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knee rehabilitation

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161. Guidelines for Perioperative Care in Elective Colonic Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations

training to prevent postoperative pulmonary complications in high-risk patients undergoing CABG surgery: a randomized clinical trial. JAMA . 2006 ; 296 : 1851–1857 | | | , x 26 Weidenhielm, L., Mattsson, E., Brostrom, L.A., and Wersall-Robertsson, E. Effect of preoperative physiotherapy in unicompartmental prosthetic knee replacement. Scand J Rehabil Med . 1993 ; 25 : 33–39 | , x 27 Weiner, P., Zeidan, F., Zamir, D., Pelled, B., Waizman, J., Beckerman, M. et al. Prophylactic inspiratory muscle training

2012 ERAS Society

163. Guidelines for Perioperative Care for Pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS) Society Recommendations

for multimodal “fast track” rehabilitation in elective pancreatic cancer surgery. Rozhl Chir . 2006 ; 85 : 169–175 | , x 5 Kennedy, E.P., Rosato, E.L., Sauter, P.K., Rosenberg, L.M., Doria, C., Marino, I.R. et al. Initiation of a critical pathway for pancreaticoduodenectomy at an academic institution – the first step in multidisciplinary team building. J Am Coll Surg . 2007 ; 204 : 917–923 | | | | | , x 6 Berberat, P.O., Ingold, H., Gulbinas, A., Kleeff, J., Muller, M.W., Gutt, C. et al. Fast track (...) knee arthroplasty. Clin Orthop Relat Res . 2011 ; : 244–249 | Ideally, the patient should meet with the surgeon, anaesthetist and nurse. Summary and recommendation: Patients should receive dedicated preoperative counselling routinely. Evidence level: Low. Recommendation grade: Strong. 3.2. Preoperative biliary drainage Five meta-analyses, x 19 Sewnath, M.E., Karsten, T.M., Prins, M.H., Rauws, E.J., Obertop, H., and Gouma, D.J. A meta-analysis on the efficacy of preoperative biliary drainage

2012 ERAS Society

164. Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 1: pathophysiological considerations (Full text)

of accelerated perioperative care and rehabilitation intervention compared to current intervention after hip and knee arthroplasty. A before‐after trial of 247 patients with a 3‐month follow‐up . BMC Musculoskelet Disord 2008 ; 9 : 59 . 4 Fearon KC , Ljungqvist O , Von Meyenfeldt M , Revhaug A , Dejong CH , Lassen K , Nygren J , Hausel J , Soop M , Andersen J , Kehlet H . Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection . Clin Nutr 2005 ; 24 : 466

2015 ERAS Society PubMed abstract

165. Plantar fasciitis

, but not always, localized around the medial calcaneal tuberosity). Limited ankle dorsiflexion range (with the knee in extension) and a positive 'Windlass test' (reproduction of pain by extension of the first metatarsophalangeal joint). An antalgic gait (abnormal walking to avoid pain) or limping. Differential diagnosis includes: Achilles tendonitis. Calcaneal stress fractures. Fat pad atrophy. Sub-calcaneal bursitis. Other less common neurological and musculoskeletal causes such as nerve entrapment (...) . Tenderness on palpation of the plantar heel area (usually, localized around the medial calcaneal tuberosity) is a defining sign of plantar fasciitis. Limited ankle dorsiflexion range (with the knee in extension) and a positive 'Windlass test' (reproduction of pain by extension of the first metatarsophalangeal joint) is suggestive of plantar fasciitis. Abnormal walking/limping due to pain may be observed. Investigations are not useful in the diagnosis of plantar fasciitis. If clinical signs of plantar

2015 NICE Clinical Knowledge Summaries

166. 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

167. Olecranon bursitis

topic on . Septic arthritis — the joint is swollen (with absence of localized bursal swelling) and there is a limited, painful range of movement on joint examination. Secondary septic arthritis can also be a rare complication of olecranon bursitis. Gout or, rarely, pseudogout — joints (for example the first metatarsophalangeal joint in gout, or knee or wrist in pseudogout) may have been affected in the past, and laboratory examination of aspiration fluid will show crystals. Acute gout may occur

2016 NICE Clinical Knowledge Summaries

168. Guidelines for Perioperative Care in Cardiac Surgery Enhanced Recovery After Surgery Society Recommendations

for the PREHAB study—Pre-operative Rehabilitation for Reduction of Hospitalization After Coronary Bypass and Valvular Surgery: a randomised controlled trial. BMJ Open . 2015;5(3):e007250. doi: Snowden CP, Prentis J, Jacques B, et al. Cardiorespiratory fitness predicts mortality and hospital length of stay after major elective surgery in older people. Ann Surg . 2013;257(6):999-1004. doi: Valkenet K, van de Port IG, Dronkers JJ, de Vries WR, Lindeman E, Backx FJ. The effects of preoperative exercise therapy (...) on postoperative outcome: a systematic review. Clin Rehabil . 2011;25(2):99-111. doi: Waite I, Deshpande R, Baghai M, Massey T, Wendler O, Greenwood S. Home-based preoperative rehabilitation (prehab) to improve physical function and reduce hospital length of stay for frail patients undergoing coronary artery bypass graft and valve surgery. J Cardiothorac Surg . 2017;12(1):91. doi: Orange ST, Northgraves MJ, Marshall P, Madden LA, Vince RV. Exercise prehabilitation in elective intra-cavity surgery: A role

2020 ERAS Society

169. Standardization of Spirometry

and recovery from exacerbations To monitor people for adverse effects of exposure to injurious agents To watch for adverse reactions to drugs with known pulmonary toxicity Disability/impairment evaluations To assess patients as part of a rehabilitation program To assess risks as part of an insurance evaluation To assess individuals for legal reasons Other Research and clinical trials Epidemiological surveys Derivation of reference equations Preemployment and lung health monitoring for at-risk occupations (...) position (knees raised) ( ). In most studies involving healthy subjects or patients with lung, heart, neuromuscular disease, or obesity, FEV 1 and FVC were higher in more erect positions, whereas for subjects with tetraplegic spinal cord injury, FVC and FEV 1 were higher in supine than while sitting ( ). Hygiene and Infection Control Section: The goal of infection control is to prevent the transmission of infection to patients and staff during pulmonary function testing ( , ). The number of documented

2019 American Thoracic Society

170. Preventing Falls and Reducing Injury from Falls, Fourth Edition

, & Lemaire, 2013). Further research is needed regarding the feasibility of these technologies in daily life settings (Ejupi et al., 2014; Howcroft et al., 2013). Step Test Setting: rehabilitation Population: patients in post-stroke rehabilitation A clinical test of balance that requires stepping one foot on and off a 7.5-cm step as quickly as possible for 15 seconds and recording the number of completed steps (testing both legs and recording the lowest score). May be used in conjunction with clinical

2017 Registered Nurses' Association of Ontario

171. Prevention of Constipation in the Older Adult Population

is highly recommended. 9.0 Promote regular consistent toileting each day based on the client’s triggering III meal. Safeguard the client’s visual and auditory privacy when toileting. 9.1 A squat position should be used to facilitate the defecation process. For clients III who are unable to use the toilet (e.g., bed-bound) simulate the squat position by placing the client in left-side lying position while bending the knees and moving the legs toward the abdomen. *See page 12 for details regarding

2005 Registered Nurses' Association of Ontario

172. Assessment and Management of Venous Leg Ulcers

Leader) GI Surgery Ostomy/Wound St. Joseph’s Healthcare London St. Joseph’s Site London, Ontario Susan Mills-Zorzes, RN, BScN, CWOCN (Co-Team Leader) Enterostomal Therapy Nurse St. Joseph’s Care Group Thunder Bay, Ontario Patti Barton, RN, PHN, ET Ostomy, Wound and Skin Consultant Specialty ET Services Toronto, Ontario Marion Chipman, RN ONA Representative Staff Nurse Shaver Rehabilitation Hospital St. Catharines, Ontario Patricia Coutts, RN Wound Care & Clinical Trials Coordinator The Mississauga (...) this Nursing Best Practice Guideline. Marlene Allen Physiotherapist Oshawa, Ontario Lucy Cabico Nurse Practitioner/Clinical Nurse Specialist Baycrest Centre for Geriatric Care Toronto, Ontario Karen Campbell Nurse Practitioner/Clinical Nurse Specialist Parkwood Hospital London, Ontario Dawn-Marie Clarke Chiropodist Shaver Rehabilitation Hospital St. Catharines, Ontario Debra Clutterbuck Registered Practical Nurse Cambridge, Ontario Nicole Denis Enterostomal Therapy Nurse The Ottawa Hospital Ottawa, Ontario

2004 Registered Nurses' Association of Ontario

173. 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

174. Sprains and strains

Sprains and strains Sprains and strains - NICE CKS Share Sprains and strains: Summary A sprain is a stretch and/or tear of a ligament caused by applying abnormal or excessive force to a joint. The ankles, knees, wrists, and thumbs are most commonly affected. A strain (or 'pull') is a stretch and/or tear of muscle fibres caused by stretching the muscle beyond its limits or forcing it to contract too strongly. The foot, leg (typically the hamstring), and back are most commonly affected. Sprains (...) instability. Grade II — partial rupture of the ligament complex without joint instability. Grade III — complete rupture of the ligament complex with instability of the joint. They typically occur in the ankles, knees, wrists, and thumbs. A strain (or 'pull') is a stretch and/or tear of muscle fibres and/or tendon (fibrous cord of tissue that attaches muscles to bone). Strains are classified by severity as : First-degree (mild) strain — only a few muscle fibres are stretched or torn. Although the injured

2016 NICE Clinical Knowledge Summaries

175. Greater trochanteric pain syndrome (trochanteric bursitis)

conditions such as low back pain, osteoarthritis of the knee, rheumatoid arthritis, and fibromyalgia. Over 90% of people with greater trochanteric pain syndrome recover fully with conservative treatment such as rest, pain relief, physiotherapy, and corticosteroid injection. Risk factors for a poorer outcome include higher initial pain intensity, longer duration of pain, greater movement restriction, higher functional impairment, and older age. The diagnosis of greater trochanteric pain syndrome is made (...) pain syndrome frequently occurs together with other conditions [ ; ]: Lumbar spine conditions, such as osteoarthritis, degenerative disc disease, and radiculopathy. Osteoarthritis of the knee, especially on the affected side. Hip osteoarthritis (on the affected or unaffected side). Rheumatoid arthritis. Fibromyalgia. Obesity and leg length discrepancy may be associated with greater trochanteric pain syndrome [ ]. Incidence and prevalence How common is it? Greater trochanteric pain syndrome affects

2016 NICE Clinical Knowledge Summaries

176. Pre-patellar bursitis

DL, Durrani SK ( 2010 ) A review of occupational knee disorders. Journal of occupational rehabilitation 20 ( 4 ), 489 - 501 . Smith,D.L., McAfee,J.H., Lucas,L.M., et al. ( 1989 ) Treatment of nonseptic olecranon bursitis. A controlled, blinded prospective trial. Archives of Internal Medicine. 149 ( 11 ), 2527 - 2530 . [ ] Wood L, Muller S, Peat G ( 2011 ) The epidemiology of patellofemoral disorders in adulthood: a review of routine general practice morbidity recording. Primary Health Care (...) and compressible) — the patella may not be palpable with large collections of fluid. A normal range of joint movement (depending on the size of the fluid collection). Maximal discomfort at extreme flexion of the knee (when the swollen bursa is compressed). A history of preceding trauma or bursal disease (from previous traumatic bursitis, rheumatoid arthritis, or gout). Differentiation between septic and non-septic bursitis is difficult and aspiration may be needed to exclude infection. Clinical features

2016 NICE Clinical Knowledge Summaries

177. 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

178. 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

180. 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


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