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121. 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

123. 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.

126. Lower Extremity Arterial Revascularization?Post-Therapy Imaging

risk for cardiovascular death and all-cause mortality [1]. PAD may present as claudication, ischemic rest pain, nonhealing ulcers, or gangrene; without treatment, many patients will go on to require some degree of amputation ranging from loss of one or more digits to major limb loss (below-knee or above-knee amputation). Over the past several decades, a paradigm shift away from surgical treatment and toward endovascular therapy for PAD has occurred, with many now advocating surgical treatments only (...) . The degree of transmitted signal varies depending on blood volume within the digit, blood vessel wall movement, and the orientation of red blood cells [12]. PPG is useful for detection of disease below the knee as well as disease isolated to the forefoot and digits. As such, it has been demonstrated to be a complementary test to ABI, which has limited use in these segments. TcPO2 measurement allows the determination of the oxygen tension within tissue. An improvement in the TcPO2 value postintervention

2017 American College of Radiology

128. AIM Clinical Appropriateness Guidelines for Joint Surgery

References 25 CPT Codes 25 Appendix 26 Knee Arthroplasty 27 Description & Scope 27 General Requirements and Documentation 27 Indications and Criteria 29 Contraindications 30 Exclusions 30 Selected References 31 CPT Codes 31 Appendix 31 Copyright © 2017. AIM Specialty Health. All Rights Reserved. Joint Surgery 3 Knee Arthroscopy and Open Procedures 32 Description 32 General Requirements 32 Indications 33 Exclusions 35 Selected References 35 CPT Codes 36 Appendix 37 Meniscal Allograft Transplantation (...) of the Knee 38 Description 38 Documentation Requirements 38 Criteria 39 Exclusions 39 Selected References 39 CPT Codes 39 Treatment of Osteochondral Defects 40 Description 40 Documentation Requirements 40 Patient selection criteria 41 Procedure-specific criteria 41 Contraindications 42 Exclusions 42 CPT Codes 43 Copyright © 2017. AIM Specialty Health. All Rights Reserved. Joint Surgery 4 Description and Application of the Guidelines AIM’s Clinical Appropriateness Guidelines (hereinafter “AIM’s Clinical

2017 AIM Specialty Health

129. 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

130. 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

131. Management of Orthopaedic Trauma

Management of Orthopaedic Trauma ACS TQIP BEST PRACTICES IN THE MANAGEMENT OF ORTHOPAEDIC TRAUMATable of Contents Introduction 3 Triage and Transfer of Orthopaedic Injuries 4 Open Fractures 6 Damage Control Orthopaedic Surgery 9 The Mangled Extremity 12 Compartment Syndrome 15 Management of Pelvic Fractures with Associated Hemorrhage 18 Geriatric Hip Fractures 21 Management of Pediatric Supracondylar Humerus Fractures 26 Rehabilitation of the Multisystem Trauma Patient 28 Appendix (...) and Performance Improvement Although damage control interventions in orthopaedic surgery are necessary at times, delay of definitive fixation leads to higher rates of skin breakdown, prolonged hospital length of stay, increased pain, decreased patient satisfaction, and delays to rehabilitation. The utilization of damage control orthopaedic surgery and subsequent complications should be monitored through the performance improvement process. Similarly, failure to employ a damage control approach to orthopaedic

2015 American College of Surgeons

132. Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: Management of asymptomatic disease and claudication Full Text available with Trip Pro

for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease): endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society (...) Symptomatic Baker cyst Behind knee, down calf Rare Swelling, tenderness With exercise Present at rest None Not intermittent Hip arthritis Lateral hip, thigh Common Aching discomfort After variable degree of exercise Not quickly relieved Improved when not weight bearing Symptoms variable. History of degenerative arthritis Spinal stenosis Often bilateral buttocks, posterior leg Common Pain and weakness May mimic IC Variable relief but can take a long time to recover Relief by lumbar spine flexion Worse

2015 Society for Vascular Surgery

133. Venous thromboembolism in over 16s: reducing the risk of hospital-acquired deep vein thrombosis or pulmonary embolism

for the prevention of venous thromboembolism in adults having elective total hip replacement surgery or elective total knee replacement surgery. [This text is from rivaroxaban for the prevention of venous thromboembolism after total hip or total knee replacement in adults (NICE technology appraisal guidance 170).] [2018] [2018] 1.11.6 Consider one of the following if none of the options in recommendation 1.11.5 can be used: Apixaban [8] is recommended as an option for the prevention of venous thromboembolism (...) in adults after elective hip or knee replacement surgery. [This text is from apixaban for the prevention of venous thromboembolism after total hip or knee replacement in adults (NICE technology appraisal guidance 245).] Dabigatran etexilate [9] , within its marketing authorisation, is recommended as an option for the primary prevention of venous thromboembolic events in adults who have undergone elective total hip replacement surgery or elective total knee replacement surgery. [This text is from

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

134. European Society of Endocrinology Clinical practice guidelines for the care of girls and women with Turner syndrome

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

2017 European Society of Endocrinology

135. Neuro-urology

of botulinum toxin A injections in spinal cord injury patients with detrusor overactivity and detrusor sphincter dyssynergia. J Rehab Med, 2016. 48: 683. 253. Utomo, E., et al. Surgical management of functional bladder outlet obstruction in adults with neurogenic bladder dysfunction. Cochrane Database Syst Rev, 2014. 5: CD004927. 254. Chancellor, M.B., et al. Prospective comparison of external sphincter balloon dilatation and prosthesis placement with external sphincterotomy in spinal cord injured men (...) analysis of sacral anterior root stimulation for rehabilitation of bladder dysfunction in spinal cord injured patients. Neurosurgery, 2013. 73: 600. 312. Martens, F.M., et al. Quality of life in complete spinal cord injury patients with a Brindley bladder stimulator compared to a matched control group. Neurourol Urodyn, 2011. 30: 551. 313. Krebs, J

2019 European Association of Urology

137. Cerebral palsy in under 25s: assessment and management

, neurorehabilitation, respiratory, gastroenterology and surgical specialist care orthopaedics orthotics and rehabilitation services social care visual and hearing specialist services teaching support for preschool and school-age children, including portage (home teaching services for preschool children). 1.5.4 Ensure that routes for accessing specialist teams involved in managing comorbidities associated with cerebral palsy are clearly defined on a regional basis. 1.5.5 Recognise that ongoing communication between

2017 National Institute for Health and Clinical Excellence - Clinical Guidelines

138. Dyslipidaemias Full Text available with Trip Pro

Search Filter Mobile Microsite Search Term Close search filter search input , , , , , , , , , , The Task Force for the Management of Dyslipidaemias of the European Society of Cardiology (ESC) and European Atherosclerosis Society (EAS) Developed with the special contribution of the European Assocciation for Cardiovascular Prevention & Rehabilitation (EACPR) List of abbreviations ABI ankle-brachial index ACC American College of Cardiology ACCELERATE Assessment of Clinical Effects of Cholesteryl Ester (...) established in order to make all decisions transparent to the user. The recommendations for formulating and issuing ESC Guidelines can be found on the ESC website ( ). ESC Guidelines represent the official position of the ESC on a given topic and are regularly updated. Members of this Task Force were selected by the ESC, including representation from the European Association for Cardiovascular Prevention & Rehabilitation (EACPR), and EAS to represent professionals involved with the medical care

2016 European Society of Cardiology

140. 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 (...) with bilateral arthroplasty, previous VTE and substantially impaired mobility at discharge. Most orthopedic surgery patients who go to rehabilitation should continue thromboprophylaxis at least until they are discharged from rehab. Pre-discharge Doppler ultrasound screening for asymptomatic deep vein thrombosis is not recommended. PEDIATRICS: There are no studies to evaluate the safety and efficacy of thromboprophylaxis of orthopedic surgery or casting in children. Each child should be evaluated

2015 Thrombosis Interest Group of Canada

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