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Welcome!
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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.
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Rehabilitation Reference Center in Daily Practice
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Mrs. R is a patient being seen for physical therapy for an ankle sprain. Mrs. R is five months pregnant.
The physical therapist wants to find some information on exercise during pregnancy. She consults Rehabilitation Reference Center, keying in exercise and pregnancy. She consults the clinical review, "Pregnancy and Exercise."
She reads about pregnancy and exercise, including risks of exercise during pregnancy, contraindications to exercise during pregnancy, and guidelines for exercise during pregnancy. Then she keys in ankle sprain and consults the review, "Ankle Sprain." She reviews the examination of a person with ankle sprain. After completing the physical and subjective examination, she goes on to read about the treatment of people with ankle sprain.
She refers to the handouts on exercises and goes over them with Mrs. R.
Note: The above referenced Clinical Review is freely accessible to all readers of the Rehabilitation Reference Center Update.
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| Quick Overview |
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Caring for Patients with Coxa Vara
Coxa Vara is a malformation of the femoral neck in which the angle is biased toward varus.
Patients with Coxa Vara typically present to physical therapy following surgery with decreased strength and range of motion, and impaired gait. Goals of physical therapy treatment include improved strength, range of motion, function, and independence with a home exercise program.
The treatment for Coxa Vara following surgery includes therapeutic exercise and gait training. Desired outcomes of physical therapy treatment include normalized age-appropriate muscle strength, range of motion, gait pattern, and patient satisfaction. Outcome measures include manual muscle testing and goniometry.
You can read the Clinical Review on "Coxa Vara" by logging into your subscription of Rehabilitation Reference Center.
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| Evidence-based Content Update |
Recently, the clinical reviews Trochanteric Bursitis and Sever's Disease were revised following review under the systematic literature surveillance program.
Information of value to physical therapy practice regarding trochanteric bursitis was a research article that found that tears of the hip abductor muscles can mimic trochanteric bursitis.
Information of value to physical therapy practice regarding Sever's Disease was a prospective research study involving 61 children with a diagnosis of calcaneal apophysitis. Ordering routine radiographs early on in the child's assessment does not appear warranted.
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