Winter 2016, Volume 7, Issue 1

EBSCO Health Rehabilitation Reference Center™ Newsletter including topics on Chronic Back Pain, Artificial Larynx and Systemic Lupus Erythematosus


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

Back Pain, Chronic: Occupational Therapy

Mrs. W is a 65-year-old patient being treated in the hospital's rehabilitation care unit for functional decline following a stroke 2 weeks prior. She has a history of chronic back pain.

The occupational therapist wants to find some information on chronic back pain, so he consults Rehabilitation Reference Center, keying in the words "chronic back pain occupational therapy." He locates the clinical review "Back Pain, Chronic: Occupational Therapy."

The occupational therapist learns about chronic back pain, including pathogenesis, indications and contraindications for occupational 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 with chronic back pain.

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

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

Quick Overview

Caring for Patients with an Artificial Larynx

An artificial larynx is indicated for a patient who has had his or her larynx removed due to laryngeal cancer or severe trauma. Following surgery to remove the larynx, a person is unable to produce a normal voice and cannot breathe through the nose or mouth. There are two categories of artificial larynxes: electrolarynx (EL) and pneumatic artificial larynx (PAL). The patient who uses an artificial larynx may have difficulty producing voice sounds. Goals for speech therapy treatment include proper positioning of the artificial larynx, appropriate time initiation of EL vibration, exaggeration of articulation and improved speech intelligibility. Speech therapy treatment includes training the patient how to use the artificial larynx correctly as well as speech intelligibility strategies.

Please log in to your Rehabilitation Reference Center subscription to read the clinical review on "Artificial Larynx."

Evidence-Based Content Update

Recently, the clinical review "Systemic Lupus Erythematosus (SLE)" was revised following review under the Systematic Literature Surveillance Program. Information of value to physical therapy practice was found in a research study.

Results of the study indicated that patients with SLE-associated organ damage are more likely to have greater activity limitation than those patients with SLE who do not have organ involvement.

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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