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121. 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

122. Heart Failure Management in Skilled Nursing Facilities Full Text available with Trip Pro

(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

2015 American Heart Association

123. 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

124. Guidelines for the management of spontaneous intracerebral hemorrhage Full Text available with Trip Pro

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

2015 American Academy of Neurology

125. Guidelines for the Management of Spontaneous Intracerebral Hemorrhage Full Text available with Trip Pro

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 American Heart Association

127. All-Terrain Vehicle Injuries, Prevention of

protective equipment on injury severity and none studying any possible effect independent of helmet use. [ ],[ ] There was one pediatric and one adult study including drivers and riders in both organized sport and recreational environments with contradictory results (Table 3). Protective equipment including vests, boots, shin guards, and pads for the shoulders, knees, and elbows are currently marketed for ATV riders. No study could be found which only separated helmets from other protective gear; however (...) , two studies did mention the use of other equipment. Mahida et al. [ ] compared injury patterns in children who ride for sport and recreation and found that while the organized sport group more often wore extra protective gear (81% vs. 10% p < 0.01), their rates of surgery and other injury patterns were similar. Thepyasuwan et al. [ ] had similar findings in their adult evaluation of patients wearing protective gear and suggested that elbow, knee, and arm pads were unlikely to help protect from

2018 Eastern Association for the Surgery of Trauma

128. Achilles Pain, Stiffness, and Muscle Power Deficits; Midportion Achilles Tendinopathy Revision

, which can be ei- ther in the form of eccentric exercise, or a heavy-load, slow- speed (concentric/ eccentric) exercise program, to decrease pain and improve function for patients with midportion Achilles tendinopathy without presumed frailty of the tendon structure. F Patients should exercise at least twice weekly within their pain tolerance. INTERVENTIONS – STRETCHING C Clinicians may use stretching of the ankle plantar flexors with the knee flexed and extended to reduce pain and improve (...) and function and soft tissue mobilization to increase range of motion for patients with midportion Achilles tendinopathy. INTERVENTIONS – PATIENT EDUCATION: ACTIVITY MODIFICATION B For patients with nonacute midportion Achilles tendinopathy, clinicians should advise that complete rest is not indicated and that they should continue with their recreational activity within their pain tolerance while participating in rehabilitation. INTERVENTIONS – PATIENT COUNSELING E Clinicians may counsel patients

2018 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

129. Low Back Pain, Adult Acute and Subacute

trial of 600 patients with recurrent low back pain, exercise frequency is more important than exercise type, duration or intensity in low back pain prevention (Steffens, 2016; Aleksiev, 2014). Non-pharmacologic Treatments Directed physical activity Physical activity/exercise may be done by the patient as part of self-care or as part of an active rehabilitation program with a therapist. A study by Fritz (2012) found that early-intervention patients were less likely to have imaging, additional (...) www.icsi.org 23 Re-evaluation If symptoms are not improving, consider that there may be a misdiagnosis, inadequate treatment, patient barriers or alternative non-spine-related factors inhibiting recovery. It is the expert opinion of this working group to instruct the patient to return for the following reasons: • Pain that doesn't seem to be getting better after two to three weeks • Pain and weakness traveling down the leg below the knee • Leg, foot, groin or rectal area feeling numb • Unexplained fever

2018 Institute for Clinical Systems Improvement

130. Ankle and Foot Surgical Guideline

are of the highest quality, this guideline emphasizes: ? Conducting a thorough assessment and making an accurate diagnosis. ? Appropriately determining work-relatedness. ? Making the best treatment decisions that are curative or rehabilitative. b ? Facilitating the worker’s return to health, productivity, and work. The guideline was developed in 2016-2017 by a subcommittee of the Industrial Insurance Medical Advisory Committee (IIMAC). The subcommittee was comprised of practicing physicians in rehabilitation (...) is much less likely to experience symptomatic OA through normal risk factors alone, such as age. 33 Brown et al estimated that nearly 80% of all ankle osteoarthritis is post-traumatic; and the estimated yearly incidence of symptomatic ankle OA in the same study was 1,113 cases in Iowa alone. 34 In patients seeking treatment, symptomatic osteoarthritis with radiographic changes occurs about 8-9.4 times more often in knee than in the ankle. 35, 36 17 Washington State Department of Labor and Industries

2017 Washington State Department of Labor and Industries

131. Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association Full Text available with Trip Pro

, diarrhea, vomiting, abdominal pain, and gallbladder hydrops; pancreatitis and jaundice are less common. Genitourinary findings include urethritis, which is common, and hydrocele and phimosis, which are less common. Musculoskeletal findings include arthralgia and arthritis, involving multiple small interphalangeal joints and large weight-bearing joints during the first week of illness and predominantly large weight-bearing joints, especially the knees and ankles, in the second to third week of illness

2017 American Heart Association

132. 2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease

Angiography and Interventions Representative. ¶ACC/AHA Task Force on Clinical Practice Guidelines Liaison. #Inter-Society Consensus for the Management of Peripheral Arterial Disease Representative. **Society for Vascular Medicine Representative. ††Society of Interventional Radiology Representative. ‡‡Society for Clinical Vascular Surgery Representative. §§Society for Vascular Surgery Representative. ? ?American Association of Cardiovascular and Pulmonary Rehabilitation Representative. ¶¶Society (...) College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2017;135:e726–e779. DOI: 10.1161/CIR.0000000000000471. Developed in Collaboration With the American Association of Cardiovascular and Pulmonary Rehabilitation, Inter-Society Consensus for the Management of Peripheral Arterial Disease, Society for Cardiovascular Angiography and Interventions, Society for Clinical Vascular Surgery, Society of Interventional Radiology, Society for Vascular Medicine

2017 American Heart Association

134. Prioritizing Functional Capacity as a Principal End Point for Therapies Oriented to Older Adults With Cardiovascular Disease

assume. Furthermore, the tests listed in this chart are not definitive; that is, many more tests and questionnaires exist, many of which may be particularly well suited to specific patients, offices, or research applications. 1RM indicates 1-repetition maximum; 6MWT, 6-minute walk test; ADL, activity of daily living; BP, blood pressure; CPET/CPX, cardiopulmonary exercise stress test; CR, cardiac rehabilitation; DASI, Duke Activity Status Index; ETT, exercise tolerance test; FIM, Functional (...) . The standard measure of strength, the 1-repetition maximum (1RM), is commonly measured with the heaviest weight that can be lifted concentrically throughout a complete range of motion. This is usually measured on a variable weight machine with a sitting chest press used for upper-body strength and knee extension used for lower-body strength; these 2 exercises have been shown to be surrogates for overall upper- and lower-body strength. The 1RM is advantageous in that it is similar to functional tasks

2017 American Heart Association

137. 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

138. 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

140. Hip Pain and Mobility Deficits ? Hip Osteoarthritis

with respect to their conclusions. The recommendation is based on these conflicting studies E Theoretical/ foundational evidence A preponderance of evidence from animal or cadaver studies, from conceptual models/ principles, or from basic science/bench research supports this conclusion F Expert opinion Best practice based on the clinical experience of the guidelines development team GUIDELINE REVIEW PROCESS AND VALIDATION Identified reviewers who are experts in hip OA management and rehabilitation reviewed (...) reserved.Hip Pain, Mobility Deficits, Osteoarthritis: Clinical Practice Guidelines Revision 2017 journal of orthopaedic & sports physical therapy | volume 47 | number 6 | June 2017 | a7 PREVALENCE 2009 Summary Hip pain associated with OA is the most common cause of hip pain in older adults. Prevalence studies have shown that the rates for adult hip OA range from 0.4% to 27%. EVIDENCE UPDATE III In a systematic review assessing age- and sex-specific epidemiological data for hip and knee OA, the global age

2017 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

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