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PHYS THER
Vol. 74, No. 1, January 1994, pp. 15-16

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Jackie A Thomas and John M McIntosh

This excerpt was created in the absence of an abstract.

In the commentary, Dr Dean questions the basis for the conclusions reached in our article based on the methodological problems of the source studies used in the meta-analysis, as well as heterogeneity within the analysis.

We concur with the view that body positioning and mobilization potentially have much value, and that is why they characterize much of the usual postoperative care and protocol delivered by physical therapists (vide infra) and other health professionals working in the perioperative setting. Quantification of the stimuli that will or may alter ventilation/perfusion patterns in the initial postoperative recovery will provide a substantial challenge for most investigators, given the numerous brief disturbances and events that occur around the patient.

The minimal methodological standard acceptable for this analysis was "randomized trials."...


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Invited Commentary
Elizabeth Dean
Physical Therapy 1994 74: 10-15. [Abstract] [PDF]

Are Incentive Spirometry, Intermittent Positive Pressure Breathing, and Deep Breathing Exercises Effective in the Prevention of Postoperative Pulmonary Complications After Upper Abdominal Surgery? A Systematic Overview and Meta-analysis
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Copyright © 1994 by the American Physical Therapy Association.