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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. 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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Alex is a 16 year old patient with Asperger Syndrome being seen for speech therapy in the outpatient setting.
The speech therapist wants to find some information on treating patients with cluttering. She searches the Rehabilitation Reference Center, keying in cluttering. She consults the clinical review "Cluttering."
She reads about cluttering, including presentation, signs/symptoms, and contradindications. Then she reviews the examination of a person with cluttering. After completing the physical and subjective examination, she goes on to read about the treatment of people with cluttering and the precautions to take.
Note: The above referenced Clinical Review is freely accessible to all readers of the Rehabilitation Reference Center Update. |
| Quick Overview |
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Caring for Patients with Coccydynia
Coccydynia, also known as coccygodynia, is a condition in which pain exists in the coccygeal region. It can be idiopathic or be caused by a precipitating factor (e.g. injury, infection). The primary clinical manifestation is pain in the coccyx area that is worse when sitting, especially on hard surfaces. The patient will likely appear guarded in transfers to and from sitting. The history may reveal recent tailbone trauma or childbirth. The patient may have increased frequency of defecation, pain with defecation, or pain with sexual intercourse. Bending forward may be painful on occasion.
Physical therapy treatment includes soft tissue mobilization, patient education regarding activity modification, and modalities (e.g. ultrasound).
You can read the Clinical Review on "Coccydynia" 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 Bell's Palsy was revised following review under the systematic literature surveillance program. Information of value to physical therapy practice regarding Bell's Palsy was a randomized trial and a retrospective review.
The randomized trial involved twenty patients who were randomly assigned to 2 groups. One received no rehabilitation, the other received rehabilitation consisting of PNF techniques designed to facilitate voluntary muscle responses using diagonal patterns of movement. Conclusions drawn from the results of the randomized trial indicate that proprioceptive neuromuscular facilitation (PNF) at an early stage of Bell's palsy results in improved and faster recovery compared to no early stage rehabilitation.
The retrospective review of facial rehabilitation for 303 patients with poor facial function at 4 months post facial palsy or injury showed significant improvement following therapy. Facial rehabilitation included education, neuromuscular training, massage, meditation-relaxation and an individualized home program. |
