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8%
Synopsis: Thirty patients who underwent anterior cruciate ligament reconstruction were randomized to receive either an 8-week contralateral neuromuscular knee exercise program (n=15) or routine physiotherapy (n=15).The primary outcomes of interest included the Star Excursion Balance Test (SEBT), Balance Error Scoring System (BESS), Stork Balance Stand Test, and the Lysholm questionnaire.The secondary outcome was pain on a Visual Analog Scale (VAS). The neuromuscular knee... Read More »
Author verified Level 1 RCT
8%
Synopsis: A total of 40 patients with Colles fracture were enrolled in a randomized controlled trial to compare the clinical efficacy of instant 3D printed casts versus polymer orthosis.The participants were randomly assigned to an observation group (treated with instant 3D printed cast; n=20) and a control group (treated with polymer orthosis; n=20).Both groups underwent manual reduction and external fixation.Outcome measures, including visual analogue scale (VAS), immobilization effectiveness and satisfaction scores, Disability of the Arm, Shoulder, and Hand (DASH) scores, complications, and imaging data, were assessed at various time points (before immobilization, 2, 6, and 12 weeks after the fracture).The results revealed that the VAS at 2 weeks, immobilization effectiveness and satisfaction scores at 6 weeks, and DASH scores at 2 and 6 weeks were significantly favorable in the observation group compared to the control group. The study concludes... Read More »
Level 1 RCT
8%
Synopsis: Twenty-one randomized controlled trials including 2004 patients with intertrochanteric femoral fractures were included in this systematic review and meta-analysis comparing rapid rehabilitation care vs.routine care.Pooled outcomes of interest included postoperative complications, wound infections, wound pain, and length of hospital stay.Pooled results indicated that rapid rehabilitation care significantly reduced postoperative complications, wound infections, and wound pain, and shortened the length of hospital stay compared to routine care. The findings suggest... Read More »
Level 1 Meta Analysis
8%
Synopsis: Five randomized controlled trials including 275 patients with 283 trigger digits were included in this systematic review and meta-analysis comparing ultrasound-guided tendon release vs.open surgical release.Pooled outcomes of interest included Quick Disability of Arm, Shoulder, and Hand (QDASH) scores, grip strength, Visual Analogue Scale (VAS) scores, days to return to normal activities, and days to stopping analgesia.The pooled results showed that ultrasound-guided release significantly improved QDASH scores within the first month and reduced the days required to return to normal activities.There were no significant differences in grip strength, VAS scores, full-digit flexion, and extension between the two groups. The findings suggest... Read More »
Level 1 Meta Analysis
8%
Synopsis: Thirty-three randomized controlled trials including 1154 patients with chronic ankle instability were included in this systematic review and meta-analysis comparing strength training, balance training, and a combination of both.Pooled outcomes of interest included self-reported function scores and dynamic balance measures.The combination of strength and balance training showed greater improvements in patient-reported outcomes compared to either intervention alone, with significant improvements in dynamic balance observed only in the balance training group. The findings suggest... Read More »
Level 1 Meta Analysis
3%
Synopsis: 1054 patients being treated for bone or joint infection at 26 UK centers were randomized in this non-inferiority trial to receive 6 weeks of oral antibiotic therapy (n=527) or 6 weeks of intravenous antibiotic therapy (n=527).The primary outcome of interest was the rate of definite treatment failure.Secondary outcomes of interest included the rate of treatment discontinuation, catheter complications, diarrhea caused by C.difficile, serious adverse events, length of hospitalization, and patient-reported outcomes (Oxford Hip and Knee Scores [OHS; OKS]; EuroQual-5Dimension scores [EQ-5D]).Outcomes were assessed at 6 weeks, 4 months, and 1 year follow-up.Oral antibiotics were found to be non-inferior to intravenous antibiotics with regards to the risk of definitive treatment failure.The incidence of early discontinuation of treatment and catheter complications, and length of hospitalization were significantly higher in the intravenous group, however, no differences in the incidence of diarrhea or serious adverse events were observed between the two groups. EQ-5D scores and... Read More »
Level 1 RCT
3%
Synopsis: 50 patients with subacromial pain syndrome were randomized to receive either physiotherapy plus a corticosteroid injection (PT+Injection; n=25) or physiotherapy alone (PT; n=25).Outcomes of interest included pain on a Visual Analog Scale (VAS), Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH), Shoulder Pain and Disability Index (SPADI), Western Ontario Rotator Cuff Index (WORC), global rating of change in pain and function, and the incidence of adverse events.VAS pain, DASH, and SPADI scores were significantly better in the PT + injection group at 3 and 6 months follow-up compared to the PT group.Similarly, WORC scores were significantly better in the PT + Injection group at 6 months compared to the PT group.All other outcomes were similar between the two groups. The addition of... Read More »
Level 1 RCT
2%
Synopsis: Sixty-two patients with adhesive capsulitis were randomized to receive either ultrasound-guided hydrodilatation with hyaluronic acid plus physical therapy (n=31) or physical therapy alone (n=31).The primary outcome of interest was the Constant score.Secondary outcomes included the Shoulder Pain and Disability Index (SPADI) score, numerical rating scale (NRS) for pain (at rest, night, and during motion), 36-item Short Form Health Survey (SF-36), and shoulder range of motion.Outcomes were assessed at baseline, 6 weeks, and 12 weeks post-intervention.Overall, the results of the study revealed that the group receiving ultrasound-guided hydrodilatation with hyaluronic acid showed significantly greater improvements in the Constant score, SPADI, and NRS scores compared to the physical therapy alone group. The findings suggest... Read More »
Level 1 RCT
2%
Synopsis: Eighty-two patients with stage 2 frozen shoulder were randomized to receive either manipulation under anesthesia (MUA) followed by physiotherapy (n=40) or physiotherapy alone (n=42).The primary outcome of interest was the Shoulder Pain and Disability Index (SPADI) score.Secondary outcomes included pain on a Numeric Rating Scale (NRS), range of motion (ROM), Oxford Shoulder Score, EuroQol 5-Dimensions (EQ-5D), Single Item Workability, Work-related questionnaire for upper extremity disorders (WORQ-UP), duration of symptoms, use of analgesics, number of repeated corticosteroid infiltrations, and number of complications.Outcomes were assessed at 1 month, 3 months, and 12 months.Overall, the results revealed that MUA led to a significantly greater improvement in SPADI scores and ROM at 3 months compared to physiotherapy alone.After 1 year, except for slightly better ROM scores for MUA, both groups showed similar outcomes. This suggests that... Read More »
Level 1 RCT
1%
Synopsis: 35 patients (40 knees) with patellar tendinopathy were randomized to receive open patellar tenotomy or eccentric strength training.While there was significant improvement in all patients for knee function scores over 12 months, the improvement did not differ significantly between the two groups. Additionally, there was... Read More »
Level 2 RCT