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You are viewing the most viewed ACE Reports by Sports Medicine Specialists over the last 30 days in all specialties.
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①
Synopsis:
Sixty-four patients with de Quervain's tenosynovitis were randomized to receive a local injection of ketorolac (n=31) or triamcinolone acetonide (n=33).Outcomes of interest included pain scores on a Visual Numeric Rating Scale (VNRS), the Disabilities of the Arm, Shoulder and Hand (DASH) score, grip strength and pinch strength, and the need for additional injection, assessed at 6 weeks follow up.The results revealed superior pain scores, DASH scores, and grip strength outcomes in the triamcinolone group vs.the ketorolac group. The need for...
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Level 1 RCT
6%
①
Synopsis:
8 randomized controlled trials containing a total of 444 patients with chronic plantar fasciitis were included in this meta-analysis comparing dextrose prolotherapy to other interventions, such as exercise, platelet-rich plasma injection, and extracorporeal shockwave therapy.The pooled outcomes of interest included pain on a Visual Analog Scale (VAS), the Foot Function Index (FFI), the American Orthopaedic Foot and Ankle Society score (AOFAS), and plantar fascia thickness.Dextrose prolotherapy provided a significantly greater reduction in plantar fascia thickness vs.comparators, as well as a greater improvement in foot function in the first 6 months.Whilst overall pooled pain scores were not different between groups, dextrose prolotherapy demonstrated significantly better pooled pain scores vs. nonactive interventions such...
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Level 1 Meta Analysis
6%
①
Synopsis:
In this meta-analysis, eleven randomized controlled trials comparing the efficacy of pilates exercise on pain and disability against other forms of exercise in patients with chronic non-specific low back pain were assessed.Outcomes of interest were pain and function.Subgroup analyses of general exercise and direction-specific exercise on pain favored the pilates group whereas, no differences were apparent between groups when considering spinal stabilization exercises for pain. Additionally, both groups...
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Level 1 Meta Analysis
3%
①
Synopsis:
Thirty patients with partial-thickness tears of the supraspinatus tendon were randomized to receive a platelet-rich plasma injection (n=15) or corticosteroid injection (n=15).The primary outcome of interest was tear size.The secondary outcome of interest was functional outcomes, measured with the American Shoulder and Elbow Surgeons (ASES) score and the Constant Murley (CM) score.Outcomes were measured at 6 months post-injection.The improvement from baseline in tear size at 6 months in the coronal and sagittal views was significantly greater in the platelet-rich plasma group. Similarly, ASES and...
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Level 1 RCT
3%
①
Synopsis:
30 patients who underwent an anterior cruciate ligament (ACL) reconstruction were randomized to receive rehabilitation plus weekly radial extracorporeal shockwave therapy (ESWT; n=15) or rehabilitation alone (n=15).Outcomes of interest included Lysholm score, the International Knee Documentation Committee (IKDC), Tegner scores, anterior tibial translation, and graft maturation as measured by the signal-to-noise quotient on MRI.Patients who received ESWT reported significantly greater graft maturation and superior clinical function scores (Tegner; Lysholm) vs. the rehabilitation-only group...
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Level 1 RCT
3%
①
Synopsis:
5 randomized controlled trials with a total of 268 patients with low back pain were included in this systematic review and meta-analysis assessing the effectiveness of visceral osteopathy manipulation.Pooled outcomes of interest included pain, disability and physical function.The results of all primary outcome analyses found no benefit of visceral osteopathy for pain, disability, and physical function vs.control.In the subgroup analysis by intervention, visceral osteopathy in isolation provided a significant benefit in pain, but there was a limited number of studies and an imbalance in sample sizes between the included groups. More studies are...
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Level 1 Meta Analysis
3%
①
Synopsis:
54 patients of a broad age range with chronic Achilles tendinopathy were randomized to receive either a platelet-rich plasma injection or saline (placebo).The results of 1 year follow-up indicated that both groups displayed no significant differences in Victorian Institute of Sports Assessment-Achilles scores or ultrasonographic tendon structure. Additionally, majority of...
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Level 1 RCT
3%
①
Synopsis:
One hundred and fifty-four patients receiving high-dose glucocorticoid therapy who were at risk of osteonecrosis of the femoral head were randomized to receive a single session of high-energy focused extracorporeal shockwave therapy (n=75) or control (n=79), in addition to 6 weeks of pharmaceutical intervention (alendronate sodium; Chinese herbal medicine).Outcomes of interest included Visual Analog Scale (VAS) pain scores and Harris Hip Score (HHS) in the left and right hips, the incidence of osteonecrosis of the femoral head, and adverse events, all measured at 3, 6 and 12 months post-treatment.Results demonstrated that high-energy extracorporeal shockwave therapy significantly improved hip function at 6 and 12 months follow-up and reduced the incidence of osteonecrosis vs.
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Level 1 RCT
3%
①
Synopsis:
71 women with patellofemoral pain were randomized to receive a strength training program (n=36) or strength training plus neuromuscular training (n=25) for 3 months.The primary outcomes of interest were pain, function, and knee kinematics.The secondary outcome of interest was muscular strength and patient satisfaction.Outcomes were assessed after the completion of the 3-month treatment plan. Whilst improvements were...
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Level 1 RCT
3%
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Synopsis:
3 randomized trials with a total of 370 patients with lateral epicondylitis were included in this systematic review and meta-analysis exploring the effectiveness of electrophysiotherapy modalities (transcutaneous electrical nerve stimulation [TENS]; extracorporeal shockwave therapy [ESWT]).Outcomes of interest included pain and function.Pooled pain and function from 2 randomized trials found no benefit of ESWT compared to non-active control.1 study on TENS found no benefit at 12 months for pain or tennis elbow scores. More studies are...
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Level 1 Meta Analysis