Musculoskeletal Rehabilitation
Review | Neurological complications of sepsis
20 Feb, 2023 | 12:16h | UTCSummary: This article covers the latest developments in the prevention, diagnosis, and treatment of sepsis-associated encephalopathy (SAE) and ICU-acquired weakness (ICUAW). SAE diagnosis is clinical with supporting EEG and neuroimaging. Treatment involves early identification and treatment of infections and organ dysfunction. ICUAW is due to an overlap between critical illness polyneuropathy, critical illness myopathy, and muscle disuse atrophy. It affects all limbs and respiratory muscles and is associated with prolonged hospital stay, increased costs, and both short and long-term mortality. Recovery is typical in weeks or months, but severe cases may result in persistent functional impairments for ICU survivors.
Article: Neurological complications of sepsis – Current Opinion in Critical Care
Updated Guideline | Management of hip fracture
17 Feb, 2023 | 13:17h | UTCHip fracture: management – National Institute for Health and Care Management
Quality Standard: Hip fracture in adults – National Institute for Health and Care Management
RCT | Effect of early mobilization on long-term cognitive impairment in critical illness
17 Feb, 2023 | 13:07h | UTCEffect of early mobilisation on long-term cognitive impairment in critical illness in the USA: a randomised controlled trial – The Lancet Respiratory Medicine (free registration required)
Related:
M-A | The effect of early active mobilization at 6 months after critical illness
Early Active Mobilization during Mechanical Ventilation in the ICU – New England Journal of Medicine (link to abstract – $ for full-text)
Commentary on Twitter
NEW Research—Early mobilisation might improve long-term cognitive impairment in ICU survivors after MV, but the increased risk of adverse events in the intervention group should be noted
Read the RCT from Bhakti Patel & colleagues here: https://t.co/DeqraodGXq #SCCM2023 pic.twitter.com/RMDhE7UxPM
— The Lancet Respiratory Medicine (@LancetRespirMed) January 21, 2023
M-A | Foot orthoses for flexible flatfeet in children and adults
17 Feb, 2023 | 13:02h | UTC
Guideline | Exercise-based knee and anterior cruciate ligament injury prevention
15 Feb, 2023 | 16:02h | UTC
M-A | Exercise-based cardiac rehabilitation for coronary heart disease
13 Feb, 2023 | 12:28h | UTC
Position Paper | Diagnosis, prevention and treatment of common shoulder injuries in sport
10 Feb, 2023 | 14:01h | UTC
Commentary on Twitter
Common shoulder injuries 💪 – grading the evidence on: 📊
🔍 Diagnosis – included 19 clinical tests
✋ Prevention – injury prevention programmes
🏋️♂️ Treatment – stretching, ice packs, strengthening, compressionStatement paper commissioned by DSSF
➡️ https://t.co/CN7usTd3HR pic.twitter.com/xavDN5MICY
— British Journal of Sports Medicine (BJSM) (@BJSM_BMJ) January 16, 2023
Guideline | Management of anterior cruciate ligament injuries
8 Feb, 2023 | 12:31h | UTCRelated:
M-A | Primary surgery vs. primary rehabilitation for treating anterior cruciate ligament injuries.
A Majority of Anterior Cruciate Ligament Injuries Can Be Prevented by Injury Prevention Programs: A Systematic Review of Randomized Controlled Trials and Cluster–Randomized Controlled Trials With Meta-analysis – American Journal of Sports Medicine (link to abstract – $ for full-text)
Guideline on rehabilitation after anterior cruciate ligament reconstruction
8 Feb, 2023 | 12:30h | UTCGuideline: Management of Anterior Cruciate Ligament Injuries Evidence-Based Clinical Practice Guideline
Commentary on Twitter
What are the components of #rehabilitation after #ACLR? Clinical practice #guideline based on 140 RCTs and agreement by 29 expert clinicians.
Open access 🔓 https://t.co/cnLpV0rzgG#Recommendations 👇👇 pic.twitter.com/Lyxuz5tVZE— Roula Kotsifaki (@RoulaKotsifaki) February 3, 2023
Consensus Paper | Physical therapy for upper cervical instability in patients with symptomatic generalized joint hypermobility
7 Feb, 2023 | 14:01h | UTC
M-A | Effectiveness of therapeutic exercise models on cancer-related fatigue
7 Feb, 2023 | 13:46h | UTCRelated:
ASCO Guideline: Exercise, diet, and weight management during cancer treatment.
A systematic review of rehabilitation and exercise recommendations in oncology guidelines
Five reasons physical activity is important for cancer patients – The Conversation
M-A | Effect of aquatic physical therapy on chronic low back pain
3 Feb, 2023 | 13:57h | UTC
M-A | Comparative efficacy of exercise therapy and oral NSAIDs and paracetamol for knee or hip osteoarthritis
1 Feb, 2023 | 13:28h | UTC
Commentary on Twitter
Network meta-analysis of 152 RCTs (17431 pts) comparing efficacy of exercise therapy, NSAIDs, Tylenol for knee or hip osteoarthritis: Found all 3 equivalent at 4 wk, 8 wk and 24 wks. https://t.co/rKck2AacL4 pic.twitter.com/YEAMh9UxTs
— Dr. John Cush (@RheumNow) January 10, 2023
Effectiveness of a judo-specific injury prevention program: a randomized controlled trial in recreational judo athletes
1 Feb, 2023 | 13:15h | UTCEffectiveness of a judo-specific injury prevention programme: a randomised controlled trial in recreational judo athletes – British Journal of Sports Medicine (free for a limited period)
M-A | Continuous cryotherapy vs. traditional cryotherapy after total knee arthroplasty
1 Feb, 2023 | 13:07h | UTC
RCT | Effects of an Extended Knee Control program for injury prevention in adolescent and adult amateur football players
1 Feb, 2023 | 13:00h | UTC
Commentary on Twitter
🚨 #OriginalResearch Extended Knee Control Programme in #Football ⚽ 💪 #InjuryPrevention #OpenAccess
Randomised trial comparing knee control vs. adductor strengthening vs. self-selected exercises in lower limb injury prevalence
READ NOW ➡️ https://t.co/7tgFjARiDk pic.twitter.com/i7uQ11rK9F
— British Journal of Sports Medicine (BJSM) (@BJSM_BMJ) November 8, 2022
M-A | Arthroscopic partial meniscectomy is not better than sham treatment in patients with degenerative meniscus tears
31 Jan, 2023 | 14:05h | UTCRelated:
RCT | Shoulder stretching vs. shoulder muscle strength training for the prevention of baseball-related arm injuries
27 Jan, 2023 | 11:57h | UTC
Commentary on Twitter
Shoulder stretching versus shoulder muscle strength training for the prevention of baseball-related arm injuries: a randomized, active-controlled, open-label, non-inferiority studyhttps://t.co/9tsPkWyVdU pic.twitter.com/eihYv5EdRE
— Physio Meets Science (@PhysioMeScience) December 22, 2022
RCT | Low-dose exercise provides similar benefits as high-dose exercise in patients with knee osteoarthritis
24 Jan, 2023 | 14:26h | UTCHigh- Versus Low-Dose Exercise Therapy for Knee Osteoarthritis: A Randomized Controlled Multicenter Trial – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentary: Low- vs High-Dose Exercise Programs Yielded Similar Benefits in Patients with Knee Osteoarthritis – HCP Live
Multiligamentous knee injuries: acute management, associated injuries, and anticipated return to activity
23 Jan, 2023 | 13:13h | UTCMultiligamentous Knee Injuries: Acute Management, Associated Injuries, and Anticipated Return to Activity – Journal of the American Academy of Orthopaedic Surgeons (free for a limited period)
M-A | The effect of early active mobilization at 6 months after critical illness
19 Jan, 2023 | 14:21h | UTCThe Effect of Mobilization at 6 Months after Critical Illness — Meta-Analysis – NEJM Evidence
Related:
Early Active Mobilization during Mechanical Ventilation in the ICU – New England Journal of Medicine (link to abstract – $ for full-text)
Commentary on Twitter
In this systemic review and meta-analysis on early mobilization in the ICU, Paton et al. find no significant effect on days alive and out of hospital. However, they find a possibility that it might increase mortality and adverse events. https://t.co/NrzDi7Y5KY#CriticalCare pic.twitter.com/mOW6BF44qx
— NEJM Evidence (@NEJMEvidence) December 20, 2022
Guideline | Diagnosis and treatment of lateral meniscal lesions
18 Jan, 2023 | 14:23h | UTC
M-A | Effectiveness of outpatient geriatric rehabilitation after inpatient geriatric rehabilitation or hospitalization
15 Jan, 2023 | 19:48h | UTC
RCT | Strength training of the nonhemiplegic side promotes motor function recovery in patients with stroke
13 Jan, 2023 | 13:05h | UTC
RCT | Effect of a biopsychosocial intervention vs. postural therapy in patients with acute and subacute spine pain
12 Jan, 2023 | 13:15h | UTCEffect of a Biopsychosocial Intervention or Postural Therapy on Disability and Health Care Spending Among Patients With Acute and Subacute Spine Pain: The SPINE CARE Randomized Clinical Trial – JAMA (link to abstract – $ for full-text)
See also: Visual Abstract
Commentary: Noninvasive Interventions Can Reduce Spine Pain Versus Usual Care – HealthDay
Commentary on Twitter
Among patients with acute or subacute spine pain, both a biopsychosocial intervention and a postural therapy intervention resulted in modest statistically significant reductions in disability at 3 months compared with usual care. https://t.co/vwRa4UNkSk pic.twitter.com/rtm2zixVln
— JAMA (@JAMA_current) December 22, 2022