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Adjunct periarticular lidocaine-corticosteroid injection to IAHA improves pain in knee OA
②
Synopsis: 77 patients with symptomatic, Kellgren-Lawrence grade II-IV knee osteoarthritis were randomized to intraarticular hyaluronic acid (IAHA) injections with or without an additional, single periarticular lidocaine-corticosteroid injection (PALCI) at the beginning of treatment.The purpose of this study was to determine if the addition of PALCI to IAHA had a significant effect on pain after 1, 3, 6, 12, 26 and 52 weeks.Visual analog pain scores demonstrated significantly lower pain scores in the IAHA+PALCI group compared to the IAHA group at 1 and 3 weeks, while no significant differences between groups at 6, 12, 26 or 52 weeks. A significant within-group... Read More »
Level 2 RCT
6%
Autologous whole blood vs. corticosteroids for epicondylopathy and plantar fasciopathy
①
Synopsis: The present study is a meta-analysis evaluating the efficacy of autologous whole blood (AWB) therapy versus corticosteroid injections in the treatment of epicondylopathy and plantar fasciopathy (PF).The primary outcome was pain relief at 2-6, 8-13, and 24-26 weeks.The authors included a total of 9 RCTs, and found statistically significant results in favour of corticosteroids at 2-6 weeks for patients with plantar fasciopathy, and in favour of AWB as early as 8 weeks up to 24 weeks for individuals with epicondylopathy. Read More »
Author verified Level 1 Meta Analysis
6%
Network meta-analysis evaluating injection treatments for plantar fasciopathy
①
Synopsis: 22 randomized controlled trials were included in this network meta-analysis, that included over 10 injectable treatments, to evaluate comparative efficacy for the management of plantar faciopathy.The primary outcome of this study was pain relief.At 0-2 month follow-up, micronized dehydrated human amniotic/chorionic membrane was the most likely treatment to be effective for pain relief.At 2-6 months, botulinum toxin A was the treatment most likely to be effective for pain relief, while a treatment most likely to be effective beyond 12 months could not be identified from the limited amount of evidence available at this time point.The lack of trials available was a limiting factor of this network meta-analysis, exemplified by the lack of studies reporting data on micronized dehydrated human amniotic/chorionic membrane beyond 2 months. Further trials are... Read More »
Level 1 Meta Analysis
3%
Surgery superior to physiotherapy in small and medium rotator cuff tears
②
Synopsis: 103 patients with symptomatic small (<1cm) or medium-sized (1 cm to 3 cm) rotator cuff tears were randomized to be managed with either a surgical repair or a conservative management with physiotherapy. At 1 year, it was observed that the surgery was superior to physiotherapy for small and medium-sized tears of the rotator cuff, with better results on the Constant scale, ASES scale, and reductions in pain. Read More »
Level 2 RCT
3%
Aquatic physiotherapy reduces hip and knee osteoarthritis pain
②
Synopsis: 71 volunteers with hip or knee osteoarthritis (OA) were randomized to receive either 6 weeks of aquatic physiotherapy or no aquatic physiotherapy.Outcomes of pain, quality of life, physical function, muscle strength and physical activity levels were measured. Results showed that... Read More »
Level 2 RCT
3%
Thrust mobilization/manipulation of thoracic spine reduces short-term neck pain
②
Synopsis: 60 subjects with a primary complaint of mechanical neck pain were randomized to receive one of two types of physical therapy treatments to examine outcomes of pain and disability.One group received a thoracic spine thrust-manipulation and the second group received a non-thrust manipulation/mobilization. Results indicated that... Read More »
Author verified Level 2 RCT
3%
Preventing Venous Thromboembolism after THA
①
Synopsis: A meta analysis was performed to clarify the efficacy of various venous thromboembolism prophylaxis methods.The results of fifty-six independent trials across 91 treatment groups involving different combinations of treatment and 35 control groups were identified and analysed. The results suggest... Read More »
Level 1 Meta Analysis
3%
Muscle strengthening exercise program not successful in reducing overuse knee injuries
①
Synopsis: 1020 soldiers undergoing 3 months of basic military training were randomized to undergo the prevention program consisting of exercises for strength, flexibility, and coordination, or the placebo program.A physical training program focused on muscular strengthening, coordination and flexibility, based on the intrinsic risk factors was identified by literature review.The purpose of this study was to determine whether the aforementioned program, when combined with an increase in physical activity, can reduce the incidence of overuse knee injuries and medial tibial stress syndrome.Results indicated that it did not impact the risk of developing overuse knee injuries or medial tibial stress syndrome in soldiers undergoing an increase in physical activity. The training program,... Read More »
Author verified Level 1 RCT
3%
Comparable outcomes with (non)/operative treatment of medial collateral ligament rupture
②
Synopsis: 47 patients with combined grade III medial collateral ligament (MCL) and anterior cruciate ligament (ACL) injuries were randomised to receive either an operative treatment or nonoperative treatment of the injured MCL.Both groups had an early reconstruction treatment for the ACL injury using bone-patellar tendon-bone graft.The primary outcomes were based on clinical and functional results. Comparable outcomes with... Read More »
Level 2 RCT
3%
No improvement in active ROM with continuous passive motion for TKA rehab
②
Synopsis: 81 patients with osteoarthritis undergoing primary total knee arthroplasty (TKA) were randomised to undergo one of three postoperative in-hospital rehabilitation interventions.The patients underwent either a conventional physical therapy with 35 minutes of continuous passive motion (CPM) daily, conventional physical therapy with 2 hours of CPM daily, or conventional physical therapy only.The primary outcome was active range of motion (ROM) in knee flexion. Results indicated that... Read More »
Level 2 RCT