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Fall 2015, Volume 6, Issue 5
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Recently Updated Topics
Breast Cancer and Exercise
Physical Therapy for Animals
Rehabilitative Taping
Language in Children Internationally Adopted
Yoga
Greater Trochanteric Pain Syndrome
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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Abdominal Aorta Aneurysm
Mr. M is a 64-year-old patient being treated in the hospital's cardiac rehabilitation clinic following a myocardial infarction. He has a history of abdominal aorta aneurysm.
The physical therapist wants to find some information on abdominal aorta aneurysm, so he consults EBSCO Health's Rehabilitation Reference Center, keying in the words "abdominal aorta aneurysm." He locates the clinical review " Abdominal Aorta Aneurysm."
The physical therapist learns a great deal about abdominal aorta aneurysm, including contraindications for physical therapy, indications and pathogenesis. He then reviews the examination section of the clinical review. After completing the physical and subjective examination, he goes on to read about the treatment of patients who have an abdominal aorta aneurysm.
Based on the clinical review and the examination findings, the physical therapist proceeds with cardiac rehabilitation.
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Quick Overview
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Caring for Patients with Biceps Brachii Rupture Rupture of the biceps brachii occurs most often proximally in the long head of the biceps tendon (LHBT), either at the bicipital groove or from avulsion at the superior rim of the glenoid labrum. LHBT rupture is usually nontraumatic and associated with tendinosis and chronic partial tearing due to rotator cuff impingement or shoulder joint instability. Distal biceps rupture is a rare injury and usually caused by severe blunt trauma at the elbow.
The initial management of proximal biceps rupture is typically conservative in middle-aged and older adults, whereas surgical treatment (i.e., reattachment, tenodesis, autograft) may be chosen for restoring biceps function in young physically active adults and in cases of complete distal rupture. Except for case studies, rehabilitation trials after biceps brachii rupture are lacking. However, a comprehensive shoulder exercise program for the biceps, rotator cuff and scapular stabilizers will likely reduce deficits in upper-extremity ROM, strength, and shoulder joint stability. The physical therapy treatment plan should involve patient education on overhead faulty techniques/errors, as well as discussion of acceptable approaches to relative rest and activity modification. Proper posture and body mechanics should also be reviewed. Postoperative protocol after biceps tenodesis typically includes sling use, and progression from passive ROM to active ROM to strengthening exercises.
Please log in to your Rehabilitation Reference Center subscription to read the clinical review on "Biceps Brachii Rupture."
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Evidence-Based Content Update
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Recently, the clinical review "Hip Fracture" was revised following review under the Systematic Literature Surveillance Program. Information of value to physical therapy practice was found in a research study.
The study found that there is a lower risk of femoral neck fractures during a sideways fall with contraction of the hip abductor muscles at the moment of impact.
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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