Achilles tendon tears may not need surgery

A recent publication in the BMJ indicates that surgery and immobilisation have similar outcomes on Achilles tendon tears. The review examined 29 studies with a total of 15,862 patients. The authors report that risk of re-rupture following surgery was 2.3%, whereas risk of re-rupture following immobilisation with specialised boot or cast was only slightly higher at 3.9%. Read more

Effects of maternal caffeine consumption on the breastfed child

The authors of this systematic review identified 5 papers for their narrative synthesis. They report that maternal chocolate and coffee might be associated with increased infant colic and atopic dermatitis, although it remains unknown whether caffeine is a causative agent. They note that the quality of the studies reviewed was variable, and that evidence for any recommendations therefore remains scant and and inconclusive. Read more

Pilot study exploring manual therapy on the diaphragm for asthmatic patients

This small study of 32 patients explored the effect of diaphragmatic stretching on some measures of asthmatic function, including respiratory pressures, rib-cage excursion, and spinal mobility. The authors found an increase in maximum inspiratory pressure 5 minutes after treatment, and increased flexibility and mobility of the rib-cage 20 minutes after treatment. Read more