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).
The objective of this study was to estimate the effect, if any, of manual chest physiotherapy (MCP) administered to patients hospitalised with chronic obstructive pulmonary disease (COPD) exacerbation on both disease-specific and generic health-related quality of life. To compare the health service costs for those receiving and not receiving MCP. 526 participants aged 34-91 years [...]
Cyriax Physiotherapy Versus Phonophoresis with Supervised Exercise in Subjects with Lateral Epicondylalgia: A Randomized Clinical Trial
AMIT V. NAGRALE, CHRISTOPHER R. HERD, SHYAM GANVIR, GOPICHAND RAMTEKE, The purpose of this RCT was to compare the effectiveness of deep transverse friction massage with Mill's manipulation versus phonophoresis with supervised exercise in managing lateral epicondylalgia. Sixty patients age 30-60, presenting with the teno- periosteal variety of lateral epicondylalgia with symptom duration received either [...]
A single session of Acu-TENS increases FEV1 and reduces dyspnoea in patients with chronic obstructive pulmonary disease: a randomised, placebo-controlled trial
Lau KSL and Jones AYM Forty-six ambulatory patients with a mean age of 75 years, with stage I or II chronic obstructive pulmonary disease, and with no previous experience of TENS or acupuncture were included in the study. The experimental group received a treatment of 45 minutes of Acu-TENS, while the control group received placebo-TENS [...]
Rehabilitation for Hospital Associated Deconditioning.
Kortebein P. This article reviews the current state of knowledge regarding the rehabilitation of patients with hospital associated deconditioning including terminology, epidemiology, etiology, current rehabilitation recommendations, and future areas of research. Despite the prevalence of hospital associated deconditioning, there is a paucity of research examining the functional recovery and rehabilitation of these patients. The available [...]
Oxygenation and static compliance is improved immediately after early manual hyperinflation following myocardial revascularisation: a randomised controlled trial
Clarissa Blattner C, Guaragna JC, Saadi E. This randomised controlled trial of 55 patients undergoing myocardial revascularisation assessed the effect of an early treatment of manual hyperinflation. After an hour in recovery, the experimental group received manual hyperinflation with positive end expiratory pressure followed by suction while the control group received suction only. Oxygenation and [...]
Biomechanical analysis of axial distraction mobilization of the glenohumeral joint – A cadaver study
Ar-Tyan Hsu, Jing-Fang Chiu, Jia Hao Chang The purpose of this study was to analyze humeral head displacement while performing an axial distraction mobilization of the glenohumeral joint. Twelve experienced orthopedic physical therapists participated. Distraction mobilization techniques were performed in three different positions of glenohumeral abduction on a fresh cadaveric specimen. Outcome measures were displacements [...]
Cough augmentation in Duchenne muscular dystrophy.
Ishikawa Y, Bach JR, Komaroff E, Miura T, Jackson-Parekh R. The purpose of this study was to compare the relative importance of deep lung insufflation with the abdominal thrust and their combination in augmenting cough peak flows (CPF), in 61 patients with Duchenne muscular dystrophy (DMD). They found that air stacking was significantly more effective [...]
Lung insufflation capacity in neuromuscular disease.
Bach JR, Mahajan K, Lipa B, Saporito L, Goncalves M, Komaroff E. This study was a case series of 282 consecutive neuromuscular disease (NMD) clinic patients 7 yrs and older with vital capacity (VC) <70% of the predicted normal value. All patients meeting these criteria were prescribed thrice-daily air stacking and/or maximal passive lung insufflation [...]
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