Chronic noncancer pain (CNCP) is common in the general population as well as in people who have a substance use disorder (SUD) (Exhibit 1-1). Chronic pain is not harmless; it has physiological, social, and psychological dimensions that can seriously harm health, functioning, and well-being. As a multidimensional condition with both objective and…

Homebound instruction involves the delivery of educational services within a student's home. Examples include academic instruction, speech and language therapy, and physical therapy. Initially seen as a service option for very young or frail children with disabilities, homebound instruction is currently being accessed by a variety of student…

Chondromalacia is the degeneration of the hyaline cartilage on the under surface of the kneecap. Its causes include patella maltracking (the kneecap does not glide properly over the joint), posttraumatic condition, and chronic overuse. The treatment can be a controlled rehabilitation program, various bracing techniques, foot orthoses, or, in…

The book provides a practical and meaningful treatment program for athletes involved in sports which injure the arm or shoulder to a high degree, such as tennis, baseball, swimming, raquetball, pole vaulting, javelin throwing, and weight training. The book's chapters present information on: (1) symptoms of injury; (2) the anatomy of injury; (3)…

Utilization of ice and exercise conjunctively decreases recovery time of muscle tendon injury considerably. In the healing process, collagen (a major element of scar formation) is laid down. If heat and rest are used as treatment, healing takes place; however, collagen is laid down in a haphazard arrangement increasing the likelihood of reinjury.…

Exercise training is often recommended for people with Parkinson's disease, though there is debate about the pathophysiologic cause of impaired movement in Parkinsonism which makes it difficult to develop a specific exercise treatment for symptoms that include hypokinesia, tremor, and muscular rigidity. Most published studies show a benefit of…

Cryotherapy (the use of ice and exercise to rehabilitate athletic injuries) can be an effective method of treating baseball injuries. It is generally agreed that ice is appropriate for the first 24 to 48 hours, but there is disagreement over its use beyond 72 hours. Some physicians and trainers support the use of heat with either exercise or rest,…

These guidelines are intended to provide a student-focused model for integration of physical therapy services in educational environments in Delaware. Individual sections address the following: definitions; services (referral, assessment, direct, and indirect); the educational significance of physical therapy services; prioritizing physical…

"A Parent's Guide to Assessment" is the fifth volume in the "Life Journey through Autism" series published by the Organization for Autism Research (OAR). It is intended to remove the mystery surrounding assessment, provide parents with a practical understanding of the assessment process, equip them as a parent with the…

The brochure offers guidelines on the everyday care and handling of infants with low muscle tone, in order that positioning, carrying, and other daily activities can be done in ways that will enhance the development of the child and prevent abnormal postures and patterns of movement. Proper positioning in the prone, supine, side lying, and sitting…

Presented is an overview of the steps in the development of a competency-based curriculum and examples which apply the concepts to a physical therapy educational program. (JH)

Describes the benefits of infant massage, particularly for babies with deafness who have hearing parents. Steps for giving baby massages are provided, including placing a hand on the baby's stomach and making eye contact, starting with the legs, looking for cues, and communicating with the baby. (CR)

The availability of an increased variety of therapeutic approaches provides the opportunity to improve hypertension control while minimizing adverse effects that may influence cardiovascular complications and adherence to therapy. This report serves two purposes: (1) to guide practicing physicians and other health professionals in their care of…

The article offers management strategies to help teachers of elementary students with cerebral palsy. Suggestions address aspects of neuro-developmental and sensorimotor integration and describe such activities as sandbox writing, feel-it boxes, and painting. (CL)

This article, the second of a three-part series, outlines neuromuscular, musculoskeletal, and cardiopulmonary physical therapy approaches to movement dysfunction in children. The multiple roles of the pediatric physical therapist in teaching, consulting, managing, referring, and conducting clinical research are discussed. (Author/DB)