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162. Management of Concussion-mild Traumatic Brain Injury (mTBI)

of Injury. The Centers for Disease Control and Prevention (CDC) estimate that approximately 2.2 million emergency department visits and 50,000 deaths occur annually due to TBI.[2] In the 2014 CDC Report to Congress “Traumatic Brain Injury In the United States: Epidemiology and Rehabilitation,” according to data from the DoD, 235,046 Service Members (or 4.2% of the 5,603,720 who served in the Army, Air Force, Navy, and Marine Corps) were diagnosed with a TBI between 2000 and 2011.[2] Similarly (...) that are important and relevant to the management of mTBI, from which Work Group members were recruited. The specialties and clinical areas of interest included: blind rehabilitation, family medicine, occupational therapy (OT), language neurology, nursing, pharmacy, physical medicine and rehabilitation (PM&R), physical therapy (PT), polytrauma care, primary care, psychiatry, psychology, and speech-language pathology. The guideline development process for the 2016 CPG update consisted of the following steps: 1

2016 VA/DoD Clinical Practice Guidelines

163. Diagnosis and treatment of limb-girdle and distal dystrophies

patients with muscular dystrophy for the development of spinal deformities to prevent resultant complications and preserve function (Level B). Clinicians should refer muscular dystrophy patients with musculoskeletal spine deformities to an orthopedic spine surgeon for monitoring and surgical intervention if it is deemed necessary in order to maintain normal posture, assist mobility, maintain cardiopulmonary function, and optimize quality of life (Level B). Rehabilitative management and treatment (...) of Neurology (P.N., E.R.), Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, MA; the Department of Neurology (M.W.), University of Washington Medical Center, Seattle; the Department of Neurology (D.S.), Mayo Clinic, Rochester, MN; the Department of Neurology (W.D.), Massachusetts General Hospital/Harvard Medical School, Boston; St Luke's Rehabilitation Institute (G.C.), Spokane, WA; the Department of Neurology (M.W.), Penn State Hershey Medical Center, PA; the Department of Neurology

2014 American Academy of Neurology

164. Diagnosis and Treatment of Lumbar Disc Herniation with Radiculopathy

. Hanna, MD Tim Lamer, MD Anthony J. Lisi, DC Daniel J. Mazanec, MD Richard J. Meagher, MD Robert C. Nucci, MD Rakesh D. Patel, MD Jonathan N. Sembrano, MD Anil K. Sharma, MD Jeffrey T. Summers, MD Christopher K. Taleghani, MD William L. Tontz, Jr., MD John F. Toton, MD Evidence-Based Clinical Guidelines for Multidisciplinary Spine Care Diagnosis and Treatment of Lumbar Disc Herniation with RadiculopathyThis clinical guideline should not be construed as including all proper methods of care (...) and funded in its entirety by the North American Spine Society (NASS). All participating authors have disclosed potential conflicts of interest consistent with NASS’ disclosure policy. Disclosures are listed below: D. Scott Kreiner, MD Nothing to disclose. (8/14/12) Steven Hwang, MD Nothing to disclose. (4/22/12) John Easa, MD Stock Ownership: Janus Biotherapeutics (100000, 3, Janus Biotherapeutics is an auto-immunity com- pany, Paid directly to institution/employer). (11/11/11) Daniel K .Resnick, MD

2012 North American Spine Society

165. Guidelines for Responsible Opioid Prescribing in Chronic Non-Cancer Pain

of morphine equivalent dosage by 35%, compared prior to 2007. Further, there was also a 50% decrease from 2009 to 2010 in the number of deaths. Opioid prescribing may be different for different specialities and settings based on the speciality and training. Consequently, additional modalities may be utilized instead of high dose opioid therapy, leading to low or moderate dose opioid therapy and avoid- ing multiple complications (182). These include various techniques of rehabilitation with therapeutic

2012 American Society of Interventional Pain Physicians

166. Low Back Pain

, Limke J, Jouve C, Finno M. Exercise as a treatment for chronic low back pain. Spine J. 2004;4:106-115. 247 . Rainville J, Jouve CA, Hartigan C, Martinez E, Hipona M. Comparison of short- and long-term outcomes for aggressive spine rehabilitation deliv- ered two versus three times per week. Spine J. 2002;2:402-407 . 248. Rainville J, Sobel J, Hartigan C, Monlux G, Bean J. Decreasing disability in chronic back pain through aggressive spine rehabilitation. J Rehabil Res Dev. 1997;34:383-393. 249 (...) utilizing thrust manipulative procedures to reduce pain and disability in patients with mobility deficits and acute low back and back-related buttock or thigh pain. Thrust ma- nipulative and nonthrust mobilization procedures can also be used to improve spine and hip mobility and reduce pain and disability in patients with subacute and chronic low back and back-related lower extremity pain. (Recommenda- tion based on strong evidence.) INTERVENTIONS – TRUNK COORDINATION, STRENGTHENING, AND ENDURANCE

2012 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

167. Practice Guidelines for Chronic Pain Management

serve as a resource for other physicians, nurses, and healthcare providers ( e.g ., rehabilitation therapists, psychologists, and counselors) engaged in the care of patients with chronic pain. They are not intended to provide treatment algorithms for specific pain syndromes. E. Task Force Members and Consultants The ASA appointed a Task Force of 12 members, including anesthesiologists in both private and academic practice from various geographic areas of the United States and two consulting (...) behavior, and interpersonal relationships should be performed. Evidence of family, vocational, or legal issues and involvement of rehabilitation agencies should be noted. The expectations of the patient, significant others, employer, attorney, and other agencies may also be considered. Interventional diagnostic procedures: Based on a patient's clinical presentation, appropriate diagnostic procedures may be conducted as part of a patient's evaluation. The choice of an interventional diagnostic procedure

2010 American Society of Anesthesiologists

168. Optimizing the Management of Rotator Cuff Problems

to future publications that clarify existing evidence for determining balance of benefits versus potential harm. Patient preference should have a substantial influencing role. AAOS Clinical Practice Guidelines Unit xiii v1.1_033011 UPost-Operative Rehabilitation – Range of Motion Exercises 13. b. We cannot recommend for or against a specific time frame of shoulder immobilization without range of motion exercises after rotator cuff repair. Strength of Recommendation: Inconclusive Description: Evidence (...) for determining balance of benefits versus potential harm. Patient preference should have a substantial influencing role. UPost-Operative Rehabilitation – Active Resistance Exercises 13. c. We cannot recommend for or against a specific time interval prior to initiation of active resistance exercises after rotator cuff repair. Strength of Recommendation: Inconclusive Description: Evidence from a single low quality study or conflicting findings that do not allow a recommendation for or against the intervention

2010 American Academy of Orthopaedic Surgeons

169. Treatment of Symptomatic Osteoporotic Spinal Compression Fractures

participated in peer review of this clinical practice guideline and gave their explicit consent to have their names listed in this document: American Academy of Physical Medicine and Rehabilitation (AAPMR) American Association of Neurological Surgeons/Congress of Neurological Surgeons (AANS/CNS Joint Section) American College of Radiology (ACR) AO Spine International International Spine Intervention Society (ISIS) National Osteoporosis Foundation (NOF) North American Spine Association (NASS) Participation (...) ) • is not an in vitro, biomechanical, or cadaver study • excluded the following patients (unless results were reported separately): osteogenesis imperfecta (OI) solid metastatic tumors of the spine • for any given follow-up time point in any included study, there must be = 50% patient follow-up (if the follow-up is >50% but MCII Possibly Clinically Important Statistically significant and confidence intervals contain the MCII Not Clinically Important Statistically significant and upper confidence limit 3 months Pain

2010 American Academy of Orthopaedic Surgeons

170. Diagnosis and Treatment of Osteochondritis Dissecans

of Orthopaedics Rehabilitation University of Rochester 601 Elmwood Avenue Rochester, NY 14642 Guidelines and Technology Oversight Chair William C. Watters III MD 6624 Fannin #2600 Houston, TX 77030 Guidelines and Technology Oversight Vice-Chair Michael J. Goldberg, MD Seattle Children’s Hospital 4800 Sand Point Way NE Seattle, WA 98105 Evidence Based Practice Committee Chair Michael W. Keith, MD 2500 Metro Health Drive Cleveland, OH 44109-1900 AAOS Staff: Charles M. Turkelson, PhD Director of Research

2010 American Academy of Orthopaedic Surgeons

171. Utility of EDX Testing in Evaluating Patients with Lumbosacral Radiculopathy

, Ohio, USA 4 Pain Management and Rehabilitation Specialists, PC and Medical College of Georgia, Augusta, Georgia, USA Accepted 11 April 2010 ABSTRACT: This is an evidence-based review of electrodiag- nostic (EDX) testing of patients with suspected lumbosacral ra- diculopathy to determine its utility in diagnosis and prognosis. Literature searches were performed to identify articles applying EDX techniques to patients with suspected lumbosacral radicu- lopathy. From the 355 articles initially (...) . Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic sub- jects. A prospective investigation. J Bone Joint Surg [Am] 1990;72: 403–408. 2. Wiesel SW, Tsourmas N, Feffer HL, Citrin CM, Patronas N. A study of computer-assisted tomography. I. The incidence of positive CAT scans in an asymptomatic group of patients. Spine 1984;9:549–551. 3. Jensen MC, Brant-Zawadzki MN, Obuchowski N, Modic MT, Malka- sian D, Ross JS. Magnetic resonance imaging of the lumbar spine in people without back pain

2010 American Association of Neuromuscular & Electrodiagnostic Medicine

172. Thoracic Outlet Syndrome - Neurogenic

will not be authorized. Effective Date October 1, 2010; hyperlink and formatting update September 2016 Page 3 II. INTRODUCTION This guideline is to be used by physicians, claim managers, occupational nurses, and utilization review staff. The emphasis is on accurate diagnosis and treatment that is curative or rehabilitative (see WAC 296-20-01002 for definitions). An electrodiagnostic worksheet and guideline summary are appended to the end of this document. This guideline was developed in 2010 by the Washington (...) the pectoralis minor. It is considered abnormal if typical symptoms are elicited. Every effort should be made to objectively confirm the diagnosis of nTOS before considering surgery. A differential diagnosis for nTOS includes musculoskeletal disease (e.g. arthritis, tendinitis) of the cervical spine, shoulder girdle or arm, cervical radiculopathy or upper extremity nerve entrapment 7 , idiopathic inflammation of the brachial plexus (aka Parsonage-Turner syndrome), and brachial plexus compression due

2010 Washington State Department of Labor and Industries

173. Diagnosis and Treatment of Cervical Radiculopathy from Degenerative Disorders

circumstances presented by the patient and the needs and resources particular to the locality or institution. North American Spine Society Evidence-Based Clinical Guidelines for Multidisciplinary Spine Care NASS Evidence-Based Guideline Development Committee Christopher M. Bono, MD, Committee Chair Gary Ghiselli, MD, Outcome Measures Chair Thomas J. Gilbert, MD, Diagnosis/Imaging Chair D. Scott Kreiner, MD, Medical/Interventional Chair Charles Reitman, MD, Surgical Treatment Chair Jeffrey Summers, MD (...) acceptable methods of care reasonably directed to obtaining the same results. The ultimate judgment regarding any specific procedure or treatment is to be made by the physician and patient in light of all circumstances presented by the patient and the needs and resources particular to the locality or institution. Financial Statement This clinical guideline was developed and funded in its entirety by the North American Spine Society (NASS). All participating authors have submitted a disclosure form

2010 North American Spine Society

176. Clinical practice guideline for care in pregnancy and puerperium

is the benefit of the treatments for low back pain post-dural puncture? 75. What is the benefit of the treatments for constipation? 76. What is the benefit of the rehabilitation of the pelvic floor muscles during the puerperium?CPG FOR CARE IN PREGNANCY AND PUERPERIUM 17 Contraception during the puerperium 77. At what point can a contraceptive treatment after delivery be started? 78. What special considerations should be made after delivery by type of birth control? Mental health during the puerperium 79 (...) Women with low back pain after childbirth should receive the same therapeutic treatments as the general population. Treatments for constipation Strong Women with constipation in the puerperium period should be offered advice to reinforce the intake of natural fiber and fluids in their diet. Strong An osmotic or intestinal motility stimulant should be administered to women in whom constipation persists despite an increased intake of natural fibers and liquid laxative. Benefits of rehabilitation

2014 GuiaSalud

177. Hoarseness (Dysphonia)

ramifications of $2.5 billion in the United States annually. Iatrogenic Dysphonia Vocal fold injury after intubation is common, with estimates ranging widely from 2.3% to 84%, depending on the age range assessed (infants vs adults), injury definition, and ascertainment methodology. - Estimated rates of dysphonia resulting from injury to the recurrent laryngeal nerve after thyroidectomy and anterior cervical spine surgery also range widely in the literature: 0.85% to 8.5% - and 1.69% to 24.2%, - respectively

2018 American Academy of Otolaryngology - Head and Neck Surgery

178. Adolescent Idiopathic Scoliosis: Screening

recommendation on adolescent idiopathic 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. Table. Screening Tests for Adolescent Idiopathic Scoliosis 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 (...) involve more considerations than evidence alone. Clinicians should understand the evidence but individualize decision making to the specific patient or situation. Similarly, the USPSTF notes that policy and coverage decisions involve considerations in addition to the evidence of clinical benefits and harms. Rationale Importance Adolescent idiopathic scoliosis is a lateral curvature of the spine of unknown cause with a Cobb angle (a measure of the curvature of the spine) of at least 10° that occurs

2018 U.S. Preventive Services Task Force

179. Management of stable angina

to prevent new vascular events 17 4.4 Medication concordance 18 5 Interventional cardiology and cardiac surgery 19 5.1 Coronary artery anatomy and definitions 19 5.2 Percutaneous coronary intervention 19 5.3 Coronary artery bypass grafting 21 5.4 Choice of revascularisation technique 23 5.5 Postintervention drug therapy 26 5.6 Postintervention rehabilitation 28 5.7 Managing restenosis 28 5.8 Managing refractory angina 28 6 Stable angina and non-cardiac surgery 30 6.1 Assessment prior to surgery 30 6.2 (...) : minor (meniscectomy) • Urological: minor (transurethral resection of the prostate) • Intraperitoneal: splenectomy, hiatal hernia repair, cholecystectomy • Carotid symptomatic (CEA or CAS) • Peripheral arterial angioplasty • Endovascular aneurysm repair • Head and neck surgery • Neurological or orthopaedic: major (hip and spine surgery) • Urological or gynaecological: major • Renal transplant • Intrathoracic: non-major • Aortic and major vascular surgery • Open lower limb revascularisation

2018 SIGN

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