Fall 2015, Volume 6, Issue 6     

 




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Recently Updated Topics

  • Achondroplasia
  • Carpal Tunnel Release (Postoperative Treatment)
  • Asthma in Adults
  • Dementia with Lewy Bodies: Speech Therapy
  • Autism Spectrum Disorder
  • 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
    Orthostatic Hypotension

    Mrs. M is a 34-year-old patient being treated in the hospital's rehabilitation care unit for functional decline following the onset of Guillain Barre syndrome a month ago. She has orthostatic hypotension as a result of Guillain Barre syndrome.

    The physical therapist wants to find some information on orthostatic hypotension, so he consults Rehabilitation Reference Center, keying in the words "orthostatic hypotension." He locates the clinical review "Orthostatic Hypotension."

    He learns about orthostatic hypotension, including pathogenesis, indications and contraindications for physical therapy. 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 orthostatic hypotension.

    Based on the clinical review and the examination findings, the physical therapist proceeds with therapeutic exercise and functional training and consults with the nurse regarding compression garments.

    Note: The above-referenced clinical review is freely accessible to all readers of the EBSCO Health Rehabilitation Reference Center Newsletter. 
    Quick Overview
    Postnatal Exercise

    The postnatal period is the time right after giving birth and is often divided into hospital-based, immediate postpartum and later postpartum. Exercise during the postnatal period has benefits for women including improvement in mood, cardiorespiratory fitness and promotion of weight loss. Most women do not resume their prepregnancy physical activity levels after giving birth. Postnatal exercises can address specific stresses of pregnancy and childbirth, as well as general activity and fitness levels. Changes in morphology and physiology that occur during pregnancy and the postpartum period may require women to take extra precautions during exercise.

    Adherence to the World Health Organization's guideline on physical activity (that recommends that adults 18 to 64-years-old engage in at least 150 minutes of moderate intensity aerobic activity throughout the week) is recommended for postpartum women provided they seek medical advice first and take extra precautions as indicated by their condition. Contraindications to postnatal exercise include increased bleeding, postpartum infections, deep vein thrombosis and pulmonary embolism.

    Please log in to your Rehabilitation Reference Center subscription to read the clinical review on "Postnatal Exercise."
    Evidence-Based Content Update
    Recently, the clinical review "Temporomandibular Disorders" was revised following review under the Systematic Literature Surveillance Program. Information of value to physical therapy practice was found in a recent randomized controlled trial indicating that low-level laser therapy to the muscles of mastication is ineffective for treating adolescents and young adults with temporomandibular disorder.

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