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Latest & greatest articles for physiotherapy
The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on physiotherapy or other clinical topics then use Trip today.
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Effect of corticosteroid injection, physiotherapy, or both on clinical outcomes in patients with unilateral lateral epicondylalgia: a randomized controlled trial. Corticosteroid injection and physiotherapy, common treatments for lateral epicondylalgia, are frequently combined in clinical practice. However, evidence on their combined efficacy is lacking.To investigate the effectiveness of corticosteroid injection, multimodal physiotherapy, or both in patients with unilateral lateral (...) epicondylalgia.A 2 × 2 factorial, randomized, injection-blinded, placebo-controlled trial was conducted at a single university research center and 16 primary care settings in Brisbane, Australia. A total of 165 patients aged 18 years or older with unilateral lateral epicondylalgia of longer than 6 weeks' duration were enrolled between July 2008 and May 2010; 1-year follow-up was completed in May 2011.Corticosteroid injection (n = 43), placebo injection (n = 41), corticosteroid injection plus physiotherapy (n
The cost effectiveness of NHS physiotherapy support for occupational health (OH) services The cost effectiveness of NHS physiotherapy support for occupational health (OH) services The cost effectiveness of NHS physiotherapy support for occupational health (OH) services Phillips CJ, Phillips R, Main CJ, Watson PJ, Davies S, Farr A, Harper C, Noble G, Aylward M, Packman J, Downton M, Hale J Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion (...) on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. CRD summary This study investigated the feasibility and potential cost-effectiveness of a pilot physiotherapy support for occupational health services. The authors concluded that the support service was potentially cost-effective. The economic methods were clearly stated, but the data were not reported
Does evidence support physiotherapy management of adult female chronic pelvic pain? A systematic review Does evidence support physiotherapy management of adult female chronic pelvic pain? A systematic review Does evidence support physiotherapy management of adult female chronic pelvic pain? A systematic review Loving S, Nordling J, Jaszczak P, Thomsen T CRD summary The review concluded that there seemed to be some limited evidence to support an effect of multidisciplinary intervention (...) and Mensendieck somatocognitive therapy on female chronic pelvic pain, but further research was warranted. The evidence base had a number of limitations. The authors noted these drawbacks and appropriately urged a need for further research before definitive conclusions can be made. Authors' objectives To critically evaluate the evidence for an effect of physiotherapy on pain, physical activity and quality of life in the treatment of female chronic pelvic pain. Searching EMBASE, MEDLINE, CINAHL, PsycINFO
Physiotherapy versus placebo or no intervention in Parkinson's disease. Despite medical therapies and surgical interventions for Parkinson's disease (PD), patients develop progressive disability. The role of physiotherapy aims to maximise functional ability and minimise secondary complications through movement rehabilitation within a context of education and support for the whole person. The overall aim is to optimise independence, safety and well-being, thereby enhancing quality of life.To (...) assess the effectiveness of physiotherapy intervention compared with no intervention in patients with PD.We identified relevant trials by electronic searches of numerous literature databases (e.g. MEDLINE, EMBASE) and trial registers, plus handsearching of major journals, abstract books, conference proceedings and reference lists of retrieved publications. The literature search included trials published up to end of December 2010.Randomised controlled trials of physiotherapy intervention versus
The effectiveness of physiotherapy exercises in subacromial impingement syndrome: a systematic review and meta-analysis The effectiveness of physiotherapy exercises in subacromial impingement syndrome: a systematic review and meta-analysis The effectiveness of physiotherapy exercises in subacromial impingement syndrome: a systematic review and meta-analysis Hanratty CE, McVeigh JG, Kerr DP, Basford JR, Finch MB, Pendleton A, Sim J CRD summary This review assessed the effectiveness (...) of physiotherapy exercises in the treatment of people with subacromial impingement syndrome and concluded that exercise was effective. Given potential for missed data, variability between trials and the limited evidence base that appeared to indicate only small treatment effects, the authors' conclusions may be overstated. The authors' implications for research and practice seem appropriate. Authors' objectives To assess the effectiveness of physiotherapy exercises in the treatment of people with subacromial
Physiotherapy intervention in Parkinson's disease: systematic review and meta-analysis. To assess the effectiveness of physiotherapy compared with no intervention in patients with Parkinson's disease.Systematic review and meta-analysis of randomised controlled trials.Literature databases, trial registries, journals, abstract books, and conference proceedings, and reference lists, searched up to the end of January 2012.Randomised controlled trials comparing physiotherapy with no intervention (...) in patients with Parkinson's disease were eligible. Two authors independently abstracted data from each trial. Standard meta-analysis methods were used to assess the effectiveness of physiotherapy compared with no intervention. Tests for heterogeneity were used to assess for differences in treatment effect across different physiotherapy interventions used. Outcome measures were gait, functional mobility and balance, falls, clinician rated impairment and disability measures, patient rated quality of life
Effectiveness of different exercises and stretching physiotherapy on pain and movement in patellofemoral pain syndrome: a randomized controlled trial To compare the effectiveness of proprioceptive neuromuscular facilitation combined with exercise, classic stretching physiotherapy intervention, and educational intervention at improving patient function and pain in patients with patellofemoral pain syndrome.Randomized, controlled, blind trial over four months.Urban population, Spain.Patients
Effects of circuit training as alternative to usual physiotherapy after stroke: randomised controlled trial. To analyse the effect of task oriented circuit training compared with usual physiotherapy in terms of self reported walking competency for patients with stroke discharged from a rehabilitation centre to their own home.Randomised controlled trial with follow-up to 24 weeks.Multicentre trial in nine outpatient rehabilitation centres in the NetherlandsPatients with stroke who were able (...) to walk a minimum of 10 m without physical assistance and were discharged from inpatient rehabilitation to an outpatient rehabilitation clinic. Patients were randomly allocated to circuit training or usual physiotherapy, after stratification by rehabilitation centre, with an online randomisation procedure.Patients in the intervention group received circuit training in 90 minute sessions twice a week for 12 weeks. The training included eight different workstations in a gym and was intended to improve
Aerobic exercise training in addition to conventional physiotherapy for chronic low back pain: a randomized controlled trial To examine the effect of adding aerobic exercise to conventional physiotherapy treatment for patients with chronic low back pain (LBP) in reducing pain and disability.Randomized controlled trial.A physiotherapy outpatient setting in Hong Kong.Patients with chronic LBP (N=46) were recruited and randomly assigned to either a control (n=22) or an intervention (n=24) group.An (...) 8-week intervention; both groups received conventional physiotherapy with additional individually tailored aerobic exercise prescribed only to the intervention group.Visual analog pain scale, Aberdeen Low Back Pain Disability Scale, and physical fitness measurements were taken at baseline, 8 weeks, and 12 months from the commencement of the intervention. Multivariate analysis of variance was performed to examine between-group differences.Both groups demonstrated a significant reduction in pain
Efficacy of physiotherapy interventions late after stroke: a meta-analysis Efficacy of physiotherapy interventions late after stroke: a meta-analysis Efficacy of physiotherapy interventions late after stroke: a meta-analysis Ferrarello F, Baccini M, Rinaldi LA, Cavallini MC, Mossello E, Masotti G, Marchionni N, Di Bari M CRD summary This review found that a range of physiotherapy interventions initiated at least six months after a clinically-diagnosed stroke could improve mobility (...) and functional outcomes in affected patients. Some caution is required when interpreting the review results and judging the reliability of the authors' conclusions due to potential biases in the review process and the small size of the included trials. Authors' objectives To evaluate the efficacy of physiotherapy interventions on motor and functional outcomes late (six months or later) after stroke. Searching MEDLINE, EMBASE, PEDro, CINAHL, the Cochrane Database of Systematic Reviews, the Cochrane Central
Physiotherapy rehabilitation post first lumbar discectomy: a systematic review and meta-analysis of randomized controlled trials Systematic review and meta-analysis.To evaluate effectiveness of physiotherapy intervention in patients post first lumbar discectomy on clinically relevant outcomes short (3 months) and longer term (12 months).Physiotherapy intervention is recommended post discectomy, although the most beneficial intervention and the effectiveness of physiotherapy management (...) is unclear.Randomized Controlled Trials (RCTs) published in English before December 31, 2009 investigating physiotherapy outpatient management of patients (>16 years), post first single level lumbar discectomy were included. Measurements reported on ≥1 outcome of disability, function, and health were included. Two reviewers independently searched information sources, assessed studies for inclusion, and evaluated risk of bias. Quantitative synthesis was conducted on comparable outcomes across studies with similar
Comparison of an intermittent high-intensity vs continuous low-intensity physiotherapy service over 12 months in community-dwelling people with stroke: a randomized trial This study compared two modes of physiotherapy service over 12 months in community-dwelling people with stroke, either following a train-wait train paradigm by providing bouts of intense physiotherapy, or a continuous less intense programme.Randomized trial.Community-dwelling people with stroke.Fifty patients, first-time
Efficacy of physiotherapy interventions late after stroke: a meta-analysis Physiotherapy is usually provided only in the first few months after stroke, while its effectiveness and appropriateness in the chronic phase are uncertain. The authors conducted a systematic review and meta-analysis of randomised clinical trials (RCT) to evaluate the efficacy of physiotherapy interventions on motor and functional outcomes late after stroke.The authors searched published studies where participants were (...) randomised to an active physiotherapy intervention, compared with placebo or no intervention, at least 6 months after stroke. The outcome was a change in mobility and activities of daily living (ADL) independence. The quality of the trials was evaluated using the PEDro scale. Findings were summarised across studies as effect size (ES) or, whenever possible, weighted mean difference (WMD) with 95% CI in random effects models.Fifteen RCT were included, enrolling 700 participants with follow-up data
Efficacy of community-based physiotherapy networks for patients with Parkinson`s disease: a cluster-randomised trial Many patients with Parkinson's disease are treated with physiotherapy. We have developed a community-based professional network (ParkinsonNet) that involves training of a selected number of expert physiotherapists to work according to evidence-based recommendations, and structured referrals to these trained physiotherapists to increase the numbers of patients they treat. We aimed
Physiotherapy secretion removal techniques in people with spinal cord injury: a systematic review Physiotherapy secretion removal techniques in people with spinal cord injury: a systematic review Physiotherapy secretion removal techniques in people with spinal cord injury: a systematic review Reid WD, Brown JA, Konnyu KJ, Rurak JM, Sakakibara BM CRD summary This review concluded that evidence supporting the use of secretion removal techniques in spinal cord injury was limited and mostly low (...) physiotherapy. Another case report found that the use of PARI PEP (an expiratory flow device) and inspiratory muscle training for one year decreased occurrence of respiratory infections, hospitalisation resulting from infection and suctioning. Interventions affecting cough (levels of evidence ranged from 1 to 5) : Two pre-post studies, one case series and two case reports found that glossopharyngeal breathing exercises (with or without neck accessory muscle breathing) improved cough in patients
Effectiveness of early physiotherapy to prevent lymphoedema after surgery for breast cancer: randomised, single blinded, clinical trial. To determine the effectiveness of early physiotherapy in reducing the risk of secondary lymphoedema after surgery for breast cancer.Randomised, single blinded, clinical trial.University hospital in Alcalá de Henares, Madrid, Spain.120 women who had breast surgery involving dissection of axillary lymph nodes between May 2005 and June 2007.The early (...) physiotherapy group was treated by a physiotherapist with a physiotherapy programme including manual lymph drainage, massage of scar tissue, and progressive active and action assisted shoulder exercises. This group also received an educational strategy. The control group received the educational strategy only.Incidence of clinically significant secondary lymphoedema (>2 cm increase in arm circumference measured at two adjacent points compared with the non-affected arm).116 women completed the one year
Efficacy of intensive versus nonintensive physiotherapy in children with cerebral palsy: a meta-analysis Efficacy of intensive versus nonintensive physiotherapy in children with cerebral palsy: a meta-analysis Efficacy of intensive versus nonintensive physiotherapy in children with cerebral palsy: a meta-analysis Arpino C, Fenicia Vescio M, De Luca A, Curatolo P CRD summary This review concluded that intensive conventional therapy could improve the functional motor outcome for children (...) of the included trials were conducted in the UK; one was conducted in Greece. Where reported, the mean age of participants ranged from 19.75 to 86 months. Conventional therapy was physiotherapy or neurodevelopmental therapy. The regime varied between trials. Where reported, the trials included children with cerebral palsy of a severity of level I to V. Two reviewers selected trials for inclusion. Disagreements were resolved by discussion. Assessment of study quality The authors did not state
A randomised controlled equivalence trial to determine the effectiveness and cost-utility of manual chest physiotherapy techniques in the management of exacerbations of chronic obstructive pulmonary disease (MATREX) A randomised controlled equivalence trial to determine the effectiveness and cost-utility of manual chest physiotherapy techniques in the management of exacerbations of chronic obstructive pulmonary disease (MATREX) A randomised controlled equivalence trial to determine (...) the effectiveness and cost-utility of manual chest physiotherapy techniques in the management of exacerbations of chronic obstructive pulmonary disease (MATREX) Cross J, Elender F, Barton G, Clark A, Shepstone L, Blyth A, Bachmann M, Harvey I, MATREX Research Group Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment
Chest physiotherapy with positive expiratory pressure breathing after abdominal and thoracic surgery: a systematic review Chest physiotherapy with positive expiratory pressure breathing after abdominal and thoracic surgery: a systematic review Chest physiotherapy with positive expiratory pressure breathing after abdominal and thoracic surgery: a systematic review Orman J, Westerdahl E CRD summary This review concluded that there was little evidence that positive pressure (PEP) breathing (...) was better than other physiotherapy breathing techniques in patients who underwent abdominal or thoracic surgery; however, studies that compared PEP with placebo and no treatment were lacking. These cautious conclusions appeared to reflect the evidence presented, but relevant data may have been missed. Authors' objectives To investigate the effect of chest physiotherapy with positive expiratory pressure (PEP) breathing after an open upper abdominal or thoracic surgery. Searching MEDLINE, CINAHL, AMED
Effect of multiple physiotherapy sessions on functional outcomes in the initial postoperative period after primary total hip replacement: a randomized controlled trial Stockton KA, Mengersen KA. Effect of multiple physiotherapy sessions on functional outcomes in the initial postoperative period after primary total hip replacement: a randomized controlled trial.To determine whether increasing physiotherapy input from once to twice per day will result in earlier achievement of functional (...) for comparison with the randomized groups.The control group received usual care, and the treatment group received twice-daily physiotherapy from day 1 after surgery to discharge.The Iowa Level of Assistance at postoperative days 3 and 6 and LOS.This study demonstrates that patients who received twice-daily land-based physiotherapy after primary total hip replacement attained earlier achievement of functional milestones than patients that received once-daily physiotherapy. A statistically significant (P=.041