges to function, activity, and participation for people with disability), rehabilitation medicine or specialist neurology services, secondary care expertise for managing (such as, respiratory, gastrointestinal and urology services), social care, specialist therapy services (such as, physiotherapy, occupational therapy, speech and language therapy, and dietetics), and wheelchair services. Be aware that some of these services may be provided by charities. Severity of CP

2016 NICE Clinical Knowledge Summaries

208. Management of chronic pain

0.3). 59 Paracetamol (1,000 to 4,000 mg/day) showed a small benefit over placebo in treatment of patients with knee and hip osteoarthritis (OA) pain and could be considered in addition to non-pharmacological treatments. 68 One study showed high-dose paracetamol (3,900 mg/day) to be more effective than placebo for pain relief and improved function in patients with OA of the knee. 68 NICE advise that paracetamol may be a suitable adjunct to other treatments such as education or exercise. 64 (...) A combination of paracetamol 1,000 mg and ibuprofen 400 mg was significantly superior to regular paracetamol 1,000 mg alone for knee pain at 13 weeks but with an increased risk of gastrointestinal bleeding. 69 C Paracetamol (1,000-4,000 mg/day) should be considered alone or in combination with NSAIDs in the management of pain in patients with hip or knee osteoarthritis in addition to non-pharmacological treatments. 5.2.3 NEFOPAM The evidence identified on the use of nefopam for chronic pain relief

2013 SIGN

209. Antithrombotics: indications and management

prevention, 9 y SIGN 111: Management of hip fracture in older people, 10 y SIGN 118: Management of patients with stroke: rehabilitation, prevention and management of complications and discharge planning, 11 and y SIGN 122: Prevention and management of venous thromboembolism. 12 1.2 REMIT Of THE GUIDElINE 1.2.1 OVERALL OBJECTIVES This guideline provides recommendations based on current evidence for best practice in the management of adult patients on antithrombotic therapy. It includes antiplatelet

2012 SIGN

210. Acute Pain Management: Scientific Evidence

— the International Association for the Study of Pain (IASP), the Royal College of Anaesthetists and its Faculty of Pain Medicine, the Australian Pain Society, the Australasian Faculty of Rehabilitation Medicine, the College of Anaesthesiologists of the Academies of Medicine of Malaysia and Singapore, the College of Intensive Care Medicine of Australia and New Zealand, the Faculty of Pain Medicine of the College of Anaesthetists of Ireland, the Hong Kong College of Anaesthesiologists, the Hong Kong Pain Society (...) pain management 280 8.1.3 Acute rehabilitation after surgery, “fast-track” surgery and enhanced recovery after surgery 281 8.1.4 Risks of acute postoperative neuropathic pain 282 8.1.5 Acute postamputation pain syndromes 283 8.1.6 Other postoperative pain syndromes 285 8.1.7 Day-stay or short-stay surgery 288 8.1.8 Cranial neurosurgery 294 8.1.9 Spinal surgery 297 8.2 Acute pain following spinal cord injury 298 8.2.1 Treatment of acute neuropathic pain after spinal cord injury 299 8.2.2 Treatment

2015 Clinical Practice Guidelines Portal

211. Low Back Pain

or progressive neurologic deficit (e.g., foot drop or functionally SR (G2c) + SR (IHE Database) Evidence-Informed Primary Care Management of Low Back Pain | Dec 2015 Clinical Practice Guideline Page 4 of 49 Recommendations Recommendation Evidence Source (See Legend p.25) limiting weakness such as hip flexion or knee extension) ? Cauda Equina Syndrome (sudden or progressive onset of new urinary retention, fecal incontinence, saddle [perineal] anesthesia radicular [leg] pain often bilateral, loss of voluntary (...) flexion or knee extension) ? Cauda Equina Syndrome (sudden or progressive onset of new urinary retention, fecal incontinence, saddle (perineal) anesthesia, radicular (leg) pain often bilateral, loss of voluntary rectal sphincter SR (G2c, IHE Database) + CS (G8) Evidence-Informed Primary Care Management of Low Back Pain | Dec 2015 Clinical Practice Guideline Page 5 of 49 Recommendations Recommendation Evidence Source (See Legend p.25) contraction) ? Progressively severe pain and debility despite non

2017 Accelerating Change Transformation Team

212. Nutrition screening and use of oral nutrition support for adults in the acute care setting

Hospital Ms Fiona Willis (until Oct 2017) Office of Nursing and Midwifery Services Director, NMPD Officer Cork/Kerry Speech and Language Therapy personnel (alphabetical order) Ms Alanna Ni Mhiochain (until Dec 2017) Clinical Specialist Speech and Language Therapist, Sligo University Hospital, Irish Association of Speech and Language Therapy (IASLT) Ms Roisin O’Grady (from Jan 2018) Senior Speech and Language Therapist, National Rehabilitation Hospital, IASLT Ms Sheila Robinson Senior Speech (...) tool is delivered exactly as set out and intended by those who developed it. 2.3 All wards should have a stadiometer to measure height, and a measuring tape (for ulna length, knee height, or mid-upper arm circumference) for less mobile patients. 2.4 Patients should be weighed weekly with correctly calibrated weighing equipment. 2.5 Height should be measured initially for all patients on admission. In less mobile patients, surrogate techniques can be used to estimate height, or reported height can

2020 National Clinical Guidelines (Ireland)


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