Fall 2016, Volume 7, Issue 5

EBSCO Health Rehabilitation Reference Center™ Newsletter including topics on Upper Extremity Amputation, Myelodysplasia, and Down Syndrome: Communication Disorders


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

Amputation, Upper Extremity, in Adults: Occupational Therapy

Mr. T is a 25-year-old patient being treated in the hospital following an accident on his farm which required an elbow disarticulation amputation.

The occupational therapist wants to find some information on upper extremity amputation. She consults Rehabilitation Reference Center, keying in the words "upper extremity amputation." She locates the clinical review "Amputation, Upper Extremity, in Adults: Occupational Therapy."

She reads about upper extremity amputation, including pathogenesis, indications and contraindications for occupational 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 had an upper extremity amputation.

Based on the clinical review and the examination findings, the occupational therapist proceeds with fitting the patient with dressings, therapeutic exercise, emotional support and patient education.

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

Quick Overview

Myelodysplasia in Children

Myelodysplasia is a stem cell disorder that causes progressive cytopenia, usually with hypercellular bone marrow and multilineage dysplasia. The disease prevents the body from making enough blood cells as the cells lose their ability to mature and function properly. A child with myelodysplasia may have functional decline and be deconditioned due to inactivity with loss of muscle strength and cardiovascular fitness. The goals for physical therapy include improved strength, cardiovascular fitness and functional independence.

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

Evidence-Based Content Update

Recently, the clinical review "Down Syndrome: Communication Disorders" was revised following review as part of the Systematic Literature Surveillance Program. Information of value to speech therapy practice was found in a meta-analysis.

Authors of a meta-analysis reported that children with Down syndrome appear to have reduced phonological awareness skills compared to typically developing children. In particular, rhyming awareness was significantly poorer than in typically developing children. They also noted that the children with Down syndrome demonstrated significant improvement in phonological awareness skills when instruction was provided in the areas of phoneme, rhyme and syllable awareness.

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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