Journal of physiotherapy
-
Journal of physiotherapy · Jan 2012
CommentTargeted physiotherapy treatment for low back pain based on clinical risk can improve clinical and economic outcomes when compared with current best practice.
Does a stratified primary care approach for patients with low back pain result in clinical and economic benefits when compared with current best practice? ⋯ A stratified management approach including a prognostic screening and treatment targeting, showed improved clinical and economic benefits when compared with current best practice.
-
Journal of physiotherapy · Jan 2012
Randomized Controlled Trial Comparative StudyAdults with cystic fibrosis prefer hypertonic saline before or during airway clearance techniques: a randomised crossover trial.
Among adults with cystic fibrosis, does the timing of hypertonic saline relative to airway clearance techniques affect lung function, perceived efficacy, tolerability, or satisfaction with the entire airway clearance regimen, and is the preferred timing regimen stable over time? ⋯ All 50 participants completed the study. The effects on lung function were non-significant or were of borderline statistical significance favouring inhalation of hypertonic saline before airway clearance techniques. Satisfaction was rated significantly worse on a 100mm scale when hypertonic saline was inhaled after the airway clearance techniques: mean differences 20mm (95% CI 12 to 29) compared to before the airway clearance techniques and 15 mm (95% CI 6 to 24) compared to during the techniques. Perceived effectiveness showed similar effects but other outcomes were unaffected. All 14 participants who were readmitted repeated the study and most preferred the same timing regimen. Conclusion People with cystic fibrosis could be encouraged to time hypertonic saline before or during airway clearance techniques to maximise perceived efficacy and satisfaction, even though lung function may not be better with these timing regimens.
-
Journal of physiotherapy · Jan 2012
Randomized Controlled TrialBalance training reduces fear of falling and improves dynamic balance and isometric strength in institutionalised older people: a randomised trial.
What is the effect of a balance training protocol with the Biodex Balance System in institutionalised older people with fear of falling? ⋯ The training program was feasible and effective in reducing fear of falling and improving dynamic balance and isometric strength in institutionalised older people with fear of falling.
-
Journal of physiotherapy · Jan 2012
Randomized Controlled TrialKinesio Taping reduces disability and pain slightly in chronic non-specific low back pain: a randomised trial.
Does Kinesio Taping reduce disability, pain, and kinesiophobia in people with chronic non-specific low back pain? ⋯ Kinesio Taping reduced disability and pain in people with chronic non-specific low back pain, but these effects may be too small to be clinically worthwhile.