service access paradox', it is noted that disadvantaged or marginalised families who could potentially derive considerable benefits from being involved in early childhood services may be the least likely to attend such services (Carbone, Fraser, Ramburuth & Nelms, 2004; CCCH, 2010; McDonald, 2011). Families experiencing high levels of disadvantage are often described in the literature as 'hard to reach'. These families may be reluctant to access support services because of cynicism or lack of awareness of the value of

This review provides a methodologic evaluation of the evidence for using SMT with and without other therapies in the management of COPD. While the quality of the evidence provided by three RCTs was high, they were all conducted on small sample sizes. These results highlight the need for further research into the use of SMT in conjunction with exercise on people with COPD.

No abstract

No abstract