(C) 2009 American Institute of Physics. [DOI: 10.1063/1.3117490]“
“Background: The effect of formal occupational therapy on recovery after open reduction and volar plate fixation of a fracture of the distal part of the radius is
uncertain. We hypothesized that PX-478 cost there would be no difference in wrist function and arm-specific disability six months after open reduction and volar plate fixation of a distal radial fracture between patients who receive formal occupational therapy and those with instructions for independent exercises.
Methods: Ninety-four patients with an unstable distal radial fracture treated with open reduction and volar locking plate fixation were enrolled in a prospective randomized controlled trial comparing exercises done under the supervision of an occupational therapist with surgeon-directed independent exercises. The primary study question
addressed combined wrist flexion and extension six months after surgery Secondary study questions addressed wrist motion, grip strength, Gartland and Werley scores, Mayo wrist scores, and DASH (Disabilities of the Arm, Shoulder and Hand) scores at three months and six months after surgery.
Results: There was a significant difference in the mean arc of wrist flexion and extension PD-1/PD-L1 Inhibitor 3 six months after surgery (118 degrees versus 129 degrees), favoring patients prescribed independent exercises. Three months after surgery, there was a significant difference in mean pinch strength (80% versus 90%), mean grip strength (66% versus 81%), and mean Gartland and Werley scores, favoring patients prescribed independent exercises. At six months, there was a.significant difference in mean wrist extension (55 degrees versus 62 degrees), ulnar deviation (82% versus 93%), mean supination (84 degrees versus 90 degrees), mean grip strength (81% versus 92%), and mean Mayo score, favoring patients prescribed independent exercises. There were no differences in arm-specific disability (DASH score) at any time point.
Conclusions: Prescription of formal occupational therapy
does not improve the average motion or disability score after volar locking plate fixation of a fracture of the distal part of the radius.”
“OBJECTIVE: To develop a brief, reliable screening questionnaire for chronic obstructive pulmonary disease (COPD) for PLX-4720 price use in primary care settings.
METHODS: We developed a COPD Screening Questionnaire (COPD-SQ) using data collected from 19800 subjects aged years obtained from an epidemiological study of COPD in China in 2002 (Phase I). A stepwise logistic regression method was adopted for item reduction and scoring. We then assessed the COPD-SQ through a cross-sectional study (Phase II) among 3231 subjects aged >= 40 years.
RESULTS: The final COPD-SQ consisted of seven items: age, smoking pack-years, body mass index, cough, dyspnoea, family history of respiratory diseases and exposure to biomass smoke from cooking.