Journal of physiotherapy
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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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Neuromuscular deficits have been linked with chronic musculoskeletal conditions. The use of ultrasound imaging(USI) to aid rehabilitation of neuromusculoskeletal disorders has been called rehabilitative ultrasound imaging (RUSI)and defined as ‘a procedure used by physical therapists to evaluate muscle and related soft tissue morphology and function during exercise and physical tasks. RUSI is used to assist in the application of therapeutic interventions,providing feedback to the patient and physical therapist (Teyhen 2006). Brightness mode (b-mode) USI is the most common form used by physical therapists and will be the focus of this summary. ⋯ In a recent systematic review Hebert et al (2009)concluded that the majority of high quality studies indicated that RUSI has good intrarater and inter-rater reliability (ICC> 0.90). The standard error of measurement was decreased by nearly 25% when using a mean of two measures and by 50% when using a mean of three measures (Koppenhaver et al 2009b). Novice raters, when properly trained, can assess the trunk muscles reliably (ICC 0.86 to 0.94) (Teyhen et al 2011). INFLUENCE OF SEX AND BODY MASS INDEX: Muscle thickness and cross sectional area is greater in males than females and is associated with increased body mass index (Teyhenet al 2007).
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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 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
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.