EVIDENCE Flashcards
Explain the evidence you would use for decreased ROM case studies treatment
Kim et al 2013
- Study to investigate the use of weight bearing exercises to improve strength and ROM in upper limb in female stroke patients
- 24 patients
- 2 groups (one WBE and one using free weights/other methods)
- exercises conducted 30 mins, 3x a week for 6 weeks
- included prone on elbows, quad (kneeling), sitting and standing
- Scores for WBG showed significant improvement, particularly in grasping power.
- showed weight-bearing exercise can be effective in improving the ability to perform upper extremity movements and grasping power and thus can be used in stroke rehabilitation
NICE guidelines 2022 craniotomy
- TBI injuries, patients should be taught strengthening and movement exercises ASAP
NICE guidelines 2022 Stroke
- stroke patients should be offered needs-based rehabilitation for at least three hours a day on at least five days of the week
Hasset 2023
- task specific and orientated tasks/goals are beneficial for the patient
- if strength 3/5 then strengthened with task specifity in mind
Explain evidence you would use to treat decreased chest expansion
Sum et al 2019
- explore the effect of incentive spirometers on lung function and pulmonary complication rates in patients with rib fractures
- 50 adults with traumatic rib fractures
- 24 undergoing incentive spirometer therapy and 26 in control group.
- using incentive spirometer 3-5 seconds before exhalation, ten times per hour, for at least 8 hours a day.
- 80% patients in control group developed pulmonary complications (atelectasis, pneumothorax), compared to 30% in incentive spirometer group.
- The use of incentive spirometry reduces pulmonary complications and improve pulmonary function tests in patients with rib fractures.
- cost effective
Explain evidence you would use to treat sputum retention
Zisi et al 2022
- Systematic review on evaluating the effectiveness of ACBT on pulmonary function-related outcome variables in patients with chronic respiratory diseases.
- 11 studies were included (some with bronchiectasis)
- Forced Expiratory Volume, sputum wet weight, forced vital capacity and peak expiratory flow rate.
- secondary = dyspneoa
- ACBT is effective in increasing the expectorated sputum volume, in reducing viscoelasticity of the secretion and in relieving symptoms such as dyspnoea.
Belli 2021
- pursed lip breathing showed effectiveness
NICE guidelines 2022
- obtain sputum sample for correct antibiotics
Bott et al
Postural drainage
what evidence is there to show postural drainage
- Bott et al 2009
postural drainage should be used in patients with secretions, but be aware of precautions when doing so.
what evidence is there to show pursed lip breathing
Belli 2021
what evidence is there to show mobilisation with respiratory acidosis
Bailey et al 2007
o To determine whether early activity is feasible and safe in respiratory failure patients.
o 103 patients in respiratory intensive care unit
We defined three activity events as:
o sit on bed.
o sit in chair.
o ambulate (walk)
o 69% patients were able to walk >100 feet at RICU discharge.
o Early activity is a candidate therapy to prevent or treat the neuromuscular complications of critical illness.
What evidence is there to show treatment THR
Kepp et al 2023
- systematic review of 16 studies showed that early mobilisation reduced length of stay, increased walking mobility, lower pain, increase strength in lower limb and reduced further joint complications
NICE guidelines 2023
- early mobilisation of THR beneficial and safe for patient
what evidence is there to assess decreased exercise tolerance
Zhang et al 2018
- compared 5STS, 30 STS and 6MW test in patients with COPD
- 5STS and 30 STS test had better predictions for exercise tolerance, but 5STS test was preferred by patients
- use borg scale prior and after
