NSF guidelines For Retraining Secondary Motor Impairments

Question 1

What are the NSF guidelines for preventing/managing contracture (loss of passive ROM)?

Answer 1

GPP - conventional therapy of tailored interventions to prevent or manage
B - no splints or prolonged positioning to prevent or manage
C - no overheard pulley exercises to maintain Sh ROM
GPP - serial casting if severe and persistent contracture when conventional therapy has failed

Question 2

What can be done to prevent/managelearned non-use?

Answer 2

CIMT in selected people

Note - no NSF guideline

Question 3

What are the NSF guidelines for preventing/managing swelling?

Answer 3

Prevention:
C - ES
C - dynamic pressure garments 
GPP - elevation 
Management:
C - ES
C - dynamic pressure garments 
D - CPM with elevation 
GPP - elevation

Question 4

What are the NSF guidelines for preventing/managing Sh subluxation?

Answer 4

Prevention:
B - ES
GPP - firm support
GPP - education and training or trauma prevention for nurses, family etc.
Management:
C - firm support to prevent further subluxation

Question 5

What are the NSF guidelines for preventing/managing Sh pain?

Answer 5

Prevention:
B - strapping
GPP - education and training about trauma prevention for nurses, family etc.
Management:
GPP - standard MSK interventions 
C - no corticosteroids 
C - no US

Question 6

What are the NSF guidelines for retraining loss of CV fitness?

Answer 6

A - interventions to increase CV fitness once the person has sufficient strength
GPP - encourage regular, ongoing fitness training (e.g. In accordance with ACSM guidelines)