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 Fall 2010, Volume 1, Issue 6
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In This Issue
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New Topics

  • Aphasia, Transcortical Motor
  • Fracture, Metatarsal Stress
  • Glycogen Storage Disease Type V
  • Heart Transplantation and Exercise, in Adults
  • HIV/AIDS and Exercise
  • Low Back Pain in Children
  • And much more!

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    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. 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 physical therapy following a total hip arthroplasty. Mr. S. was diagnosed with glycogen storage disease type V 3 years ago.

    The physical therapist wants to find some information on glycogen storage disease type V. She consults Rehabilitation Reference Center, keying in glycogen storage disease type V. She consults the clinical review, "Glycogen Storage Disease Type V."

    She reads about glycogen storage disease type V, including presentation, signs/symptoms, and contraindications. Then she reviews the examination of a person with glycogen storage disease type V. After completing the physical and subjective examination, she goes on to read about the treatment of people with glycogen storage disease type V and the precautions to take.

    She refers to the handouts on exercises and goes over 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 Carpal Tunnel Syndrome


    Carpal tunnel syndrome is a condition in which the median nerve is compressed, resulting in pain and/or paresthesias in the thumb, forefinger, and middle finger.

    Patients with carpal tunnel syndrome may present with functional deficits, pain, paresthesias, decreased patient knowledge, and decreased strength in the thenar muscles. Goals of physical therapy treatment include improved strength, improved function, decreased pain and paresthesias, and independence with home exercise programs.

    The treatment for carpal tunnel syndrome includes therapeutic exercise, splinting, manual therapy, and patient education. Desired outcomes of physical therapy include normalized age-appropriate muscle strength and patient satisfaction. Outcome measures include manual muscle testing and visual analog scale.

    You can read the Clinical Review on "Carpal Tunnel Syndrome" by logging into your subscription of Rehabilitation Reference Center.
    Evidence-based Content Update
    Recently, the clinical review Deep Vein Thrombosis and Exercise was revised following review under the systematic literature surveillance program.

    Information of value to physical therapy practice regarding deep vein thrombosis and exercise was a recent research study. The authors found that physical activity interventions at 1 month post DVT did not increase the risk for post-thrombotic syndrome up to 2 years after DVT. Furthermore, post-thrombotic syndrome is associated with lower activity levels 2 years after DVT.