Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · May 2000
An extended Glasgow Coma Scale (GCS-E) with enhanced sensitivity to mild brain injury.
The Glasgow Coma Scale-Extended (GCS-E) was developed to flag mild cases of concussion (corresponding to Grades I and II concussion as defined by the American Academy of Neurology) at the time of first contact with the health care system. ⋯ Wide use of the GCS-E would hold mild traumatic brain injury cases in the treatment loop, improve access to counselling, rehabilitation services, and personal injury compensation, and reduce the "cognitive dissonance" between victims of mild traumatic brain injury and treating professionals.
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Arch Phys Med Rehabil · May 2000
Randomized Controlled Trial Comparative Study Clinical TrialChest physical therapy in patients with acute exacerbation of chronic bronchitis: effectiveness of three methods.
To compare the short-term effects of postural drainage (PD), oscillating positive expiratory pressure (using the FLUTTER device), and expiration with the glottis open in the lateral posture (ELTGOL) on oxygen saturation, pulmonary function, and sputum production in patients with an acute exacerbation of chronic bronchitis. ⋯ All three treatments were safe and effective in removing secretions without causing undesirable effects on oxygen saturation, but FLUTTER and ELTGOL techniques were more effective in prolonging secretion removal in chronic bronchitis exacerbation than was the PD method.