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Physiotherapy Interventions in The BTS Guidelines On The Management of Asthma (2011) : A Need For Change?
Physiotherapy Interventions in The BTS Guidelines On The Management of Asthma (2011) : A Need For Change?
Thorax: first published as 10.1136/thoraxjnl-2011-201418 on 18 December 2011. Downloaded from http://thorax.bmj.com/ on 7 December 2018 by guest. Protected by copyright.
CORRESPONDENCE
10
19
2
1
Systematic Reviews
Our search results
Updates to the British Thoracic Society
(no limits)
2005
2004
interventions has not been revised or
updated since the 2006 version.
recommendation
February 2006, with coverage in Medline
n/p
n/p
2006 and December 2010 and found 32
indexed as randomised controlled trials. In
the Cochrane Database of Systematic
statements
ACPRC, Association of Chartered Physiotherapists in Respiratory Care; BTS, British Thoracic Society; n/p, not provided; RCT, randomised controlled trial.
cited documents, with those updated in 2004
and 2005 and not quoted in the guideline.
3
n/p
n/p
n/p
A comparison of the contents of the BTS 2011 asthma guidelines and the BTS/ACPRC 2009 guidelines1
yClapping, vibrations, shaking (collectively termed manual therapies) and postural drainage, forced expiratory technique, directed coughing.
Association of Chartered Physiotherapists in
Respiratory Care (ACPRC) Guidelines for
Terminology; intervention (s)
SIGN (Scottish Intercollegiate Guidelines Network) key to evidence statements and grades of recommendations.
searched multiple databases (with date
limits ranging from May 2005 to January
2006) and their recommendations differ, to
some extent, from those provided in the BTS
guidelines. This causes some confusion as to
Insufficient evidence to support
or refute
1+
1+
1
Thorax: first published as 10.1136/thoraxjnl-2011-201418 on 18 December 2011. Downloaded from http://thorax.bmj.com/ on 7 December 2018 by guest. Protected by copyright.
the need for updating the guidelines, as the Medicine, Jagiellonian University, School of Medicine, REFERENCES
most recent studies cited in the guidelines are Cracow, Poland 1. British Guideline on the Management of Asthma.
dated for the year 2003. In our view, despite A National Clinical Guideline. British Thoracic Society,
Correspondence to Professor Roman Nowobilski,
the fact that its last searches were conducted Scottish Intercollegiate Guideline Network, June 2008.
Department of Medicine, Institute of Physiotherapy,
up to 2006, the joint BTS/ACPRC 2009 2011. http://www.sign.ac.uk/guidelines/fulltext/101/
Faculty of Health Sciences, Jagiellonian University,
index.html (accessed 2 Sep 2011).
guidelines remain in the international Cracow, Poland; roman.nowobilski@uj.edu.pl
2. Turner S, Paton J, Higgins B, et al. British guidelines
perspective the most reliable document for Competing interests None. on the management of asthma: what’s new for 2011?
asthma physiotherapy practice. Thorax 2011;66:1104e5.
Contributors MP, RN: research work project,
3. Bott J, Blumenthal S, Buxton M, et al; British Thoracic
publication search, writing of the manuscript; TW:
1 2 Society Physiotherapy Guideline Development Group.
Roman Nowobilski, Maciej Plaszewski, research work project; publication search; PG:
Guidelines for the physiotherapy management of the
Tomasz Wloch,3 Piotr Gajewski,4 manuscript compilation AS: research work project,
adult, medical, spontaneously breathing patient. Thorax
Andrzej Szczeklik4 manuscript compilation.
2009;64(Suppl I):i1e51.
1 4. Policy StatementdEvidence Based Practice.
Faculty of Health Sciences, Department of Medicine, Provenance and peer review Not commissioned;
Institute of Physiotherapy, Jagiellonian University, externally peer reviewed. World Confederation for Physical Therapy. 2011. http://
Cracow, Poland; 2Institute of Physiotherapy, Faculty of www.wcpt.org/policy/ps-EBP (accessed 13 Oct
Accepted 29 November 2011 2011).
Physical Education and Sport in Biala Podlaska,
Published Online First 18 December 2011 5. Robertson-Malt S. Non-medical management
University School of Physical Education, Warsaw,
Poland; 3Department of Rehabilitation, University School Thorax 2012;67:749e750. of asthma in adults. Int J Nurs Pract 2010;16:
of Physical Education, Cracow, Poland; 4Department of doi:10.1136/thoraxjnl-2011-201418 208e19.