Introduction Paris and Loubert defined coupled motions as combined motions that are mechanically forced to occur. Kaltenborn et al proposed a more clinically oriented definition describing coupled motions as movement combinations that result in the greatest ease of movement, i.e., producing the greatest range of motion and the softest endfeel. In biomechanical terms, coupled motion is the pheno...

Authors are with the Department of Family Medicine, University of Wisconsin – Madison. Doctor Potter is an assistant professor and also has a clinical practice at Wingra Clinic in Madison, Wis; Dr Rotert is a faculty development fellow and clinical instructor and also practices at Belleville Clinic in Belleville, Wis. Please address correspondence to Beth Potter, MD, 777 S Mills, Madison, WI 53...

One of the main principles of medicine is that advances in knowledge and technological developments lead to improvements in patient care. In the area of surgery, 2 indisputably significant advances have emerged in the last 20 years, namely, minimally invasive surgery and multimodal rehabilitation programs, also known Fast Track protocols or Enhanced Recovery After Anesthesia (ERAS) programs. Th...

Regular and frequent use of acute or symptomatic medications can worsen headaches cause chronification headache medication-overuse (MOH). Although MOH is a burdensome medical condition because disability in individual socioeconomic aspects, difficulty treatment, recurrence, even epidemiologic research insufficient. Educating patients, general population, healthcare providers about important the...

Acute patellar dislocations can result in patellar instability, pain, recurrent dislocations, decreased level of sporting activity, and patellofemoral arthritis. The initial management of a first-time traumatic patellar dislocation is controversial with no evidence-based consensus to guide decision making. Most first-time traumatic patellar dislocations have been traditionally treated nonoperat...

A b st ra ct Pulmonary embolism (PE) is a common, treatable, highly lethal emergency, which despite advances in diagnostic testing, remains an under diagnosed killer. The mortality rate of diagnosed and treated pulmonary embolism ranges from 3-8%, but increases to about 30% in untreated pulmonary embolism. PE is a part of the spectrum of venousthromboembolic disease and most pulmonary emboli ha...

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A decade after physicians (including psychiatrists) endorsed the shift toward evidence-based medicine, the world’s largest association of psychologists, the American Psychological Association (APA), belatedly but officially embraced the tenets of evidence-based practice (EBP) [American Psychological Association (APA), 2006]. Other clinical psychology associations, including the Canadian Psychol...

ABOUT THIS POLICY: Prestige Health Choice has developed clinical policies to assist with making coverage determinations. Prestige Health Choice’s clinical policies are based on guidelines from established industry sources, such as the Centers for Medicare & Medicaid Services (CMS), state regulatory agencies, the American Medical Association (AMA), medical specialty professional societies, and p...