Summer 2017, Volume 8, Issue 3
Mr. B. is an 88-year-old man in a skilled nursing facility referred for physical therapy treatment for frailty syndrome. The physical therapist license applicant (PTLA) enters the room to evaluate the patient and notices that the patient is in physical restraints.
The PTLA wants to find the most recent recommendations about physical restraints as they apply to physical therapy treatment, so she consults Rehabilitation Reference Center, keying in the words “physical restraints.” She locates the Clinical Review "Physical Restraint Use.”
She reads about physical restraint use, including contraindications, 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 assessments and treatment plans.
Based on the Clinical Review and the examination findings, the PTLA consults with the nursing staff regarding the appropriate use of physical restraints. She also discusses the prevention of skin breakdown with the nursing staff and checks the patient’s skin. She prescribes therapeutic exercise for the patient.
Note: The above-referenced Clinical Review is free and accessible to all readers of the Rehabilitation Reference Center Update.
Irritable bowel syndrome is a chronic, functional gastrointestinal disorder associated with recurrent abdominal pain and altered bowel habits. A physical therapy evaluation of a patient with known or suspected irritable bowel syndrome should include assessments of cardiorespiratory function as well as endurance, balance, motor function, activities of daily living, and sensory function. Physical therapy treatment can include functional training, therapeutic exercise and patient education.
You can read the Clinical Review “Irritable Bowel Syndrome” by logging into Rehabilitation Reference Center.
Recently, the Clinical Review " Disabilities of the Arm, Shoulder and Hand (DASH) Outcome Measure" 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.
The authors of a retrospective cohort study conducted in the United States designed to determine the specificity of the minimal clinically important difference (MCID) for the QuickDASH for three conditions (i.e., surgical distal radius fracture, non-operative lateral epicondylitis, and surgical carpal tunnel release) found the MCID for surgical distal radius fracture to be 25.8, for lateral epicondylitis to be 15.8 and for carpal tunnel release to be 18.7. A change of 15.91 is significant for the QuickDASH.
We invite you to log in to Rehabilitation Reference Center to read new and updated Clinical Reviews as they become available.