Winter 2015, Volume 6, Issue 1    

 




In This Issue
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Recently Updated Topics

  • Multiple Sclerosis and Exercise
  • Dysphagia: Swallowing Therapy -- Compensatory
  • Fractures, Hip, in Older Adults (Occupational Therapy)
  • Fracture, Hip
  • Paraplegia
  • Functional Electrical Stimulation: Adults
  • Breast Cancer: Surgical Treatment
  • Diabetes Mellitus, Type 1, and Exercise
  • And much more!   

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    Welcome!
    Welcome back to EBSCO Health's free evidence-based Rehabilitation Reference Center newsletter. We will periodically send news on the latest evidence in rehabilitation. Please share this with your colleagues, students, practitioners and others who would benefit from this information.
    Rehabilitation Reference Center in Daily Practice

    Minimally Conscious State 

      
    Mrs. R is a 70-year-old patient in the acute care hospital with a diagnosis of minimally conscious state following cardiac arrest. Speech therapy has been ordered by the physician.

    The speech therapist wants to find some information on minimally conscious state. She consults Rehabilitation Reference Center, keying in minimally conscious state, and locates the clinical review "Disorders of Consciousness, Minimally Conscious State: Speech Therapy."

    She reads important details about minimally conscious state, including contraindications for speech therapy, causes, and pathogenesis. She then reviews the examination section of the clinical review. After completing the physical and subjective examination, she goes on to read about the treatment of patients in a minimally conscious state.

    She educates Mrs. R's family on the speech therapy treatment of a patient in a minimally conscious state.  

    Note: The above-referenced clinical review is free and accessible to all readers of the EBSCO Health Rehabilitation Reference Center Newsletter..
    Quick Overview
    Caring for Patients with Childhood-Onset Fluency Disorder (Stuttering): Preschool Children

     

    Childhood-onset fluency disorder is a disruption in the fluency of speech. According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), in order to be considered childhood-onset fluency disorder, the stuttering cannot be attributable to a motor speech or sensory deficit, neurological injury or disease, or other known medical condition. It usually begins in childhood and may completely disappear in weeks or months or can last throughout life.

     

    Speech therapy treatment for stuttering can include several approaches, including the parent training/family-focused approach, the Lidcombe Program, the Westmead Program, and the Palin Parent-Child Interaction approach.

    You can read the clinical review "Childhood-Onset Fluency Disorder (Stuttering): Preschool Children" by logging into your subscription of Rehabilitation Reference Center.

    Evidence-based Content Update
    Recently, the clinical review "Dysphagia Assessment: Electromyography" was revised following review as part of the Systematic Literature Surveillance Program. Information of value to speech therapy practice was a nonrandomized controlled research study conducted in Brazil. Researchers compared the electrical activity of the masseter, temporal, and suprahyoid muscles in patients with Class III dentofacial deformities to the electrical activity of the same muscles in individuals with typical facial structure. The study included 20 patients with dentofacial deformities and 10 individuals with typical facial structure. Researchers found that patients with Class III dentofacial deformities had lower electrical potential in the masseter muscle during isometric contraction than individuals with typical facial structure.

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