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knee rehabilitation

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121. Visual Reinforcement Audiometry for Infants

care should be taken to avoid interfering with the calibrated soundfield of the loudspeaker. Reinforcers positioned to both sides Recommended Procedure British Society of Audiology Visual Reinforcement Audiometry 2014 © BSA 2014 8 allows children to be rewarded on their preferred side (e.g. useful when testing through insert earphones or through bone conduction). 5.5 Positioning of child and tester A younger infant (age 5–12 months) should be seated on the parent’s knee, gently supported (...) Society of Audiology, Reading. British Society of Audiology (2011b). Recommended Procedure. Pure-tone air- conduction and bone-conduction threshold audiometry with and without masking. British Society of Audiology, Reading. Coninx F, Lancioni GE (Eds) (1995). Hearing assessment and aural rehabilitation of multiply handicapped deaf children. Scand Audiol 24: Suppl 41. Day J, Bamford J, Parry G, Shepherd M, Quigley A (2000). Evidence on the efficacy of insert earphone and sound-field VRA with young

2014 British Society of Audiology

122. Australian guidelines for the treatment of acute stress disorder and posttraumatic stress disorder

Creamer, Clinical Psychologist (Department of Psychiatry, University of Melbourne) Associate Professor Grant Devilly, Clinical Psychologist (School of Applied Psychology, Griffith University) Professor David Forbes, Clinical Psychologist (Director, Phoenix Australia - Centre for Posttraumatic Mental Health, University of Melbourne) Professor Justin Kenardy, Clinical Psychologist (Acting Director, Centre of National Research on Disability and Rehabilitation Medicine, University of Queensland) Associate (...) Professor Brett McDermott, Psychiatrist (Executive Director, Mater Child and Youth Mental Health Service) Professor Alexander McFarlane, Psychiatrist (Director, Centre for Traumatic Stress Studies, University of Adelaide) Dr Lynda Matthews, Rehabilitation Psychologist (Senior Lecturer, Faculty of Health Sciences, University of Sydney) Professor Beverley Raphael, Psychiatrist Chair (Population Mental Health and Disasters, Disaster Response and Resilience Research Group, University of Western Sydney

2013 Clinical Practice Guidelines Portal

123. Clinical practice guidelines for the management of rotator cuff syndrome in the workplace

& Environmental Physician Private Practice Dr Roslyn Avery Rehabilitation Physician Private Practice Mr Greg Black Consumer Representative Self-Employed – Trade Industry Mr Patrick Frances Consumer Representative Volunteer Worker Ms Kate Hopman Independent Guideline Development Expert Lukersmith & Associates Dr Lee Krahe Head of Research Port Macquarie Campus, Rural Clinical School, UNSW Dr Yong Hian Liaw Orthopaedic Surgeon Port Macquarie Base Hospital and Private Practice Ms Sue Lukersmith Independent (...) health care providers and the workplace. Recommendation 18: The RTW program should include a workplace assessment and job analysis matching worker capabilities and possible workplace accommodations. Recommendation 19: The RTW program, where possible, should be workplace-based. Improved outcomes occur if rehabilitation processes take place within the workplace. Recommendation 20: When planning a RTW program, a graded RTW should be considered and adjusted following review of objectively measured

2013 Clinical Practice Guidelines Portal

124. Australian and New Zealand Guideline for Hip Fracture Care - Improving Outcomes in Hip Fracture Management of Adults

and organisations have formally endorsed the Australian and New Zealand Guideline for Hip Fracture Care: Australasian College for Emergency Medicine Australasian Faculty of Rehabilitation Medicine Australian and New Zealand Orthopaedic Nurses Association Australian and New Zealand Society for Geriatric Medicine Australian Orthopaedic Association Carers NSW New Zealand Orthopaedic Association Osteoporosis Australia Osteoporosis New Zealand Royal Australasian College of Surgeons IV XxxxxContents 1 Contents (...) 7 Models of care 68 7.1 Hospital-based multidisciplinary rehabilitation versus usual care 69 7.2 Community-based multidisciplinary rehabilitation versus usual care 74 8 Patient and carer perspectives 78 8.1 Patient and carer views and information 78 9 Areas for further research 82 9.1 Imaging options in occult hip fracture 82 9.2 Analgesia: Nerve blocks 82 9.3 Timing of surgery 83 9.4 Anaesthesia 83 9.5 Displaced intracapsular fractures 83 9.6 Extracapsular fracture fixation 84 9.7 Intensity

2014 Clinical Practice Guidelines Portal

125. Updated guidelines for the management of sports-related concussion in general practice

phone camera, etc), reviewing the footage may provide the clinician with important information regarding the mechanism of injury and the presence of acute signs (eg. loss of consciousness, impaired balance, impact seizure, etc). Differentiating concussion from structural pathologies clinical features that may raise concerns of structural head injury include: • the mechanism of injury, particularly if there is a high velocity of impact or collision with an unyielding body part (eg. head to knee (...) them out’). Progression through the rehabilitation program should occur with 24 hours between stages. The player should be instructed that if any symptoms recur while FOCUS Updated guidelines for the management of sports-related concussion In general practice 98 REPRINTED FROM AusTRAlIAN F AMIly PhysIcIAN VOl. 43, NO. 3, MARch 2014 4 of the childscAT3). Only after successful return to school without worsening of symptoms may the child be allowed to commence return to sport. Summary concussion

2014 Clinical Practice Guidelines Portal

126. Thromboprophylaxis: Orthopedic Surgery

(including rehabilitation) Spine surgery: a) Uncomplicated b) Complicated (cancer, leg weakness, prior VTE, combined anterior/posterior approach) a) Mobilization alone b) LMWH once daily starting the day after surgery Until discharge (including rehabilitation) Isolated below-knee fracture None, if outpatient or overnight hospital stay LMWH once daily if inpatient Until discharge (including rehabilitation) Knee arthroscopy: a) low risk b) higher risk (major knee reconstruction, prior VTE) a) None b) LMWH (...) thromboembolism BACKGROUND AND RATIONALE FOR THROMBOPROPHYLAXIS: Patients undergoing hip and knee arthroplasty or with hip fracture or major lower extremity injuries are at particularly high risk for venous thromboembolism (VTE), and the routine use of thromboprophylaxis has been standard-of-care for many years. Before thromboprophylaxis was widely used, deep vein thrombosis (DVT), which is often clinically silent, occurred in 40-60% of these patients (see DVT: Diagnosis and DVT: Treatment guides); pulmonary

2015 Thrombosis Interest Group of Canada

127. Occupational Health and the Anaesthetist

• Get close to the patient/load • Face the direction of movement, avoid twisting • Flex or bend your knees • Keep your back upright, avoid stooping • Ensure your feet are apart, one foot in front of the other (walk stance) • Ensure a secure hand grip • Use the commands ‘ready, steady, move’, numbers can be confusing as some may move on ‘three’ and some on the unspoken ‘four’ When starting in a new hospital environment, staff should receive an induction, including the manual handling procedures

2014 Association of Anaesthetists of GB and Ireland

128. General Palliative Care Guidelines for the Management of Pain at the End of Life in Adult Patients

, Medhi b, Pandhi P “longterm efficacy of topical nonsteroidal anti-inflammatory drugs in knee osteoarthritis; metaanalysis of randomised controlled clinical trials” The Journal of Rheumatology, 33,9, 1841-4489 33 s toltz, r . r ., s . I. h arris, et al. (2002). “u pper g I mucosal effects of parecoxib sodium in healthy elderly subjects.” Amercian Journal of Gastroenterology 97(1): 65-71. 34 s ilverstein F, g raham d, s enior j, davies h , s truthers b, bitman r et al (1995) “Misoprostol reduces

2011 Regulation and Quality Improvement Authority

129. Management of chronic pain

arthritis, osteoarthritis and gout. 9, 63-66 1 ++ 1 ++ 1 ++ 2 + 1 ++| 11 Management of chronic pain 5.2.2 PARACETAMOL There is insufficient evidence to determine the efficacy of paracetamol in the treatment of patients with generalised chronic low back pain. 59,67 Paracetamol showed slightly inferior pain relief to NSAIDs in patients with osteoporosis and chronic low back pain (SMD 0.3). 59 Paracetamol (1,000 to 4,000 mg/day) showed a small benefit over placebo in treatment of patients with knee and hip (...) osteoarthritis (OA) pain and could be considered in addition to non-pharmacological treatments. 68 One study showed high dose paracetamol (3,900 mg/day) to be more effective than placebo for pain relief and improved function in patients with OA of the knee. 68 NICE advise that paracetamol may be a suitable adjunct to other treatments such as education or exercise. 64 A combination of paracetamol 1,000 mg and ibuprofen 400 mg was significantly superior to regular paracetamol 1,000 mg alone for knee pain at 13

2013 SIGN

130. Sports ankle injuries - assessment and management

practice setting. Discussion Assessment of an ankle injury begins with a detailed history to determine the severity, mechanism and velocity of the injury, what happened immediately after and whether there is a past history of inadequately rehabilitated ankle injury. Examination involves assessment of weight bearing, inspection, palpation, movement, and application of special examination tests. Plain X-rays may be helpful to exclude a fracture. If the diagnosis is uncertain, consider second line (...) investigations including bone scan, computerised tomography or magnetic resonance imaging, and referral to a sports physician. Manage all lateral ligament complex ankle sprains with ice, compression, elevation where possible and analgesia. Severe ligament sprains or rupture benefit from a brief period of immobilisation. After initial management, the athlete should complete a 6 week guided rehabilitation program. Athletes with moderate to severe lateral ankle ligament sprains should wear a semirigid or rigid

2010 Clinical Practice Guidelines Portal

131. Clinical guidelines for the diagnosis and management of early rheumatoid arthritis

: • the early introduction of disease modifying drug therapy • education to assist individuals in the day-to-day management of their condition • rehabilitation to restore function • comprehensive multidisciplinary approach to the provision of care, and • support to manage the physical, social, emotional and occupational impact of the disease. Current treatment options Current treatment of patients with undifferentiated inflammatory arthritis consists primarily of non-steroidal anti-inflammatory drugs

2009 The Royal Australian College of General Practitioners

132. Management of hip fracture in older people

relief 22 8.2 Oxygen 22 8.3 Fluid and electrolyte balance 23 8.4 Delirium 23 8.5 Early mobilisation 23 8.6 Constipation 23 8.7 Urinary catheterisation 24 9 rehabilitation and discharge 25 9.1 Early assessment 25 9.2 Rehabilitation 25 9.3 Discharge 26 9.4 Discharge management 28 10 provision of information 29 10.1 Providing information and support 29 10.2 Sources of further information 29 10.3 Checklist for provision of information 31 11 implementing the guideline 33 11.1 Resource implications 33 11.2 (...) loss of prior full mobility; for some frailer patients the permanent loss of the ability to live at home. For the frailest of all it may bring pain, confusion and disruption to complicate an already distressing illness. Overall, one-year mortality after hip fracture is high, at around 30%, though only one third of that is directly attributable to the fracture. 1 Despite significant improvements in both surgery and rehabilitation in recent decades, hip fracture remains, for patients and their carers

2009 SIGN

133. Meniscal tear presentation, diagnosis and management

Arthrosc 2008;16:482–6. De Carlo M, Armstrong B. Rehabilitation of the knee following sports injury. Clin Sports Med 2010;29:81–106. Lim HC, Bae JH, Wang JH, Seok CW, Kim MK. Non-operative treatment of degenerative posterior root tear of the medial meniscus. Knee Surg Sports Traumatol Arthrosc 2010;18:535–9. Rimington T, Mallik K, Evans D, Mroczek K, Reider B. A prospective study of the nonoperative treatment of degenerative meniscus tears. Orthopedics 2009;32:8. Bove SE, Flatters SJ, Inglis JJ, Mantyh (...) Hope Background Medial and lateral knee joint menisci serve to transfer load and absorb shock, aid joint stability and provide lubrication. The meniscus is the most commonly injured structure in the knee joint. Imaging techniques such as magnetic resonance imaging may be warranted but are no substitute for thorough clinical history and examination. Objective/s This article outlines the aetiology, presentation, diagnosis (both clinical and radiographic) and management of these important injuries

2012 Clinical Practice Guidelines Portal

134. Prevention, identification and management of foot complications in diabetes

of the guidelines on Type 2 Diabetes) 2011 14 3,400 diabetes-related lower limb amputations were reported by the Australian Institute of Health and Welfare 51 as compared to approximately 2,600 for each year between 1995 and 1998. Of all lower limb amputations, about half are classi? ed as major (below or above knee) while the other half are classi? ed as minor (distal to the ankle). Of those who have an amputation, about half will experience a subsequent amputation of the other limb. 54 Five-year survival (...) of lower extremity amputations in Australia to be $A26,700 per person. Estimated costs for other countries were $A24,660 for Canada; $A46,064 for France; $A31,809 for Germany; $A14,650 for Italy; and $A21,287 for Spain. 56 Other direct and indirect economic costs of foot complications, not included in the above data, include the costs of rehabilitation, purchase and ? tting of orthotics/prostheses, and time lost from work. A4 Cost Effectiveness of Assessment, Prevention and Management of Foot

2011 Clinical Practice Guidelines Portal

135. Guidelines for the prescription of a seated wheelchair or mobility scooter for people with a traumatic brain injury or spinal cord injury

Rehabilitation Centre Adrian Byak Physiotherapist Spinal Cord Injury Assistive Technology Seating Service Northern Sydney Central Coast Health Service Private Practice Danielle Collins Senior Occupational Therapist Spinal Cord Injury Prince of Wales Hospital Spinal Unit Allie Di Marco Occupational Therapist Spinal Cord Injury Private practice Linda Elliott Statewide Equipment Advisor EnableNSW Health Support Services NSW Health Bill Fisher Rehabilitation Engineer Assistive Technology Seating Service Northern (...) Sydney Central Coast Health Service Kate Hopman Senior Occupational Therapist Traumatic Brain Injury Liverpool Hospital Brain Injury Rehabilitation Unit Greg Killeen Spinal cord injury consumer representative Suzanne Lulham Director, Service Delivery Lifetime Care & Support Authority Jodie Nicholls Senior Occupational Therapist Brain Injury Westmead Brain Injury Rehabilitation Unit Representative of Occupational Therapy Australia – NSW Division Thi Hong Nguyen Brain injury consumer representative

2011 Clinical Practice Guidelines Portal

137. Diagnosis and Management of Acute Pulmonary Embolism

& Rehabilitation (EACPR), European Association of Cardio- vascular Imaging (EACVI), Heart Failure Association (HFA), ESC Councils: Council on Cardiovascular Nursing and Allied Professions (CCNAP), Council for Cardiology Practice (CCP), Council on Cardiovascular Primary Care (CCPC) ESC Working Groups: Cardiovascular Pharmacology and Drug Therapy, Nuclear Cardiology and Cardiac Computed Tomography, Peripheral Circulation, Pulmonary Circulation and Right Ventricular Function, Thrombosis. Disclaimer: The ESC (...) ://www.escardio.org/guidelines- surveys/esc-guidelines/about/Pages/rules-writing.aspx). ESC Guide- lines represent the of?cial position of the ESC on a given topic and are regularly updated. Members of this Task Force wereselected by the ESC to represent professionals involved with the medical care of patients with this pathology. Selected experts in the ?eld undertook a comprehensive review of the published evidence for management (including diagno- sis, treatment, prevention and rehabilitation) of a given

2014 European Society of Cardiology

138. CVD Prevention in clinical practice

CVD Prevention in clinical practice JOINT ESC GUIDELINES European Guidelines on cardiovascular disease prevention in clinical practice (version 2012) The Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of nine societies and by invited experts) Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR) † Authors (...) prevention centres . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1696 5.6.1 Cardiac rehabilitation centres help improve lifestyle .1696 5.6.2 Cardiac rehabilitation is cost-effective . . . . . . . . . .1696 5.6.3 Challenges for cardiac rehabilitation: female gender and co-morbidities . . . . . . . . . . . . . . . . . . . . . .1696 5.6.4 Repeated sessions improve compliance . . . . . . . . .1697 5.7 Non-governmental organization programmes . . . . . . . .1697 5.8 Action at the European

2012 European Society of Cardiology

139. Diagnosis and Treatment of Peripheral Artery Diseases

. Victor Aboyans, Department of Cardiology, Dupuytren University Hospital, 2 Martin Luther King ave., Limoges 87042, France. Tel:+33 555 056 310, Fax:+33 555 056 384, Email: vaboyans@ucsd.edu. ESC entities having participated in the development of this document: Associations: European Association for Cardiovascular Prevention and Rehabilitation (EACPR), European Association of Percutaneous Cardiovascular Interventions (EAPCI), Heart Failure Association (HFA). Working Groups: Atherosclerosis (...) per 1000 aged 35–45 years to 6 per 1000 aged 65 years and older. 5 The incidence in women was around half that in men, but was more similar at older ages. The annual incidence of major amputations is between 120 and 500 per million in the general population, of which approximately equal numbers are above and below the knee. The prognosis for such patients is poor. Two years following a below-knee amputa- tion, 30% are dead, 15% have an above-knee amputation, 15% have a contralateral amputation

2011 European Society of Cardiology

140. Guidelines for the management of dyslipidaemias

Guidelines for the management of dyslipidaemias ESC/EAS GUIDELINES ESC/EAS Guidelines for the management of dyslipidaemias The Task Force for the management of dyslipidaemias of the European Society of Cardiology (ESC) and the European Atherosclerosis Society (EAS) Developed with the special contribution of: European Association for Cardiovascular Prevention & Rehabilitation † Authors/Task Force Members: Z ? eljko Reiner * (ESC Chairperson) (Croatia) Alberico L. Catapano * (EAS Chairperson

2011 European Society of Cardiology

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