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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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Mrs P is a 51 year old patient with Huntington disease being seen for occupational therapy in the outpatient setting.
The occupational therapist wants to find some information on treating patients with Huntington disease. She consults Rehabilitation Reference Center, keying in Huntington disease. She consults the clinical review "Huntington Disease: Occupational Therapy."
She reads about occupational therapy for Huntington disease, including contraindications. Then, she reviews the examination of a person with Huntington disease. After completing the physical and subjective examination, she goes on to read about the treatment of people with Huntington disease and the precautions to take.
Note: The above referenced Clinical Review is freely accessible to all readers of the Rehabilitation Reference Center Update.
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| Quick Overview |
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Caring for Patients with Interstitial Cystitis (Painful Bladder Syndrome)
Interstitial cystitis is a clinical syndrome characterized by suprapubic pain that appears related to bladder filling and is accompanied by additional symptoms such as increased daytime and nighttime frequency of urination in the absence of any known infection or other pathology.
Patients with interstitial cystitis typically present with pain with bladder filling that is relieved with urination; urgency, frequency, and nocturia; lower abdominal tenderness; anterior vaginal wall pain in females; perineal/prostatic pain in males; and/or dyspareunia. Patients may have muscle weakness, tightness, spasm and/or guarding.
Goals of physical therapy treatment include decreased pain and muscle spasm, and improved strength and function.
The treatment for interstitial cystitis includes strengthening exercise, relaxation techniques, stretching exercise, manual therapy, 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, The Pain, Urgency and Frequency Score, and visual analog scale (VAS).
You can read the Clinical Review on "Interstitial Cystitis (Painful Bladder Syndrome)" by logging into your subscription of Rehabilitation Reference Center.
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| Evidence-based Content Update |
Recently, the clinical review "Fall Prevention in Older Adults (Occupational Therapy)" was revised following review under the systematic literature surveillance program. Information of value to occupational therapists regarding occupational therapy practice was a systematic review.
The results of the systematic review indicate that resistance training exercises for 8-10 muscle groups performed 2-3 times per week using 8-15 repetitions of each exercise reduced fall risk and that group Tai Chi exercise programs are effective in falls prevention as well in lessening complications when falls do occur.
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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