Spring 2017, Volume 8, Issue 2

EBSCO Health Rehabilitation Reference Center™ Newsletter including topics on Home Modifications: OT, Fetal Alcohol Spectrum Disorder and Knee Pain: Unspecified Site – Conservative Management

Rehabilitation Reference Center in Daily Practice

Home Modifications: Occupational Therapy

Mrs. U is a 75-year-old woman in a skilled nursing facility being treated by an occupational therapist following a total hip replacement. The family has some concerns about the safety of her living situation.

The occupational therapist wants to find the most recent research about home modifications, so she consults Rehabilitation Reference Center, keying in the words “home safety.” She locates the clinical review "Home Modifications: Occupational Therapy.”

She reads about home modifications, including its guidelines and indications. She then reviews the examination section of the clinical review. After completing the physical and subjective examination, she goes on to read about home modifications.

Based on the clinical review and the examination findings, the occupational therapist proceeds with a home assessment, home modifications and patient education.

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

Quick Overview

Fetal Alcohol Spectrum Disorder

Fetal alcohol spectrum disorder is an umbrella term that encompasses several related syndromes associated with alcohol exposure in utero, including fetal alcohol syndrome, alcohol-related neurodevelopmental syndrome and alcohol-related birth defects. A physical therapy evaluation of a patient with known or suspected fetal alcohol spectrum disorder should include assessments of adaptive behavior, cognition, balance, executive functioning, motor function, neuromotor development, activities of daily living, and sensory function. Physical therapy treatment can include functional training, sensory integration techniques, behavior modification, therapeutic exercise and family education.

Please log in to Rehabilitation Reference Center to read the clinical review on “Fetal Alcohol Spectrum Disorder.”

Evidence-based Content Update

Knee Pain: Unspecified Site – Conservative Management

Recently, the clinical review "Knee Pain: Unspecified Site – Conservative Management" was revised following review as part of the Systematic Literature Surveillance Program. Information of value to physical therapy practice was found in a research study.

Researchers in Finland conducted a life course study of 1,913 men in the military from age 18 through age 50. They found that higher BMI at age 20 was predictive of knee pain and functional limitations later in life. Severe obesity that develops during a lifetime increases the risk of knee pain by 80% and functional limitations by more than 90%. 

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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