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Hovelius et al. [10] found that immobilisation with the arm tied to the torso for 3 4 weeks following primary dislocation did not change the prognosis compared with immediate mobilisation, which may represent the true 'natural history', as no difference could be shown between the two treatment groups in their study.
Interventions 15 minutes of immobilisation or immediate mobilisation after insemination.
Objective To evaluate the effectiveness of 15 minutes of immobilisation versus immediate mobilisation after intrauterine insemination.
The corresponding rates in the immediate mobilisation group were 7%, 5%, and 5%.
One patient was randomised twice in the study: the first time she was allocated to immediate mobilisation.
As expecting that 15 minutes of immobilisation would perform worse than immediate mobilisation would not be logical, we used one sided statistical tests.
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Another study weakness was discrepancies in the group's follow-up, with the non-operative group unable to begin mobilising until 3 weeks post-injury compared with immediate post-operative mobilisation in the IMN group.
For patients with either operatively or non-operatively managed rupture of the tendo Achillis, does immediate weight-bearing mobilisation in an off-the-shelf orthosis improve functional outcomes over non-weight-bearing mobilisation?
Immediate initiation of mobilisation was considered high priority in all patients and comprised: 1. extensive sputum mobilisation 2. muscle training of the lower extremities which entailed dynamic quadriceps training by leg press (Figure 1), bed bike or squats from sitting position and 3. bed-to-chair mobilisation.
This paper presents the results of a pilot study designed to assess the safety of immediate weight-bearing mobilisation.
Postoperative care was the same for both groups of patients with early active mobilisation and immediate full weight bearing with a standardised physiotherapy rehabilitation regime.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com