1- Home-based therapy programmes for upper limb functional recovery following stroke
Objectives
To determine the effects of home-based therapy programmes for upper limb recovery in patients with upper limb impairment following stroke.
Authors’ conclusions
There is insufficient good quality evidence to make recommendations about the relative effect of home-based therapy programmes compared with placebo, no intervention or usual care.
2.Hospital at home for acute exacerbations of chronic obstructive pulmonary disease
Objectives
To evaluate the efficacy of hospital at home compared to hospital inpatient care in acute exacerbations of COPD.
Authors’ conclusions
Selected patients presenting to hospital emergency departments with acute exacerbations of COPD can be safely and successfully treated at home with support from respiratory nurses. We found evidence of moderate quality that hospital at home may be advantageous with respect to readmission rates in these patients. Treatment of acute exacerbation of COPD in hospital at home also show a trend towards reduced mortality rate when compared with conventional inpatient treatment, but these results did not reach statistical significance (moderate quality evidence). For other outcomes than readmission and mortality rate, we assessed the evidence to be of low or very low quality.
3. Inspiratory muscle training for the recovery of function after stroke
Objectives
To investigate the effect and safety of inspiratory muscle training for improving activities of daily living, respiratory muscle function, quality of life and cardiorespiratory fitness after stroke.
Authors’ conclusions
There is insufficient evidence to support inspiratory muscle training as an effective treatment to improve function after stroke, and no evidence relating to the safety of inspiratory muscle training. Further well-designed RCTs are required.
Objectives
The aim of this review was to systematically analyse the randomised, controlled trials that have evaluated the effectiveness of KL versus TL GCS as a thromboprophylaxis tool in hospitalised patients undergoing various types of surgery.
Authors’ conclusions
This review found that there is insufficient high quality evidence to determine whether or not KL and TL GCS differ in their effectiveness in terms of reducing the incidence of deep vein thrombosis (DVT) in hospitalised patients. A major multicentre RCT is required to address this issue. In the meantime, the decision on which type of stocking to use in clinical practice is likely to be influenced by factors such as patient compliance, ease of use and cost implications.
5. Physical training for asthma
Objectives
To gain a better understanding of the effect of physical training on the respiratory and general health of people with asthma, from randomised trials.
Authors’ conclusions
This review demonstrated that physical training can improve cardiopulmonary fitness and was well tolerated among people with asthma in the included studies. As such, people with stable asthma should be encouraged to partake in regular exercise training, without fear of symptom exacerbation
Les revues ont été sélectionnées par un comité de lecteurs indépendants.
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