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knee rehabilitation

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141. Intermediate care - Hospital at Home in COPD

to the patient and the exacerbation. Assessment proformas/protocols/integrated care pathways Several studies have shown that integrated care pathways (ICPs) can improve the delivery of care. This has been demonstrated by RCTs in the areas of inpatient asthma management, pneumonia, stroke rehabilitation, heart failure and orthopaedic surgery. 8–13 Given the stereotyped nature of assessment and treatment in exacerbations of COPD, it is a potential area in which to use an ICP, but there have been no trials (...) . [Grade B] What other treatments can be offered? HaH interventions provide the opportunity to offer additional ancillary treatments to the patient. Although components of care such as smoking cessation and pulmonary rehabilitation were not offered as part of the studies forming the evidence base of HaH for COPD, these form part of basic COPD care delivery. Additional support for patients and carers may be provided by home help and occupational therapy services. Positioning to improve the mechanics

2007 British Thoracic Society

143. Trampoline use in homes and playgrounds

by children are included. Injuries resulting from the use of trampolines in school physical education programs as part of training or competition for sport such as diving, gymnastics or trampolining, or the use of trampolines under the direct supervision of a therapist for the rehabilitation of an injury are not discussed. Trampoline injuries The prevalence of trampoline injuries in the paediatric age group appears to be rising. The main source of data on trampoline injuries in Canada is the Canadian (...) morbidity associated with trampolines, including cervical spine injuries, - vertebral artery dissection , significant knee ligamentous injuries , popliteal artery thrombosis and ulnar nerve injury. Cervical spine injuries are perhaps the most concerning because of the potential for significant long-term morbidity. One study in children found 12% of injuries were spinal injuries, including seven cervical or thoracic fractures and one with C7 paraplegia. Torg and Das and Torg reviewed 114 catastrophic

2012 Canadian Paediatric Society

144. Antithrombotics: indications and management

prevention, 9 y SIGN 111: Management of hip fracture in older people, 10 y SIGN 118: Management of patients with stroke: rehabilitation, prevention and management of complications and discharge planning, 11 and y SIGN 122: Prevention and management of venous thromboembolism. 12 1.2 REMIT Of THE GUIDElINE 1.2.1 OVERALL OBJECTIVES This guideline provides recommendations based on current evidence for best practice in the management of adult patients on antithrombotic therapy. It includes antiplatelet

2012 SIGN

145. Management of obesity

mortality. 51 2 ++ Osteoarthritis A systematic review reported moderate evidence for a positive association between obesity and the occurrence of hip osteoarthritis with an OR of approximately 2. 52 In one case control study, body weight was a predictor of incident osteoarthritis of the hand, hip, and knee. 53 Pooled results from three studies give the RR for joint replacement for osteoarthritis in overweight men as 2.76 and 4.20 for obese men. The RR for joint replacement in overweight women was 1.80 (...) patients with knee osteoarthritis is associated with a reduction in self reported disability when at least 0.24% of body weight is lost each week. 100 In one study, 5% weight loss was associated with improved physical function and reduced knee pain in obese patients aged over 60 years with established osteoarthritis. 101 7.5 BlOOD PRESSURE Weight loss of around 5 kg is associated with a reduction in systolic blood pressure of between 3.8-4.4 mmHg and reduction of diastolic blood pressure of between 3.0

2010 SIGN

147. Global Vascular Guidelines for patients with chronic limb-threatening ischemia

The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China 2, 3, 8 Gore, Bayer (consultant) Table of abbreviations and acronyms ABI Ankle-brachial index AFS Amputation-free survival AI Aortoiliac AKA Above-knee amputation AP Ankle pressure AT Anterior tibial BKA Below-knee amputation BMI Body mass index BMMNCs Bone marrow mononuclear cells CAD Coronary artery disease CE-MRA Contrast-enhanced MRA CFA Common femoral artery CKD Chronic kidney disease CLI Critical limb ischemia CLTI Chronic (...) controlled trial SCS Spinal cord stimulation SF-12 12-Item Short-Form Health Survey SFA Superficial femoral artery SLI severe limb ischemia SCLI subcritical limb ischemia SVS Society for Vascular Surgery SYNTAX [System for coronary disease] TAP Target arterial path TBI Toe-brachial index TcP o 2 Transcutaneous oximetry TKA Through-knee amputation TP Toe pressure VascuQoL Vascular Quality of Life tool WFVS World Federation of Vascular Societies WIfI Wound, Ischemia, foot Infection Introduction Rationale

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2019 Society for Vascular Surgery

149. Neuro-urology

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

150. Management of Rotator Cuff Injuries

cause of musculoskeletal disability in the United States. Chronic shoulder pain has been estimated to affect approximately 8% of all American adults, second only to chronic knee pain in our society’s burden of musculoskeletal disease. Rotator cuff pathology is the leading cause of shoulder-related disability seen by orthopaedic surgeons, and surgical volume is on the rise (Narvy 2016). One study, for example, notes a 141% increase in rotator cuff repairs from 1996 to 2006 in the United States

2019 American Academy of Orthopaedic Surgeons

151. 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

152. Challenges with Implementing the Centers for Disease Control and Prevention Opioid Guideline: A Consensus Panel Report

indicates that nonopioid therapies that have previously “failed” can succeed when tried again with careful clinical evaluation and follow-up using a comprehensive, multimodal approach. Unfortunately, integrated comprehensive pain care models (i.e., multimodal, multidisciplinary, and interdisciplinary rehabilitation programs) are neither widely available nor sufficiently reimbursed despite demonstrated long-term cost and health care utilization advantages [ , ]. Telemedicine that includes access (...) A. Evidence-based scientific data documenting the treatment and cost-effectiveness of comprehensive pain programs for chronic nonmalignant pain . J Pain 2006 ; 7 ( 11 ): 779 – 93 . 26 Gatchel RJ , McGeary DD , McGeary CA , Lippe B. Interdisciplinary chronic pain management: Past, present, and future . Am Psychol 2014 ; 69 ( 2 ): 119 – 30 . 27 Krebs EE , Gravely A , Nugent S , et al. . Effect of opioid vs nonopioid medications on pain-related function in patients with chronic back pain or hip or knee

2019 American Academy of Pain Medicine

153. Acute Pain Medicine in the United States: A Status Report

to empower patients and to address their wants , needs, and rights . These trends have relevance to the area of acute pain medicine (APM). The practice of APM involves the practice of medicine at multiple levels of inpatient healthcare, rehabilitation, and recovery of the patient at home. Specialists in APM diagnose variants of and conditions related to acute pain, offer medical, interventional, and complementary and integrative medicine therapies, and provide for primary and secondary prevention (...) and effective acute pain care at the patient-population level. For example, it is no longer sufficient to simply perform a nerve block or place an indwelling catheter: APM teams must consider how these interventions affect patient safety, rehabilitation, and disposition; the training of healthcare providers in multiple disciplines; the logistics of supply chain management and financing; and optimal healthcare delivery. Although acute pain management occurs in a variety of patient care settings (e.g

2015 American Academy of Pain Medicine

154. 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

155. Diagnosis and Treatment of Diabetic Foot Infections

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

156. Musculoskeletal Strains and Sprains - Guidelines for Prescribing NSAIDs

and little or no loss of strength. Grade 2 strain: Moderate strain with definite loss in strength. Grade 3 strain: Complete tear of the muscle with significant swelling and bruising; complete loss of muscle function and strength. Musculoskeletal complaints result in a significant amount of lost work days, work limitations. Pain related conditions that most frequently result in primary care visits include back pain (17.63 cases/1000 visits ), headaches ( 16.10/1000 ), knee pain (8.51/1000 ),lower back (...) . Heat therapy is an alternative for patients with non-inflammatory pain persisting for more than 48 hours after the injury. It has been studied in the treatment of acute low back pain with increasing blood flow. Although its mechanism of action is not fully understood, heat may help to reduce pain by increasing blood flow. Do not use with other topical agents or on broken skin. Physical and rehabilitative therapies have been used to treat acute pain from sports injuries and to treat chronic pain

2017 medSask

158. Patellofemoral Pain

) in a flexed position, such as stair climbing or descent, as diagnostic tests for PFP . B Clinicians should make the diagnosis of PFP using the fol- lowing criteria: (1) the presence of retropatellar or peri- patellar pain, (2) reproduction of retropatellar or peripatellar pain with squatting, stair climbing, prolonged sitting, or other func- tional activities loading the PF J in a flexed position, and (3) exclu - sion of all other conditions that may cause anterior knee pain, including tibiofemoral (...) level of certainty when the patient presents with a history suggesting an increase in magnitude and/ or frequency of PF J loading at a rate that sur- passes the ability of his or her PF J tissues to recover . 2. Muscle performance deficits: a subcategory of individuals with PFP may respond favorably to hip and knee resistance exercises. Classification into the muscle performance deficits subcategory is made with a fair level of certainty when the patient presents with lower extremity muscle

2019 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

159. Supporting Adults Who Anticipate or Live with an Ostomy

, and policy across a range of health service organizations, practice areas, and sectors. These experts shared their insights on supporting and caring for adults who anticipate or live with an ostomy across the continuum of care (e.g., acute care, rehabilitation, community, and primary care). A systematic and comprehensive analysis was completed by the RNAO Best Practice Guideline Development and Research Team and the RNAO expert panel to determine the scope of this BPG and to prioritize recommendation (...) settings where adults who anticipate or live with an ostomy are accessing services (such as, but not limited to, acute care, long-term care, community settings, and rehabilitation settings). In this BPG, no recommendation questions were identified that addressed the core education and training strategies required for curricula, ongoing education, and professional development of nurses or the interprofessional team in order to support adults living with or anticipating an ostomy. Please refer

2019 Registered Nurses' Association of Ontario

160. Shoulder pain

a short time off work, for example, one week, if there appears to be a direct link between this and the shoulder pain. Advise rest from activities that worsen the shoulder pain for a few weeks, such as sport, and if relevant, advise 'light duties' at work for a few weeks. Explain that although common shoulder problems tend to be self-limiting, the rehabilitation period can be at least 6 months. Consider reviewing the person in 2 weeks. If symptoms are severe, arrange an earlier review. Advise

2017 NICE Clinical Knowledge Summaries


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