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Synopsis: A non-inferiority trial including 356 patients presenting to a general practitioner with traumatic knee complaints were randomized to receive immediate referral for magnetic resonance imaging (MRI) or usual protocol directed by the guidelines provided by the Dutch college of general practitioners.The primary outcome of interest was the Lysholm knee score.Secondary outcomes of interest included the EQ-5D quality of life questionnaire, the Knee Injury and Osteoarthritis Outcome Scale (KOOS), pain on a numeric rating scale (NRS), as well as patient perceived recovery and satisfaction.Follow up was performed at 6 weeks, 3, 6, 9 and 12 months. Results found no... Read More »
Level 2 RCT
2%
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
2%
Synopsis: 21 patients diagnosed with chronic recalcitrant plantar fasciitis were randomized to receive either dextrose prolotherapy (DP) or autologous platelet-rich plasma (PRP) injection therapy.The purpose was to evaluate the efficacies of these treatments and additionally, to assess whether one is more effective.Results at 28 weeks indicated that both treatments significantly improved total Foot Function Index scores versus baseline but no between-group differences were found. Nevertheless, PRP provided... Read More »
Author verified Level 2 RCT
2%
Synopsis: 90 patients with olecranon bursitis were randomized to undergo treatment with either a compression bandage and an NSAID, aspiration and a steroid injection, or aspiration alone.The study was conducted in order to evaluate which treatment method demonstrated the highest rate of symptomatic resolution, which method demonstrated earliest resolution, and which factors were associated with failed treatment.Findings demonstrated similar rates of resolution between groups after 4 weeks, though resolution was achieved significantly faster in the aspiration and steroid injection group compared to the other two groups.Additionally, a longer duration of symptoms prior to treatment was significantly associated with treatment failure. Pain symptoms were... Read More »
Author verified Level 2 RCT
1%
Synopsis: 28 young, female basketball players were randomized to receive a 10 week experimental pre-training warm-up program focusing on ankle mobility, core stability training and balance training, or a standard warm-up program involving walking ball-handling and core stability training.The primary outcome of interest was the center of pressure displacement and postural sway during the single-limb stance test.Secondary outcomes of interest included the dorsiflexion long test.Results revealed significant improvement in ankle dorsiflexion from baseline in both ankles, and a significantly lower center of pressure displacement from baseline in the experimental group.The control group did not display any significant improvements in ankle dorsiflexion from baseline, and displayed significant increases in center of pressure displacement as well as surface area on the postural sway test from baseline. All outcomes were... Read More »
Level 2 RCT
1%
Synopsis: Paediatric flexible flatfoot is a very common condition which tends to improve over time in many children.During the period of its persistence, however, it can be quite painful and debilitating.The authors randomized patients to receive a customized arch support for 12 weeks or control (no insoles).Outcomes included radiographic outcomes, pain, function, stair ascent time, and overall mobility. Patients with customized... Read More »
Level 1 RCT
<1%
Synopsis: 5 randomized controlled trials (170 patients) analyzing the effects of ultrasound-guided platelet-rich plasma (PRP) injections in patients with tendinopathy were included.The purpose of this meta-analysis was to quantitatively compare PRP injections to placebo injections or dry needling in terms of pain and function outcomes up to 6 months after treatment.The results displayed that PRP injections statistically improved pain intensity 6 months after treatment (but not at 2 or 3 months) and improved functional disability 3 months after treatment, in comparison to the control groups.Subgroup analyses indicated that PRP displayed the greatest effect sizes in rotator cuff tendinopathy, and had no significant effects in lateral epicondylitis patients in either outcome. The results of... Read More »
Author verified Level 1 Meta Analysis
<1%
Synopsis: 83 patients with plantar fasciitis were randomized to one of the three following physiotherapy interventions for the purpose of comparing pain, disability, and balance outcomes after 8 weeks: (1) stretching and exercise of hip and foot muscles, (2) stretching and exercises of foot muscles only, and (3) stretching of foot muscles only.Outcomes of interest included a VAS scale for pain, the Foot and Ankle Outcome Score (FAOS), the Star Excursion Balance test (SEBT).Results demonstrated that patients in all study groups significantly improved in all outcomes of interest after completion of eight weeks of allocated therapy. However, no significant... Read More »
Author verified Level 2 RCT
<1%
Synopsis: Fourteen studies (12 RCTs, 2 non-RCTs) were included in this systematic review and meta-analysis examining the effect of augmented feedback training during jump landing training on bio-mechanical parameters associated with anterior cruciate ligament (ACL) injury.Data was analyzed at two different time-points: immediately post-test and delayed post-test (at least 24 hours after last training session).Results revealed significantly favourable improvements in peak knee and hip flexion angle and peak vertical ground reaction force in the augmented feedback group compared to the control group.The significant improvement in peak knee flexion angle and peak vertical ground reaction force was sustained in the delayed post-test meta-analyses. No significant differences... Read More »
Level 2 Meta Analysis
<1%
Synopsis: 167 patients (>18 yr old) with severe symptomatic knee osteoarthritis (OA) were randomized to receive 6 intrarticular injections of either Orthokin or saline, as placebo, over a 3 week period.The purpose of this study was to compare improvement in pain and function between injection therapies.At 12 months, Orthokin-treated patients consistently showed higher improvement than placebo-treated patients in most of the outcome measures. However, this difference... Read More »
Author verified Level 1 RCT