Spring 2016, Volume 7, Issue 2

EBSCO Health Rehabilitation Reference Center™ Newsletter including topics on Neuromyelitis Optica, Lisfranc Joint Injury and Feeding Disorders: Infants with Cleft Lip and Palate


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

Neuromyelitis Optica (Devic Syndrome)

Mrs. W is a 65-year-old patient being treated in the hospital's rehabilitation care unit for functional decline following a hip fracture and total hip replacement three weeks prior. She has a history of neuromyelitis optica.

The physical therapist wants to find some information on neuromyelitis optica, so she consults Rehabilitation Reference Center, keying in the words "neuromyelitis optica." She locates the clinical review "Neuromyelitis Optica (Devic Syndrome)."

She learns about neuromyelitis optica, including pathogenesis, indications and contraindications for physical therapy. 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 neuromyelitis optica.

Based on the clinical review and the examination findings, the physical therapist proceeds with educating Mrs. W about fall prevention strategies and functional training, and ensures that fall precaution instructions are posted at the bedside.

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

Quick Overview

Lisfranc Joint Injury

Lisfranc joint injury is a tarsometatarsal injury that involves the Lisfranc ligament complex and ranges from an undisplaced mild sprain to a severe fracture and dislocation. A person with an acute Lisfranc joint injury typically has pain, swelling and bruising. A person with a chronic Lisfranc joint injury has foot muscle weakness, stiffness and antalgic gait pattern. Goals for physical therapy treatment include resolution of pain and inflammation, and improvement of physical fitness and gait. Physical therapy treatment includes therapeutic exercise, gait training and application of therapeutic modalities.

Please log in to your Rehabilitation Reference Center subscription to read the clinical review on "Lisfranc Joint Injury."

Evidence-Based Content Update

Recently, the clinical review "Feeding Disorders: Infants with Cleft Lip and Palate" was revised following review as part of the Systematic Literature Surveillance Program. Information of value to speech therapy practice was found in a research study.

Results of the study indicate that paladai feeding is more effective than spoon or bottle feeding to improve weight gain in infants with cleft lip and palate. Paladai feeding involves feeding a child expressed breast milk or formula using a small bowl-shaped feeding device with a pointed spout on one side. Although this method is often faster and less messy than spoon or cup feeding, it can result in large amounts of milk being poured into the baby's mouth, increasing the risk of aspiration.

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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