|
New Topics
Dysphagia: Myotonic Dystrophy in Adults
Epilepsy: Speech Therapy
Facet Joint Pathology
Landau-Kleffner Syndrome
Sulcus VocalisThoracic Outlet Syndrome: Nonspecific Form
Williams Syndrome: Speech Therapy
|
|
|
Rehabilitation Reference Center Peer Review
|
We are seeking peer reviewers for all clinical areas.
|
|
Get the RRC Update Newsletter!
|
 |
|
|
|
Welcome!
|
Welcome back to our free evidence-based Rehabilitation Reference Center Update. You are receiving this newsletter because you are a subscriber of CINAHL and/or Rehabilitation Reference Center. We will periodically send news on the latest evidence in rehabilitation. Please share this with your colleagues, students, practitioners and others who would appreciate awareness of this information.
Rehabilitation Reference Center™ (RRC) is an evidence-based
clinical reference tool for use by rehabilitation clinicians at the
point-of-care. RRC provides physical therapists, occupational
therapists, speech therapists and rehabilitation students with the best
available evidence to provide the highest quality care and improve patient outcomes.
|
Rehabilitation Reference Center in Daily Practice
| Mr. S is a patient being seen for prosthetic gait training following a trans-tibial amputation. He complains of phantom limb pain.
The physical therapist wants to find some information on phantom limb pain. She consults Rehabilitation Reference Center, searching on phantom limb pain. She consults the clinical review document on "Phantom Limb Pain."
She reads about phantom limb pain, including presentation, signs/symptoms, and contraindications. Then she reviews the information on examination of a person with phantom limb pain. After completing the physical and subjective examination, she goes on to read about the treatment of people with phantom limb pain and the precautions to take.
She then refers to some exercise handouts and reviews them with Mr. S.
Note: The above referenced Clinical Review is freely accessible to all readers of the Rehabilitation Reference Center Update.
|
| Quick Overview | |
Caring for Patients with Hand & Wrists Affected by Rheumatoid Arthritis
Rheumatoid arthritis (RA) is an autoimmune disorder involving inflammatory polyarthritis. The hallmark feature is chronic inflammation, primarily impacting the synovium of diarthrodial joints; other organ systems may also be impacted.
Patients with hands and wrists affected by RA commonly present with pain, inflammation, swelling of the joints of the hands and wrists, decreased strength and ROM of the upper extremities, and functional decline. Goals of physical therapy treatment include independence with self-management of pain an inflammation, and improved strength, ROM, and independence with ADLs.
The treatment for RA includes gentle therapeutic exercise, joint protection strategies, application of adaptive equipment, modalities and patient education.
Desired outcomes of physical therapy treatment include decreased pain and inflammation, improved range of motion and muscle strength, reduced disability with return to prior functional status, and patient satisfaction. Outcome measures include VAS, goniometry, manual muscle testing, and increased score on the 12-item Short-Form Health Survey questionnaire.
You can read the Clinical Review on "Rheumatoid Arthritis: Wrist and Hand" by logging into your subscription of Rehabilitation Reference Center.
|
| Evidence-based Content Update | Each week the Rehabilitation Reference Center Editorial Team reviews and evaluates thousands of articles for inclusion within our evidence-based content to deliver the best available evidence at the point-of-care. Recently the clinical review on Duchenne Muscular Dystrophy (DMD) was revised under the systematic literature surveillance system.
Information of value to physical therapy practice regarding DMD was a comparative research study of 61 patients with DMD. Interventions included air stacking through the use of manual resuscitator or volume-cycling ventilator, abdominal thrusts, and a combination of both interventions. Measurements included unassisted cough peak flows (CPF), CPF assisted by abdominal thrusts, CPF assisted by air stacking to deep lung volumes, and CPF assisted by both air stacking and abdominal thrusts. The authors concluded that combining air stacking and abdominal thrusts may be most effective in improving cough peak flows.
|
|
|
|
|
