Results of an outpatient multidisciplinary COPD rehabilitation programme obtained in two settings: primary and secondary health care.

Background And Aims: There is limited experience with implementation of chronic obstructive pulmonary disease (COPD) rehabilitation in primary care settings. We aimed to evaluate the implementation of a COPD rehabilitation programme in a primary care setting and compare the effects with those obtained in a secondary health-care setting.

Materials And Methods: The same outpatient multidisciplinary 7-week rehabilitation programme was implemented in a primary (day care nursery) and a secondary (hospital) health-care setting.

Treatment of myofascial trigger-points with ultrasound combined with massage and exercise--a randomised controlled trial.

The effect of treatment with ultrasound, massage and exercises on myofascial trigger-points (MTrP) in the neck and shoulder was assessed in a randomised controlled trial. The outcome measures were pain at rest and on daily function (Visual Analogue Scale, VAS), analgesic usage, global preference and index of MTrP. Long-term effect for treatment and control groups was assessed after 6 months using a questionnaire.