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81. Complex regional pain syndrome/reflex sympathetic dystrophy medical treatment guideline.

evaluation, overview of care for complex regional pain syndrome (CRPS) or sympathetically mediated pain, and diagnostic criteria and procedures for patients with CRPS/reflex sympathetic dystrophy and for further descriptions of the therapies discussed below. The grades of recommendations ( Some, Good, Strong ) are defined at the end of the Major Recommendations field. Therapeutic Procedures—Non-operative Non-operative therapeutic rehabilitation is applied to patients with CRPS or sympathetically mediated (...) : Patients undergoing therapeutic procedure(s) should be released or returned to modified or restricted duty during their rehabilitation at the earliest appropriate time. Refer to the section "Return-to-Work" below for detailed information. Reassessment of the patient's status in terms of functional improvement should be documented after each treatment. If patients are not responding within the recommended time periods, alternative treatment interventions, further diagnostic studies, or consultations

2017 National Guideline Clearinghouse (partial archive)

82. Diagnosis and Treatment of Peripheral Arterial Diseases Full Text available with Trip Pro

(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. Computed tomography angiography Multidetector computed tomography angiography (CTA) has a short examination time with reduced motion and respiration artefacts while imaging vessels and organs

2017 European Society of Cardiology

83. Occupational Therapy for people Undergoing total hip replacement

replacements and 9,000 revisions were carried out in England and Wales (National Joint Registry 2011, p35). Yet although the role of occupational therapy is well established and recognised (British Orthopaedic Association 2006), there are rapid changes in the face of practice – not only in the timings of interventions but in the age and range of people needing rehabilitation. Occupational therapists are treating more people of working age who have had hip replacements as well as continuing to treat (...) . Maximised functional independence ?1. It is recommended that the occupational therapy assessment is comprehensive and considers factors which may affect individual needs, goals, recovery and rehabilitation, including co-morbidities, trauma history, personal circumstances, obesity and pre-operative function. (Johansson et al 2010 [C]; Lin and Kaplan 2004 [C]; Marks 2008 [C]; Naylor et al 2008 [C]; Ostendorf et al 2004 [C]; Vincent et al 2007 [C]; Vincent et al 2012 [B]; Wang et al 2010 [C]) [New evidence

2018 Publication 1554

84. Is the use of chlorhexidine contributing to increased resistance to chlorhexidine and/or antibiotics?

health care settings including acute care, residential aged care, paediatric, neonatal and primary care and rehabilitation as well as the laboratory setting. All forms of use of chlorhexidine in humans and all different exposures (dosage form, duration, stratification of exposure) across different settings. 1. ‘Chlorhexidine Resistance’ (with definition / measures used) to chlorhexidine established. 2. A specific intervention identified as contributing to resistance to Chlorhexidine in a specific (...) Population and setting Intervention Outcome Types of studies Qu. 2 All patients (isolates) / participants (isolates) including children and adults in different health care settings including acute care, residential aged care, paediatric, neonatal and primary care and rehabilitation as well as the laboratory setting All forms of use of chlorhexidine in humans and all different exposures (dosage form, duration, stratification of exposure) across different settings. 1. ‘Resistance against antibiotics

2018 National Health and Medical Research Council

85. Guidelines for the management of acute joint bleeds and chronic synovitis in haemophilia

of neovascularisation inthesynoviumispredispositiontomorebleedingsince thesenewvesselsarefriable.Thisleadstoaviciouscircle of bleeding, iron accumulation, synovial hypertrophy and hypervascularization leading to further bleeding and ultimately progressive joint damage. Interventions aimedatpreventingorbreakingthiscyclearekeystrate- giesforthepreservationofjointfunctioninpeoplewith haemophilia.Bleedingis particularly problematicinthe diarthrodial-hinged joints such as the knee, elbow and ankle. It is therefore (...) ). Physiotherapy Although consensus guidelines recommend physiother- apy following acute haemarthrosis [12], there is a very limited objective evidence base in relation to the opti- mal timing and types of rehabilitation strategies fol- lowing resolution of a joint bleed. Clinical physiotherapy intervention is aimed at symptom con- trol, prevention of bleed recurrence, prevention of joint damage and restoration of full function and activity. Early management strategies are often encap- sulated within

2017 United Kingdom Haemophilia Centre Doctors' Organisation

86. Interventional Spine and Pain Procedures in Patients on Antiplatelet and Anticoagulant Medications

protocols for different pain procedures. One hundred twenty-four active participants attended the open forum. Responses were collected using an audience response system. Eighty-four percent of respondents were anesthesiologists, and the remainders were physical medicine and rehabilitation physicians, neurologists, orthopedic surgeons, and neurological surgeons. The vast majority of respondents (98%) followed ASRA regional anesthesia guidelines for anticoagulants but not for antiplatelet agents. Two

2018 American Society of Regional Anesthesia and Pain Medicine

87. Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Chronic Pain Full Text available with Trip Pro

, with higher dosages and more frequent infusions associated with greater risks. Larger studies, evaluating a wider variety of conditions, are needed to better quantify efficacy, improve patient selection, refine the therapeutic dose range, determine the effectiveness of nonintravenous ketamine alternatives, and develop a greater understanding of the long-term risks of repeated treatments. From the * Departments of Anesthesiology & Critical Care Medicine, Neurology, and Physical Medicine & Rehabilitation (...) presented to nor approved by either the American Society of Anesthesiologists Board of Directors or House of Delegates, it is not an official or approved statement or policy of the Society. Variances from the recommendations contained in the document may be acceptable based on the judgment of the responsible anesthesiologist. S.P.C. is funded in part by a Congressional Grant from the Center for Rehabilitation Sciences Research, Uniformed Services University of the Health Sciences, Bethesda, MD (SAP

2018 American Society of Regional Anesthesia and Pain Medicine

88. Clinical practice guidelines for the care of girls and women with Turner syndrome: proceedings from the 2016 Cincinnati International Turner Syndrome Meeting Full Text available with Trip Pro

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

2016 European Society of Human Reproduction and Embryology

89. Antithrombotic Therapies in Spine Surgery

of representatives from physical medi- cine and rehab, pain medicine/management, or- thopedic surgery, neurosurgery, anesthesiology, rheumatology, psychology/psychiatry and family practice. Revisions to recommendations were con- sidered for incorporation only when substantiated by a preponderance of appropriate level evidence. ? Step 9: Submission for Board Approval After any evidence-based revisions were incorpo- rated, the drafts were prepared for NASS Board review and approval. Edits and revisions to recom

2009 North American Spine Society

90. 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

91. 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

92. 2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults Full Text available with Trip Pro

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

93. Diagnosis and Treatment of Degenerative Lumbar Spinal Stenosis (Revised 2011)

JF. Inter- spinous process decompression with the X-STOP device for lumbar spinal stenosis: a 4-year follow-up study. J Spinal Disord Tech. Jul 2006;19(5):323-327. 31. Lin SI, Lin RM, Huang LW . Disability in patients with de- generative lumbar spinal stenosis. Arch Phys Med Rehab. Sep 2006;87(9):1250-1256. 32. Malmivaara A, Slatis P , Heliovaara M, et al. Surgical or non- operative treatment for lumbar spinal stenosis? A randomized controlled trial. Spine (Phila Pa 1976). Jan 1 2007;32(1):1-8

2011 North American Spine Society

94. Treatment and recommendations for homeless people with Chronic Non-Malignant Pain

problems, including psychological sequelae of trauma and cognitive impairment. These factors also make adherence to a treatment plan for chronic pain more difficult. Barriers to effective pain management for homeless people include poor understanding of pain management in the general medical community, mutual mistrust between homeless persons and medical providers, lack of access to appropriate pain specialty clinics and other opportunities for rehabilitation, and lack of clear treatment (...) if they have ever been treated for alcohol or drug use (e.g., “Ever been to detox, a rehab program, or an outpatient clinic for drug treatment?”) To explain your reasons for asking, you might add: “As a doctor, this history really helps me understand where you are coming from.” or “Information about your drug and alcohol use can really help me figure out what is the safest and most effective treatment for you.” If a substance use problem is suspected: Evasive responses to uncomfortable questions

2011 National Health Care for the Homeless Council

96. A Call to Action: Women and Peripheral Artery Disease Full Text available with Trip Pro

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

97. Guidelines for Responsible Opioid Prescribing in Chronic Non-Cancer Pain

of morphine equivalent dosage by 35%, compared prior to 2007. Further, there was also a 50% decrease from 2009 to 2010 in the number of deaths. Opioid prescribing may be different for different specialities and settings based on the speciality and training. Consequently, additional modalities may be utilized instead of high dose opioid therapy, leading to low or moderate dose opioid therapy and avoid- ing multiple complications (182). These include various techniques of rehabilitation with therapeutic (...) of life). In addition, various circumstances which increase or exacer- bate the pain and conditions which lead to diminution of pain must be documented (203-206). A physical diagno- sis must be established prior to initiating opioid therapy. The diagnosis should not be non-specific such as low back pain, knee pain etc., but should be objective and some- what specific based on the type of pain and abnormali- ties identified. This will assist in future treatments based on whether the pain is nociceptive

2012 American Society of Interventional Pain Physicians

98. Acute Low Back Pain

Acute Low Back Pain 1 Quality Department Guidelines for Clinical Care Ambulatory Low Back Pain Guideline Team Team leader Anthony E. Chiodo, MD Physical Medicine & Rehabilitation Team members David J. Alvarez, DO Family Medicine Gregory P. Graziano, MD Orthopedic Surgery Andrew J. Haig, MD Physical Medicine & Rehabilitation R. Van Harrison, PhD Medical Education Paul Park, MD Neurosurgery Connie J. Standiford, MD General Internal Medicine Consultant Ronald A. Wasserman, MD Anesthesiology, Back (...) Location Muscle Strength Test Neurological Level Reflex Tests Spinal Level Toe Plantar flexion S-1 Achilles S-1 Dorsi flexion L-5 Medial Hamstring c L-5 Patella L-4 Ankle Plantar flexion S-1 a Dorsi flexion L-4, L-5 Babinski Tests upper motor neurons Knee Extension L-3,4 Flexion L-5, S-1 Hip Flexion L-2, 3 Abduction L-5, S-1 Internal Rotation L-5, S-1 b Adduction L-3, 4 a Ankle plantar flexion--rise up on the toes of one leg 5 times while standing. b Internal rotation--while seated patient keeps knees

2011 University of Michigan Health System

99. Diagnosis and Treatment of Diabetic Foot Infections Full Text available with Trip Pro

of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, Maywood, Illinois Search for other works by this author on: Eric Senneville 12Department of Infectious Diseases, Dron Hospital, Tourcoing, France Search for other works by this author on: Clinical Infectious Diseases , Volume 54, Issue 12, 15 June 2012, Pages e132–e173, Published: 15 June 2012 Article history Received: 21 March 2012 Accepted: 22 March 2012 Citation Benjamin A. Lipsky, Anthony R. Berendt, Paul B. Cornia, James C

2012 Infectious Diseases Society of America

100. Low Back Pain

, Limke J, Jouve C, Finno M. Exercise as a treatment for chronic low back pain. Spine J. 2004;4:106-115. 247 . Rainville J, Jouve CA, Hartigan C, Martinez E, Hipona M. Comparison of short- and long-term outcomes for aggressive spine rehabilitation deliv- ered two versus three times per week. Spine J. 2002;2:402-407 . 248. Rainville J, Sobel J, Hartigan C, Monlux G, Bean J. Decreasing disability in chronic back pain through aggressive spine rehabilitation. J Rehabil Res Dev. 1997;34:383-393. 249 (...) -203; discussions 203-204. 274. Smeets RJ, Vlaeyen JW, Hidding A, et al. Active rehabilitation for 42-04 Guidelines.indd 55 3/21/2012 5:07:43 PMLow Back Pain: Clinical Practice Guidelines a56 | april 2012 | volume 42 | number 4 | journal of orthopaedic & sports physical therapy chronic low back pain: cognitive-behavioral, physical, or both? First direct post-treatment results from a randomized controlled trial [IS- RCTN22714229]. BMC Musculoskelet Disord. 2006;7:5. http:// dx.doi. org/10.1186/1471

2012 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.


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