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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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Jesse is a 17 year old patient with a traumatic brain injury being seen for physical therapy in the outpatient setting. He has expressed an interest in video games.
The physical therapist wants to find some information on treating patients using video games. She consults Rehabilitation Reference Center, keying in video games. She consults the clinical reviews "Nintendo Wii and Rehabilitation in Children and Adolescents" and "Activity-Promoting Gaming Systems in Exercise and Rehabilitation."
She reads about the use of gaming systems in physical therapy, including indications, guidelines for use, and contraindications. Then, she reviews the examination of a person who may benefit from gaming systems. After completing the physical and subjective examination, she goes on to read about the treatment of people using gaming systems and the precautions to take.
Note: The above referenced Clinical Review "Nintendo Wii and Rehabilitation in Children and Adolescents" is freely accessible to all readers of the Rehabilitation Reference Center Update. You can read the Clinical Review on "Activity-Promoting Gaming Systems in Exercise and Rehabilitation" by logging into your subscription of Rehabilitation Reference Center.
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| Quick Overview |
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Caring for Patients with Chondromalacia Patella
Chondromalacia patella is a knee condition in which the articular cartilage lining the posterior surface of the patella degenerates.
Patients with chondromalacia patella typically present with diffuse anterior knee pain which is aggravated by prolonged sitting, deep squatting, hill climbing, and stair climbing. Patients also may have knee effusion and patellar crepitus. Goals of physical therapy treatment include improved strength and patellar tracking, and decreased pain.
The treatment for chondromalacia patella includes strengthening exercise, taping, and patient education.
Desired outcomes of physical therapy treatment include normalized age-appropriate muscle strength, decreased pain, and patient satisfaction. Outcome measures include manual muscle testing, Patellofemoral Pain Severity Scale, and visual analog scale (VAS).
You can read the Clinical Review on "Chondromalacia Patella" 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 Total Knee Replacement: Physical Therapy was revised following review under the systematic literature surveillance program. Information of value to physical therapy practice regarding physical therapy practice was a research study.
The results of the research study indicate that physical therapy initiated within 2 days of total knee replacement that incorporates progressive strength training using weight machines may improve lower extremity strength and gait.
We invite you to login to the Rehabilitation Reference Center to read new and updated clinical reviews as they become available.
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