This awareness may have modified the staff’s usual approach to care such that the results may not be reflective of what would usually happen outside the study period. In summary,

there is a non-linear association between mobility impairment and falls risk. Residents requiring supervision were found to be at greater risk of falling than those who were non-ambulant or independent. The increased risk in residents with mild mobility impairment suggests that these CSF-1R inhibitor residents should be the prime target for fall prevention strategies. Ethics: The University of Queensland Medical Research Ethics Committee approved this study. All participants gave written informed consent before data collection began. Where residents were unable to provide consent due to cognitive or physical impairment, consent was sought from a family member or Compound Library research buy guardian. Competing interests: Dr Terry Haines is the director of Hospital Falls Prevention Solutions Pty Ltd, through which capacity he has provided consultation services and expert testimony for Minter Ellison law firm. However, he has not provided consultation services to residential aged care facilities and his expert testimony did not concern the aged care facility setting.

Terry also assists with statistical advice and the development of papers for the Journal of Physiotherapy. Support: Nil. Acknowledgements: This project would also not have been possible if it were not for the generous goodwill of the many staff of the participating residential aged care facilities. Their efforts to accommodate and facilitate the research activities were fundamental to the successful completion of the research. “
“Summary of: Holmgren A et al (2012) Effect of specific exercise strategy on need for surgery on patients with subacromial impingement syndrome: randomised controlled study. BMJ 344: e787. [Prepared by Nicholas Taylor, CAP Editor.] Question: Does a specific exercise program improve shoulder function more than non-specific exercises

in patients with subacromial impingement? Design: Randomised, controlled trial with concealed during allocation and blinded outcome assessment. Setting: University hospital in Sweden. Participants: Patients aged 30 to 65 years with subacromial impingement syndrome of at least 6 months duration, and on the waiting listing for surgery were included. Key exclusion criteria included previous shoulder fractures, and frozen shoulder. Randomisation of 102 participants allocated 52 to the intervention exercise group and 50 to a control exercise group. Interventions: Both groups received a subacromial corticosteroid injection at inclusion and commenced exercises 2 weeks later. Both groups visited a physiotherapist 7 times over 10 weeks and were prescribed home exercises for 12 weeks.