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7%
Synopsis: 222 patients with femoroacetabular impingement were randomized to either arthroscopic surgery or to a tailored physiotherapy program.The purpose of this study was to compare functional scores, quality-of-life scores, and incidence of complications between the two groups at 8-month follow-up.Results for the primary outcome measure, the Hip Outcome Score Activities of Daily Living (HOS ADL), demonstrated significantly higher scores in the arthroscopy group compared to the PT group at 8 months.Most secondary outcomes of changes in function and QoL scores significantly favoured the arthroscopy group as well.Crossover from the PT group to arthroscopy was recorded in 6 patients. Three complications, including... Read More »
Level 2 RCT
6%
Synopsis: 29 studies were included in this meta-analysis comparing operative and non-operative treatment for acute Achilles tendon ruptures.The primary outcome of interest was the rate of re-rupture.Secondary outcomes included the rate of complications, functional outcomes, time to return to sports and time to return to work.The results revealed a significantly lower rate of re-rupture, but a higher rate of complications, in the operative group compared to the non-operative group.Similar findings to the primary analyses were observed in the sensitivity analyses based on early and late weight bearing status, high quality studies and studies conducted after the year 2000.There were no significant differences in re-rupture rate in studies utilizing accelerated functional rehabilitation. There was no... Read More »
Level 1 Meta Analysis
6%
Synopsis: 45 patients with acute lateral epicondylitis were randomized to treatment with either a counterforce brace or a placebo brace.The purpose of this study was to compare outcomes of pain and function between the two types of braces.The primary outcome was frequency of pain on activity.Important secondary outcomes included severity of pain on activity, frequency and severity of pain at rest, and overall impression of elbow function.Follow-up was scheduled for 2 weeks, 6 weeks, 12 weeks, and 26 weeks.Final follow-up continued to an average of 3 years.For pain during activity, no significant differences between groups were reported for either frequency or severity over follow-up, though improvement from baseline was significant in both groups after 26 weeks and 3 years. For pain at... Read More »
Conference Report
6%
Synopsis: 12 studies were included in this meta-analysis, comparing pulsed electromagnetic field (PEMF) therapy to sham therapy for the treatment of osteoarthritis (OA).The outcomes of interest in included pain, function, and adverse events.The pooled results found significantly improved pain and function among PEMF groups compared to sham groups.More specifically, the improvement in pain and function was observed in the treatment of knee and hand OA; no significant differences were observed between PEMF and sham groups for the treatment of cervical OA. There were no... Read More »
Level 1 Meta Analysis
5%
Synopsis: 90 patients with mild to moderate knee osteoarthritis (Kellgren-Lawrence grade I-II) were randomized to receive either a low intensity, long duration ultrasound device or a sham ultrasound device.Treatment was administered daily for 6 weeks.Outcome measures included pain on a numeric rating score (NRS pain), pain, stiffness, and function scales of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), range of motion in flexion and extension, and strength in flexion, extension, and rotation.Results after 6 weeks demonstrated significantly greater improvement from baseline in the US group compared to the sham group for NRS pain, WOMAC pain, WOMAC stiffness, and WOMAC function scales. Differences between groups... Read More »
Level 1 RCT
4%
Synopsis: 90 patients with plantar fasciitis were randomized to one of three injection options: platelet rich plasma, corticosteroid (methylprednisolone), or placebo.Patients were assessed for outcome related to pain on a visual analog scale and function on the Roles and Maudsley score from 1 week to 18 months post-injection. At 1 week,... Read More »
Level 1 RCT
4%
Synopsis: 50 patients with subacromial pain were randomized to subacromial injection through a midlateral or posterior approach using anatomical landmarks.The primary outcome was rate of intrabursal injection, measured on radiograph using contrast medium administered with injection.Secondary outcomes included pain and shoulder function at 30 minutes after injection. Results demonstrated a... Read More »
Level 2 RCT
2%
Synopsis: 8 studies were included in this meta-analysis comparing proprioceptive and injury outcomes in athletes who received balance training vs.athletes who received no balance training.The primary outcome of interest was the incidence of ankle sprains.Pooled results demonstrated a significant reduction in the incidence of ankle sprain among groups which received balance training compared to groups which did not.Further studies should be considered to examine the effects of balance training separately in athletes with ankle sprain and athletes without ankle sprain. Read More »
Level 2 Meta Analysis
1%
Synopsis: 100 patients scheduled for total hip arthroplasty were randomized to either a direct anterior approach or a direct lateral approach.Patients were assessed for early and midterm outcomes with respect to pain, function performance, and patient-reported functional measures, as well as the incidence of complications.Results demonstrated significant advantages of the direct anterior approach relative to the direct lateral approach with respect to pain and narcotic consumption 2-3 days after surgery, functional performance at 3 days after surgery, and patient-reported function at 8 weeks after surgery. Nonetheless, midterm outcome... Read More »
Level 2 RCT
1%
Synopsis: 182 patients scheduled for total knee arthroplasty were randomized to either perioperative intravenous dexamethasone administration, including one dose preoperative and subsequent doses at 24 and 48 hours afterward, to a single preoperative intravenous dexamethasone infusion, or to no dexamethasone administration.Patients were assessed for pain scores, analgesic consumption, incidence of postoperative nausea and vomiting, antiemetic use, and the incidence of complications. Results demonstrated that... Read More »
Level 2 RCT