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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
4%
Synopsis: 1543 patients undergoing knee arthroscopy (POT-KAST trial) and 1519 patients undergoing casting of the lower leg (POT-CAST trial) were randomized to receive or not anticoagulant therapy.The aim of these studies was to examine the efficacy of thromboprophylaxis in these groups of patients.The result of these trials indicated that the use of low-molecular-weight heparin did not reduce the rate of symptomatic venous thromboembolism in either patient population compared to no anticoagulant treatment. Read More »
Level 2 RCT
4%
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
4%
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: 14 studies (n=734) evaluating the effects of a physical exercise program on patients who underwent hematopoietic stem cell transplantation were selected for this review (3 of which were included in the meta-analysis and 11 of which were only qualitatively reviewed).Results from the meta-analysis indicated that there was an increase in quality of life in the physical exercise group compared to the control group at the time of hospital discharge.In addition, there was a significant decrease in levels of fatigue in the intervention group. Lastly, there was... Read More »
Author verified Level 2 Meta Analysis
3%
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
2%
Synopsis: 47 patients with adductor-related groin pain were randomized to receive either active exercise treatment or passive treatment. The results of the 8 to 12 year follow-up indicated that active treatment continued to have a significant beneficial effect compared to passive treatment in treating adductor-related groin pain. Read More »
Author verified Level 2 RCT
2%
Synopsis: 54 subjects with some degree of shoulder internal rotation range of motion (ROM) asymmetry were randomized to one of two treatment groups (sleeper stretch or cross-body stretch exercises) for a 4 week duration, or to the control group that performed no stretching exercises.This study aimed to compare range of motion between the aforementioned interventions. The results showed... Read More »
Level 2 RCT
2%
Synopsis: 60 subjects with a primary complaint of mechanical neck pain were randomized to receive one of two types of physical therapy treatments to examine outcomes of pain and disability.One group received a thoracic spine thrust-manipulation and the second group received a non-thrust manipulation/mobilization. Results indicated that... Read More »
Author verified Level 2 RCT
2%
Synopsis: 99 middle-aged patients were randomized to compare an exercise program alone to arthroscopic partial meniscectomy plus a postoperative exercise program in the treatment of degenerative medial meniscus tears.The exercise program was completed over 8 weeks, with outcomes in pain and function being assessed at the completion of the program, and again at 6 months. The results indicated... Read More »
Author verified Level 2 RCT