Subacromial impingement syndrome effectiveness of physiotherapy and manual therapy

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Some of our Elf friends who are regular swimmers have been suffering from sore shoulders. One of them has been diagnosed as having subacromial impingement syndrome (SIS). In this blog, Tracey Howe considers a best evidence review on SIS effectiveness of physiotherapy and manual therapy.

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Cochrane review finds that acupuncture, acupressure, laser therapy and electrostimulation show little benefit for smoking cessation

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Despite being on the decline, smoking is still one of the largest causes of preventable morbidity and mortality in the world. According to recent World Health Organisation data, smoking directly kills around 5 million people every year.  The NHS spends almost £90 million on cessation efforts to combat the £5 billion treatment cost. Recent research [read the full story…]

CAM: Many of us are using it, despite poor evidence. Whats going on?

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Complementary and alternative medicine (CAM) therapies are often perceived to be as effective as conventional treatments, more “natural”, less expensive, have fewer side-effects and are easily available without a prescription. But do these perceptions match up with the reality? Can CAM therapies be helpful additions to conventional treatments? This alludes to an interesting sociological question [read the full story…]

Insufficient evidence for effects of non-pharmacological interventions for the relief of dry mouth

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It has been estimated that between 10-26% of men and 10-33% of women experience dry mouth. The subjective sensation of dry mouth is called xerostomia and can be found in people with normal salivary gland function. The normal range of salivary production ranges from 0.5 to 1.5 litres per day.  The aim of this Cochrane [read the full story…]

Interventions for drooling in children with cerebral palsy

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Drooling is a common problem for children with cerebral palsy (CP). Drooling varies in severity and can be distressing for the children, families and caregivers. It can cause chapped or sore skin around the mouth and chin, skin and mouth infections, dehydration, difficulties chewing and a range of other social issues.  The main aim of [read the full story…]

Evidence from systematic reviews and meta-analyses for the management of TMD (temporomandibular disorders)

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This aim of this review was to assess the methodological quality of published systematic reviews in the management of temporomandibular disorders (TMD). Medline, the Cochrane Library and Bandolier were searched for systematic reviews that focused on TMD management published in English, Swedish, or German. Two investigators evaluated the methodological quality of each identified systematic review using [read the full story…]

Limited evidence for acupuncture as a symptomatic treatment of TMD

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This systematic review looked at whether acupuncture is effective for the treatment of temporomandibular disorders (TMD). Searches were conducted in 13 databases, Medline, PubMed, The Cochrane Library, CINAHL, EMBASE, seven Korean Medical Databases and a Chinese Medical Database.  The authors looked for parallel or cross-over randomised controlled trials (RCTs) of acupuncture for TMD regardless of [read the full story…]