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Welcome back to our free evidence-based Rehabilitation Reference Center Update. 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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Mr. S is a patient being seen for physical therapy following a total hip arthroplasty. Mr. S was diagnosed with a popliteal cyst two years ago.
The physical therapist wants to find some information on popliteal cysts. She consults Rehabilitation Reference Center, keying in popliteal cysts. She consults the clinical review, "Popliteal Cysts in Adults."
She reads about popliteal cysts, including presentation, signs/symptoms, and contraindications. Then she reviews the examination of a person with popliteal cysts. After completing the physical and subjective examination, she goes on to read about the treatment of people with popliteal cysts 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.
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| Quick Overview |
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Caring for Patients with Deep Vein Thrombosis
Deep vein thrombosis refers to a blood clot which is found in the veins, typically in the calf or lower leg and can be life-threatening.
A patient with a deep vein thrombosis may present with pain, swelling, and redness, usually of a lower extremity (although it can involve an upper extremity). The patient may have a low-grade fever and complain of tightness or dull ache in the area of the deep vein thrombosis. The patient may have impaired functional mobility due to pain. The goal of physical therapy treatment is to improve functional mobility.
The treatment for deep vein thrombosis includes functional mobility training. Desired outcomes of physical therapy treatment include improved function. Outcome measures include self-report measures (e.g. WOMAC-PF and SF-36).
You can read more about deep vein thrombosis by logging into your subscription of Rehabilitation Reference Center.
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| Evidence-based Content Update |
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Recently, the clinical review Cervical Dystonia was revised following review under the systematic literature surveillance program.
Information of value to physical therapy practice regarding cervical dystonia was a recent case study in which the author proposed that the physical therapy approach should be dictated by whether the involved muscles are in a myoclonic (i.e. repetitive muscle contraction) or a tonic (i.e. constant muscle contraction) state. If the muscles are in a myoclonic state, the patient's head is placed in the opposite position of the area affected by torticollis. The patient then looks towards that direction. If the muscles are in a tonic state, the head is moved toward the neutral position. |
