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Winter 2011, Volume 2, Issue 2

 


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New Topics

  • Communication Disorders: Infants and Toddlers with Developmental Disabilities
  • Developmental Coordination Disorder (Physical Therapy)
  • Dysphagia: Swallowing Therapy - Swallow Maneuvers
  • Fracture, Tibial Spine
  • Leg Cramps, Nocturnal
  • Synovial Osteochondromatosis
  • Turf Toe 
  • 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

    Isabella is a 3-year old patient being seen for physical therapy for developmental delay. Isabella was diagnosed with Rett syndrome several months ago.

     

    The physical therapist wants to find some information on Rett syndrome. She consults Rehabilitation Reference Center, keying in Rett syndrome. She consults the clinical review, "Rett Syndrome: Physical Therapy."

     

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

     

    She refers to the handouts on exercises and goes over them with Isabella's parents.

     

    Note: The above referenced Clinical Review is freely accessible to all readers of the Rehabilitation Reference Center Update. 

    Quick Overview

    Caring for Patients with Tension Headaches

     

    Tension headaches are benign, primary headaches that last 30 minutes to 15 days, are not associated with vomiting and do not worsen with physical activity. They are typically caused by psychological stress, fatigue, poor posture, and repetitive activities (e.g. carrying a heavy bag).

     

    Tension headaches are typically bilateral, are mild to moderate in intensity, and are usually described as pressing, tightening, aching, or a vice-like band around the head. The patient may report photophobia, or phonophobia and/or nausea.

     

    The treatment for tension headaches includes manual therapy (i.e. soft tissue mobilization, joint mobilization, joint manipulation), therapeutic exercise (e.g. postural correction exercises, neck stretches), and modalities (e.g. ultrasound).

    You can read the Clinical Review on "Headache, Tension" by logging into your subscription of Rehabilitation Reference Center. 

    Evidence-based Content Update

    Recently, the clinical review Clubfoot was revised following review under the systematic literature surveillance program.

     

    Information of value to physical therapy practice regarding clubfoot was a recent randomized trial of 19 infants. The infants were randomized to either Ponseti treatment (manipulation therapy and casting per Ponseti protocol) or manipulation therapy (similar to that of Ponseti method), casting, and posteromedial release at age 6-8 months. Compared to the surgical group, the Ponseti group had significantly greater improvements in Functional Rating System total scores, passive maximal dorsiflexion, anterior inversion-eversion of foot, and parental satisfaction.