1-Audit and feedback: effects on professional practice and healthcare outcomes
Objectives
To assess the effects of audit and feedback on the practice of healthcare professionals and patient outcomes and to examine factors that may explain variation in the effectiveness of audit and feedback.
Authors’ conclusions
Audit and feedback generally leads to small but potentially important improvements in professional practice. The effectiveness of audit and feedback seems to depend on baseline performance and how the feedback is provided. Future studies of audit and feedback should directly compare different ways of providing feedback.
2-Body positioning for spontaneously breathing preterm infants with apnoea
Objectives
To determine the effect of body positioning on cardiorespiratory functioning in spontaneously breathing preterm infants with clinically significant apnoea.
Authors’ conclusions
There is insufficient evidence to determine the role of body positioning on apnoea, bradycardia, oxygen desaturation and oxygen saturation. Large randomised controlled trials are needed to determine the effect of body positioning on cardiorespiratory function in spontaneously breathing preterm infants.
Objectives
To assess the effectiveness of electromechanical and robot-assisted arm training for improving generic activities of daily living, arm function, and arm muscle strength in patients after stroke. We will also assess the acceptability and safety of the therapy.
Authors’ conclusions
Patients who receive electromechanical and robot-assisted arm training after stroke are more likely to improve their generic activities of daily living. Paretic arm function may also improve, but not arm muscle strength. However, the results must be interpreted with caution because there were variations between the trials in the duration and amount of training, type of treatment, and in the patient characteristics.
4-Exercise and mobilisation interventions for carpal tunnel syndrome
Objectives
To review the efficacy and safety of exercise and mobilisation interventions compared with no treatment, a placebo or another non-surgical intervention in people with CTS.
Authors’ conclusions
There is limited and very low quality evidence of benefit for all of a diverse collection of exercise and mobilisation interventions for CTS. People with CTS who indicate a preference for exercise or mobilisation interventions should be informed of the limited evidence of effectiveness and safety of this intervention by their treatment provider. Until more high quality randomised controlled trials assessing the effectiveness and safety of various exercise and mobilisation interventions compared to other non-surgical interventions are undertaken, the decision to provide this type of non-surgical intervention to people with CTS should be based on the clinician’s expertise in being able to deliver these treatments and patient’s preferences.
5-Therapeutic touch for healing acute wounds
Objectives
To identify and review all relevant data to determine the effects of TT on healing acute wounds.
Authors’ conclusions
There is no robust evidence that TT promotes healing of acute wounds.
Les revues ont été sélectionnées par un comité de lecteurs indépendants.
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