[Наталья П.]

Физиотерапия, реабилитация

[Наталья П.]

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База данных научных доказательств эффективности физиотерапевтических методик
PEDro is the Physiotherapy Evidence Database.

[Наталья П.]

J Rheumatol. 2005 Oct;32(10):1899-906. Related Articles, Links


The cochrane review of physiotherapy interventions for ankylosing spondylitis.

Dagfinrud H, Kvien TK, Hagen KB.

Section for Health Science, University of Oslo; Norwegian Resource Centre for Rehabilitation in Rheumatology; and Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway.

OBJECTIVE: To update the Cochrane review on the effectiveness of physiotherapy interventions in the management of ankylosing spondylitis (AS). METHODS: All randomized studies available in systematic searches (electronic databases, contact with authors, reference lists) up to February 2004 were included. Two reviewers independently selected trials for inclusion, assessed the validity of included trials, and extracted data. Investigators were contacted to obtain missing information. RESULTS: Six trials with a total of 561 participants were included. Two trials compared individualized home exercise programs with no intervention. Low quality evidence for effects in favor of the home exercise program was found in physical function and spinal mobility [absolute benefit 10.3 cm on fingertip to floor distance; relative percentage difference (RPD) 37%)]. Further, the trials showed low quality evidence for no group differences in pain. Three trials compared supervised group physiotherapy with an individualized home exercise program. Moderate quality evidence for effectiveness was found in patient global assessment and spinal mobility in favor of the supervised group. The trials showed moderate quality evidence for no differences in pain intensity between the groups. One trial compared a 3-week inpatient spa-exercise therapy followed by weekly outpatient group physiotherapy with weekly outpatient group physiotherapy alone. Moderate quality evidence was found for effects in pain (absolute benefit 0.9 cm on visual analog scale; RPD 19%), physical function (absolute benefit 1 cm; RPD 24%), and patient global assessment (absolute benefit 1.3 cm; RPD 27%), in favor of the combined spa-exercise therapy. CONCLUSION: The current best available evidence suggests that physiotherapy is beneficial for people with AS. However, it is still not clear which treatment protocol should be recommended in the management of AS.

[Наталья П.]

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Cost effectiveness of complementary treatments in the United Kingdom: systematic review

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Evidence-based practice and science of Electrophysical Agents (EPA):
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[Наталья П.]

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International Federation Orthopaedic Manipulative Therapists
Clinical Guidelines

[Наталья П.]

J Neurol Sci. 2006 Feb 11;

Bilateral movement training and stroke rehabilitation: A systematic review and meta-analysis.

Stewart KC, Cauraugh JH, Summers JJ.

University of Florida Gainesville, Florida, USA.

OBJECTIVE AND DESIGN: Bilateral movement training is being increasingly used as a post-stroke motor rehabilitation protocol. The contemporary emphasis on evidence-based medicine warrants a prospective meta-analysis to determine the overall effectiveness of rehabilitating with bilateral movements. METHODS: After searching reference lists of bilateral motor recovery articles as well as PubMed and Cochrane databases, 11 stroke rehabilitation studies qualified for this systematic review. An essential requirement for inclusion was that the bilateral training protocols involved either functional tasks or repetitive arm movements. Each study had one of three common arm and hand functional outcome measures: Fugl-Meyer, Box and Block, and kinematic performance. RESULTS: The fixed effects model primary meta-analysis revealed an overall effect size (ES=0.732, S.D.=0.13). These findings indicate that bilateral movement training was beneficial for improving motor recovery post-stroke. Moreover, a fail-safe analysis indicated that 48 null effects would be necessary to lower the mean effect size to an insignificant level. CONCLUSION: These meta-analysis findings indicate that bilateral movements alone or in combination with auxiliary sensory feedback are effective stroke rehabilitation protocols during the sub-acute and chronic phases of recovery.

[Наталья П.]

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Журнал American Physical Therapy Association
Раздел Evidence in Practice
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[Наталья П.]

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Does Cryotherapy Improve Outcomes With Soft Tissue Injury?
J Athl Train. 2004 Jul–Sep; 39(3): 278–279.

[Наталья П.]

Кохрановские обзоры о Hyperbaric oxygen therapy

Hyperbaric oxygen therapy for chronic wounds
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Hyperbaric oxygen therapy for the adjunctive treatment of traumatic brain injury.

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Hyperbaric oxygen for idiopathic sudden sensorineural hearing loss and tinnitus.

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Hyperbaric oxygen therapy for acute coronary syndrome

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Hyperbaric oxygen therapy for late radiation tissue injury

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Hyperbaric oxygen therapy for acute ischaemic stroke

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Hyperbaric oxygen therapy for delayed onset muscle soreness and closed soft tissue injury

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Hyperbaric oxygen therapy for thermal burns

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Hyperbaric oxygenation for tumour sensitisation to radiotherapy

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Hyperbaric oxygen therapy for multiple sclerosis

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Hyperbaric oxygen therapy for promoting fracture healing and treating fracture non-union

[Наталья П.]

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Acupuncture and electroacupuncture: evidence-based treatment guidelines.

[Наталья П.]

Доказательная практика в реабилитации (Evidence-Based Practice in Rehabilitation)
(на англ. яз)


Курс Доказательная практика в реабилитации предлагается при посредничестве Исследовательского института здоровья и инвалидности (Бостонский университет). Является курсом последипломного профессионального образования для специалистов в сфере реабилитации. Этот курс создан для получения научно обоснованных знаний и навыков. Данный курс включает записанные на видео лекции экспертов, презентации в формате PowerPoint, текстовые документы, ссылки на ресурсы Интернета. Разборы случаев позволяют применить знания к реальным клиническим ситуациям. Пилотный курс предоставляется бесплатно. За дополнительной информацией обращайтесь к Мэри Славин [Mary Slavin] ([Ссылки могут видеть только зарегистрированные и активированные пользователи])

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[Наталья П.]

Static magnets for reducing pain: systematic review and meta-analysis of
randomized trials

CMAJ * September 25, 2007; 177 (7). doi:10.1503/cmaj.061344
Max H. Pittler, MD PhD, Elizabeth M. Brown, BSc and Edzard Ernst, MD PhD

Background: Static magnets are marketed with claims of effectiveness for reducing pain, although evidence of scientific principles or biological mechanisms to support such claims is limited. We performed a systematic review and meta-analysis to assess the clinical evidence from randomized trials of static magnets for treating pain.
Methods: Systematic literature searches were conducted from inception to March 2007 for the following data sources: MEDLINE, EMBASE, AMED (Allied and Complementary Medicine Database), CINAHL, Scopus, the Cochrane Library and the UK National Research Register. All randomized clinical trials of static magnets for treating pain from any cause were considered. Trials were included only if they involved a placebo control or a weak magnet as the control, with pain as an outcome measure. The mean change in pain, as measured on a 100-mm visual analogue scale, was defined as the primary outcome and was used to assess the difference between static magnets and
placebo.

Results: Twenty-nine potentially relevant trials were identified. Nine randomized placebo-controlled trials assessing pain with a visual analogue scale were included in the main meta-analysis; analysis of these trials suggested no significant difference in pain reduction (weighted mean difference [on a 100-mm visual analogue scale] 2.1 mm, 95% confidence interval -1.8 to 5.9 mm, p = 0.29). This result was corroborated by sensitivity analyses excluding trials of acute effects and conditions other than musculoskeletal conditions. Analysis of trials that assessed pain with different scales suggested significant heterogeneity among the trials, which means that pooling these data is unreliable.

Interpretation:
The evidence does not support the use of static magnets for pain relief, and therefore magnets cannot be recommended as an effective treatment. For osteoarthritis, the evidence is insufficient to exclude a clinically important benefit, which creates an opportunity for further investigation.

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[Наталья П.]

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