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4%
Synopsis: 28 patients who had suffered a distal radial fracture (DRFs) and were undergoing occupational therapy were randomized to either perform a 6-minute repetitive wrist extension exercise protocol, or to a rest period of the same length.The purpose of this study was to assess the immediate effect of the intervention protocol on grip strength and visual analogue scale (VAS) pain scores. Results demonstrated significant... Read More »
Level 2 RCT
4%
Synopsis: 58 patients with trigger finger were randomized to receive a single session of dry needling therapy or no intervention.Outcomes of interest included pain on a Visual Analog Scale (VAS), Disability of the Arm, Shoulder and Hand (DASH) score, pinch grip strength, A1 pulley thickness and tendon thickness.Follow up was performed 1 week after treatment. Results from this... Read More »
Level 2 RCT
4%
Synopsis: 70 patients with plantar fasciopathy were randomized to receive a self-dosed or pre-determined heavy-slow resistance exercise treatment program.The primary outcome of interest was the Foot Health Status Questionnaire (FHSQ) pain score.Secondary outcomes of interest included FHSQ function, footwear, and general health scores, the Global Rating of Change, plantar fascia thickness, exercise compliance, the Pain Self-Efficacy Questionnaire, the Patient Acceptable Symptom State, and the International Physical Activity Questionnaire (IPAQ, short version).Follow up was performed at 4 and 12 weeks post-operation. Results revealed no... Read More »
Level 2 RCT
2%
Synopsis: 79 patients (101 hands) who required treatment of idiopathic carpal tunnel syndrome were randomized to receive either endoscopic (ECTR) or palmar incision open carpal tunnel release (OCTR) to determine the effects of Okutsu-method ECTR on postoperative outcome.The results indicated that early improvements in muscle strength were achieved with the ECTR procedure, but with an elevated risk of exacerbation of subjective symptoms and nerve latency as a result of transient nerve dysfunction. The study demonstrated... Read More »
Level 2 RCT
2%
Synopsis: 30 patients who had suffered orthopaedic hand trauma were randomized to receive a standard rehabilitation programme or mirror therapy (MT) to determine its effect on short-term motor recovery and functional outcomes.Total active motion (TAM) and DASH scores were recorded at the end of the 3 week programs and then an additional 3 weeks post-intervention. The results suggested... Read More »
Level 2 RCT
2%
Synopsis: To compare two techniques in reducing edema, 30 patients with subacute hand/arm edema after a distal radius fracture were randomized to either receive modified Manual Edema Mobilization (MEM) approach or traditional edema treatment.After 9 weeks, both treatments had the same results in active range of motion (AROM), pain, and activities of daily living (ADL) and edema reduction. However, MEM needed... Read More »
Author verified Level 2 RCT
2%
Synopsis: Ten ACE Reports (all randomized controlled trials) were identified from the OrthoEvidence database assessing the efficacy of platelet-rich plasma (PRP) versus control in the treatment of rotator cuff tears.Result are presented for Constant scores, University of California (UCLA) scores, American Shoulder and Elbow Surgeons (ASES) scores, Simple Shoulder Test (SST) scores, Shoulder Pain and Disability Index (SPADI), Sugaya classification, and the incidence of retear.Qualitative descriptions were provided for Visual Analog Scale (VAS) pain scores and range of motion (ROM).The results indicated that PRP treatment provided favourable Constant scores and Simple Shoulder test at 12 months.Otherwise, the remaining poolable outcomes displayed similar results amongst treatment and control groups.Evaluations of ROM proposed a potential benefit of PRP in the short-term, although effects were primarily lost at longer follow-up (6-12 months).Tendon integrity and retear risk also did not appear to be improved with PRP. This review exhibited... Read More »
ACE Review
2%
Synopsis: 26 studies were included in this meta-analysis to determine the optimal treatment for stenosing flexor tenosynovitis (trigger finger) by comparing percutaneous release (11 studies), open surgery (8 studies) and corticoid steroid injections (7 studies).The chance of success with percutaneous was 94%, compared to 92% in open release group and only 65% for steroid administration group. Open surgery and... Read More »
Conference Report
2%
Synopsis: 47 office workers with chronic non-specific pain in the neck and shoulder region were randomized to investigate the efficacy of intensive scapular function training (SFT) on pain, pressure pain threshold, and strength.Patients were monitored over 10 weeks against a control. The evidence presented... Read More »
Author verified Level 2 RCT
2%
Synopsis: One hundred subjects, 52 shoulder impingement syndrome (SIS) patients and 48 asymptomatic patients, were randomized to receive thrust thoracic spine manipulation (TSM) or sham intervention.Patients were assessed before intervention and immediately after treatment.Results from the study demonstrated that patients with SIS had pain improved slightly from pre- to post-test, although the difference between those who received active and sham TSM was not statistically significant. Overall, difference in... Read More »
Author verified Level 2 RCT