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9%
Synopsis: 56 patients with bilateral hand osteoarthritis (46 of whom completed the study) were randomized to either receive or not receive a paraffin bath treatment to study its effect on pain reduction.Results indicated that there was a significant decrease in pain at rest in the paraffin bath group compared to the control group, but no difference was found in pain scores while performing activities of daily living.The number of painful and tender joints was decreased and grip and pinch strength was increased in the paraffin bath group. There were no... Read More »
Author verified Level 2 RCT
9%
Synopsis: 40 patients suffering from hand osteoarthritis (OA) participated in this study to determine the combined efficacy of paraffin and a topical analgesic.Patients underwent 4 weeks of treatment with ParaSpa Premier Paraffin or a mixture of 80% ParaSpa Premier Paraffin and 20% Jointritis. The results suggested... Read More »
Author verified Level 2 RCT
9%
Synopsis: 30 patients with moderate glenohumeral osteoarthritis (OA) were randomized to undergo one of two combinations of physical therapy modalities.In group A, patients underwent breaststroke swimming with galvanic current therapy and paraffin therapy, while in group B, patients underwent breaststroke swimming with low-level laser therapy (LLLT) and transcutaneous electrical nerve stimulation (TENS).Results indicated that while both physical therapy regimens improved pain and function, group B demonstrated significantly greater improvements in pain. There were no... Read More »
Conference Report
9%
Synopsis: This systematic review involving 11 randomized controlled trials investigated the efficacy of passive physical modalities for the treatment of soft tissue injuries of the shoulder in adults, with the purpose of determining the impacts of these interventions on functional recovery, quality of life, pain, and complications.The results of this study indicated the ineffectiveness of different passive physical modalities for various soft tissue injuries. However, low-level laser... Read More »
Level 3 Meta Analysis
9%
Synopsis: 9 randomized controlled trials were included in this meta-analysis investigating the efficacy of hyaluronic acid for pain relief in patients with knee osteoarthritis.Only placebo-controlled, double-blind randomized trials were considered for inclusion.Data on pain were pooled at 1 week, 5-7 weeks, 8-12 weeks, and 15-22 weeks post-injection. Results demonstrated significantly... Read More »
Level 1 Meta Analysis
9%
Synopsis: 16 randomized control trials comparing conservative treatments to a control for treatment of carpometacarpal osteoarthritis were included in this systematic review and meta-analysis.The purpose of the study was to assess various conservative treatments for this form of osteoarthritis, in terms of their effects on pain and function.Results found therapeutic exercise to benefit grip strength, manual therapy to benefit pain, therapeutic exercise with manual therapy to benefit both pain and grip strength, laser therapy to benefit stiffness, splint use to benefit pinch strength, and magnetotherapy to benefit pain, function, pinch strength, and stiffness. However, results were... Read More »
Level 2 Meta Analysis
9%
Synopsis: 27 randomized controlled trials (RCT) were included in this bayesian network meta-analysis to provide a comprehensive comparison of injection therapies for lateral epicondylitis.A total of 13 therapies were identified from the literature.The results from this study indicated that for pain reduction, hyaluronic acid and prolotherapy injections were ranked one and two, respectively.However, the fact hyaluronic acid and prolotherapy were each only evaluated in one study highlights the need for additional research.While corticosteroid injections are the most frequently used injection therapy, this analysis indicates it provides suboptimal results, ranking 11th out of 13 treatments.The collection of data at 26 weeks may have led to corticosteroid injections to rank lower due to the transient benefit typically observed for this treatment. Read More »
Level 1 Meta Analysis
9%
Synopsis: 140 patients with symptomatic knee osteoarthritis (Kellgren-Lawrence grade II-III) and ultrasonographic evidence of synovitis were included in this trial to determine the effects of prolonged corticosteroid use on cartilage loss and pain.Patients were randomized to injections of triamcinolone acetonide or saline every 12 weeks for a period of two years.The outcomes assessed included cartilage loss and damage (MRI), pain, function, and adverse events. The results of... Read More »
Level 1 RCT
9%
Synopsis: 120 patients with Kellgren-Lawrence grade II-IV knee osteoarthritis were randomized to intra-articular injection with either a combination of hyaluronic acid and corticosteroid, or hyaluronic acid alone.Patients were followed-up for 6 months post treatment for outcomes related to pain on a visual analog scale and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC).Between groups, both VAS pain and WOMAC assessments significantly favoured the HA+CS group compared to the HA alone group at 1 week, 1 month, and 3 months; differences between groups at 6 months were not significant. However, when the... Read More »
Level 2 RCT
9%
Synopsis: 4 out of 20 studies from this study were included in the network meta-analysis comparing radial head arthroplasty (RHA), open reduction and internal fixation with a biodegradable implant (ORIF-B), and ORIF with a metal implant (ORIF-M) for the treatment of displaced radial head fractures (RHF).The outcomes of interest included the odds of complications and of a 'good' or 'excellent' Broberg-Morrey score.The results from this study found favourable odds of both complications and of a 'good' or 'excellent' Broberg-Morrey score in the RHA group compared to both the ORIF-B and ORIF-M groups. The ORIF-B group... Read More »
Level 2 Meta Analysis