Summer 2015, Volume 6, Issue 4     

 




In This Issue
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Recently Updated Topics

  • Chinese Patients: Providing Culturally Competent Care
  • Neuromyelitis Optica
  • Congenital Heart Disease in Children
  • Stroke Rehabilitation: Therapeutic Exercise
  • Hippotherapy
  • And much more!   

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    Patient Education Reference Center

    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

    Ventriculotomy, Cardiac: Occupational Therapy

     

    Ms. P is a 60-year-old patient being treated by occupational and physical therapy for functional decline in the hospital's transitional care unit. Ms. P underwent a cardiac ventriculotomy 3 weeks ago.

    The occupational therapist wants to find some information on cardiac ventriculotomy. She consults EBSCO Health's Rehabilitation Reference Center, keying in cardiac ventriculotomy. She locates the clinical review "Ventriculotomy, Cardiac: Occupational Therapy."

    She learns a great deal about cardiac ventriculotomy, including contraindications for occupational 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 cardiac ventriculotomy.

    Based on the information in the clinical review and the examination findings, the occupational therapist proceeds with Activities of Daily Living (ADL)/Instrumental Activities of Daily Living (IADL) training.

    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 Pediatric Patients with Arthrogryposis Multiplex Congenita 

     

    Arthrogryposis multiplex congenita (AMC) is not a specific diagnosis; it is used to describe a condition in which there are multiple joint contractures in more than one region of the body that are usually symmetrical in appearance and are present at birth. AMC is an autosomally dominant inherited nonprogressive musculoskeletal disorder that is now viewed as a condition associated with a heterogeneous group of other diseases, syndromes, or disorders.Joint deformities are secondary changes due to the presence of joint hypomobility. There is no systemic involvement. Patients' sensation and intellect are unaffected.

     

    There is a large void in published literature regarding the effectiveness of rehabilitation (physical therapy, splinting) of patients with AMC prior to surgical intervention or postsurgical intervention. This is partially due to the heterogeneous nature of the disorders/syndromes associated with AMC. Early intervention with physical therapy is still recommended to optimize functional mobility and impede the development of joint contracture, despite a void in the literature. Gentle stretching and splinting to reduce joint contractures and developmentally appropriate strengthening should begin as early as possible.


    Please log in to your Rehabilitation Reference Center subscription to read the clinical review on "Arthrogryposis
    Multiplex Congenita in Children."
    Evidence-Based Content Update

    Recently, the clinical review "Renal Dialysis 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 systematic review.

     

    Muscle strengthening should be a goal of exercise therapy in the management of most patients with chronic kidney disease. However, the intensity of resistance exercise that is generally effective without compromising safety for most patients is unclear. A 2014 systematic review and meta-analysis of 5 qualifying studies (of 477 citations) found a small but significant effect of strengthening exercise to increase muscle mass. Only 10% of patients on hemodialysis are likely to benefit.

     

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