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26%
21%
16%
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11%
5%
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100%
10%
Synopsis: 249 patients scheduled for mini-open carpal tunnel release were randomized to postoperative management with either no orthosis, a removable orthosis, or cast immobilization for 10-14 days.Patients were assessed for disability, pain, function, and the incidence of complications over a 12-month follow-up. Results demonstrated no... Read More »
Author verified Level 2 RCT
7%
Synopsis: 82 patients with symptomatic knee osteoarthritis were randomized to either treatment with a topical flaxseed oil preparation or to placebo.Patients were to apply allocated treatment three times daily for 6 weeks.The outcome measure was the Knee Injury and Osteoarthritis Outcome Score (KOOS). Improvement in each... Read More »
Level 2 RCT
5%
Synopsis: 1583 patients with symptomatic knee osteoarthritis were randomized to either glucosamine monotherapy, chondroitin monotherapy, combined glucosamine and chondroitin therapy, celecoxib 200mg daily, or placebo.Patients were assessed over 24 weeks of treatment.In the primary analysis, only the celecoxib group demonstrated a significantly higher rate of patients attaining the primary efficacy endpoint - a reduction of WOMAC pain by a minimum of 20% relative to baseline - compared to placebo. However, when only... Read More »
RCT
5%
Synopsis: 18 randomized controlled trials were included in this meta-analysis which sought to evaluate the efficacy of cupping intervention for treatment of neck pain.Analyses were separated based on control group: inactive or active intervention.Compared to both inactive control intervention and active control interventions, there was low to very low strength evidence that cupping therapy significantly reduced pain and disability. In addition, when... Read More »
Level 1 Meta Analysis
2%
Synopsis: 117 patients with small to medium full thickness rotator cuff tears were randomized to assess the affects of early passive mobilization on functional outcomes following repair.Patients received either an early passive motion protocol beginning at the first post operative day or a standard protocol that included brace immobilization for 4-5 weeks. Results at 6... Read More »
Level 2 RCT
2%
Synopsis: This meta-analysis and systematic review included 193 studies (84 randomized controlled trials were assessed in the meta-analysis) comparing physical therapy to a control group in patients with knee osteoarthritis (OA).The most effective interventions were ultrasonography, and aerobic, aquatic, strengthening, and proprioception exercise.Education, orthotics, taping, tai chi, and pulsed electromagnetic fields had no clinically significant effect on any of the patient-centered or functional outcomes of interest. Few adverse events... Read More »
Author verified Level 1 Meta Analysis
2%
Synopsis: 8 ACE Reports (7 randomized controlled trials and 1 systematic review and meta-analysis, n=694) from the OrthoEvidence database assessing the effectiveness of corticosteroid injections in comparison to control injections (either saline or local anesthesia) for the treatment of lateral epicondylitis were included in this review.The purpose of this review was to determine the impact of corticosteroid injections on pain and physical function in comparison to these control treatments.As such, information and data on platelet-rich plasma (PRP) injection efficacy as a treatment was not included from reports.Statistical pooling of VAS pain scores and Quick DASH scores exhibited that corticosteroid injections provided significant pain relief, compared to control injections only in the short-term (6-12 weeks), while having no functional benefits over control injections at any time point within a 6 month period. Similar results were... Read More »
ACE Review
2%
Synopsis: 62 patients with unstable distal radial fractures were randomized to undergo either closed reduction and internal fixation with an intramedullary nail (MICRONAIL) or open reduction and internal fixation with a volar locking plate, to compare the functional, clinical and radiographic outcomes associated with these two treatments methods.Results indicated that the intramedullary MICRONAIL system yielded significantly improved functional outcomes and wrist range of motion, when compared to the volar locking plate method early postoperatively (6 weeks post-operation), but not at the 3- and 12-month follow-ups. The two treatment... Read More »
Author verified Level 2 RCT
2%
Synopsis: 100 patients undergoing rotator cuff repair were randomized to complete a rehabilitation program with 4 or 8 weeks of immobilization after surgery.The purpose of this study was to compare retear rates and short-term clinical outcomes between treatment groups. While significantly more... Read More »
Author verified Level 2 RCT
2%
Synopsis: 100 patients undergoing arthroscopic rotator cuff repair were randomized to one of two postoperative protocols - early passive motion or immobilization for 6 weeks.Minimum follow-up on functional outcome was scheduled for 12 months, and patients underwent a minimum 6 month follow-up on Arthro-CT to assess tendon healing.Overall, range of motion and Constant scores were better in patient who underwent early passive motion. There were no... Read More »
Author verified Level 2 RCT