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Wrist immobilization in supination not superior to no forearm restriction for distal radius fracture
②
Synopsis: 46 patients with distal radius fractures and scheduled for open reduction and internal fixation with a volar plate were randomized to either postoperative immobilization either in maximal supination with a sugar-tong splint or in a neutral position and no restricted forearm movement in a volar splint.Orthoses were applied for 2 weeks after surgery, followed by all patients receiving a removable brace.The outcomes of interest included wrist range of motion (ROM), grip strength, Visual Analog Scale (VAS) pain score, Patient-Rated Wrist Evaluation (PRWE) score, and the Disability of the Arm, Shoulder and Hand (DASH) score at 2- and 6-week follow-up.The results from this study found no significant differences between groups in wrist ROM, grip strength, VAS pain score, PRWE score or DASH score. The study was... Read More »
Level 2 RCT
10%
Craniocervical flexion program favoured over isometric neck exercises for nonspecific neck pain
②
Synopsis: 50 patients with chronic, nonspecific neck pain were randomized to an 8-week exercise program of either craniocervical flexion exercises or isometric neck exercises.Patients were assessed at 4 and 8 weeks after enrollment for outcomes of pain on a visual analog scale (VAS), the Neck Disability Index, and cervical range of motion in flexion-extension, lateral flexion, and rotation.Results demonstrated significant within-group improvement after 4 and 8 weeks in both groups for all of the above measures. The group treated... Read More »
Level 2 RCT
6%
Post-operative rotator cuff repair immobilization: 3 weeks in a sling vs. 6 weeks in a brace
①
Synopsis: 120 patients with full thickness rotator cuff tears were randomized to receive either 3 weeks of post-surgery immobilization in a sling, or 6 weeks of immobilization in a brace (with an abduction pillow placing the arm in a neutral position).Follow-up was performed at the 6 week time-point, as well as at 3, 6 and 12 months post-surgery.Outcomes reported included the Western Ontario Rotator Cuff (WORC) index, Constant Murley (CM) score, range of movement (ROM), as well as MRI results and patient-reported satisfaction.Sling immobilization for a period of 3 weeks was found to be a non-inferior treatment compared to brace immobilization for a period of 6 weeks, according to primary outcome of WORC index at 12 months. Additionally, patient reported... Read More »
Level 1 RCT
3%
Metacarpophalangeal joint blocking splints are most effective for treating trigger finger
②
Synopsis: 30 patients presenting with 32 cases of trigger finger were included in this study to evaluate and compare the efficacy of two splint treatments.Patients received splinting with metacarpophalangeal (MCP) joint blocking or distal interphalangeal (DIP) joint blocking splints. Results following the... Read More »
Author verified Level 2 RCT
3%
Graded exercise treatment and usual physiotherapy are both effective for neck pain
②
Synopsis: 151 patients (115 completed final follow-up), suffering from neck pain, were randomized to receive 6 to 12 sessions of either group neck and upper limb exercise programme (GET) or usual physiotherapy (UP).The 12 month results, comparing the clinical effectiveness of both techniques through Northwick Park Neck pain Questionnaire (NPQ) and Disabilities of Arm, Shoulder and Hand scores, indicated no differences in neck pain and function between two therapies at any time point.Both groups experienced significant improvement in NPQ from baseline,suggesting that both GET and UP may be effective treatments that could be considered based on patient preference. Read More »
Author verified Level 2 RCT
3%
Extended immobilization following rotator cuff repair yields similar retear rate
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
3%
Extensor tendon injury: Early mobilization superior to immobilization at 12 weeks post-op
②
Synopsis: 5 prospective randomized or quasi-randomized controlled trials comparing static immobilization, dynamic splinting, and early active mobilization in the management of surgically-treated extensor tendon injuries were included in this review.The purpose of this systematic review and meta-analysis was to compare these three rehabilitation regimens with respect to total active motion (TAM).Results indicated that, when compared to static immobilization, early mobilization regimens (i.e.both dynamic splinting and early active motion) displayed significantly superior total active motion up to 12 weeks.However, the statistical significance of this difference may not be apparent after 12 weeks. No significant differences... Read More »
Author verified Level 2 Meta Analysis
3%
Effect of continued nightly splinting on extensor lag in patients with mallet finger
②
Synopsis: 59 patients (>18 years of age) who were diagnosed with mallet finger (with or without fracture) and who had undergone continuous splint/cast immobilization and hyper-extension intervention (6-8 weeks), were randomly assigned into 1 of 2 treatment groups to determine the effect of an additional one month of night splinting on extensor lag.Participants either received an additional one month intervention with a night splint following their continuous splinting period or received no additional intervention (control). Results from the... Read More »
Author verified Level 2 RCT
3%
Arthroscopic acromioplasty may not be efficacious for shoulder impingement syndrome
②
Synopsis: 140 patients with shoulder impingement syndrome were randomized to either a supervised exercise program alone or to arthroscopic acromioplasty followed with a similar exercise program.The purpose of this subgroup analysis study was to determine which patients (from either the arthroscopic acromioplasty and exercise therapy group, or the group treated solely with exercise therapy) are effectively treated for shoulder impingement syndrome when followed up at 2 and 5 years.Findings showed similar results between the patients who underwent operative treatment and the group that underwent conservative treatment. Furthermore, arthroscopic acromioplasty... Read More »
Author verified Level 2 RCT
3%
Comparison of safety between endoscopic and open carpal tunnel release
①
Synopsis: 27 randomized and quasi-randomized trials that investigated safety outcomes in patients undergoing either endoscopic or open carpal tunnel release for carpal tunnel syndrome were included in this meta-analysis.The study was conducted to determine whether earlier concerns regarding the safety of endoscopic release in comparison to an open approach were still applicable presently.The study found that previous drawbacks of an endoscopic release such as high reoccurrence and reoperation rates have been gradually lessened to where they are now comparable with rates in an open approach.Total and major complications are also comparable between groups, whereas minor occurrences were significantly less frequent following endoscopic release. Return to activity... Read More »
Author verified Level 1 Meta Analysis