Research Review of SARAH from PEDro

01/27/20 • 22 min

PEDro stands for Physiotherapy Evidence Database, It’s a free database of over 45,000 randomised trials, systematic reviews and clinical practice guidelines in physiotherapy. For each trial, review or guideline, PEDro provides the citation details, the abstract and a link to the full text, where possible. All trials on PEDro are independently assessed for quality. These quality ratings are used to quickly guide users to trials that are more likely to be valid and to contain sufficient information to guide clinical practice. PEDro is produced by the Institute for Musculoskeletal Health, School of Public Health at the University of Sydney and is hosted by Neuroscience Research Australia. And did we mention... this is free?! Find PEDro at https://www.pedro.org.au/ Now To celebrate PEDro’s 20th birthday they’ve have identified the five most important randomised controlled trials in physiotherapy published in the last 5 years. These trials were nominated by PEDro users, and an independent panel of international trialists judged the nominations received. Now YOU get to take advantage of hearing a little more about these standout pieces of work... by the people who created them. In this episode we talk to Professor for Health Innovation at the University of Exeter Sallie Lamb about SARAH, or Strengthening and Stretching for Rheumatoid Arthritis of the Hand Trial (SARAH) Trial Team It appeared in Lancet 2015 Jan 31;385(9966):421-429. https://www.youtube.com/watch?v=O69MRinEw_Q&feature=emb_logo More about Sallie Lamb. Sallie has a long-standing interest in clinical trials, medical statistics and, rehabilitation of musculoskeletal and chronic conditions in older people. She works with clinicians to develop pragmatic clinical trial designs to capture the effectiveness and cost-effectiveness of a variety of health interventions. She is the Chief Investigator for a number of trials of rehabilitation interventions. Disease-modifying biological agents and other drug regimens have substantially improved control of disease activity and joint damage in people with rheumatoid arthritis of the hand. However, commensurate changes in function and quality of life are not always noted. Tailored hand exercises might provide additional improvements, but evidence is lacking. We estimated the effectiveness and cost-effectiveness of tailored hand exercises in addition to usual care during 12 months. We have shown that a tailored hand exercise program is a worthwhile, low-cost intervention to provide as an adjunct to various drug regimens. Maximisation of the benefits of biological and DMARD regimens in terms of function, disability, and health-related quality of life should be an important treatment aim. Improvements in overall hand function were 36 points (95% CI 15 to 57) in the usual care group and 79 points (60 to 99) in the exercise group (mean difference between groups 43, 95% CI 15 to 71; p = 0.0028). Pain, drug regimens, and health-care resource use were stable for 12 months, with no difference between the groups.

Previous Episode

Steve Gleason Congressional Gold Medal Acceptance #NoWhiteFlags

Steve Gleason was given the Congressional Gold Medal, and that is a big deal.

We get to hear Steve accept his award in his own words, in his own voice. And that is a major reason that he’s being given this award.

Steve created and pushed through the Steve Gleason Enduring Voices act which made sure that persons with degenerative diseases would have access to Speech Generating Devices. Quite literally making sure that people living with ALS and other diseases never lose their voice.

Only 163 people in American history have been given this award and Steve is the first former NFL player to receive it. You might know him as a former football player that blocked a punt against the Falcons, but the reason you get a medal like this is because you put your head down and focus on a singular vision. And Steve and his team have done just that making sure persons with living with ALS and their families lead productive and purposeful lives.

Drew Brees spoke about is friend and former teammate at the ceremony in Washington D.C. Drew’s message was about watching Steve turn tragedy into triumph on the field, but most importantly off of the field.

If you hear this and are moved by his words and his Team we ask you to do all or some fo these three things:

1 – Donate to his organization @ TeamGleason.org

2 – Watch his Documentary, “Gleason.” It’s on Amazon and if you have prime it’s FREE!

3 – Follow them on social media to see and maybe join their TEAM helping those with ALS and their families live better lives.

On Instagram: @TeamGleason

On Twitter: @TeamGleason

“Finding ways to make life meaningful and purposeful and rewarding, doing the activities that you love and spending time with the people that you love – I think that’s the meaning of this human experience.” -SG

Next Episode

CSM Cardio Pulmonary Presentation Preview – with Ellen Hillegass and Kayla Black

We talked to Ellen Hillegass and Kayla Black about all things CSM Cardio Pulmonary presentations.

Ellen is presenting with Kayla in a preconference event:

CP-1544 – Advanced Clinical Practice in Cardiopulmonary Physical Therapy: Are You Practicing Best Practice?

As well as twice more during the conference

CP-1576 – Cardiovascular and Pulmonary Residency Forum: Interesting Case Studies Presented By Residents

CP-1754 – Pulmonary Hypertension: What, Who, Why, How, When?

In this episode we cover:

Advanced clinical practice: that is where we want all clinicians to aspire to!

Pulmonary hypertension: much more prevalent...people need to understand it

Cardiopulmonary Residency: helps raise practice, case studies will help those studying for boards and trying to advance their clinical knowledge and the residents have an opportunity to present at a national conference!

Most of our PT patients have SOME sort of cardiopulmonary dysfunction and all practitioners need to address this area of PT clinical practice.

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