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
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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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
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.