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Synopsis: Four studies - three randomized trials and one nonrandomized trial - which investigated the effect of the addition of taping to physiotherapy versus physiotherapy alone in the treatment of subacromial impingement were included in this systematic review.Due to clinical heterogeneity, a meta-analysis was unable to be performed.For most outcome measures, including pain at rest, pain on movement, patient-reported disability, and range of motion, there was at least one study which provided data in support of taping versus control. Nonetheless, there was... Read More »
Author verified Level 2 Meta Analysis
8%
Synopsis: 69 patients with a closed, displaced clavicle fracture (Robinson type 2B) were randomized to surgery with open reduction and internal fixation with a plate, or two nonoperative treatment with an arm pouch sling.Patients were followed over 24-month follow-up for union, incidences of nonunion and malunion, complications, and function through the Constant score.Results demonstrated no significant differences in the rate of nonunion between groups, though time to union was significantly shorter in the plate group compared to sling group. Additionally, function at... Read More »
Level 2 RCT
8%
Synopsis: Eleven randomized controlled trials were included in this systematic review and meta-analysis which investigated the efficacy of trigger point dry needling for shoulder and upper extremity pain associated with myofascial trigger points.Two studies compared trigger point dry needling of active and latent trigger points to trigger point dry needling of active trigger points alone; meta-analysis demonstrated a greater reduction in pain and increase in pressure pain threshold among groups administered dry needling of both active and latent trigger points.Meta-analysis of these studies demonstrated no significant difference in increase in grip strength. Among the other... Read More »
Level 2 Meta Analysis
8%
Synopsis: 213 individuals, with a musculoskeletal complaint, chronic pain disorder, chronic fatigue, or common mental disorder, on medical benefits for a minimum of 8 weeks were included in this trial to determine if the addition of a booster telephone follow-up to an occupational rehabilitation program improved return to work.Return to work was defined as participation in competitive work for > or = 1 day per week on average over 8 weeks. The results of... Read More »
RCT
8%
Synopsis: 76 patients with a Rockwood type III acromioclavicular joint dislocation were randomized to either TightRope fixation or clavicular hook plate fixation.Patients were assessed over 1 year postoperatively.Constant-Murley score and coracoclavicular distance did not significantly differ between groups over the first year of follow-up.Pain scores were significantly lower in the TightRope group. However, three patients... Read More »
Level 2 RCT
4%
Synopsis: 26 patients who underwent median nerve repair were randomized to either receive sensory re-education with, or without the Sensor Glove System.The purpose of this study was to evaluate the efficacy of the Sensor Glove System in improving functional sensibility. The results at... Read More »
Level 2 RCT
4%
Synopsis: 96 patients who underwent arthroscopic rotator cuff repair were included in this study to determine the effects of a continuous bupivacaine subacromial infusion catheter.Pain and consumption of pain medications were compared between patients who were administered a bupivacaine catheter, a saline solution catheter and a control group with no catheter. The results suggest... Read More »
Author verified Level 2 RCT
4%
Synopsis: 59 patients (>18 years of age) who were diagnosed with mallet finger (with or without fracture) and who had undergone continuous splint/cast immobilization and hyper-extension intervention (6-8 weeks), were randomly assigned into 1 of 2 treatment groups to determine the effect of an additional one month of night splinting on extensor lag.Participants either received an additional one month intervention with a night splint following their continuous splinting period or received no additional intervention (control). Results from the... Read More »
Author verified Level 2 RCT
4%
Synopsis: 5 studies with a total of 222 patients (231 fractures) were included in this meta-analysis which aimed to evaluate two surgical treatment options for metacarpal fractures.Percutaneous pinning and open reduction-internal fixation with plate and screws were compared to evaluate which surgical intervention improved rate of complications, functional and radiological outcomes. The study determined... Read More »
Conference Report
4%
Synopsis: 184 patients were randomized to receive either an Early Rehabilitation Intervention (ERI) or a Brief Educational Intervention (BEI) for road traffic injuries.The goal of this study was to determine the best return to work or usual activities for patients of varying risk levels for mental health disorders. The results of... Read More »
Author verified Level 2 RCT