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New Topics
Dysphagia in ChildhoodOsteoporosis and ExerciseRett Syndrome: Communication DisordersDementia (Occupational Therapy)PresbyphoniaAnd much more!
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Rehabilitation Reference Center Peer Review
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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.
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Rehabilitation Reference Center in Daily Practice
| Mrs T is a 76 year old patient with idiopathic low back pain being seen for physical therapy in the outpatient setting.
The physical therapist wants to find some information on treating patients with transcutaneous electrical nerve stimulation (TENS). She consults Rehabilitation Reference Center, keying in transcutaneous electrical stimulation. She consults the clinical review "Transcutaneous Electrical Nerve Stimulation (TENS): Adults."
She reads about TENS, including indications, and contraindications. Then, she reviews the examination of a person who is going to be treated with TENS. After completing the physical and subjective examination, she goes on to read about the treatment of people with TENS 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 | |
Caring for Patients with Hip Joint Arthroplasty
Hip joint arthroplasty is indicated for people with moderate to severe arthritis of the hip joint, that results in severe pain that limits gait and function. Patients typically present post-operatively with hip pain, loss of strength and range of motion, impaired function, and abnormal gait. One of the complications of this surgery is hip dislocation. Hip dislocation precautions vary from one surgeon to another in regards to the range of motion allowed and the length of time the precautions must be observed. For the posterior approach, the most common precautions are no hip flexion past 90°, no adduction, and no internal rotation. For an anterolateral approach, the most common precautions are no hip extension past neutral and no adduction, but many surgeons do not require dislocation precautions following replacement with this approach.
You can read the Clinical Review on "Hip Joint Arthroplasty" by logging into your subscription of Rehabilitation Reference Center.
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Evidence-based Content Update
| Recently, the clinical review Sports Hernia: Conservative Management was revised following review under the systematic literature surveillance program. Information of value to physical therapy practice regarding sports hernia was a randomized controlled trial.
The results of a randomized controlled trial indicate that laparoscopic surgery might be more effective than conservative therapy. Outcome measures were pain as measured by VAS, and degree of return to sport activity (full or partial) at 1, 3, 6 and 12 months post randomization. After 3 to 6 months of groin symptoms, patients were randomized into an operative or a conservative treatment group (30 patients in each). The operative group received an endoscopic placement of mesh behind the symphysis and painful groin area. Conservative treatment consisted of at least 2 months of active physiotherapy that included muscle strengthening and coordination exercises aimed at stabilizing the pelvis and hip joints and the lower abdominals and hip adductors, as well as transcutaneous electrical stimulation. This group also received corticosteroid injections and oral anti-inflammatories. Operative treatment was more effective to decrease chronic pain at 1 month, up to 12 months. 90% of the athletes in the operative group returned to sports after 3 months, compared to 27% of the athletes in the conservative treatment group. |
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