Aust J Physiother
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Randomized Controlled Trial
A Saturday physiotherapy service may decrease length of stay in patients undergoing rehabilitation in hospital: a randomised controlled trial.
Is additional Saturday physiotherapy intervention beneficial for inpatients undergoing rehabilitation? ⋯ The provision of additional Saturday physiotherapy intervention resulted in a trend to shorter hospital and physiotherapy length of stay without affecting patient outcome unfavourably or increasing burden of care, suggesting that a larger multicentre trial is warranted.
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Randomized Controlled Trial
In chronic low back pain, low level laser therapy combined with exercise is more beneficial than exercise alone in the long term: a randomised trial.
Is low level laser therapy an effective adjuvant intervention for chronic low back pain? ⋯ In chronic low back pain low level laser therapy combined with exercise is more beneficial than exercise alone in the long term.
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Randomized Controlled Trial
Healthy adults can more easily elevate the pelvic floor in standing than in crook-lying: an experimental study.
Are there any differences in the displacement and endurance of an elevating voluntary pelvic floor muscle contraction in standing and in crook-lying? Are there any differences in these variables between males and females in either test position? ⋯ Standing was found to be a more effective position for achieving and sustaining an elevation of the pelvic floor compared to crook-lying, regardless of sex, and this should be taken into account when assessing and training pelvic floor muscle contraction.
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Clinical Trial
Effect of endotracheal suction on lung dynamics in mechanically-ventilated paediatric patients.
Endotracheal suctioning is performed regularly in ventilated infants and children to remove obstructive secretions. The effect of suctioning on respiratory mechanics is not known. This study aimed to determine the immediate effect of endotracheal suctioning on dynamic lung compliance, tidal volume, and airway resistance in mechanically-ventilated paediatric patients by means of a prospective observational clinical study. ⋯ Although the majority of patients (68.5%) experienced a drop in dynamic compliance following suctioning, dynamic compliance increased in 31.5% of patients after the procedure. This study demonstrates that endotracheal suctioning frequently causes an immediate drop in dynamic compliance and expired tidal volume in ventilated children with variable lung pathology, intubated with small endotracheal tubes, probably indicating loss of lung volume caused by the suctioning procedure. There is no evidence that suctioning reduces airway resistance.
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Randomized Controlled Trial Comparative Study
Prone positioning does not reduce the ventilation period or mortality in paediatric acute lung injury.