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 Fall 2014 Volume 5, Issue 4 
 


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Recently Updated Topics

  • Breast Cancer and Exercise
  • Coma Recovery Scale
  • Progressive Supranuclear Palsy
  • Focal Hand Dystonia
  • Craniotomy (Occupational Therapy)
  • Hip Joint Arthroplasty
  • Stuttering: Adolescents
  • Cognition in Older Adults
  • Facet Joint Pathology
  • 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. G is a 50 year old former construction worker being seen in the outpatient orthopedic physical therapy clinic for chronic low back pain. Mr. G has been off work for 6 months due to back pain and his disability has been established as 'permanent and stationary.'

    The physical therapist wants to find some information on alternative employment opportunities for Mr. G. She consults Rehabilitation Reference Center, keying in alternative employment. She consults the clinical review "Vocational Rehabilitation."

    She reads about vocational rehabilitation, including indications and guidelines. Then, she reviews the examination of a person who may need vocational rehabilitation. After completing the physical and subjective examination, she goes on to read about the treatment of people who may need vocational rehabilitation.

    She educates Mr. G on vocational rehabilitation and provides referrals.
     

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

    Caring for Patients with Spondylosis

     

    Spondylosis is a degenerative disorder of the spine primarily caused by aging. The term spondylosis ("spondyl" = vertebrae, "osis" = disorder) is used to refer to any phase of degenerative diseases affecting the spine and is often considered a descriptive term rather than a clinical diagnosis.  A patient with spondylosis may present with pain, poor posture, impaired functional mobility, decreased strength, and decreased range of motion.

     

    Conservative, nonsurgical intervention is often recommended as the first line of treatment intervention. This includes anti-inflammatory medication, physical therapy (including traction, ROM, isometric strengthening, soft collar for cervical spine), and patient education.

     

    You can read the Clinical Review on "Spondylosis" by logging into your subscription of Rehabilitation Reference Center.
    Evidence-based Content Update

    Recently, the clinical review "Leprosy (Occupational Therapy)" was revised following review under the systematic literature surveillance program.

    Information of value to occupational therapy practice regarding leprosy was a recent
    prospective-cohort study conducted in Taiwan. Researchers compared physical activity and quality of life between two groups of older adults - those in high-rise retirement communities and those living in ground residences. The study included 250 older adults (60+) with leprosy. Researchers found that living in a high-rise apartment environment did not decrease physical activity among these older adults and appeared to promote overall quality of life with respect to psychological and environmental factors.

     

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