The prevalence of peripheral arterial disease increases with age. The elevated risk of ulcerations leading to amputation among the elderly refl ects not only increased rates of peripheral arterial disease and diabetic pathologies but also age-related changes of the integument. Limb salvage is most successful when clinical and educational interventions are utilized that address the etiology of peripheral arterial disease and the physiologic requirements needed to support the integument. Complete and accurate assessment is essential to guide health care providers in formulating effi cacious plans of care. Selected interventions may include any combination of pharmaceutical, technological, surgical, and educational approaches. This article reviews the pathology of arterial ulcerations and provides best practice standards for examination and intervention of integumentary disruption as related to arterial pathology.
A clinical practice guideline on glenohumeral joint osteoarthritis was developed by an American Physical Therapy Association volunteer guideline development group that consisted of physical therapists and a neurologist. The guideline was based on systematic reviews of current scientific and clinical information and accepted approaches for physical therapist management of glenohumeral joint osteoarthritis.
This clinical practice guideline is available in Spanish; see Supplementary Appendix 8.
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