Physical Therapist Management of Patients With Ventricular Assist Devices: Key Considerationsfor the Acute Care Physical Therapist.
Physical Therapist Management of Patients With Ventricular Assist Devices: Key Considerationsfor the Acute Care Physical Therapist.
Filed under: Rehab Centers
Phys Ther. 2012 Oct 4;
Wells CL
This article provides an overview of the utilization of ventricular assist devices (VADs), reviews the common features of VADs and management of VAD recipients, discusses clinical considerations in the rehabilitation process, and describes the role of the acute care physical therapist in the care of VAD recipients. With over 5 million individuals in the United States suffering from heart failure (HF), and with a limited ability to manage the progressive and debilitating nature of HF, VADs are becoming more common place. In order to prescribe a comprehensive and effective plan of care, the physical therapist needs to understand the type and function of the VADs and the goals of the VAD program. The goals for the physical therapist are to deliver comprehensive rehabilitation services to patients on VAD support; to develop an understanding of the role of functional mobility in recovery; and understand how preoperative physical function may contribute to the VAD selection process. The acute care physical therapist has an increasing role in providing a complex range of rehabilitation services as well as serving as a well-educated resource to physical therapists across the health care spectrum as more VAD recipients are living in the community.
HubMed – rehab
Exercise Adherence Interventions for Adults With Chronic Musculoskeletal Pain.
Filed under: Rehab Centers
Phys Ther. 2012 Oct 4;
Crandall S, Howlett S, Keysor JJ
This excerpt was created in the absence of an abstract.
HubMed – rehab
The use of regional anesthetic techniques in pain management in patients undergoing primary knee replacement.
Filed under: Rehab Centers
Ortop Traumatol Rehabil. 2012 Aug 31; 14(4): 315-28
Kosel J, Bobik P, Siemi?tkowski A
Summary During last 30 years orthopedic surgery dramatically improved. The most significant progress had place in joint surgery. Today in many orthopedic centers total hip and knee arthroplasties are made and may be counted in hundreds per year. Surgeons can choose among many different implant operation systems. Nevertheless this type of operations is connected with pain in immediate postoperative course. The aim of the paper was presentation of contemporary methods of pain management after big knee surgery, especially after total knee arthroplasty (TKA). Among presented methods of pain management the anesthetic techniques were discussed: epidural anesthesia (EA) and peripheral nerves blocks (PNB). They seem to be most interesting and evolutionary because of possibility of early ambulation and more effective postoperative rehabilitation. It directly corresponds to therapeutic effect of surgical procedure and patient’s satisfaction. In the paper there are presented advantages and possible complications of regional techniques, particular block techniques and technical problems with possible modifications of pain management. This review is based on latest medical literature, especially on metaanalyses published during last few years comparing different modes of postoperative pain management.
HubMed – rehab
Prediction of Aphasia Outcome Using Diffusion Tensor Tractography for Arcuate Fasciculus in Stroke.
Filed under: Rehab Centers
AJNR Am J Neuroradiol. 2012 Oct 4;
Kim SH, Jang SH
BACKGROUND AND PURPOSE:The AF is an important neural tract in language function. We investigated aphasia outcome according to DTT findings for AF in the early stage of stroke.MATERIALS AND METHODS:Twenty-five consecutive patients with aphasia and stroke and 12 control subjects were recruited. The AQ of K-WAB was used for the assessment of aphasia in the early stage of stroke (10-30 days) and at approximately 6 months after onset. We classified the patients into 3 groups according to the severity of left AF injury: type A, the AF was not reconstructed; type B, the AF was disrupted; and type C, the AF was preserved around the lesion.RESULTS:When comparing AQ among AF types at early evaluation, the type C score (32.84 ± 18.05) was significantly higher than type A (3.60 ± 2.73) (P < .05). However, no significant difference was observed between types A and B (18.02 ± 17.19) or between types B and C (P > .05). At late evaluation, the AQ values of types B (52.43 ± 25.75) and C (68.08 ± 15.76) were higher than that of type A (10.98 ± 3.90) (P < .05). However, there was no significant difference between types B and C.CONCLUSIONS:The aphasia outcome of the patients whose left AF could be reconstructed was better than that in patients whose left AF could not be reconstructed, irrespective of its integrity. We believe that evaluation of the left AF by using DTT in the early stage of stroke could be helpful in predicting aphasia outcome in patients with stroke. HubMed – rehab
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