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Therapeutics
Review: early mobilisation may be better than bed rest for medical conditions and after surgery

https://doi.org/10.1136/ebm.5.3.76

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    (1999) Lancet 354, 1229. Allen C, Glasziou P, Del Mar C.. Bed rest: a potentially harmful treatment needing more careful evaluation.. Oct 9;. :. –33.
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 QUESTION: Is bed rest as effective as early mobilisation for patients with medical conditions or after health care procedures?

    Data sources

    Randomised controlled trials (RCTs) were identified by searching Medline and the Cochrane Library (1966 to June 1998) with terms related to bed rest (bed rest, bedrest, recumben [with various endings], expectant, and rest) and its opposite (early ambulat [with various endings], early activation, and early discharge). Personal files and bibliographies of relevant studies and review articles were also checked.

    Study selection

    Studies were selected if groups were studied in the same environment; treatments were the same except for the amount of bed rest prescribed; and treatments included drugs, surgery, or physical therapy but not education or advice.

    Data extraction

    Data were extracted on procedures (lumbar puncture, spinal anesthesia, radiculography, cardiac catheterisation, skin graft for …

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    Footnotes

    • Source of funding: no external funding.

    • For correspondence: Dr P Glasziou, Centre for General Practice, Graduate School of Medicine, University of Queensland, Herston, Queensland 4006, Australia. Fax +61 7 336 55442.