Personal view
Who needs chest physiotherapy? Moving from anecdote to evidence
Respiratory Unit,
Great Ormond Street Hospital for Children NHS Trust, London WC1N 3JH,
UK
Correspondence to: Dr Wallis. email: c.wallis@ich.ucl.ac.uk
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Introduction |
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"One case which I had was that of a newborn child with acquired atelectasis, which required my presence, or that of my assistant, for 24 hours. In such cases there is nothing, I believe, as efficacious as flagellation. I usually tell the attendant to take a rubber band and flip the soles of the feet whenever the child begins to tire of breathing."
Dr Sanders. In: Disturbances of respiration in the newborn. Transactions of the American Pediatric Society 1903;15:47.
At the beginning of this century, paediatrics was an art. Skills were
learnt from a mentor, picking up tips and anecdotes while standing at
your master's side. Now, as practitioners of child health in the final
years of this same century, life has changed. Anecdote and word of
mouth have lost credibility and are replaced by scientific scrutiny and
the rigour of evidence from carefully controlled and sufficiently
powerful trials.
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