Objective:To develop a postoperative rehabilitation protocol for patients receiving autologous-chondrocyte implantation (ACI) to repair articular-cartilage defects of the knee.Data Sources:careful review of both basic science and clinical literature, personal communication with colleagues dealing with similar cases, and the authors’ experience and expertise in rehabilitating numerous patients with knee pathologies, injuries, and trauma.Data Synthesis:Postoperative rehabilitation of the ACI patient plays a critical role in the outcome of the procedure. The goals are to improve function and reduce discomfort by focusing on 3 key elements: weight bearing, range of motion, and strengthening.Conclusions:The authors present 2 flexible postoperative protocols to rehabilitate patients after an ACI procedure to the knee.
Nutritional problems associated with dementia and Alzheimer's disease (AD) are of concern and have been documented in the literature for many years.1 Despite this emphasis, the complexity of assessing the AD client's eating or feeding behaviors as well as nutritional status has only recently been recognized in practice and in research. This literature review presents current research and study of the nutritional status, problem feeding behaviors and therapy of AD clients.
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