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81. Recommendations on screening for cognitive impairment in older adults

on Preventive Health Care is available at about-us/members/ Correspondence to: Canadian Task Force on Preventive Health Care, CMAJ 2015. DOI:10.1503 /cmaj.141165 • No randomized trials have evaluated the benefits of screening for cognitive impairment. • Available data suggest that pharmacologic treatments are not effective in people with mild cognitive impairment and that nonpharmacologic therapies (e.g., exercise, cognitive training and rehabilitation (...) interventions approved for use in Canada (e.g., cholinesterase inhibitors, such as donepezil, rivastigmine and galantamine), dietary supplements or vitamins and nonpharmacologic interventions (e.g., exer- cise, cognitive training and rehabilitation). The task force workgroup decided to treat the key question regarding the accuracy of screening tools (key question 6 in Appendix 2) as a contex- tual question. This was because there were no trials of screening programs and there was evi- dence that treatment

2015 CPG Infobase

82. Osteoarthritis: care and management

' (NICE clinical guideline 59). The recommendations are labelled according to when they were originally published (see Update information for details). Osteoarthritis refers to a clinical syndrome of joint pain accompanied by varying degrees of functional limitation and reduced quality of life. It is the most common form of arthritis, and one of the leading causes of pain and disability worldwide. The most commonly affected peripheral joints are the knees, hips and small hand joints. Pain, reduced (...) ; this might be thought of as 'joint failure' . This in part explains the extreme variability in clinical presentation and outcome that can be observed between people, and also at different joints in the same person. There are limitations to the published evidence on treating osteoarthritis. Most studies have focused on knee osteoarthritis, and are often of short duration using single therapies. Although Osteoarthritis: care and management (CG177) © NICE 2019. All rights reserved. Subject to Notice

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

83. Fractures (non-complex): assessment and management

if the suspected fracture is above the knee a vacuum splint for all other suspected long bone fractures. F Femor emoral nerv al nerve blocks in children (under 16s) e blocks in children (under 16s) 1.1.11 Consider a femoral nerve block or fascia iliaca block in the emergency department for children (under 16s) with suspected displaced femoral fractures. Fractures (non-complex): assessment and management (NG38) © NICE 2018. All rights reserved. Subject to Notice of rights ( (...) -and- conditions#notice-of-rights). Page 6 of 181.2 Acute stage assessment and diagnostic imaging Use of clinical prediction rules for suspected knee fr Use of clinical prediction rules for suspected knee fractures actures 1.2.1 Use the Ottawa knee rules to determine whether an X-ray is needed in people over 2 years with suspected knee fractures. Use of clinical prediction rules for suspected ankle fr Use of clinical prediction rules for suspected ankle fractures actures 1.2.2 Use the Ottawa ankle and foot

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

84. Fractures (complex): assessment and management

-hospital setting, consider the following for people with suspected long bone fractures of the legs: a traction splint or adjacent leg as a splint if the suspected fracture is above the knee a vacuum splint for all other suspected long bone fractures. Destination for people with suspected fr Destination for people with suspected fractures actures 1.1.12 Transport people with suspected open fractures: directly to a major trauma centre [1] or specialist centre that can provide orthoplastic care if a long (...) the person and their family members or carers (as appropriate) in a full discussion of the options if this is possible. 1.2.25 Base the decision whether to perform limb salvage or delayed primary amputation on multidisciplinary assessment involving an orthopaedic surgeon, a plastic surgeon, a rehabilitation specialist and the person and their family members or carers (as appropriate). 1.2.26 When indicated, perform the delayed primary amputation within 72 hours of injury. Debridement, staging of fix

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

85. Spasticity in under 19s: management

or V) to improve foot position for sitting, transfers between sitting and standing, and assisted standing. 1.3.11 Be aware that in children and young people with secondary complications of spasticity, for example contractures and abnormal torsion, ankle–foot orthoses may not be beneficial. 1.3.12 For children and young people with equinus deformities that impair their gait consider: a solid ankle–foot orthosis if they have poor control of knee or hip extension a hinged ankle–foot orthosis (...) if they have good control of knee or hip extension. 1.3.13 Consider ground reaction force ankle–foot orthoses to assist with walking if the child or young person has a crouch gait and good passive range of movement at the hip and knee. 1.3.14 Consider body trunk orthoses for children and young people with co-existing scoliosis or kyphosis if this will help with sitting. 1.3.15 Consider the overnight use of orthoses to: improve posture prevent or delay hip migration prevent or delay contractures. 1.3.16

2012 National Institute for Health and Clinical Excellence - Clinical Guidelines

86. AIUM Practice Parameter for the Performance of Selected Ultrasound-Guided Procedures

Academy of Otolaryngology—Head and Neck Surgeons (AAO-HNS), the American Academy of Pain Medicine (AAPM), the American Academy of Physical Medicine and Rehabilitation (AAPMR), the American Osteopathic College of Radiology (AOCR), the American Physical Therapy Association (APTA), the American Registry for Diagnostic Medical Sonography (ARDMS), the American Society of Endocrine Physician Assistants (ASEPA), the American Association of Nurse Anesthetists (AANA), and the American Medical Society of Sports

2014 American Institute of Ultrasound in Medicine

87. An Update of Comprehensive Evidence-Based Guidelines for Interventional Techniques in Chronic Spinal Pain - Part 2 - Guidance and Recommendations

, to provide a set of recommendations that can support existing and future guidelines to provide appropriate strategies to manage chronic spinal pain and improve the quality of clinical care. The membership consists of multiple specialties across the globe even though it is an American society. The majority of the specialists include interventional pain physicians derived from the primary specialities of anesthesiology, physical medi- cine and rehabilitation, and neurology and psychiatry. There has been

2013 American Society of Interventional Pain Physicians

89. Ankle Stability and Movement Coordination Impairments

assistive device recommended should be based on the severity of the injury, phase of tissue healing, level of protection indicated, extent Recommendations* Ankle Ligament Sprain: Clinical Practice Guidelines journal of orthopaedic & sports physical therapy | volume 43 | number 9 | september 2013 | a3 of pain, and patient preference. In more severe injuries, immobilization ranging from semi-rigid bracing to below- knee casting may be indicated. (Recommendation based on strong evidence.) INTERVENTION (...) -bearing tolerance in patients recovering from a lateral ankle sprain. (Recommendation based on strong evidence.) INTERVENTION – PROGRESSIVE LOADING/SENSORIMOTOR TRAINING PHASE – THERAPEUTIC EXERCISE AND ACTIVITIES: Clinicians may include therapeutic exercises and activities, such as weight-bearing functional exercises and single- limb balance activities using unstable surfaces, to improve mobility, strength, coordination, and postural control in the postacute period of rehabilitation for ankle sprains

2013 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

90. Treatment of Pediatric Diaphyseal Femur Fractures

4S 20 Saint Louis, MO 63110 Charles T. Mehlman, DO, MPH Children's Hospital Medical Center 3333 Burnet Avenue, MLC 2017 Cincinnati, Ohio 45229-3039 David M. Scher, MD Hospital for Special Surgery 535 E 70th St 5th Fl New York, NY 10021 Travis Matheney, MD Children's Hospital Boston Orthopedic Surgery 47 Joy Street Boston, MA 02115 James O Sanders, MD Department of Orthopaedics Rehabilitation University of Rochester 601 Elmwood Avenue Rochester NY 14642 Guidelines Oversight Chair: William C (...) fractures account for 1.4% 3 to 1.7% 4 of all pediatric fractures. BURDEN OF DISEASE There are many components to consider when calculating the overall cost of treatment for pediatric femoral fracture. 5 The main considerations for patients and third party payers are the relative cost and effectiveness of each treatment option. But hidden costs for pediatric patients must also be considered. These costs include the additional home care required for a patient, the costs of rehabilitation and of missed

2015 American Academy of Orthopaedic Surgeons

91. Guidelines for the management of spontaneous intracerebral hemorrhage

and by the members of the Stroke Council Scientific Oversight Committee and Stroke Council Leadership Committee. Results— Evidence-based guidelines are presented for the care of patients with acute intracerebral hemorrhage. Topics focused on diagnosis, management of coagulopathy and blood pressure, prevention 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 (...) and assessment of ICH and its causes; hemostasis and coagulopathy; blood pressure (BP) management; inpatient management, including general monitoring and nursing care, glucose/temperature/seizure management, and other medical complications; procedures, including management of intracranial pressure (ICP), intraventricular hemorrhage, and the role of surgical clot removal; outcome prediction; prevention of recurrent ICH; rehabilitation; and future considerations. Each subcategory was led by a primary author

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2015 American Academy of Neurology

92. Neuroprosthesis to improve gait mechanics, walking speed, and physiological cost index, Use of

Citation, First Author & Year Purpose Research Design and Study Sample Results Conclusions Evidence Level a single FES treatment to stroke patients. It was assumed that hemiparetic standing balance and walking might improve as a result of a decrease in spasticity, achieved by a single FES treatment. To verify this assumption the following parameters were evaluated: bilateral anteroposterior standing sway and bilateral knee range of motion during the gait cycle. 30 minutes with the subjects (...) and hamstrings muscle weakness were fitted with a dual Results with the dual- channel FES indicate that in the subgroup of subjects who demonstrated reduced hip extension but no knee hyperextension (n =9), hamstrings FES The results suggest that dual channel FES for the dorsiflexor and hamstring muscles may affect lower limb control beyond that which can be attributed to peroneal stimulation alone. 4b Division of Occupational Therapy and Physical Therapy/ Gait / Neuroprosthesis to increase dynamic gait

2015 Cincinnati Children's Hospital Medical Center

93. 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

2015 Congress of Neurological Surgeons

94. Diagnosis and Treatment of Adult Isthmic Spondylolisthesis

(Level B); Grants: Orthopedic Research and Education Foundation (Level C). (1/28/13) Norman B. Chutkan Royalties: Globus Medical (Level E); Speaking and/or teaching arrange- ments: AO North America (Nonfinancial, Travel expenses and per diem); Board of Directors: Walton Rehabilitation Hospital (Nonfinancial); Scien- tific Advisory Board: Orthopedics Journal (Nonfinancial). (1/29/13) Bernard A. Cohen Stock Ownership: NuVasive (7000, 0, Shares equal less than 1/10th of 1% of outstanding shares

2014 North American Spine Society

95. Management of Patients With Peripheral Artery Disease (Compilation of 2005 and 2011 ACCF/AHA Guideline Recommendations)

-Lowering Drugs 1431 Antiplatelet and Antithrombotic Drugs 1431 2.3.2 Claudication 1432 Exercise and Lower Extremity PAD Rehabilitation 1432 Medical and Pharmacological Treatment for Claudication 1432 Cilostazol 1432 Pentoxifylline 1432 Other Proposed Medical Therapies 1432 Endovascular Treatment for Claudication 1432 Surgery for Claudication 1433 Indications 1433 Preoperative Evaluation 1433 Inflow (...) rehabilitation) so as to determine functional capacity, assess nonvascular exercise limitations, and demonstrate the safety of exercise. (Level of Evidence: B) Class IIb A 6-minute walk test may be reasonable to provide an objective assessment of the functional limitation of claudication and response to therapy in elderly individuals or others not amenable to treadmill testing. (Level of Evidence: B) 2.2.5. Duplex Ultrasound Class I Duplex ultrasound of the extremities is useful to diagnose anatomic location

2014 American Heart Association

96. Standards of Practice for Superficial Femoral and Popliteal Artery Angioplasty and Stenting

will depend on body habitus and the presence of concomitant in?ow iliac disease. Any Table 4 Indications and contraindications for revascularization Indications Lifestyle-limiting claudication (Fontaine stage IIb, Rutherford category 2–3) Critical limb ischemia (CLI); rest pain (Fontaine stage 3, Rutherford category 4) or non-healing ulcer/gangrene (Fontaine stage 4, Rutherford category 5–6) Hemodynamically signi?cant proximal or distal juxta-anastomotic stenosis in failing below- or above-knee bypass (...) -year follow-up despite an initial promising early 6-month difference [73]. The ZILVER-PTX trial evaluated paclitaxel-eluting stents for femoropopliteal lesions above-the-knee and demon- strated a signi?cantly improved primary patency and event- free survival at 1 year in favour of the paclitaxel-eluting stent arm on the as-treated data analysis [8]. Studies of PTFE-lined covered stents have demonstrated comparable patency rates with femoropopliteal synthetic bypass surgery (Dacron or PTFE) over 12

2014 Cardiovascular and Interventional Radiological Society of Europe

97. Lateral Patellar Dislocations and Instability ? Post-Operative Management

, trochlear dysplasia, significant genu valgum, and hypermobility may reduce a patient’s chances for long-term success of the surgical procedure and/or implementation of the rehabilitation recommendations (Shah 2012 [1a], Stefancin 2007 [1b], Garth 1996 [4b], LocalConcensus 2014 [5]) Background Complex and dynamic interactions among static, passive, and active anatomical restraints and healthy biomechanics at the knee provide patellofemoral joint stability (Balcarek 2010 [4b], von Baeyer 2009 [4b (...) /precautions are present during the initial evaluation or at any other time during the rehabilitation process: ? Signs of deep vein thrombosis (DVT) (Ramzi 2004 [5a]) ? Unchanging or increased irritability in the knee ? Persistent or recurrent effusion (Stefancin 2007 [1b]) ? Unexpected loss or minimal progression of ROM ? Catching, locking, or persistent pathological end feel with passive ROM (Stefancin 2007 [1b], Parikh 2011 [4a]). (LocalConcensus 2014 [5]) Initial Examination 5. It is recommended

2015 Cincinnati Children's Hospital Medical Center

98. 2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults

expert reviewers nominated by the ACC, AHA, and The Obesity Society after the management of the guideline transitioned to the ACC/AHA. The ACC, AHA, and The Obesity Society reviewers’ RWI information is published in this document ( ). This document was approved for publication by the governing bodies of the ACC, the AHA, and The Obesity Society and is endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation, American Pharmacists Association, American Society for Nutrition

2013 American Heart Association

100. Evidence-Based Guideline: Diagnosis and Treatment of Limb-Girdle and Distal Dystrophies

of Neurology, Mayo Clinic, Rochester, MN (4) Department of Neurology, Massachusetts General Hospital, Boston, MA/Harvard Medical School, Boston, MA (5) St Luke's Rehabilitation Institute, Spokane, WA (6) Department of Neurology, Penn State Hershey Medical Center, Hershey, PA (7) Department of Neurology, University of Kansas Medical Center, Kansas City, KS (8) Neuromuscular Center, Boston VA Medical Center, Boston, MA (9) Department of Neurology, University of Rochester Medical Center, Rochester, NY 2 (10 (...) for Disease Control and Prevention. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. The remaining funding was provided by the American Academy of Neurology. This guideline was endorsed by the American Academy of Physical Medicine and Rehabilitation on April 17, 2014; by the Child Neurology Society on July 11, 2014; by the Jain Foundation on March 14, 2013; and by the Muscular

2013 American Association of Neuromuscular & Electrodiagnostic Medicine


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