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Synopsis: This meta-analysis aimed to determine the efficacy of using in-office nerve conduction studies (NCS) for identifying median neuropathy (MN), specifically carpal tunnel syndrome.Traditional electrodiagnostic tests were used as the reference standard.MEDLINE was searched for studies that evaluated the aforementioned relationship.Five studies, with a total of 448 symptomatic hands, were included in the meta-analysis. Results illustrated that... Read More »
Level 1 Meta Analysis
Synopsis: 60 patients diagnosed with carpal tunnel syndrome were randomized to either receive health information only from their doctor, or receive health information as well as an internet information source from their doctor.This was done to determine whether providing additional resources would improve patient knowledge on carpal tunnel syndrome, as well as patient satisfaction.Outcomes were assessed using a satisfaction survey and a knowledge questionnaire. Results indicated that... Read More »
Conference Report
Synopsis: 162 patients who underwent open carpal tunnel release were randomized to be splinted for two weeks postoperatively, or to receive no splinting.The purpose of this study was to examine whether there was a difference in outcome between the two practices.Outcome measures were Visual Analog Pain Scale, Boston Carpal Tunnel Questionnaire, the Disabilities of the Arm, Shoulder, and Hand Questionnaire, complication rate, and duration until return to work. The results indicated... Read More »
Conference Report
Synopsis: 7 studies (6 RCTs and 1 CCT) that included a total of 314 patients with knee osteoarthritis (OA) were included in this meta-analysis and systematic review.The purpose of this review was to elucidate the efficacy of mesenchymal stem cell (MSC) injections in the treatment of knee OA by evaluating its effect on pain and function outcomes.While the findings of this study demonstrated potential efficacy for MSC injections for pain reduction and functional improvement that warrant further investigation, these findings were observed in a subgroup of higher quality studies or were associated with significant heterogeneity due to varying follow-up periods, doses of MSC and differing control groups. The low quality... Read More »
Level 3 Meta Analysis
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
Synopsis: 50 patients who underwent an open carpal tunnel release surgical procedure for the treatment of carpal tunnel syndrome were randomized to receive 4 weeks of a touchscreen-based exercise therapy delivered on the ReHand tablet application, or a paper-delivered home-based exercise therapy.Treatment programs were performed at least 5 times per week.The primary outcome of interest was functional ability, measured with the QuickDASH questionnaire.Secondary outcomes included pain (measured on a Visual Analog Scale), dexterity (measured with the nine hole peg test) and grip strength.Results from the study revealed a significantly larger improvements in QuickDASH score in the tablet app group compared to the control group. However, there were... Read More »
Level 2 RCT
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