The Pulse

Infection Control Procedures

Posted by ACP on Mar 18, 2020 11:13:37 AM

Infection control and patient safety are top priorities in healthcare. This document reviews low-level and intermediate-level infection control procedures for use with ACP technology to ensure the safety of healthcare providers and patients.

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Topics: Clinical Tip

Heart Failure Clinical Practice Guidelines Therapy Recommendations

Posted by ACP on Feb 24, 2020 5:54:24 PM

Approximately 6.5 million adults in the United States have heart failure. Heart failure (previously referred to as chronic heart failure or CHF) occurs when the heart cannot pump enough blood throughout the body to meet the requirements of other organs and muscles. This results in a wide variety of symptoms and functional impairments which may result in hospitalization, re-hospitalization, and death. In 2017, heart failure contributed to 1 in 8 deaths. (CDC, 2020)

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Topics: Clinical Tip, Cardiopulmonary

Virtual Reality in Rehabilitation

Posted by ACP on Jan 27, 2020 10:54:43 AM

Over the past several years, the body of evidence on the effectiveness of virtual reality (VR) in rehabilitation has significantly expanded. VR has been studied for a variety of diagnoses including stroke, Parkinson’s disease, multiple sclerosis, dementia, burns, pain, and total knee arthroplasty. VR helps enhance patient involvement and motivation while increasing the repetitions and duration of exercise. Benefits addressing ADL performance, balance, gait, pain, and cognition have been reported.

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Topics: Fall Prevention & Balance, Pain Management, Clinical Tip, Cardiopulmonary, Orthopedic, Neuro Rehab

Management of Tone with Biophysical Agents

Posted by ACP on Dec 3, 2019 2:02:00 PM

Hypertonia is defined as excessive muscle tone which leads to stiffness with movement or inability to move a joint and often occurs with neurological conditions such as upper motor neuron lesions (CP, CVA, TBI, SCI, MS) and basal ganglia disorders (PD, Huntington
disease, Dystonia). While the terms spasticity and hypertonia are often used interchangeably, spasticity is actually a subtype of hypertonia in which muscle tone is increased by the speed of joint movement. (NIH, 2019)

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Topics: Clinical Tip, Neuro Rehab

Reducing Contractures with Skilled Therapy Interventions

Posted by ACP on Oct 28, 2019 2:05:21 PM

Range of motion (ROM) deficits may affect an individual’s ability to move, care for themselves, or perform typical daily activities including self-feeding, walking, and dressing. Decreased ROM is a common deficit addressed regularly by rehab professionals in all settings. Contractures arise from shortened muscle or other joint structure restrictions, leading to reduction in mobility and deformity with resultant reduced function.
• Prevalence of contractures in nursing homes is estimated at 55% with significant functional and medical consequences. (Offenbächer, 2014)
• Patients who are immobilized for a prolonged period are at risk of developing joint contractures, which often affect functional outcomes. (Born, 2017)

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Topics: Clinical Tip, Orthopedic, Neuro Rehab

Core Set of Outcome Measures Across a Range of Populations

Posted by ACP on Aug 27, 2019 1:32:38 PM

The use of outcome measures has become the standard of care to objectively assess changes in function, quantify clinical observations, enhance interdisciplinary communication, and examine intervention effectiveness at the patient and practice levels. Inconsistent use of outcome measures remains an issue due to difficulty identifying the most suitable measures based on patient diagnosis, acuity of condition, or practice setting.

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Topics: Clinical Tip, Neuro Rehab

Defensible Documentation

Posted by ACP on Jul 24, 2019 12:55:21 PM

Per the American Physical Therapy Association’s (APTA) “Defensible Documentation Tips” resource¹, the top 10 payer complaints about documentation (reasons for denials) include:

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Topics: Clinical Tip

Using Electrical Stimulation to Manage Complications of Diabetes

Posted by ACP on Jun 18, 2019 3:21:12 PM

It is estimated that over 30 million individuals (9.4%) in the US population has diabetes, while more than one in four do not know they have the disease. A staggering 84.1 million adults have pre-diabetes and, of these individuals, 9 out of 10 are unaware of the condition. Diabetes affects multiple parts of the body and causes many complications such as heart disease, stroke, kidney dysfunction, diabetic neuropathy, orthopedic problems, gum disease, and eye disease. Managing blood glucose levels, a healthy lifestyle and physical activity can help prevent these complications.¹

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Topics: Pain Management, Clinical Tip, Neuro Rehab

Functional Electrical Stimulation (FES) Using Medium Frequency Alternating Current (MFAC) Hand Control

Posted by ACP on Jun 12, 2019 5:38:38 PM

ACP’s MFAC Hand Control protocol provides for electrical stimulation-assisted muscle contraction to assist with the development of functional movement of superficial and deep muscles. To maximize the therapeutic effect of the intervention, the electrical stimulation delivered by the MFAC Hand Control protocol should be set to elicit a grade 3-5 muscle contraction and should be administered along with a strong volitional contraction by the patient.

 

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Topics: Fall Prevention & Balance, Clinical Tip

Electrical Stimulation Intervention to Treat Stroke Related Impairments

Posted by ACP on May 15, 2019 3:15:58 PM

Cerebral vascular accident (CVA), or stroke, affects 795,000 individuals each year and is the fifth leading cause of death in the United States, killing 140,000. Approximately 87% of all strokes are the ischemic-type. Additionally, it is the leading cause of serious long-term disability. Individuals who suffer stroke often have communication challenges, dysphagia, pain, edema, depression, limitations in mobility, and impaired functional ability.1,2

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Topics: Clinical Tip, Neuro Rehab

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