Journal of physiotherapy
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The Shoulder Pain and Disability Index (SPADI) was developed to measure current shoulder pain and disability in an outpatient setting. The SPADI contains 13 items that assess two domains; a 5-item subscale that measures pain and an 8-item subscale that measures disability. There are two versions of the SPADI; the original version has each item scored on a visual analogue scale (VAS) and a second version has items scored on a numerical rating scale (NRS). ⋯ When the SPADI is used more than once on the same subject, eg, at initial consultation and then at discharge, the minimal detectible change (MDC 95%) is 18 points (Angst et al 2008, Schmitt et al 2004). Thus some caution is advised with regard to repeated use of the instrument on the same patient. A change score of less than this value could be attributed to measurement error.
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Journal of physiotherapy · Jan 2011
ReviewInspiratory muscle training increases inspiratory muscle strength in patients weaning from mechanical ventilation: a systematic review.
Does inspiratory muscle training improve inspiratory muscle strength and endurance, facilitate weaning, improve survival, and reduce the rate of reintubation and tracheostomy in adults receiving mechanical ventilation? ⋯ PROSPERO CRD42011001132.
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Journal of physiotherapy · Jan 2011
Randomized Controlled TrialIncreasing pressure support does not enhance secretion clearance if applied during manual chest wall vibration in intubated patients: a randomised trial.
What is the effect of increasing pressure support during the application of manual chest wall compression with vibrations for secretion clearance in intubated patients in intensive care? ⋯ Although increasing pressure support has previously been shown to increase secretion clearance in intubated patients, the current study did not show any benefits when it was added to chest wall compression with vibrations.
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Journal of physiotherapy · Jan 2011
ReviewExercise reduces impairment and improves activity in people after some upper limb fractures: a systematic review.
What is the effect of exercise on reducing impairment and increasing activity in the rehabilitation of people with upper limb fractures? ⋯ There is evidence to support the role of specific exercise regimens in reducing impairments and improving upper limb function following specific upper limb fractures.
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Journal of physiotherapy · Jan 2011
CommentQuestioning the role of targeted respiratory physiotherapy over and above a standard clinical pathway in the postoperative management of patients following open thoracotomy.
Summary of: Reeve JC et al (2010) Does physiotherapy reduce the incidence of postoperative pulmonary complications following pulmonary resection via open thoracotomy? A preliminary randomised single-blind clinical trial. Eur J Cardiothorac Surg 37: 1158-1166. [Prepared by Kylie Hill, CAP Editor.] ⋯ In adults following open thoracotomy, the addition of targeted respiratory physiotherapy to a standardised clinical pathway that included early mobilisation did not reduce the incidence of postoperative pulmonary complications or change length of hospital stay.