Stanbridge - T7 - Affiliation #1 - In-Service Project Article

<p>To improve range of motion (B)</p> Signup and view all the answers

<p>Use it with caution, monitoring for potential complications (B)</p> Signup and view all the answers

<p>To tailor the cryotherapy treatment plan to the patient's individual needs (C)</p> Signup and view all the answers

<p>The optimal frequency and duration of cryotherapy use (C)</p> Signup and view all the answers

<p>Lack of evidence supporting its effectiveness (A)</p> Signup and view all the answers

<p>Knee Injury Osteoarthritis Outcomes Survey Joint Replacement (KOOS JR) (B)</p> Signup and view all the answers

<p>At the first visit and upon conclusion of care (B)</p> Signup and view all the answers

<p>Performance-based (D)</p> Signup and view all the answers

<p>Two or more 'moderate'-quality occurrences (C)</p> Signup and view all the answers

<p>By voting based on the magnitude of benefit, risk, harm, or cost (B)</p> Signup and view all the answers

<p>In Supplementary Appendix 1 (A)</p> Signup and view all the answers

<p>In Supplementary Appendix 3 (D)</p> Signup and view all the answers

<p>They funded but did not influence the recommendations (C)</p> Signup and view all the answers

<p>95% (B)</p> Signup and view all the answers

<p>To direct the literature search process. (D)</p> Signup and view all the answers

<p>AAOS. (D)</p> Signup and view all the answers

<p>Congenital knee defects (C)</p> Signup and view all the answers

<p>Osteoarthritis of the hip and knee (C)</p> Signup and view all the answers

<p>To choose the included studies, perform quality assessments, and write initial recommendations. (C)</p> Signup and view all the answers

<p>Their positions meant they could be impartial to the study (D)</p> Signup and view all the answers

<p>September 22, 2017 (D)</p> Signup and view all the answers

<p>Development of limited extension range of motion (A)</p> Signup and view all the answers

<p>High (D)</p> Signup and view all the answers

<p>Walking performance and patient-reported outcomes (A)</p> Signup and view all the answers

<p>Two (C)</p> Signup and view all the answers

<p>Knee flexion resting position (A)</p> Signup and view all the answers

<p>Contractions that allow for tetanic quadriceps contractions (D)</p> Signup and view all the answers

<p>Moderate (B)</p> Signup and view all the answers

<p>Variations in study interventions (C)</p> Signup and view all the answers

<p>High quality and moderate-to-substantial magnitude (D)</p> Signup and view all the answers

<p>May or May not (B)</p> Signup and view all the answers

<p>Insufficient quality but clear magnitude (C)</p> Signup and view all the answers

<p>Conflicting low-quality studies with insufficient magnitude (A)</p> Signup and view all the answers

<p>Benefit is supported by high quality with slight-to-moderate magnitude (C)</p> Signup and view all the answers

<p>Must not (B)</p> Signup and view all the answers

<p>Lacks research support (B)</p> Signup and view all the answers

<p>Insufficient quality with unclear benefit (B)</p> Signup and view all the answers

<p>Should not if evidence indicates slight benefit (A)</p> Signup and view all the answers

<p>When no directive is made against it (C)</p> Signup and view all the answers

<p>The balance strongly favors a specific approach. (D)</p> Signup and view all the answers

<p>A small support in a specific direction. (A)</p> Signup and view all the answers

<p>A high level of certainty of moderate-to-substantial benefit, based on multiple Level 1 or 2. (C)</p> Signup and view all the answers

<p>When there is a high certainty of slight to moderate benefit, or a moderate level of certainty for a moderate level of benefit, based mostly on level 2. (C)</p> Signup and view all the answers

<p>When there is a moderate level of certainty of slight benefit, or a low level of certainty for moderate-to-substantial benefit. (B)</p> Signup and view all the answers

<p>Evidence from studies of concepts, published expert opinion, or from animal or cadaver studies. (C)</p> Signup and view all the answers

<p>A strong recommendation indicates higher certainty and/or greater benefit compared to a moderate one, with at least one Level 1 study. (D)</p> Signup and view all the answers

<p>Level 1 evidence with multiple RCTs (B)</p> Signup and view all the answers

A method of evaluating the effectiveness of physical therapy care by collecting data on patient outcomes.

A specific questionnaire used to assess patient-reported outcomes in individuals with knee osteoarthritis

A performance-based test used to measure how quickly a patient can stand up from a seated position.

A performance-based test used to assess balance and walking ability by measuring the time it takes to walk a specific distance.

The quality of evidence used to support recommendations, with higher levels being stronger and more reliable.

A group of experts who convene to review and evaluate research evidence and make recommendations based on the best available data.

A document summarizing the rationale behind recommendations, including the evidence reviewed and the voting process.

A summary of research articles that were not included in the final recommendations, often due to low quality or lack of relevance.

TKA, or Total Knee Arthroplasty, involves replacing the worn-out surfaces of the knee joint with artificial components made of metal and plastic. It's a common procedure to relieve pain and improve mobility in patients with severely damaged knee joints.

Most TKA surgeries are performed due to osteoarthritis, rheumatoid arthritis, or post-traumatic damage to the knee joint. These conditions cause damage to the cartilage that cushions the bones, leading to pain and restricted movement.

The PICO method (Population, Intervention, Comparison, Outcome, Time) is used to structure research questions, ensuring a clear focus on the study's purpose and scope.

The medical librarian, an expert in information retrieval, plays a crucial role in conducting the literature search for the guideline development. This involves identifying relevant studies and databases.

Clinical Practice Guidelines (CPGs) are systematically developed statements that help clinicians make decisions about appropriate care for patients. They are based on the best available evidence and are regularly updated.

Experts in evidence-based medicine ensure that the guideline is grounded in solid research and scientific evidence.

Osteoarthritis, a common joint disorder, contributes significantly to disability. It affects the cartilage, causing pain, stiffness, and limited mobility.

The study found that hip and knee osteoarthritis were among the leading causes of disability, highlighting the importance of understanding and managing these conditions.

A technique that uses cold temperatures to reduce pain and inflammation.

Cryotherapy is recommended for pain management after knee replacement surgery.

A comprehensive review of the benefits and risks of a treatment to determine if the benefits outweigh the risks.

The severity and frequency of adverse effects associated with a treatment.

The process of verifying that a treatment or procedure is being used correctly and effectively.

A statement that summarizes the strength of a recommendation based on the available evidence.

Studies used to gather and evaluate evidence for recommendations.

The strength of evidence used to support a recommendation, categorized into five levels, with Level 1 being the highest quality and Level 5 being the lowest.

A recommendation where research findings convincingly support a particular course of action, indicating a clear benefit for the outcome.

A recommendation that is moderately supported by research, suggesting a possible benefit, but with some uncertainty.

A recommendation with limited research support, indicating a potential benefit, but with a high degree of uncertainty.

A recommendation based on theoretical concepts, expert opinions, or animal/cadaver studies, with the least amount of research evidence.

A recommendation with a large and convincing benefit compared to any risks or costs.

A recommendation with a moderate benefit that outweighs any risks or costs, but not as convincingly as a substantial magnitude.

A recommendation with a small and less convincing benefit compared to any risks or costs.

Recommendations based on current clinical practice norms, supported by research evidence and validated studies. These guidelines are considered the gold standard for decision-making in Physical Therapy practice.

Recommendations based on expert opinion or limited research, where validated studies are lacking, but there is a clear benefit, harm, or cost associated with a specific approach.

A lack of research on a specific topic, or disagreements among conclusions from higher-quality studies. This indicates more research is needed to provide stronger recommendations.

The magnitude of benefit or risk associated with a particular recommendation. For example, a recommendation could have a 'substantial magnitude' of benefit, meaning it has a large positive impact.

The degree to which the risk of harm or cost outweighs the potential benefit, or vice versa. For example, a recommendation might have a strong 'preponderance of benefit' meaning the upside outweighs the downsides.

A classification system that reflects the strength of a recommendation based on the quality of supporting evidence, the rating of magnitude (benefit or risk), and the preponderance of risk versus benefit.

A level of guidance for therapists regarding the implementation of a recommendation. It reflects how strongly they are obligated to follow the recommendation based on the evidence and considerations of benefit, risk, and cost.

This level of obligation is typically used when recommendations are based on high-quality evidence with substantial magnitude of benefit.

This level of obligation is typically used when recommendations are based on high quality evidence with substantial magnitude of risk, harms, or cost.

Neuromuscular Electrical Stimulation (NMES) is a treatment method that uses electrical currents to stimulate muscles. In the context of total knee arthroplasty (TKA), NMES is applied to the quadriceps muscles to improve their strength and function.

NMES is recommended for patients after TKA because it can help improve quadriceps strength, walking ability, and overall performance.

While NMES is effective for improving strength and function, there is a potential risk of limited extension ROM (Range Of Motion) in the knee. It's important to monitor this aspect.

NMES is recommended for patients with TKA as it has consistently shown to improve quadriceps muscle strength, walking, stair-climbing, and patient-reported outcomes.

NMES parameters should be adjusted to allow for tetanic quadriceps muscle contractions, meaning strong, sustained muscle contractions.

NMES is a valuable tool for rehabilitation after TKA. It helps patients regain strength and improve their overall function.

Preoperative education improves the effectiveness of NMES. It helps patients understand the importance of NMES and comply with the treatment.

The evidence supporting the use of NMES in TKA is strong. Numerous studies have demonstrated its effectiveness.