Physical therapies for prevention of urinary and faecal incontinence in adults. Physical therapies, particularly pelvic floor muscle training, have been recommended for prevention of incontinence associated with childbearing, and prostate surgery.To assess the effectiveness of physical therapies in preventing incontinence in adults.The Cochrane Incontinence Group trials register was searched to September 2001. Trials were also sought from the Reference Lists of relevant articles and from (...) experts in the field.Randomised and quasi-randomised trials in adults without incontinence symptoms that compared a physical therapy with no treatment, or any other treatment to prevent incontinence.Two reviewers independently assessed eligibility, trial quality and extracted data. Data were processed as described in the Cochrane Collaboration Handbook.Two trials in men (155 men) and 13 trials in women (4661 women) were included. As most trials recruited regardless of continence status

What evidence exists about the safety of physical restraint when used by law enforcement and medical staff to control individuals with acute behavioural disturbance? What evidence exists about the safety of physical restraint when used by law enforcement and medical staff to control individuals with acute behavioural disturbance? What evidence exists about the safety of physical restraint when used by law enforcement and medical staff to control individuals with acute behavioural disturbance (...) ? Day P Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Day P. What evidence exists about the safety of physical restraint when used by law enforcement and medical staff to control individuals with acute behavioural disturbance? Christchurch: New Zealand Health Technology Assessment (NZHTA) 2002: 37 Authors' objectives The focus of this Tech

and home care Alberta Heritage Foundation for Medical Research, Institute of Health Economics Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Alberta Heritage Foundation for Medical Research, Institute of Health Economics. The use of low level laser therapy in wound care in Alberta, Canada: results of a survey of physical therapists involved (...) in rehabilitation, long term care and home care. Edmonton: Alberta Heritage Foundation for Medical Research (AHFMR). 2001 Authors' objectives In March 2000, a survey was mailed out to 273 physical therapists involved in rehabilitation, home care and long term care in the province of Alberta. The purpose of the survey was to determine the amount of use of low level laser therapy (LLLT) in wound care. Authors' conclusions The survey response rate was 81.3% (or 222/273). Results showed that 23.1% (51/221) of all

should be tailored to the patient's ability and stamina. Research: Methodologically sound trials and economic evaluations of post-breast-cancer interventions commonly prescribed by physiotherapists, are needed. Bibliographic details Karki A, Simonen R, Malkia E, Selfe J. Efficacy of physical therapy methods and exercise after a breast cancer operation: a systematic review. Critical Reviews in Physical and Rehabilitation Medicine 2001; 13(2-3): 159-190 Indexing Status Subject indexing assigned by CRD (...) Efficacy of physical therapy methods and exercise after a breast cancer operation: a systematic review Efficacy of physical therapy methods and exercise after a breast cancer operation: a systematic review Efficacy of physical therapy methods and exercise after a breast cancer operation: a systematic review Karki A, Simonen R, Malkia E, Selfe J Authors' objectives To evaluate the effects of: (1) different therapy methods on upper limb oedema of breast cancer patients; (2) early versus delayed

Parkinson Patienten Vereniging and Prinses Beatrix Fonds, grant number POO-03-11. Bibliographic details de Goede C J, Keus S H, Kwakkel G, Wagenaar R C. The effects of physical therapy in Parkinson's disease: a research synthesis. Archives of Physical Medicine and Rehabilitation 2001; 82(4): 509-515 PubMedID Indexing Status Subject indexing assigned by NLM MeSH Activities of Daily Living; Exercise Therapy; Humans; Parkinson Disease /physiopathology /rehabilitation; Physical Therapy Modalities; Walking (...) The effects of physical therapy in Parkinson's disease: a research synthesis The effects of physical therapy in Parkinson's disease: a research synthesis The effects of physical therapy in Parkinson's disease: a research synthesis de Goede C J, Keus S H, Kwakkel G, Wagenaar R C Authors' objectives To assess the effect of physical therapy (PT) on neurological signs, activities of daily living (ADL) and walking ability in patients with Parkinson's disease. Searching MEDLINE, CINAHL

A clinical practice guideline on peri-operative cardiorespiratory physical therapy A clinical practice guideline on peri-operative cardiorespiratory physical therapy A clinical practice guideline on peri-operative cardiorespiratory physical therapy Brooks D, Crowe J, Kelsey C J, Lacy J B, Parsons J, Solway S Authors' objectives To evaluate cardiorespiratory physical therapy (CPT) in the management of patients after thoracic, cardiac and abdominal surgery. Searching CINAHL (from 1982 to August (...) , Kelsey C J, Lacy J B, Parsons J, Solway S. A clinical practice guideline on peri-operative cardiorespiratory physical therapy. Physiotherapy Canada 2001; 53(1): 9-25 Indexing Status Subject indexing assigned by CRD MeSH Abdomen /surgery; Breathing Exercises; Cardiac Surgical Procedures /rehabilitation; Physical Therapy Modalities /methods; Postoperative Care /methods; Respiratory Function Tests; Spirometry; Thoracic Surgical Procedures /rehabilitation AccessionNumber 12001008628 Date bibliographic

applications, electrotherapies, cervical orthoses and chronic pain / cognitive behavioural rehabilitation strategies.There is little information available from trials to support the use of physical medicine modalities for mechanical neck pain. There is some support for the use of electromagnetic therapy and against the use of laser therapy with respect to pain reduction. (...) Physical medicine modalities for mechanical neck disorders. Multiple physical medicine modalities are commonly included as part of therapeutic interventions for mechanical neck disorders (neck pain). The objective of this review was to assess the effects of physical medicine modalities for pain in adults with mechanical neck disorders.We searched Medline, Embase, Chirolars, Index to Chiropractic Literature, Cinahl, Science Citation Index, Conference Proceedings Index, National Technical

Bronchopulmonary hygiene physical therapy for chronic obstructive pulmonary disease and bronchiectasis. Bronchopulmonary hygiene physical therapy is a form of chest physical therapy including chest percussion and postural drainage to remove lung secretions. These are applied commonly to patients with both acute and chronic airway diseases. Despite controversies in the literature regarding its efficacy, it remains in use in a variety of clinical settings. The various forms of this therapy (...) are labour intensive and need to be evaluated.The objective of this review was to assess the effects of bronchial hygiene physical therapy in people with chronic obstructive pulmonary disease and bronchiectasis.We searched the Cochrane Airways Group trials register and reference lists of articles up to July 1997. We also wrote to study authors.Randomised trials in which postural drainage, chest percussion, vibration, chest shaking, directed coughing or forced exhalation technique was compared to other

. Funding Alberta Heritage Foundation for Medical Research. Bibliographic details Magee D J, Oborn-Barrett E, Turner S, Fenning N. A systematic overview of the effectiveness of physical therapy intervention on soft tissue neck injury following trauma. Physiotherapy Canada 2000; 52(2): 111-130 Indexing Status Subject indexing assigned by CRD MeSH Neck Injuries /therapy; Physical Therapy Modalities; Whiplash Injuries /therapy AccessionNumber 12000005194 Date bibliographic record published 31/10/2002 Date (...) A systematic overview of the effectiveness of physical therapy intervention on soft tissue neck injury following trauma A systematic overview of the effectiveness of physical therapy intervention on soft tissue neck injury following trauma A systematic overview of the effectiveness of physical therapy intervention on soft tissue neck injury following trauma Magee D J, Oborn-Barrett E, Turner S, Fenning N Authors' objectives To assess the evidence concerning the effectiveness of physical therapy

. Physical therapy was superior to the occupational therapy in terms of the ISS score. Cost results The total medical costs were depicted graphically, whereas the actual values were not reported. The approximate values, as obtained from the graph, were Dfl 13,000 for the occupational therapy group, Dfl 8,700 for the physical therapy group, and Dfl 8,000 for the social work group. Synthesis of costs and benefits The incremental cost-effectiveness ratio of physical therapy compared with social work was Dfl (...) on to suggest that further studies were needed to examine the type of physical and occupational therapies used. Also, to identify appropriate measures to judge treatment progress and outcome. Source of funding None stated. Bibliographic details Oerlemans H M, Oostendorp R A, de Boo T, van der Laan L, Severens J L, Goris J A. Adjuvant physical therapy versus occupational therapy in patients with reflex sympathetic dystrophy/complex regional pain syndrome type I. Archives of Physical Medicine

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. Health technology Adjuvant physical therapy (PT) and occupational therapy (OT) alongside medical treatment in the treatment of patients with reflex sympathetic dystrophy (RSD). Type of intervention Treatment. Economic study type Cost-effectiveness analysis. Study (...) to be more cost-effective. Source of funding Supported by research grant from the National Health Insurance Board of The Netherlands. Bibliographic details Severens J L, Oerlemans H M, Weegels A J, van't Hof M A, Oostendorp R A, Goris R J. Cost-effectiveness analysis of adjuvant physical or occupational therapy for patients with reflex sympathetic dystrophy. Archives of Physical Medicine and Rehabilitation 1999; 80(9): 1038-1043 PubMedID Indexing Status Subject indexing assigned by NLM MeSH Adult; Aged

A comparison of physical therapy, chiropractic manipulation, and provision of an educational booklet for the treatment of patients with low back pain. There are few data on the relative effectiveness and costs of treatments for low back pain. We randomly assigned 321 adults with low back pain that persisted for seven days after a primary care visit to the McKenzie method of physical therapy, chiropractic manipulation, or a minimal intervention (provision of an educational booklet). Patients (...) with sciatica were excluded. Physical therapy or chiropractic manipulation was provided for one month (the number of visits was determined by the practitioner but was limited to a maximum of nine); patients were followed for a total of two years. The bothersomeness of symptoms was measured on an 11-point scale, and the level of dysfunction was measured on the 24-point Roland Disability Scale.After adjustment for base-line differences, the chiropractic group had less severe symptoms than the booklet group

A comparison of physical therapy, chiropractic manipulation, and provision of an educational booklet for the treatment of patients with lower back pain Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

, with social activity was 2.79, and with pain relief was 2.47 (p<0.001). Positive vales show decreased pain interference and increased pain relief. The mean change (reduction) in medications was: narcotic/analgesic, -0.277 (p<0.001); tranquillisers, -0.021 (p<0.05); muscle relaxants, -0.043 (p<0.01); nonsteroidal anti inflammatory drugs (NSAIDS), -0.088 (p=0.003); steroids, -0.016 (p=0.014). The percentage of mean change in other therapies was: physical therapy/occupational therapy (PT/OT), -55.8 (...) Long-term transcutaneous electrical nerve stimulation (TENS) use: impact on medication utilization and physical therapy costs Long-term transcutaneous electrical nerve stimulation (TENS) use: impact on medication utilization and physical therapy costs Long-term transcutaneous electrical nerve stimulation (TENS) use: impact on medication utilization and physical therapy costs Chabal C, Fishbain D A, Weaver M, Heine L W Record Status This is a critical abstract of an economic evaluation

the interpretability of the results. Source of funding None stated. Bibliographic details Przybylski B R, Dumont E D, Watkins M E, Warren S A, Beaulne A P, Lier D A. Outcomes of enhanced physical and occupational therapy service in a nursing home setting. Archives of Physical Medicine and Rehabilitation 1996; 77(6): 554-561 PubMedID Original Paper URL Indexing Status Subject indexing assigned by NLM MeSH Activities of Daily Living; Aged /physiology /psychology; Aged, 80 and over; Communication; Costs and Cost (...) Outcomes of enhanced physical and occupational therapy service in a nursing home setting Outcomes of enhanced physical and occupational therapy service in a nursing home setting Outcomes of enhanced physical and occupational therapy service in a nursing home setting Przybylski B R, Dumont E D, Watkins M E, Warren S A, Beaulne A P, Lier D A 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

The effect of physical therapy on respiratory complications following cardiac valve surgery The effect of physical therapy on respiratory complications following cardiac valve surgery The effect of physical therapy on respiratory complications following cardiac valve surgery Johnson D, Kelm C, Thomson D, Burbridge B, Mayers I 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. Health technology Physical therapy for the prevention of respiratory complications following cardiac valve surgery. Type of intervention Primary prevention. Economic study type Cost-effectiveness analysis. Study population All patients scheduled for cardiac valve surgery. Setting Hospital. The economic study was performed in Canada. Dates to which data relate Effectiveness

Cognitive behavioural therapy for medically unexplained physical symptoms: a randomised controlled trial. To examine the additional effect of cognitive behavioural therapy for patients with medically unexplained physical symptoms in comparison with optimised medical care.Randomised controlled trial with follow up assessments six and 12 months after the baseline evaluation.General medical outpatient clinic in a university hospital.An intervention group of 39 patients and a control group of 40 (...) to frequency of the symptoms (0.32; 0.13 to 0.77), limitations in social (0.35; 0.14 to 0.85) and leisure (0.36; 0.14 to 0.93) activities, and illness behaviour (difference -2.5; -4.6 to -0.5). At 12 months of follow up the differences between the groups were largely maintained.Cognitive behavioural therapy seems to be a feasible and effective treatment in general medical patients with unexplained physical symptoms.

Chest physical therapy management of patients with cystic fibrosis: a meta-analysis Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

section of the review. Bibliographic details Boyd S, Brooks D, Agnew-Coughlin J, Ashwell J. Evaluation of the literature on the effectiveness of physical therapy modalities in the management of children with cystic fibrosis. Pediatric Physical Therapy 1994; 6(2): 70-74 Other publications of related interest Sackett DL, Hayes RB, Guyatt GH, Tugwell P. Clinical epidemiology. A basic science for clinical medicine. 2nd ed. London: Little-Brown; 1991. Indexing Status Subject indexing assigned by CRD MeSH (...) Evaluation of the literature on the effectiveness of physical therapy modalities in the management of children with cystic fibrosis Evaluation of the literature on the effectiveness of physical therapy modalities in the management of children with cystic fibrosis Evaluation of the literature on the effectiveness of physical therapy modalities in the management of children with cystic fibrosis Boyd S, Brooks D, Agnew-Coughlin J, Ashwell J Authors' objectives To critically and objectively

Efficacy of electromyographic biofeedback compared with conventional physical therapy for upper-extremity function in patients following stroke: a research overview and meta-analysis Efficacy of electromyographic biofeedback compared with conventional physical therapy for upper-extremity function in patients following stroke: a research overview and meta-analysis Efficacy of electromyographic biofeedback compared with conventional physical therapy for upper-extremity function in patients (...) following stroke: a research overview and meta-analysis Moreland J, Thomson M A Authors' objectives To examine the efficacy of electromyographic (EMG) biofeedback compared to conventional physical therapy, for improving upper-extremity function in patients following a stroke. Searching MEDLINE was searched with the keywords 'electromyography', biofeedback' and 'cerebrovascular disorders'; CINAHL with the keywords 'biofeedback' and 'cerebrovascular accident'; and Dissertation Abstracts International