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41. Spasticity in adults: management using botulinum toxin - 2nd edition

throughout their careers. As an independent charity representing over 34,000 fellows and members worldwide, the RCP advises and works with government, patients, allied healthcare professionals and the public to improve health and healthcare. Citation for this document: Royal College of Physicians, British Society of Rehabilitation Medicine, The Chartered Society of Physiotherapy, Association of Chartered Physiotherapists in Neurology and the Royal College of Occupational Therapists. Spasticity in adults (...) 91 Mental imagery/mental rehearsal/mirror therapy 92 Summary 93 Appendix 9: Conflicts of interest 94 Appendix 10: Summary of evidence 96 © Royal College of Physicians 2018 vGuideline Development Group The Guideline Development Group comprised the following members and representation: Association of British Neurologists (ABN) Association of Chartered Physiotherapists in Neurology (ACPIN) British Society of Rehabilitation Medicine (BSRM) Chartered Society of Physiotherapy (CSP) Royal College

2018 British Society of Rehabilitation Medicine

42. AAWC Pressure Ulcer Guidelines

Trochanter, lateral foot, ankle, knee, ear All positions: Skeletal deviation areas, e.g. : Bunion, kyphosis, lordosis, pelvic obliquity 2. Document alterations in skin sites at risk of developing a PU a. Color (Bates-Jenson 1997; Sprigle et al., 2001) b. Texture, e.g. unusual hardness (induration), softness or rough surface for this site (Bates-Jenson 1997) c. Sensation (Braden et al 1994; Copeland-Fields & Hoshiko1989) Association for the Advancement of Wound Care Guideline of Pressure Ulcer Guidelines (...) to maintain adequate nutrition and enteral nutrition is not an option and if consistent with patient and family wishes (Compton, 2008) d. Offer hydrating fluids with repositioning schedule. Offer additional fluids if medically appropriate and patient has dehydration, fever, diaphoresis, diarrhea or heavily draining wounds. Document fluid intake in patients unable to hydrate themselves (RNAO) C. REHABILITATIVE AND RESTORATIVE PROGRAMS 1. Address immobility and/or inactivity in bed- or chair-bound patients

2011 Association for the Advancement of Wound Care

43. Clinical practice guidelines for the care of girls and women with Turner syndrome: proceedings from the 2016 Cincinnati International Turner Syndrome Meeting

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

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2016 European Society of Human Reproduction and Embryology

44. Diagnosis and Treatment of Peripheral Arterial Diseases

(DSA) was considered the standard reference in vascular imaging. Given its invasive character and risk of complications, it has been mostly replaced by other less invasive methods except for below-the-knee arterial disease. It may be used in the case of discrepancy between non-invasive imaging tools. 4.1.4.4 Computed tomography angiography Multidetector computed tomography angiography (CTA) has a short examination time with reduced motion and respiration artefacts while imaging vessels and organs

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2017 European Society of Cardiology

45. Cerebral palsy in under 25s: assessment and management

, neurorehabilitation, respiratory, gastroenterology and surgical specialist care orthopaedics orthotics and rehabilitation services social care visual and hearing specialist services teaching support for preschool and school-age children, including portage (home teaching services for preschool children). 1.5.4 Ensure that routes for accessing specialist teams involved in managing comorbidities associated with cerebral palsy are clearly defined on a regional basis. 1.5.5 Recognise that ongoing communication between

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

47. Introduction to the Centers for Disease Control and Prevention and Healthcare Infection Control Practices Advisory Committee Guideline for Prevention of Surgical Site Infection: Prosthetic Joint Arthroplasty Section

to perform prosthetic total hip arthroplasties (THA). The field of prosthetic joint arthroplasty has been expanded to include total knee, shoulder, elbow, wrist, ankle, temporomandibular, metacarpophalangeal, and interphalangeal joint arthroplasties [ , ]. Approximately 1.2 million arthroplasties are performed annually in the United States (US) ( ) [ ]. By 2030, the total number of arthroplasties expected to be performed in the United States is projected to exceed 3.8 million, and the related SSIs (...) are projected to increase from 17,000 to 266,000 annually [ ]. While the incidence of peri-prosthetic joint infection (PJI) after THA (0.67%–2.4%) and total knee arthroplasty (TKA) (0.58%–1.6%) [ ] is low, the infections result in substantial morbidity to patients and consumption of healthcare resources (11–13). Analysis of 2011 National Healthcare Safety Network (NHSN) data found crude rates for complex SSIs (deep incisional and organ/space combined) after primary hip and knee arthroplasties at 0.69

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2016 Surgical Infection Society

48. Guidelines for the Management of Spontaneous Intracerebral Hemorrhage

and control of secondary brain injury and intracranial pressure, the role of surgery, outcome prediction, rehabilitation, secondary prevention, and future considerations. Results of new phase 3 trials were incorporated. Conclusions—Intracerebral hemorrhage remains a serious condition for which early aggressive care is warranted. These guidelines provide a framework for goal-directed treatment of the patient with intracerebral hemorrhage. (Stroke. 2015;46:2032-2060. DOI: 10.1161/STR.0000000000000069.) Key (...) ) Rehabilitation and Recovery Given the potentially serious nature and complex pattern of evolving disability and the increasing evidence for efficacy, it is recommended that all patients with ICH have access to multidisciplinary rehabilitation (Class I; Level of Evidence A). (Revised from the previous guideline) BP indicates blood pressure; CT, computed tomography; DVT, deep vein thrombosis; EEG, electroencephalography; ICH, intracerebral hemorrhage; INR, international normalized ratio; MRI, magnetic

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2015 American Heart Association

49. Heart Failure Management in Skilled Nursing Facilities

(the American Heart Association [AHA] and the Heart Failure Society of America) identified specific members of the writing group, and others were selected on the basis of known expertise. A literature search was performed using the key words skilled nursing facility , long-term care facility , nursing home , palliative medicine , rehabilitation , exercise , discharge , post-hospital , and post-acute meshed with the key word heart failure in PubMed and Ovid. Peer review was performed by experts from (...) into 3 groups based on different clinical scenarios and goals. One, the “rehabilitation group,” includes patients recently discharged from the hospital (with any diagnosis) with the goal to recover independent function and return to their prior residence after several weeks of skilled care. The second group, the “uncertain prognosis group” of patients, are often discharged from the hospital with complications, frailty, or multiple comorbidities, with hope of improvement, but recovery is less certain

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2015 American Heart Association

50. Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: Management of asymptomatic disease and claudication

for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease): endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society (...) Symptomatic Baker cyst Behind knee, down calf Rare Swelling, tenderness With exercise Present at rest None Not intermittent Hip arthritis Lateral hip, thigh Common Aching discomfort After variable degree of exercise Not quickly relieved Improved when not weight bearing Symptoms variable. History of degenerative arthritis Spinal stenosis Often bilateral buttocks, posterior leg Common Pain and weakness May mimic IC Variable relief but can take a long time to recover Relief by lumbar spine flexion Worse

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2015 Society for Vascular Surgery

52. Electrodiagnostic Reference Values for Upper and Lower Limb Nerve Conduction Studies in Adult Populations

Wood Johnson Medical School, New Brunswick, New Jersey, USA 2 Department of Physical Medicine and Rehabilitation, College of Osteopathic Medicine, Michigan State University, East Lansing, Michigan, USA 3 Department of Physical Medicine and Rehabilitation, Indiana University, Indianapolis, Indiana, USA 4 Department of Physical Medicine and Rehabilitation, Medical College of Wisconsin, Milwaukee, Wisconsin, USA 5 Department of Neurology, Mayo Clinic, Scottsdale, Arizona, USA 6 Department of Neurology (...) , Stanford University, Stanford, California, USA 7 Qinqunxx Institute, Rosharon, Texas, USA 8 Department of Physical Medicine and Rehabilitation, University of Pennsylvania, 1800 Lombard Street, First Floor, Philadelphia, Pennsylvania 19146, USA Accepted 26 May 2016 ABSTRACT: Introduction: To address the need for greater standardization within the field of electrodiagnostic medicine, the Normative Data Task Force (NDTF) was formed to identify nerve conduction studies (NCS) in the literature, evaluate

2016 American Association of Neuromuscular & Electrodiagnostic Medicine

53. Lower Extremity Arterial Revascularization?Post-Therapy Imaging

risk for cardiovascular death and all-cause mortality [1]. PAD may present as claudication, ischemic rest pain, nonhealing ulcers, or gangrene; without treatment, many patients will go on to require some degree of amputation ranging from loss of one or more digits to major limb loss (below-knee or above-knee amputation). Over the past several decades, a paradigm shift away from surgical treatment and toward endovascular therapy for PAD has occurred, with many now advocating surgical treatments only (...) . The degree of transmitted signal varies depending on blood volume within the digit, blood vessel wall movement, and the orientation of red blood cells [12]. PPG is useful for detection of disease below the knee as well as disease isolated to the forefoot and digits. As such, it has been demonstrated to be a complementary test to ABI, which has limited use in these segments. TcPO2 measurement allows the determination of the oxygen tension within tissue. An improvement in the TcPO2 value postintervention

2017 American College of Radiology

54. A Call to Action: Women and Peripheral Artery Disease

thrombosis in women. Green et al observed a gender-specific relationship between graft size and thrombosis among patients treated with prosthetic above-knee femoropopliteal bypass; 5-year cumulative patency rates in that report were 69.1% versus 37.9% for men with large versus small grafts and 45% for women in both graft-size categories. Nguyen and colleagues observed an interaction between race and gender as predictors of patency after lower extremity saphenous vein bypass, with black women having

2012 American Heart Association

55. Treatment of Distal Radius Fractures

in peer review of this clinical practice guideline: American Academy of Family Physicians American Academy of Physical Medicine and Rehabilitation American Association for Hand Surgery American College of Occupational and Environmental Medicine American Society for Surgery of the Hand American Society of Plastic Surgeons Individuals who participated in the peer review of this document and gave their consent to be listed as reviewers of this document are: Blair C. Filler, MD M. Felix Freshwater, MD

2009 American Academy of Orthopaedic Surgeons

56. Treatment of Glenohumeral Joint Osteoarthritis

, IL 60018 Janet L. Wies MPH AAOS Clinical Practice Guideline Manager Sara Anderson MPH – Lead Analyst Kevin Boyer Laura Raymond MA Patrick Sluka MPH AAOS v1.0 12.05.09 x Peer Review The following organizations participated in peer review of this clinical practice guideline: Arthroscopy Association of North America American Academy of Family Physicians American Academy of Physical Medicine and Rehabilitation American Orthopaedic Society for Sports Medicine American Physical Therapy Association (...) osteoarthritis is more common in women and appears to increase with age. 1 PREVALENCE Degenerative joint disease of the shoulder is relatively common. 2 The shoulder is, after knee and hip, the third most common joint to require surgical reconstruction. 3 BURDEN OF DISEASE “The estimated annual cost for medical care of arthritis and joint pain for patients with any diagnosis in 2004 was $281.5 billion dollars. This is an average of $7500 for each of the 37.6 million persons who reported having arthritis

2009 American Academy of Orthopaedic Surgeons

57. Diagnosis and Treatment of Acute Achilles Tendon Rupture

by the participating organization or the individuals listed below nor does it is any way imply the reviewer supports this document. The following organizations participated in peer review of this clinical practice guideline and gave explicit consent to be listed as a peer review organization of this document: American Academy of Family Practitioners American Academy of Physical Medicine and Rehabilitation American College of Foot and Ankle Surgeons American Orthopaedic Foot and Ankle Society American Orthopaedic

2009 American Academy of Orthopaedic Surgeons

58. Optimizing the Management of Rotator Cuff Problems

to future publications that clarify existing evidence for determining balance of benefits versus potential harm. Patient preference should have a substantial influencing role. AAOS Clinical Practice Guidelines Unit xiii v1.1_033011 UPost-Operative Rehabilitation – Range of Motion Exercises 13. b. We cannot recommend for or against a specific time frame of shoulder immobilization without range of motion exercises after rotator cuff repair. Strength of Recommendation: Inconclusive Description: Evidence (...) for determining balance of benefits versus potential harm. Patient preference should have a substantial influencing role. UPost-Operative Rehabilitation – Active Resistance Exercises 13. c. We cannot recommend for or against a specific time interval prior to initiation of active resistance exercises after rotator cuff repair. Strength of Recommendation: Inconclusive Description: Evidence from a single low quality study or conflicting findings that do not allow a recommendation for or against the intervention

2010 American Academy of Orthopaedic Surgeons

59. Diagnosis and Treatment of Osteochondritis Dissecans

of Orthopaedic Surgeons (AAOS); 2010 Published 2010 by the American Academy of Orthopaedic Surgeons 6300 North River Road Rosemont, IL 60018 First Edition Copyright 2010 by the American Academy of Orthopaedic Surgeons AAOS Clinical Practice Guidelines Unit iii v1.1_033111 Summary of Recommendations The following is a summary of the recommendations in the AAOS’ clinical practice guideline, The Diagnosis and Treatment of Osteochondritis Dissecans (OCD) of the Knee. The scope of this guideline is specifically (...) limited to Osteochondritis Dissecans of the Knee. This summary does not contain rationales that explain how and why these recommendations were developed nor does it contain the evidence supporting these recommendations. All readers of this summary are strongly urged to consult the full guideline and evidence report for this information. We are confident that those who read the full guideline and evidence report will also see that the recommendations were developed using systematic evidence-based

2010 American Academy of Orthopaedic Surgeons

60. 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 (...) Health. All Rights Reserved. Level of Care for Musculoskeletal Surgery and Procedures 12 Joint Outpatient Level of Care: Joint Surgery Historically, orthopedic hip, knee, and shoulder arthroscopic and sports medicine procedures (Figure 2) have been done on an outpatient basis. The performance of orthopedic arthroscopic and sports medicine procedures in the inpatient setting is generally considered not medically necessary. Requests to perform these procedures inpatient should be considered rare

2018 AIM Specialty Health

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