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Summer 2012, Volume 3, Issue 2
 


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New Topics

  • Eating Disorders (Occupational Therapy)
  • Meningitis
  • Back Pain: Low, Chronic and Exercise 
  • Multiple Sclerosis and Exercise 
  • Bount Disease
  • Multiple System Atrophy
  • Frailty Syndrome: Physical Therapy
  • And much more!
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    Patient Education Reference Center


    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 News
    We are pleased to announce that Rehabilitation Reference Center (RRC) now contains continuing education modules for physical therapists, occupational therapists, and speech therapists. Currently there are 19 modules in the database, and the continuing education modules will grow over time. Most of these apply to physical therapists, e.g., Fracture, Facial and Popliteal Cysts in Adults.

    Each CE module contains course materials for you to read, an interactive review and a test for credit. Currently, the modules can be accessed by clicking on the "New Continuing Education Modules" link in the Spotlight section, which is located on the homepage of RRC.
     
    Rehabilitation Reference Center in Daily Practice
    Mrs T is a 34 year old patient with Bell's Palsy being seen for physical therapy in the outpatient setting.  

    The physical therapist wants to find some information on treating patients with Bell's palsy. She consults Rehabilitation Reference Center, keying in Bell's palsy. She consults the clinical review "Bell's Palsy".


    She reads about Bell's palsy, including presentation/signs and symptoms, causes, and risk factors. Then, she reviews the examination of a person with Bell's palsy. After completing the physical and subjective examination, she goes on to read about the treatment of people with Bell's palsy 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 Medial Collateral Ligament Sprain 

     

    Medial collateral ligament sprains are typically caused by a direct blow or indirect force that causes excessive valgus torque to the lateral knee while the foot is fixed. Patients typically present with knee pain and instability, guarding, muscle spasm, impaired function, and abnormal gait. Physical therapy examination for patients with MCL sprain include gait assessment, muscle strength testing, special tests (i.e., anterior/posterior drawer tests, valgus stress test), range of motion assessment, and inspection. 

     

    Physical therapy treatment typically includes modalities, gait training with the use of assistive device and brace, manual therapy, supervised exercise training and functional mobility training.

     

    You can read the Clinical Review on "Medial Collateral Ligament Sprain: Conservative Management" by logging into your subscription of Rehabilitation Reference Center.
    Evidence-based Content Update
    Recently, the clinical review Cerebral Palsy: An Overview was revised following review under the systematic literature surveillance program. Information of value to physical therapy practice regarding Cerebral Palsy was two randomized controlled trials and two research studies.

    The results of the first
    randomized controlled trial indicate that physical therapy treatment based on dynamics of postural control might be more effective than traditional PT to improve balance in children with CP. The results of the second randomized controlled trial indicate that gait trainer walking exercises might be more effective than traditional PT to improve ambulation index and stance time, but not gait speed or step length, in children with hemiparetic CP. The results of the first research study indicate that lower body positive pressure supported treadmill training might improve balance, walking speed, and lower extremity strength in children with CP. The results of the second research study indicate that AFOs might improve tone in the lower extremities of patients with CP.