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Synopsis: Twelve studies were included in this meta-analysis and systematic review to determine the effects of exercise therapy in the management of meniscal lesions as a non-operative treatment and as a modality for rehabilitation following meniscectomy compared to other treatments.This summary focused on the results from the meta-analyses conducted in this publication.When exercise therapy alone was compared to isolated meniscectomy/meniscal repair, exercise therapy demonstrated significantly greater strength in extension at 3 months, and no significant differences in short- and long-term pain and function.When exercise therapy was assessed as a rehabilitative treatment following meniscectomy/meniscal repair, standard exercise therapy demonstrated no significant differences in short-term pain and short- and long-term function when compared to alternative exercise therapies (early range of motion, isokinetic exercise, etc). There was limited... Read More »
Level 1 Meta Analysis
3%
Synopsis: 57 patients with chronic neck pain (CNP) were randomized to undergo either a progressive neck exercise program (PNEP) or interactive behavioral modification therapy (IBMT).The purpose of this study was to determine whether the addition of cognitive-behavioral (CB) principles to a standardized exercise regimen would provide greater pain and disability reduction compared to an exercise regimen without CB.Patients were assessed 6 months after the start of treatment. Findings indicated similar... Read More »
Author verified Level 2 RCT
3%
Synopsis: 14 randomized controlled trials were included in this systematic review and meta-analysis to evaluate the use of corticosteroid injections in the management of rotator cuff tendinosis in comparison to a placebo.The primary outcome of interest for this meta-analysis was pain assessed at 3 months (12 weeks).A subgroup analysis was also performed to compare the efficacy of single vs multiple injections.The results of this study indicated that corticosteroid injections provided greater reductions in pain at 4 and 8 weeks compared to placebo, however, these differences were small and not clinically relevant.There were no differences observed between groups at 12 weeks.Additionally, there were no differences observed between single and multiple injections of a corticosteroid. Read More »
Author verified Meta Analysis
3%
Synopsis: 73 patients with rotator cuff tendinopathy were randomized to one of three study treatment groups: (1) hypertonic dextrose prolotherapy injection directly to affected entheses, (2) saline injection directly to affected entheses, or (3) saline injection superficial to affected entheses.The purpose of this study was to investigate the clinical benefits of dextrose prolotherapy when compared to control groups by observing improved patient-reported pain scores, patient satisfaction scores, and ultrasound grading of regenerative effect. Results demonstrated that... Read More »
Author verified Level 2 RCT
2%
Synopsis: 109 young, active patients with acute non-specific low back pain were included in this study to evaluate the efficacy of kinesiotape for reducing pain and disability.Patients were randomized to receive kinesiotape treatment for a 12-day period in addition to minimal care, or minimal care alone.Both groups demonstrated significant reductions in pain compared to baseline values at 12 days and 4 weeks.Between-group comparisons indicated that patients in the kinesiotape group demonstrated significantly less pain at 12 days and 4 weeks.The kinesiotape group had significantly lower disability scores at 12 days compared to the control group and consumed significantly fewer analgesics in the periods of 1-4 and 5-8 days. Read More »
Level 2 RCT
2%
Synopsis: 50 patients with plantar fasciitis were randomized to injection of the flexor digitorum brevis with either botulinum toxin or placebo.Patients were followed up for patient-reported function and pain at 6 and 12 months. Results demonstrated significantly... Read More »
Level 1 RCT
2%
Synopsis: 109 patients with mild to moderate osteoarthritis of the medial compartment of the knee were included in this study to determine the effect lateral wedge insoles have on hip and ankle joint space width.Patients were randomized to a lateral wedge orthosis or a neutral wedge orthosis for use over a 36-month period.Only 45 patients were available at final follow-up (31 Lateral wedge, 14 neutral wedge).Both groups demonstrated significant reductions in joint space width at the index hip and contralateral hip compared to baseline, however, there were no differences between groups.There were no differences in ankle joint space width within either group or between groups.While this study indicates that lateral wedge insoles do not appear to have a negative effect on hip and ankle joint space width over a 36-month period, the results should be interpreted with caution due to the substantial loss to follow-up. Read More »
Author verified Level 2 RCT
1%
Synopsis: 129 patients with chronic low back pain were randomised to undergo either an acupressure intervention or a physical therapy intervention for one month.The primary outcomes examined were pain, function, and disability (Roland and Morris disability questionnaire, Modified Oswestry disability questionnaire). The results indicated... Read More »
Level 2 RCT
1%
Synopsis: 51 patients who had undergone primary total hip arthroplasty were randomized to 10-day postoperative standard-of-care (SoC) rehabilitation with or without the addition of fascial manipulation (FM) intervention.The purpose of this study was to compare changes in the hip range of motion, functional performance on the Timed-Up-and-Go (TUG) test, verbal numeric scale for pain, and the Harris Hip Score between groups. Results demonstrated a... Read More »
Level 2 RCT
1%
Synopsis: 18 randomized controlled trials were included in this network meta-analysis to evaluate the effect of platelet-rich plasma injections in the management of tendinopathies and if outcomes are affected by the type of preparation.The results from this study indicate that platelet-rich plasma is an effective treatment for tendinopathies and that leukocyte-rich platelet-rich plasma preparations appear to have the greatest effect. However, further trials... Read More »
Level 2 Meta Analysis