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101. 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

102. 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

103. Quality Improvement Guidelines for Endovascular Treatment of Traumatic Hemorrhage

be achieved by using existing resources. Focused abdominal sonography in trauma (FAST) and plain ?lms (chest, cervical spine, pelvis) do not add any- thing to the information provided by a CT scan. In unstable patients in civilian settings, FAST is a poor discriminator for those patients requiring laparotomy, with negative predictive values of only 50–63%. Recommendation 3 Whole body MDCT (head to mid- thighs/knees) should be the default ?rst-line imaging in severely injured patients who respond at least (...) stakeholders involved in the care of the severely injured patient, starting with the ambulance services and continuing to acute clin- ical care and rehabilitation centres. Levels of Service Some hospitals within a region will be designated major trauma centres, capable of dealing with the most severely injured patients. This designation should be based on the range of services provided and a minimum number of patients. Outcomes relate to quality of the facilities, the skill of staff members, and staff

2012 Cardiovascular and Interventional Radiological Society of Europe

104. 2012 ACCF/AHA/ACR/SCAI/SIR/STS/SVM/SVN Key Data Elements and Definitions for Peripheral Atherosclerotic Vascular Disease

2012 ACCF/AHA/ACR/SCAI/SIR/STS/SVM/SVN Key Data Elements and Definitions for Peripheral Atherosclerotic Vascular Disease A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Clinical Data Standards (Writing Committee to Develop Clinical Data Standards for Peripheral Atherosclerotic Vascular Disease) Developed in Collaboration With the American Association of Cardiovascular and Pulmonary Rehabilitation, American Academy of Neurology, American Association (...) and Pulmonary Rehabilitation Representative. †††Society for Vascular Nursing Representative. ‡‡‡Society for Cardiovascular Angiography and Interventions Representative. §§§Society of Cardiovascular Computed Tomography Representative. Immediate Past Chair of the ACCF/AHA Task Force on Clinical Data Standards. This document was approved by the American College of Cardiology Foundation Board of Trustees and the American Heart Association Science Advisory and Coordinating Committee in June 2011; the Society

2012 Society for Cardiovascular Angiography and Interventions

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

guidelines for regional anesthesia in patients on antiplatelet and anticoagulant medications and/or if respondents incorporated different protocols for different pain procedures. One hundred twenty-four active participants attended the 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. Most

2015 American Society of Regional Anesthesia and Pain Medicine

106. MASAC Recommendations Regarding Physical Therapy Guidelines in Patients with Bleeding Disorders

Date: November 13, 2015 ID: 238 Revisions: 222; 204 Attachment Size 129.19 KB 197.48 KB 173.03 KB 98.09 KB 191.99 KB 158.08 KB 116.41 KB 157.18 KB 271.89 KB Physical therapy is an important adjunct in the management of individuals with hemophilia and other inherited bleeding disorders. [1] Physical therapy is used to rehabilitate muscles and joints following acute soft tissue injuries and hemarthroses, chronic synovitis, and hemophilic arthritis. In addition, physical therapy is critical to pre (...) of patients with inherited bleeding disorders: Cryotherapy (2011) Iliopsoas Bleed (2011) Joint Bleed (2011) Muscle Bleed (2018) Surgical Synovectomy (2013) Total Knee Replacement (2015) Orthoses for Ankle Hemophilic Arthopathy (2018) MASAC recommends adoption of these standardized guidelines by physical therapy services for management of individuals with bleeding disorders, either inpatient or outpatient, both in HTCs and in institutions not affiliated with an HTC. In the latter case, consultation

2015 National Hemophilia Foundation

107. Post-Operative Management of Legg-Calve-Perthes Disease In children aged 3 to 12 years

is a combination of an antalgic and a Trendelenburg type gait pattern. Pain is often present in the hip or referred to the thigh or knee (Tamai 2004 [5b]). Limp and pain are commonly made worse with strenuous activities (Tamai 2004 [5b]). ROM of the hip is limited, with the greatest limitations typically in hip abduction and internal rotation (Wenger 1991 [5a], Tamai 2004 [5b]). The disease process involves avascular necrosis of the femoral head due to a loss of blood supply (Leach 2006 [5b]). As a result (...) to inpatient PT post-soft tissue release and removal of the Petrie cast, but prior to bony surgery to restore hip, knee, and ankle ROM and to maximize joint mobility to allow for adequate ROM for ease of surgical intervention (Local Consensus [5]). 4. It is recommended that the following are assessed at initial evaluation and at discharge from inpatient PT post soft tissue release and removal of the Petrie cast: • Pain using the Oucher Pain Scale (Beyer 2005 [4a]) or Numerical Rating Scale (NRS

2013 Cincinnati Children's Hospital Medical Center

111. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline from the American College of Physicians

anti-inflammatory drugs or skeletal muscle relaxants (moderate-quality evidence). (Grade: strong recommendation) Recommendation 2: For patients with chronic low back pain, clinicians and patients should initially select nonpharmacologic treatment with exercise, multidisciplinary rehabilitation, acupuncture, mindfulness-based stress reduction (moderate-quality evidence), tai chi, yoga, motor control exercise, progressive relaxation, electromyography biofeedback, low-level laser therapy, operant (...) low back pain, radicular low back pain, or symptomatic spinal stenosis. The review evaluated pharmacologic (acetaminophen, nonsteroidal anti-inflammatory drugs [NSAIDs], opioids, skeletal muscle relaxants [SMRs], benzodiazepines, antidepressants, antiseizure medications, and systemic corticosteroids) and nonpharmacologic (psychological therapies, multidisciplinary rehabilitation, spinal manipulation, acupuncture, massage, exercise and related therapies, and various physical modalities) treatments

2017 American College of Physicians

112. Management of Osteoarthritis of the Hip

) in 2005, and in 2009 OA was the fourth most common cause of hospitalization (Murphy & Helmick, 2012). OA is the leading indication for joint replacement surgery; 905,000 knee and hip replacements were performed in 2009 at a cost of 42.3 billion dollars (Murphy & Helmick, 2012). Estimated trends in hip replacement procedures from 1992 to 2010 or 2011 show a steady increase in all types of replacements, with total hip replacements more than doubling by 2010/2011 (USBJI, 2014). Costs to be considered (...) question or stage of care, if necessary) Study must be of an osteoarthritis-related injury or prevention thereof Study must be published in or after 1990 for surgical treatment, rehabilitation, bracing, prevention and MRI Study must be published in or after 1990 for x-rays and non-operative treatment Study must be published in or after 1990 for all others non specified Study should have 10 or more patients per group (Work group may further define sample size) Study must have at least 90% OA Patients 21

2017 American Academy of Orthopaedic Surgeons

113. Diagnosis and Treatment of Low Back Pain

or interdisciplinary rehabilitation program which should include at least one physical component and at least one other component of the biopsychosocial model (psychological, social, occupational) used in an explicitly coordinated manner. Weak for Reviewed, New-replaced *For additional information, please refer to Grading Recommendations. †For additional information, please refer to Recommendation Categorization and Appendix A. VA/DoD Clinical Practice Guideline for Diagnosis and Treatment of Low Back Pain (...) research questions on which to base an SR about the diagnosis and treatment of LBP. The group also identified a list of clinical specialties and areas of expertise that were important and relevant to the diagnosis and treatment of LBP, from which Work Group members were recruited. The specialties and clinical areas of interest included: chiropractic care, integrative medicine, neurology, nursing, pain medicine, pharmacy, physical medicine and rehabilitation, physical therapy, primary care, radiology

2017 VA/DoD Clinical Practice Guidelines

115. Lateral Patellar Dislocations and Instability: Conservative Management

physician is notified if any of the following red flags/precautions are present during the initial evaluation or at any other time during the rehabilitation process: ? Signs of deep vein thrombosis (LocalConsensus 2013 [5]) ? Unchanging or increased irritability in the knee (LocalConsensus 2013 [5]) ? Persistent or recurrent effusion (Stefancin 2007 [1b], LocalConsensus 2013 [5]) ? Unexpected loss or minimal progression of ROM (LocalConsensus 2013 [5]) ? Catching, locking, or persistent pathological end (...) away from dependence on an assistive device and help the patient progress to single leg balance in the next rehabilitation phase (LocalConsensus 2013 [5]). Initial Phase--Gait 29. It is recommended that patient-specific ambulation exercises are implemented to improve the patient’s ability to: ? Weight bear as tolerated and appropriate per physician recommendation ? Demonstrate adequate ROM in hip, knee and ankle at each phase of the gait cycle ? Maintain good quadriceps control, particularly during

2013 Cincinnati Children's Hospital Medical Center

116. Cerebral palsy in adults

that allow adults with cerebral palsy access to a local network of care that includes: advocacy support learning disability services mental health services orthopaedic surgery (and post-surgery rehabilitation) rehabilitation engineering services rehabilitation medicine or specialist neurology services Cerebral palsy in adults (NG119) © NICE 2019. All rights reserved. Subject to Notice of rights ( conditions#notice-of-rights). Page 6 of 64secondary care expertise (...) to Notice of rights ( conditions#notice-of-rights). Page 11 of 64job seeking or access to work schemes employment support to include workplace training and job retention occupational health assessment or workplace assessment statutory welfare benefits supporting a planned exit from the workforce if it becomes too difficult to continue working vocational rehabilitation voluntary work. See also NICE's guideline on workplace health: management practices for advice

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

117. Optimal Exercise Programs for Patients With Peripheral Artery Disease: A Scientific Statement From the American Heart Association

rehabilitation. Key words included the following: (physical* adj [active or activity or activities]); (stair* or step or steps); ([muscle or muscles or muscular] adj strengthen*); (swim* or swam or jog* or run or running or ran or walk or walking or walked); treadmill*; ([circuit* or resistance or strength* or physical or weight] adj [train or training]); exercise*; (arm* or leg*) adj2 (cycle or cycling or bicycl* or ergomet*); and rehabilitat*. Physical functioning subject headings included exp physical (...) scores reflecting fewer limitations and symptoms and higher satisfaction with treatment. The PAQ has been used to assess outcomes in studies of revascularization and for a study comparing exercise rehabilitation and endovascular procedures. The PAQ and WIQ overlap in assessing claudication-limited physical limitations, but the PAQ also assesses patient perception of the quality of their health care. The Impact of PAD on Quality of Life Questionnaire is a 38-item questionnaire with 5 subscales

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2019 American Gastroenterological Association Institute

118. Management of Acute Compartment Syndrome

system, or transmitted, in any form, or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission from METRC. If you wish to request permission please contact METRC by clicking here or AAOS by clicking here. Published 12/7/18 by the Major Extremity Trauma and Rehabilitation Consortium (METRC) in collaboration with the American Academy of Orthopaedic Surgeons (AAOS) 9400 W Higgins Rosemont, IL First Edition Copyright 2018 by the Major Extremity (...) Trauma and Rehabilitation Consortium (METRC) and the American Academy of Orthopaedic Surgeons (AAOS) 4 To View All AAOS and AAOS-Endorsed Evidence-Based clinical practice guidelines and Appropriate Use Criteria in a User-Friendly Format, Please Visit the OrthoGuidelines Web-Based App at or by downloading to your smartphone or tablet via the Apple and Google Play stores! 5 Table of Contents Summary of recommendations 7 Serum Biomarkers 7 Serum Biomarkers in Late/Missed ACS 7

2019 American Academy of Orthopaedic Surgeons

119. Improving outcomes for people with sarcoma

treatment: bone sarcomas 62 1 Improving Outcomes for People with Sarcoma Contents7. Improving treatment: soft tissue sarcomas 68 Limb, limb girdle and truncal soft tissue sarcomas 68 Retroperitoneal and pelvic soft tissue sarcomas 73 Soft tissue sarcomas requiring shared management 76 8. Supportive and palliative care 81 The key worker 82 Physiotherapy, occupational therapy and rehabilitation 83 Orthotic and prosthetic appliance provision 86 Specialist palliative care 88 9. Follow-up of patients 92 10 (...) is recognised and underpinned by government targets, the support both to the individual patient with a key worker and to the MDT with administrative input is vital. For patients requiring limb amputation, the recommendations about the provision of high-quality prostheses and rehabilitation is another important aspect of this guidance. We have included advice on follow-up and on supportive and palliative care, where the recommendations complement the NICE guidance on ‘Improving supportive and palliative care

2006 National Institute for Health and Clinical Excellence - Clinical Guidelines

120. 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


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