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 Winter 2014, Volume 5, Issue 1 
 


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Recently Updated Topics

  • Cerebral Palsy: an Overview
  • Heart Failure
  • Restless Legs Syndrome
  • Bronchitis
  • Apraxia of Speech (Acquired)
  • Obesity, Adult
  • Dysphagia: Dementia
  • Graves Disease and Exercise 
  • And much more!
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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.
    Rehabilitation Reference Center in Daily Practice

    Mr. S is a patient being seen for speech therapy following a stroke to treat pure word deafness.

     

    The physical therapist wants to find some information on pure word deafness. She consults Rehabilitation Reference Center, keying in pure word deafness. She consults the clinical review "Agnosia, Auditory Verbal."

    She reads about auditory verbal agnosia, including presentation, signs/symptoms, and contraindications. Then, she reviews the examination of a person with auditory verbal agnosia. After completing the physical and subjective examination, she goes on to read about the treatment of people with auditory verbal agnosia and the precautions to take.
    She then reviews the home program with Mr. S and his family.

     

    Note: The above referenced Clinical Review is freely accessible to all readers of the Rehabilitation Reference Center Update.
    Quick Overview

    Caring for Patients with Traumatic Subcutaneous Emphysema  

     

    Subcutaneous emphysema (SE) is a disorder in which air becomes trapped beneath the skin. A patient with subcutaneous emphysema may present with crepitus upon palpation, swelling, positive Hamman's sign, and respiratory distress. Physical and occupational therapists do not treat SE. However, patients with diagnoses that require physical and/or occupational therapy may present with SE as a complication or may develop SE during the rehabilitation course.

    Physical and occupational therapists should contact the treating physician if traumatic subcutaneous emphysema is suspected.  

    You can read the Clinical Review on "Subcutaneous Emphysema, Traumatic" by logging into your subscription of Rehabilitation Reference Center.
    Evidence-based Content Update
    Recently, the clinical review "Groin Pain in Athletes" was revised following review under the systematic literature surveillance program.
     
    Information of value to physical therapy practice regarding groin pain in athletes was a recent systematic review. A 2013 Cochrane review of conservative interventions for exercise-related musculotendinous, ligamentous, and osseous groin pain found that there is insufficient evidence from randomized controlled trials to advise on any specific conservative modality. The best evidence indicates that exercise therapy consisting of strengthening of hip and abdominal muscles in athletes improves short-term outcomes and return to sports compared with physical therapy consisting of passive modalities.

    We invite you to login to the Rehabilitation Reference Center to read new and updated clinical reviews as they become available.