• Computer use in school: its effect on posture and discomfort in schoolchildren.

      Kelly, Grace; Dockrell, Sara; Galvin, Rose; Department of Physiotherapy, School of Medicine, Trinity Centre for Health Sciences, Trinity College Dublin, Ireland. (2009)
      The aim of the study was to investigate the posture and musculoskeletal discomfort of secondary school students while working at computers in school. Students (n = 40) were observed while working at a computer during their designated computer class. The Rapid Upper Limb Assessment Tool (RULA) was used to assess posture. A Body Discomfort Chart (BDC) and Visual Analogue Scale (VAS) were used to record the area(s) and intensity of musculoskeletal discomfort, if any, experienced by the students at the beginning and end of the computer class. None of the students' posture was in the acceptable range (Action Level 1) according to RULA. The majority (65%) were in Action Level 2, 30% were in Action Level 3, and 5% were in Action Level 4. There was a statistically significant increase in reported discomfort from the beginning to the end of the computer class. Longer class length (80 minutes) did not result in greater reporting of discomfort than shorter class length (40 minutes).
    • Efficacy of a single ultrasound-guided injection for the treatment of hip osteoarthritis.

      Atchia, Ismaël; Kane, David; Reed, Mike R; Isaacs, John D; Birrell, Fraser; Northumbria Healthcare NHS Foundation Trust, Ashington, Northumberland, UK. ish@doctors.org.uk (Annals of the rheumatic diseases, 2011-01)
      Intra-articular injection is effective for osteoarthritis, but the best single injection strategy is not known, nor are there established predictors of response. The objectives of this study were to assess and predict response to a single ultrasound-guided injection in moderate to severe hip osteoarthritis.
    • Exercise and manual physiotherapy arthritis research trial (EMPART): a multicentre randomised controlled trial.

      French, Helen P; Cusack, Tara; Brennan, Aisling; White, Breon; Gilsenan, Clare; Fitzpatrick, Martina; O'Connell, Paul; Kane, David; Fitzgerald, Oliver; McCarthy, Geraldine M; et al. (BMC musculoskeletal disorders, 2009)
      Osteoarthritis (OA) of the hip is a major cause of functional disability and reduced quality of life. Management options aim to reduce pain and improve or maintain physical functioning. Current evidence indicates that therapeutic exercise has a beneficial but short-term effect on pain and disability, with poor long-term benefit. The optimal content, duration and type of exercise are yet to be ascertained. There has been little scientific investigation into the effectiveness of manual therapy in hip OA. Only one randomized controlled trial (RCT) found greater improvements in patient-perceived improvement and physical function with manual therapy, compared to exercise therapy.
    • Randomized controlled trial of oral vs intravenous therapy for the clinically diagnosed acute uncomplicated diverticulitis.

      Ridgway, P F; Latif, A; Shabbir, J; Ofriokuma, F; Hurley, M J; Evoy, D; O'Mahony, J B; Mealy, K; Department of Surgery, Wexford General Hospital, Ireland. p.ridgway@imperial.ac.uk (Colorectal disease : the official journal of the Association of Coloproctology, 2009-11)
      Despite the high prevalence of hospitalization for left iliac fossa tenderness, there is a striking lack of randomized data available to guide therapy. The authors hypothesize that an oral antibiotic and fluids are not inferior to intravenous (IV) antibiotics and 'bowel rest' in clinically diagnosed acute uncomplicated diverticulitis.