Do not teach or have patients with acute or chronic respiratory diseases practice diaphragmatic breathing.
There are very limited evidences regarding the benefit of diaphragmatic breathing administered in order to improve the distribution of ventilation by reducing energy consumption, decrease dyspnea and increase exercise capacity. On the other hand, it has been shown...
Do not use ultrasound therapy for rotator cuff tendinopathy, ankle sprains and low back pain.
Some reviews show the ineffectiveness of therapeutic ultrasound in the treatment of these disorders. Its therapeutic efficacy on pain or functionality is not superior to placebo in rotator cuff tendinopathy, while in ankle sprains the effect is clinically negligible,...
Do not use specific exercises of selective strengthening of the vastus medialis obliquus (VMO) in patellofemoral pain syndrome.
Many studies have shown that it is not possible to selectively activate the vastus medialis obliquus (VMO) with respect to vastus medialis longus or even to vastus lateralis. At the same time, no correlation between vastus medialis symptoms and its level of strength...
Do not use continuous passive mobilization (CPM) devices for postsurgical treatment of knee ligament reconstructions or uncomplicated hip or knee arthroplasties.
Some systematic reviews and some recent randomized clinical trials highlight the ineffectiveness of continuous passive mobilization (CPM) in patients following total knee or hip prosthesis surgery or anterior cruciate ligament (ACL) reconstruction. The only studies...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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