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Synopsis: 52 recreational athletes with chronic Achilles tendinopathy symptoms, on an eccentric exercise (EE) regimen, were randomized to receive an 8 week treatment with either a low-level laser therapy (LLLT) or a placebo LLLT.LLLT use in this study has been found to accelerate the clinical recovery in chronic Achilles tendinopathy when added to the EE regimen. The LLLT treatment... Read More »
Author verified Level 2 RCT
5%
Synopsis: 40 patients presenting with non-insertional Achilles tendinopathy were randomized to receive standard physical therapy with or without topical glyceryl trinitrate (GTN) treatment.Follow-up at 6 months indicated both groups made significant improvements; however, there were no differences between groups for ankle osteoarthritis scale (AOS) scores. There were also... Read More »
Level 2 RCT
5%
Synopsis: 60 patients with anterior shoulder dislocation requiring nonsedated reduction were randomized to undergo the Milch technique or Stimson technique.The results of the study indicate that the success rate and time to achieve reduction without sedation were superior for the patients that underwent the Milch technique when compared with the patients that underwent the Stimson technique. The Milch technique... Read More »
Level 2 RCT
5%
Synopsis: 112 patients with a single-level disc herniation were randomized to undergo either microendoscopic discectomy or open (fenestration/laminotomy) discectomy either posterior lumbar interbody fusion or posterolateral fusion, to compare the safety and efficacy of the treatment methods.Following radiographic and clinical evaluations over a 12 month period, the results indicated that radicular pain was reduced equally by the two methods, but that the length of hospital stay was shorter and blood loss was lower for the Microendoscopic Discectomy group. However, due to... Read More »
Author verified Level 2 RCT
5%
Synopsis: 54 patients with chronic midportion Achilles tendinopathy undergoing an eccentric exercise programme were randomized to receive either a platelet-rich plasma (PRP) injection or a saline injection (placebo), in order to determine whether PRP injections would result in enhanced tendon structure and neovascularisation that could be observed through ultrasonographic methods. Following evaluations over a 24 week period, the results indicated that no significant differences existed in neovascularisation scores between groups and that PRP injections did not contribute to improved tendon structure. Read More »
Author verified Level 1 RCT
5%
Synopsis: 351 patients with a meniscus tear and knee osteoarthritis (OA) were randomized to either undergo arthroscopic partial meniscectomy (APM) followed by a physical therapy program or physical therapy alone, in order to compare clinical and functional outcomes. Following treatment over a 12 month period, all patients improved similarly in WOMAC physical-function score, KOOS pain score, and SF-36 physical-activity score. Read More »
Author verified Level 2 RCT
5%
Synopsis: 9 trials examining patients with primary anterior shoulder dislocation were analyzed to determine the optimum duration and position of immobilizations to prevent recurrent dislocation.Results indicated that there was no significant difference between 1 week and greater than three week immobilization periods in terms of recurrence rate duration (p=0.52) or position of immobilization (p=0.07) in the prevention of recurrent dislocations.Systematic review showed a trend towards better outcomes for external rotation. However, individuals who... Read More »
Author verified Level 2 Meta Analysis
5%
Synopsis: 20 patients with a clinical diagnosis of mid-substance Achilles tendinopathy were randomized to compare the efficacy of two nonoperative interventions: platelet-rich plasma (PRP) injections and an eccentric loading programme.Patients were evaluated over 6 months with the VISA-A questionnaire and the EuroQol 5-Dimension questionnaire (EQ-5D).The evidence presented in this study indicated that VISA-A score was better in the platelet-rich plasma (PRP) injection group compared to eccentric loading programme group, but this difference was not significant.Furthermore, no significant differences between groups were observed for the EQ-5D between groups, and no complications were associated with either treatment. This evidence demonstrates... Read More »
Level 2 RCT
5%
Synopsis: 78 patients with painful osteoporotic vertebral fractures were randomized to receive a vertebroplasty spinal procedure or placebo approach, with the purpose of comparing clinical outcomes between treatments up to two years.Results indicated no significant between group differences in overall pain (primary outcome) and all other secondary outcomes at the 12-and 24-month follow-up assessments.Risk of developing clinical vertebral fractures was similar between groups, although this study was not adequately powered for this outcome. Routine vertebroplasty is... Read More »
Author verified Level 2 RCT
5%
Synopsis: 59 patients scheduled for anterior cruciate ligament (ACL) reconstruction were randomized to one of two groups: preoperative cryotherapy or to a control group not receiving preemptive cryotherapy.The purpose of this study was to evaluate the analgesic efficacy of preoperative cryotherapy over the first 4 days postoperatively.Patients were evaluated for pain and analgesic consumption (percocet).The results indicated significantly lower pain in the cryotherapy group from the end of surgery to the first postoperative morning, and significantly lower percocet consumption into the first postoperative day.Thereafter, differences between groups were not statistically significant. Read More »
Level 2 RCT