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23%
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19%
12%
10%
4%
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100%
8%
Patient-reported pain and function over 52 weeks between unloader brace vs. placebo for knee OA
②
Synopsis: 150 patients with Kellgren-Lawrence or Ahlback grade I-II knee osteosrthritis were randomized to either an active or placebo unloader brace.Patients were followed for 52 weeks for outcome related to patient-reported function on the Knee Society Score (KSS) and Knee Injury and Osteoarthritis Outcome Score (KOOS).In general, changes from baseline to 52 weeks in scores were greater in the unloader brace group compared to placebo brace group, with statistical significance demonstrated for the KOOS pain, sport/rec, and QoL subscales. However, difference between... Read More »
Level 2 RCT
6%
Testing of noninferiority of PT vs partial meniscectomy on knee fuction in meniscal tear treatment
②
Synopsis: 321 patients with a nonobstructive mensical tear were randomized to either an 8-week physical therapy program or to arthroscopic partial meniscectomy.The primary purpose of this study was to determine if the PT group was noninferior to the APM for outcome on the International Knee Documentation Committee (IKDC) subjective score at a noninferiority margin of 8pts. When analyzed in... Read More »
Author verified Level 2 RCT
4%
Long-term outcome of surgery favoured over physiotherapy alone for subacromial impingement syndrome
②
Synopsis: 87 patients with subacromial impingement were randomized to one of three treatment groups: arthroscopic acromioplasty, open acromioplasty, or to a physiotherapy program.Patients were followed-up for a minimum of 10 years after intervention, with outcomes related to subjective function (Constant score), shoulder range of motion, shoulder strength in abduction, and ultrasonic and radiographic evaluations.At final follow-up, Constant score was significant greater in the open acromioplasty compared to physical therapy alone, and range of motion in elevation was significantly greater in both the arthroscopic and open acromioplasty groups compared to the physical therapy alone. However, range of... Read More »
Level 2 RCT
3%
Decompression of no statistical benefit over sham, and no clinical benefit over exercise for SIS
②
Synopsis: 210 patients with shoulder impingement syndrome were randomized to one of three treatment groups: arthroscopic subacromial decompression, diagnostic arthroscopy (sham surgery), or an exercise therapy program.Primary outcomes were pain at rest and pain during activity, and follow-up was performed over 24 months.Analyses demonstrated no statistically significant differences in pain scores between the arthroscopic subacromial decompression group and the diagnostic arthroscopy group. Additionally, while statistically... Read More »
Level 2 RCT
3%
Low level laser therapy provides significant pain relief for plantar fasciitis by 8 weeks
②
Synopsis: 69 patients with unilateral plantar fasciitis were randomized to receive either low level laser therapy (LLLT) or placebo treatment.The purpose of the study was to determine if LLLT resulted in improved patient pain management compared to placebo up to 8 weeks after treatment.The primary outcome of interest was VAS heel pain score, and secondary outcomes included plantar fascia thickness, quality of life (FFI score), and patient satisfaction.Results demonstrated a significantly greater reduction in pain, reduction in plantar fascial thickness and rate of high patient satisfaction compared to the placebo group. No significant difference... Read More »
Level 2 RCT
3%
Short-term function better with arthroscopic release vs. hydrodilatation for primary frozen shoulder
②
Synopsis: 50 patients with idiopathic frozen shoulder were randomized to either arthroscopic capsular release or hydrodilitation under fluoroscopy.Primary outcome was function on the Oxford Shoulder Score, while secondary outcomes included health-related quality of life and shoulder range of motion.Follow-up was scheduled for 6 weeks, 3 months, and 6 months. Results demonstrated significantly... Read More »
Level 2 RCT
2%
No difference in 6-month outcome between ESWT and wrist extensor therapy for lateral epicondylitis
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Synopsis: 72 patients with lateral epicondylitis were randomized to treatment with either four weekly sessions of radial extracorporeal shockwave therapy or four weeks of wrist extensor splinting.Patients were assessed for outcome after 4 weeks, 12 weeks, and 24 weeks. No significant between-group... Read More »
Level 2 RCT
1%
No difference in outcome between PRP and CS injection for plantar fasciitis
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Synopsis: 80 patients with plantar fasciitis were randomized to local injection of either platelet-rich plasma or corticosteroid (methylprednisolone).Patients were assessed for pain and functional scores at 1, 3, and 6 months after injection. Results demonstrated no... Read More »
Author verified Level 2 RCT
1%
No significant difference in 2-year quality-of-life between SB and DB ACL reconstruction
②
Synopsis: 120 patients scheduled for anterior cruciate ligament reconstruction were randomized to either double-bundle (DB) or single-bundle (SB) reconstruction.Primary outcome was the Knee Injury and Osteoarthritis Outcome Score (KOOS) Quality of Life (QoL) subscale.Secondary outcomes included the remaining KOOS subscales, manual and instrumented tests for knee laxity, Tegner activity scale, and incidence of adverse events.Follow-up was scheduled for 1 and 2 years postoperatively.For the primary outcome, results demonstrated no significant differences between the DB and SB group for improvement in KOOS QoL scores. Additionally, no statistically... Read More »
Level 2 RCT
1%
Post-Achilles tendon repair elongation unaffected by weightbearing protocol used after surgery
②
Synopsis: 75 patients following acute Achilles tendon rupture repair were randomized to one of three postoperative weightbearing protocols: restricted weightbearing to 7 weeks and no ankle mobilization exercises (LWB+IMMOB), restricted weightbearing to 7 weeks with ankle mobilization exercises (LWB+MOB), or complete weightbearing by 5 weeks with ankle mobilization exercises (EWB+MOB).Primary outcome was tendon elongation over 52-week follow-up. Over follow-up, no... Read More »
Level 2 RCT