Journal of physiotherapy
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Journal of physiotherapy · Jan 2011
Randomized Controlled Trial Comparative StudyStrain-Counterstrain therapy combined with exercise is not more effective than exercise alone on pain and disability in people with acute low back pain: a randomised trial.
Is Strain-Counterstrain treatment combined with exercise therapy more effective than exercise alone in reducing levels of pain and disability in people with acute low back pain? ⋯ There is no advantage in providing Strain- Counterstrain treatment to patients with acute low back pain, although further studies could examine whether a subset of these patients can benefit from the treatment.
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Journal of physiotherapy · Jan 2011
Randomized Controlled TrialGaming console exercise and cycle or treadmill exercise provide similar cardiovascular demand in adults with cystic fibrosis: a randomised cross-over trial.
Does exercise using a gaming console result in similar cardiovascular demand and energy expenditure as formally prescribed exercise in adults with cystic fibrosis? How do these patients perceive gaming console exercise? ⋯ Gaming console exercise provides a similar cardiovascular demand as traditional exercise modalities. It is feasible that adults with cystic fibrosis could include gaming console exercise in their exercise program.
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Journal of physiotherapy · Jan 2011
CommentSurgery with disc prosthesis may produce better outcomes than multidisciplinary rehabilitation for patients with chronic low back pain.
Hellum C et al (2011) Surgery with disc prosthesis versus rehabilitation in patients with low back pain and degenerative disc: two year follow-up of randomised study. BMJ 342: d2786 doi:10.1136/bmj.d2786. [Prepared by Margreth Grotle and Kåre Birger Hagen, CAP Editors.] ⋯ Surgery with disc prosthesis produced significantly greater improvement in variables measuring physical disability and pain, but the difference in ODI between groups did not exceed the pre-specified minimally important difference of 10 points, so it is unclear whether the observed changes were clinically meaningful.
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Journal of physiotherapy · Jan 2011
Randomized Controlled TrialTelephone coaching can increase activity levels for people with non-chronic low back pain: a randomised trial.
Does the addition of telephone coaching to usual physiotherapy care improve activity for people with non-chronic low back pain and low to moderate recovery expectations? ⋯ The addition of telephone health coaching to usual physiotherapy care for people with non-chronic non-specific low back pain led to clinically important improvements in activity and recovery expectation.
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Journal of physiotherapy · Jan 2011
CommentUsing titrated oxygen instead of high flow oxygen during an acute exacerbation of chronic obstructive pulmonary disease (COPD) saves lives.
In patients with a suspected acute exacerbation of COPD, does titrated oxygen in the pre-hospital setting change mortality, length of hospital stay and blood gas measurements? ⋯ In patients with a suspected acute exacerbation of COPD, using titrated oxygen to maintain SpO(2) between 88% and 92% reduced the risk of mortality by 58%. Physiotherapists working in acute care should strive to ensure that these patients are not treated with high-flow oxygen.