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spine rehabilitation

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181. The treatment of Glenohumeral Joint Osteoarthritis

, IL 60018 Janet L. Wies MPH AAOS Clinical Practice Guideline Manager Sara Anderson MPH – Lead Analyst Kevin Boyer Laura Raymond MA Patrick Sluka MPH AAOS v1.0 12.05.09 x Peer Review The following organizations participated in peer review of this clinical practice guideline: Arthroscopy Association of North America American Academy of Family Physicians American Academy of Physical Medicine and Rehabilitation American Orthopaedic Society for Sports Medicine American Physical Therapy Association

2009 American Academy of Orthopaedic Surgeons

183. Pain in Older People

musculoskeletal pathology such as osteoarthritis, degenerative spinal disease and osteoporosis (24). Pain of neuropathic origin is more prevalent in older people, commonly due to diabetic neuropathy, post-herpetic neuralgia and lumbosacral radiculopathy. Older adults have the highest rates of surgical procedures and the highest incidence of painful diseases (25). Wounds are more common in older people and can be a source of significant persistent pain. Diffuse pain conditions such as polymyalgia rheumatica (...) management clinics have been shown to be of benefit in the management of pain in older people compared to standard care. 52, 53 There are many procedural interventions available for those with more severe and troublesome pain that is not responsive to standard therapies. These include epidural injections, facet joint injections, spinal cord stimulators, various nerve blocks and ablative procedures. However, most studies of these techniques have not used older subjects, and evidence for efficacy is often

2012 Australian and New Zealand Society for Geriatric Medicine

184. Diagnosis and Treatment of Low Back Pain

tomography STAXI State-Trait Anger Expression Inventory TDR Total disc replacement TENS Transcutaneous electrical nerve stimulation TLIF Transforaminal lumbar interbody fusion TSE Transcutaneous spinal electroanalgesia TSK Tampa Scale for Kinesiophobia TTM Transtheoretical Model UK BEAM UK Back pain Exercise And Manipulation (UK BEAM) VAS Visual analog scale VNS Visual Numeric Pain Scale VO Vertebral osteophytes VRS Verbal rating scale ZDS Zung Depression ScaleRecommendations were developed based (...) : Symptoms for current LBP episode present for greater than 12 weeks. 2 General fitness program: Exercise program not fo- cused on specific muscle groups; by definition the goal is to improve the overall general fitness of the patient by using a combination of aerobic conditioning with stretching/strengthening of all major muscle groups. Lumbar stabilization exercises: Focused on facilitat- ing and strengthening specific muscles that directly or indirectly control spinal joint function, especially

2020 North American Spine Society

185. Perioperative

Harder, PhD Human Factors Perioperative Opioid Management Subgroup Members Allina Health Justin Hora, PharmD Pharmacy Entira Family Clinics David Thorson, MD Family Medicine/Sports Medicine Essentia Health Joseph Bianco, MD Internal Medicine Mark Grimm, MD Anesthesiology HealthPartners Anne Pylkas, MD Internal Medicine/ Addiction Medicine Isaac Marsolek, MD Physical Medicine & Rehabilitation Rebekah Roemer, PharmD, BCPS Pharmacy Hennepin Healthcare Charles Reznikoff, MD Internal Medicine/ Addiction

2020 Institute for Clinical Systems Improvement

186. Treatment for Insomnia and Disrupted Sleep Behavior in Children and Adolescents with Autism Spectrum Disorder

, the SickKids Foundation, Cerebral 15 Palsy Alliance Foundation, and Kids Brain Health Network for research in cerebral palsy; serves 16 on the data safety monitoring board for AveXis; has received financial compensation for 17 consulting work for Biogen and Roche; and has received research support as site principal 18 investigator for Ionis, Biogen, Roche, and Cytokinetics for clinical trials in spinal muscular 19 atrophy. 20 M. Armstrong serves on the Level of Evidence editorial board for Neurology

2020 American Academy of Neurology

187. Clinical Practice Guideline on the Management of Osteoarthritis of the Hip

must be published in or after 1990 for surgical treatment, rehabilitation, bracing, prevention and MRI Study must be published in or after 1990 for x-rays and non-operative treatment Study must be published in or after 1990 for all others non specified Study should have 10 or more patients per group (Work group may further define sample size) Study must have at least 90% OA Patients 20 Standard Criteria for all CPGs Article must be a full peer-reviewed published article report of a clinical study

2017 American Academy of Orthopaedic Surgeons

188. Covid-19: Clinical guide for the perioperative care of people with fragility fractures during the Coronavirus pandemic

pre-operatively. • Aim for prompt (<24 hours) consultant delivered surgical and anaesthetic care where possible. This may help reduce length of stay.. • Do not wait for results of coronavirus swabs to make a decision about management. • Confirmed or suspected coronavirus infection is not a reason to delay or cancel surgery. • Association of Anaesthetists guidance on reasons for postponement and optimisation for hip fracture surgery should be followed. • Rehabilitation services may be limited (...) but early discharge should be supported if possible. • There is little good evidence to directly support any recommendations; anaesthetists, surgeons and orthogeriatricians will need to make individual case-based decisions. Anaesthetic choices Regional anaesthesia • Regional blocks should be offered to all relevant patients. This may help reduce opioid requirements and workload for staff. • Use regional or spinal anaesthesia if possible. This may be of benefit to the patient, may have a positive impact

2020 ICM Anaesthesia COVID-19

189. Adolescent Idiopathic Scoliosis: Screening

scoliosis screening. 2016. . Accessed November 14, 2017. 28. Negrini S, Aulisa AG, Aulisa L, et al. 2011 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis . 2012;7(1):3. Screening Test Description Forward bend test The child bends forward at the waist until the spine is parallel to the horizontal plane. The examiner checks the child’s back for rib humps or other spinal asymmetries. This test is commonly used in school-based scoliosis screening (...) (a measure of the curvature of the spine) of at least 10° that occurs in children and adolescents aged 10 to 18 years. It is the most common form of scoliosis and usually worsens during adolescence before skeletal maturity. In the United States, the estimated prevalence of adolescent idiopathic scoliosis with a Cobb angle of at least 10° among children and adolescents aged 10 to 16 years is 1% to 3%. , Most patients with a spinal curvature of greater than 40° at skeletal maturity will likely experience

2018 U.S. Preventive Services Task Force

190. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Initial Management of Concussion/mTBI

provider’s (PCP’s) office, ruling out traumatic brain or spine injury that requires emergency intervention is the initial priority. Acutely following injury, it is essential that a management plan be initiated for each patient including: information regarding monitoring for potential acute complications requiring re-assessment, education regarding expected symptoms and course of recovery, and recommendations for healthcare follow-up post-injury. 1 Treatment should be individualized and based (...) the effectiveness of active rehabilitation such as psychoeducational, psychological and cognitive interventions. 9-12 The primary forms of treatment have traditionally included a recommendation for physical and cognitive rest until symptoms subside along with other interventions, such as education, coping techniques, support and reassurance, neurocognitive rehabilitation and antidepressants. 9,13 However, the most recent world Sport-Related Concussion consensus statement indicated that there is currently

2018 Ontario Neurotrauma Foundation

191. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Sport-Related Concussion/mTBI

concussion/mTBI may require onsite (on-field) medical assessments by emergency medical professionals for a more severe head injury, cervical or spine injury, or loss of consciousness. In cases in which a concussion/mTBI is suspected without a more severe head or spine injury, a player should be removed from the field of play and a sideline assessment can be performed. The Concussion in Sport Group has created a revised Sport Concussion Assessment Tool (SCAT5 and the Concussion Recognition Tool 5 (...) with licensed training in mTBI. Individualized medical and rehabilitative care will be provided for the athlete and medical clearance is required before the athlete can return-to-sport. 6 The Buffalo Concussion Treadmill Test (Appendix ) can be used to investigate exercise tolerance in people with persistent symptoms. Healthcare professionals should counsel amateur athletes with a history of multiple concussion/mTBIs and subjective persistent neurobehavioural impairments about the risk of further concussion

2018 Ontario Neurotrauma Foundation

193. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Vestibular (Balance/ Dizziness) & Vision Dysfunction

interventions can be considered. While historically, medications have been used to suppress vestibular symptoms, including nausea, current evidence does not support this approach. 9 A Cochrane review by Hillier and Hollohan (2007) identifies vestibular rehabilitation as an effective intervention for unilateral peripheral vestibular dysfunction 1 ; this has been supported by Gurley et al. 6 Weaker evidence also suggests vestibular rehabilitation may be helpful for central vestibular dysfunction. 10 (...) Vestibular rehabilitation is typically provided by a specialized a healthcare professional with specialized training and involves various movement-based regimens to bring on vestibular symptoms and desensitize the vestibular system, coordinate eye and head movements, and improve functional balance and mobility. However, for the specific treatment of BPPV, Hillier and Hollohan (2007) conclude that canalith or particle repositioning manoeuvres are more effective than vestibular rehabilitation techniques. 1

2018 Ontario Neurotrauma Foundation

194. Management of adults with diabetes undergoing surgery

to consider, the patient can then make an informed decision to proceed with surgery. Patients should be made aware of the increased risks of surgery with poorly controlled diabetes. 2. Intra-operative care Use of appropriate anaesthetic, fluids, pain relief and minimally invasive operative techniques to reduce post-operative pain and gut dysfunction, promoting early return to normal eating. 3. Post-operative rehabilitation Rehabilitation services available 7 days a week for 365 days a year, enabling rapid

2016 Association of British Clinical Diabetologists

195. Framework for Provision of Pain Services for Adults Across the UK with Cancer or Life-limiting Disease

peripheral nerve blocks (e.g. coeliac plexus, lumbar sympathectomy) and intrathecal neurolytic block. Other procedures may be offered within the competency of the Consultant in Pain Medicine and the expertise of staff and local infrastructure such as external spinal infusions e. Determine onward referral to Level 4 (Highly Specialist Pain Management) services for those patients requiring direct referral to Level 4 or not responding to Level 3 pain services and who have a realistic possibility (...) consistent with patient goals and preferences. Level 3 services will include local expertise in management of complex analgesic combinations (methadone, ketamine) including high dose opioids, and interventional procedures including peripheral nerve blocks (e.g. coeliac plexus, lumbar sympathectomy) and intrathecal neurolytic block. Other procedures may be offered within the competency of the Consultant in Pain Medicine and the expertise of staff and local infrastructure such as external spinal infusions

2018 Faculty of Pain Medicine

196. Living Guideline for Diagnosing and Managing Pediatric Concussion

be referred to a physician or nurse practitioner to perform a comprehensive medical assessment to exclude more severe injuries, consider a full differential diagnosis, and confirm the diagnosis of concussion. Domain 2. Initial Medical Assessment and Management 2.1 Physicians or nurse practitioners should perform a comprehensive medical assessment on all children/adolescents with a suspected concussion or with acute head or spine trauma. 2.1a Take a comprehensive clinical history. 2.1b Note common (...) modifiers that may delay recovery and use a clinical risk score to predict risk of prolonged symptoms. 2.1c Perform a comprehensive physical examination. 2.1d Consider CT of the brain or cervical spine only in patients with acute head trauma in whom, after a medical assessment, a structural intracranial or cervical spine injury is suspected; do not conduct routine neuroimaging for the purpose of diagnosing concussion. 5 Guideline for Diagnosing and Managing Pediatric Concussion – Recommendations / Tools

2019 Ontario Neurotrauma Foundation

197. Single Event Multi-Level Surgeries for Children, Adolescents, and Young Adults with Cerebral Palsy or Other Similar Neuromotor Conditions

-operative, post-operative, and long-term PT management. A group of clinically experienced physical therapists generated consensus-based statements when evidence was insufficient. Clinical staff needs to be aware of PT recommendations, rehabilitation protocols, and the progression of strength and function following SEMLS (Karol, 2004 [5b]; Buckon, 2004 [3b]; Park, 2010 [4a]; Saraph, 2002 [4b]; Sung, 2013 [4b]; van der Linden, 2003 [*]; Amichai, 2009 [4a]; Spruit, 1997 [*]; Dobson, 2005 [4b]; Rutz (...) Function Classification System (GMFCS) when assessing and developing a PT plan of care • Educate clinical staff TARGET POPULATION Criteria for Inclusion: Children, adolescents, and young adults (5 years to 25 years old) with • Diagnosis of CP or encephalopathy • Any lower extremity orthopedic multi-level surgery • Referred for PT services Criteria for Exclusion: • Surgery other than lower extremity orthopedic (i.e. upper extremity, spinal) • Non- multilevel lower extremity orthopedic surgeries (i.e

2019 Cincinnati Children's Hospital Medical Center

198. Critical Foundation

cannulas to drains and lumbar punctures. Overall, I think a critical care environment is a great place to create a broad foundation training placement. Going to a medical job next, I feel I am taking a huge clinical skill set with me. The exposure to all specialties has developed my clinical knowledge more than any other placement. Finally, it is my confidence in dealing with acute situations that has developed the most. Daniel Law, Foundation Trainee, Wales As a medical student I enjoyed high acuity (...) echocardiography, central venous access using ultrasound, lumbar puncture and airway techniques, including fibreoptic and front of neck practice. The deanery funds the cost of training equipment. The day ends with a simulation suite trauma scenario using interactive mannequins and treatment of a pneumothorax/ pericardial effusion. There is also focus on human factors as well as team working. The day is very oversubscribed and run once per year, the limiting factor to more sessions being the high faculty ratio

2019 Faculty of Intensive Care Medicine

199. 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 (...) ., and Lagerkranser, M. Nordic guidelines for neuraxial blocks in disturbed haemostasis from the Scandinavian Society of Anaesthesiology and Intensive Care Medicine. Acta Anaesthesiol Scand . 2010 ; 54 : 16–41 | | | The risk of an epidural or spinal haematoma is increased in patients who are also on anti-platelet drugs or oral anticoagulants. x 73 Horlocker, T.T., Wedel, D.J., Rowlingson, J.C., Enneking, F.K., Kopp, S.L., Benzon, H.T. et al. Regional anesthesia in the patient receiving antithrombotic

2012 ERAS Society

200. Diagnosis and Management of Carcinoma of the Oral Cavity

and management of radiation-induced side effects 18 2.14. Management of locoregional recurrence 18 2.15. Palliative care and palliative medicine 19 2.16. Follow-up and rehabilitation 19 2.16.1. Follow-up 19 2.16.2. Functional masticatory rehabilitation 19 2.16.3. Speech and swallowing rehabilitation 20 2.16.4. Nutritional therapy 20 2.16.5. Psychosocial counseling and support 20 3. Quality Indicators 21 4. References 23 © German Guideline Program in Oncology | Guideline Oral Cavity Carcinoma | Short Version (...) associations and organizations concerned 7 Organizations Authors KOK Paradies K., Gittler-Hebestreit N. Working Group for Supportive Care in Cancer, Rehabilitation and Social Medicine (ASORS) Lübbe A. AEK Engers K. German Dental Association Boehme, P. Federal Association of Panel Dentists Beck, J. Working Group on Orofacial Pain of the German Association for the Study of Pain Schmitter M. Working Group on Tumor Pain of the German Association for the Study of Pain Wirz S. Patient representative Mantey W

2012 German Guideline Program in Oncology

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