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Autologous blood product injection no more effective than placebo saline for Achilles tendinopathy
①
Synopsis: Seven randomized controlled trials were included in this meta-analysis which compared function on the Victorian Institute of Sports Assessment - Achilles questionnaire (VISA-A) between autologous blood product injection and placebo group (sham injection, no injection, or physiotherapy alone). Pooled results demonstrated no significant differences between ABP groups and placebo groups for VISA-A scores at 4-6 weeks, 12 weeks, 24 weeks, or 48 weeks. Read More »
Author verified Level 1 Meta Analysis
4%
PRP improved clinical outcome and cuff healing in repair of medium-large rotator cuff tear
①
Synopsis: 110 patients with a medium- to large-sized, full-thickness rotator cuff tear, who were scheduled for an arthroscopic single-row repair were randomized to the procedure with or without the use of platelet-rich plasma (PRP).The PRP was prepared institutionally and injected intraoperatively over the repair site.Clinical outcome measures of visual analog scale (VAS) pain, Constant-Murley, University of California-LA, and American Shoulder and Elbow Surgeons (ASES) scores were assessed over a 24-month follow-up.In addition, ultrasonographic evaluation of cuff healing was performed.The PRP group demonstrated significantly better results for VAS pain from 1-6 months, Constant-Murley score from 12-24 months, and UCLA scores from 6-24 months after surgery when compared to the control group. As well, the... Read More »
Level 1 RCT
4%
Assessing the clinical effect of low-level laser therapy added to usual care for plantar fasciitis
②
Synopsis: 49 patients with plantar fasciitis were randomized to usual care, including home exercises and noncustom insoles, with or without the addition of low-level laser therapy.Outcomes included subjective function on the American Orthopaedic Foot and Ankle Society Score (AOFAS), walking speed and cadence from a 12-minute walk test, and pain on activity, with follow-up performed after 3 weeks and 3 months. Group differences for... Read More »
Author verified Level 2 RCT
3%
Stabilization exercises appear superior to McKenzie exercises for chronic LBP
②
Synopsis: 37 patients with chronic low back pain were randomly allocated to undergo stabilization exercise or McKenzie training to compare the efficacy of both treatments.Outcomes of interest included pain, disability, and muscle thickness at rest and during contraction.An analysis of results revealed that stabilization exercise reduced pain and disability, and increased the thickness of the transverse abdominis muscle more effectively than McKenzie exercise. Read More »
Level 2 RCT
3%
EFORT: Autologous blood and saline injections similar for chronic patellar tendinopathy
Synopsis: Twenty-two patients with chronic patellar tendinopathy were randomized to receive either an autologous blood injection (ABI) or saline injection to the patellar tendon.Participants were followed-up for 12 months thereafter using the McGill Pain Questionnaire and Victorian Institute of Sport Assessment (VISA) scale. Both the ABI... Read More »
Conference Report
1%
Massage vs. pneumatic compression for muscle pain & fatigue for ultramarathon recovery
②
Synopsis: 73 athletes who participated in the 161km ultramarathon were randomized to one of three post-race therapies, administered in a single treatment, for the purpose of comparing muscle pain, soreness, fatigue, and functional performance immediately after therapy and up to 7 days post-marathon: (1) Massage, (2) Pneumatic Compression, or (3) Control (no therapy).Results demonstrated that massage was associated with significantly decreased lower-body muscle pain and soreness when compared to the control group immediately after treatment.Patients in the compression and massage group also had a significantly reduced overall fatigue score immediately after treatment when compared to the control group.However, all other between-group differences (intervention vs.control and intervention vs. intervention) were nonsignificant... Read More »
Author verified Level 2 RCT
1%
Wrist splinting an effective treatment for lateral epicondylitis compared to physiotherapy alone
②
Synopsis: The authors conducted a multi-centre, assessor blinded, randomized controlled trial.They randomized 40 patients to two groups.Both groups received a conservative physiotherapy protocol.Patients in the intervention group also received a standard wrist splint. Patients in the... Read More »
Level 2 RCT
1%
4.5 yr functional outcomes with early weight-bearing in non-operative treatment of Achilles ruptures
②
Synopsis: Previous studies have established the success of non-operative treatment following Achilles tendon rupture.37/60 patients were analyzed in this follow-up study comparing an early weight-bearing protocol to standard weight-bearing protocol during dynamic rehabilitative treatment of acute Achilles tendon ruptures.The primary outcome of interest was the Achilles Tendon Rupture Score (ATRS).Secondary outcomes of interest included heel raise height and work, as well as the return to level (heavy, light but active, sedentary) of work and sporting, and the incidence of re-rupture.Follow up was performed at 4.5 years post-operation.At 4.5 years, there were no significant differences between the early weight-bearing and usual care groups in ATRS score, heel raise height or heel raise work.All 37 patients had return to some level of work by the 4.5 year follow up, and 33/37 patients had returned to some level of sporting activity. Three cases of... Read More »
Level 2 RCT
1%
No evidence for in-shoe orthoses in managing flexible excess foot pronation in children
②
Synopsis: 178 subjects were randomized to one of two treatment groups or a control group.One group received custom-made in-shoe orthoses, the second group received ready-made in-shoe orthoses, and the third group did not receive any orthoses (control).Outcomes of pain, gross motor skills, exercise efficiency and self-perception were examined.Results from this study did not provide evidence to justify in-shoe orthoses for the management of flexible excess foot pronation in children ages 7-11. No significant differences... Read More »
Level 2 RCT
1%
Platelet rich plasma superior to corticosteroid injections for plantar fasciitis treatment
②
Synopsis: 40 patients with chronic unilateral plantar fasciitis, who had failed extensive, traditional, nonoperative management, were randomly assigned into 1 of 2 treatment groups to determine if platelet rich plasma injections effectively treated chronic unilateral plantar fasciitis.Patients either received a single ultrasound guided injection of autologous platelet-rich plasma or a 40 mg injection of DepoMedrol cortisone. The results of... Read More »
Author verified Level 2 RCT