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18%
Synopsis: 25 patients (42 wrists) with mild or moderate carpal tunnel syndrome were randomized to receive one of three conservative therapies: ultrasound (US), cryo-ultrasound (cryo-US), or extracorporeal shock wave therapy (ESWT).The purpose of the study was to evaluate the efficacy of treatments in terms of carpal tunnel symptom relief, and determine if ESWT was more effective than the comparative treatments.ESWT resulted in significantly greater improvements to part 1 of the Levine-Boston questionnaire (for symptom severity) compared to US and cryo-US, but no difference in a VAS for pain, a VAS for parasthesia, or part 2 of the Levine-Boston questionnaire (for functional status) was observed between groups. All treatments were... Read More »
Author verified Level 2 RCT
18%
Synopsis: 41 patients scheduled for volar plate fixation of a distal radius fracture were randomized to two different methods for postoperative analgesia.In one group, patients were administered a pre-incision injection of bupivacaine, and then an injection of liposomal bupivacaine at the end of the procedure.In the other group, patients were administered a pre-incision injection of bupivacaine only.Patients were assessed for pain, analgesic consumption, and adverse events over the first 5 days after surgery. The only significant... Read More »
Author verified Level 2 RCT
9%
Synopsis: 87 patients (age range 18-65 years) having an acute mallet finger were randomized to be immobilized with a custom splint or a volar or dorsal splint. At the study conclusion, the volar, dorsal and custom splints all showed to be equally effective in treatment of acute mallet finger, showing no statistically significant difference in the primary outcome of functionality. Read More »
Author verified Level 2 RCT
9%
Synopsis: 200 patients of at least 50 years old, with joint pain assessed as >30 mm on a visual analogue scale (VAS), were randomized to study the efficacy of collagen hydrolysate (1200 mg/day) food supplement against a placebo group.Over the duration of 6 months, collagen hydrolysate group increased the number of clinical responders (i.e.improvement of at least 20% on the VAS) compared to placebo, without adverse events. Read More »
Author verified Level 2 RCT
9%
Synopsis: 257 patients with hand osteoarthritis were randomized to either receive joint protection therapy, hand exercise therapy, both joint protection and hand exercise therapy, or no therapy.The purpose of this study was to determine whether joint protection or hand therapy decreased hand pain and disability due to osteoarthritis over a period of 12 months.OMERACT-OARSI and responder criteria- composite score were assessed, as were patient-reported and nurse-reported outcomes.Primary outcome of OMERACT-OARSI responder criteria was not significantly different between any two groups at either 3-, 6-, or 12-month follow-up.Analysis of global assessment of change suggested a higher percentage of patients rated their condition as improved in joint protection groups (versus no joint protection groups at 6 months) and hand exercise groups (versus no hand exercise groups) based on separate group analysis.The intervention was not associated with any adverse events. Further work is... Read More »
Author verified Level 2 RCT
9%
Synopsis: The efficacy of bioactive collagen peptides (BCP) in comparison to a placebo was investigated in two randomized trials.Study 1 involved 160 athletes with activity-related knee pain and study 2 consisted of 182 patients with knee or hip pain with a mean age of 50.The studies were conducted in order to determine if pain and mobility were improved with the BCP treatment and whether BCPs have the potential to serve as a preventative treatment in the development of joint disease.In the first study, athletes treated with BCP reported significantly reduced activity-related pain in comparison to placebo.In the second study, patients treated with BCP displayed significantly reduced pain at rest and activity in comparison to a placebo group.The placebo groups in both studies experienced a large placebo effect.Further trials are needed to determine if BCP has a preventative effect on the development and progression of joint diseases. Read More »
Conference Report
9%
Synopsis: 109 patients with a moderate, dorsally displaced distal radius fracture (Colles') were randomized to two different conservative management protocols after closed reduction.One group was treated with plaster cast immobilization for 10 days followed by elastic bandaging, while the other group was treated with 1 month (range 4-5 weeks) of plaster cast immobilization. Radiographic results found... Read More »
Author verified Level 2 RCT
9%
Synopsis: 41 patients with multidirectional instability of the shoulder were randomized to rehabilitation with either 12 weeks of the Watson program, which included scapular retraining exercises prior to strengthening exercises, or the Rockwood program.Patients were assessed at 6, 12, and 24 weeks after study initiation for outcome on functional scores, satisfaction, strength, dislocation rate, and adverse event rate.Results on the Western Ontario Shoulder Index significantly favoured the Watson program group after 12 and 24 weeks, and results on the Melbourne Instability Shoulder Score significantly favoured the Watson program group after 24 weeks. Dislocation was recorded... Read More »
RCT
9%
Synopsis: 66 patients with plantar fasciitis were randomized to treatment with either dry needling or a corticosteroid injection.Patients were followed up for pain on a visual analog scale (VAS) from 3 weeks to 1 year after treatment.For the first 6 weeks after treatment, pain scores were significantly higher among patients treated with dry needling compared to corticosteroid injection.Pain scores at 3 and 6 months demonstrated no significant difference between groups. In contrast to... Read More »
Level 2 RCT
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