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Spring 2015, Volume 6, Issue 2
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| Get the RRC Update Newsletter! | |
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Recently Updated Topics
Dysphagia: Huntington DiseasePost-Traumatic Stress Disorder Post Blast ConcussionVertebral AugmentationDysphagia: Unilateral Vocal Fold Paralysis in AdultsTotal Knee Replacement: Occupational TherapyReading Disabilities: Early Elementary School-Aged Children
And much more!
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| Rehabilitation Reference Center Peer Review | |
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Welcome!
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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.
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Rehabilitation Reference Center in Daily Practice
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Cervical Disc Arthroplasty
Mr. T is a 65-year-old patient being treated for low back pain in the hospital's outpatient physical therapy department. Mr. T underwent a cervical disc arthroplasty 8 months ago.
The physical therapist wants to find information on cervical disc arthroplasty. She consults Rehabilitation Reference Center, keying in cervical disc arthroplasty. She locates the clinical review "Cervical Disc Arthroplasty."
She learns a great deal about cervical disc arthroplasty, including contraindications for physical therapy, indications 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 who have had a cervical disc arthroplasty.
She advises Mr. T to avoid repetitive cervical extension.
Note: The above-referenced clinical review is free and accessible to all readers of the EBSCO Health Rehabilitation Reference Center Newsletter.
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Quick Overview
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Caring for Patients with Functional Gait Assessment
The Functional Gait Assessment (FGA) is a valid, reliable and internally-consistent outcome measure that was designed to assess a patient's ability to maintain balance during walking tasks.
The Functional Gait Assessmentis a modification of the Dynamic Gait Index (DGI); it was developed to improve upon the reliability of the DGI and reduce the ceiling effect that the DGI has in patients with vestibular disorders. The FGA is a 10-item clinical test that includes 7 of the 8 items from the DGI, plus 3 additional items.
The item from the DGI not included in the FGA is ambulation around obstacles. New items added include gait with narrow base of support, ambulation backwards and gait with eyes closed. Each item is scored on a scale from 0 to 3, with 0 indicating severe impairment and 3 indicating normal ambulation.
You can read the clinical review, "Functional Gait Assessment" by logging in to your subscription of Rehabilitation Reference Center.
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Evidence-based Content Update
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Recently, the clinical review "Menopause and Exercise" was revised following review as part of the Systematic Literature Surveillance Program. Information of value to physical and occupational therapy practice was found in a randomized controlled trial conducted in the United States.
Yoga may improve quality of life among healthy sedentary menopausal women. As part of the trial, 355 women were randomly assigned to yoga, exercise or usual activity for 12 weeks. The main outcome measure was the Menopause-Specific Quality of Life Questionnaire (MENQOL). Domains measured included vasomotor symptoms, psychosocial, physical, and sexual. Compared to usual activity, the exercise intervention was associated with improved physical function but it was not associated with improved overall menopause-related quality of life. Yoga was associated with improvement in MENQOL score and modest improvements in vasomotor and sexual domains. We invite you to log in to Rehabilitation Reference Center to read new and updated clinical reviews as they become available.
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