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Synopsis: 108 patients suffering from osteoarthritis of the knee were randomized to receive one of two non-weight bearing exercise programs.One program trained proprioceptive tasks, while the other focused on quadriceps strength.The purpose of this study was to examine the effects of these training modalities on WOMAC-pain and function scores, as well as assess the walking speed. The results indicated... Read More »
Level 2 RCT
10%
Synopsis: 70 patients with Adhesive Capsulitis of the shoulder were randomly placed into either of the following treatment groups: group 1, intra-articular hyaluronic acid injections with physical therapy (HAPT group); or group 2, physical therapy alone (PT group).Both groups experienced improvements in terms of pain, disability, and quality of life after the treatments; in addition, the active and passive range of motion improved with increasing treatment duration over 3 months. No significant differences... Read More »
Level 2 RCT
10%
Synopsis: 36 patients with knee osteoarthritis (OA) were randomized to undergo a 12-week strength-training program combined with glucosamine, or the nonsteroidal anti-inflammatory drug (NSAID), ibuprofen, or a placebo, to measure their effects of NSAID and glucosamine on skeletal muscle strength and muscle mass. Following assessments over a 12 week period, the results displayed that muscle strength increased with a slight improvement in pain for those who took NSAID or glucosamine compared to training alone. Read More »
Level 2 RCT
10%
Synopsis: 162 patients (144 of whom completed the 1-year follow-up) suffering from chronic low back pain and Modic type 1 changes (bone edema in vertebrae) were randomized to either receive one of two dosing regimens of antibiotic or placebo tablets 3 times a day, for 100 days.Results indicated that there was a significant improvement in pain, disability and all other secondary outcomes reported in the antibiotic group compared to the placebo group at a 1 year follow-up.Because of insufficient power for this part of the study, no dose-effect relationship was observed. Read More »
Author verified Level 1 RCT
10%
Synopsis: Two hundred and sixty-three patients with sciatica were randomized to undergo either rapid surgical intervention, or prolonged conservative treatment.The dual purpose of this publication was (1) to compare the extent of vertebral end-plate signal changes (VESC) between groups, and (2) to determine whether or not there is a correlation between VESC and disabling back pain.Results at 1 year indicated that surgical treatment was significantly associated with an increase in the extent of VESC in patients with sciatica compared to conservative treatment. Furthermore, the proportion... Read More »
Author verified Level 2 RCT
10%
Synopsis: 17 patients with chronic hamstring tendinopathy were randomly assigned to receive either a platelet-rich plasma (PRP) injection or a whole blood (WB) injection.Follow-up was performed for 6 months post-injection.The results of this study demonstrated no significant improvement in disability from baseline to 6 months in either group, measured via the Modified Harris Hip score (MHHS). Additionally, both groups... Read More »
Author verified Level 2 RCT
10%
Synopsis: 120 patients with Kellgren-Lawrence grade II-III knee osteoarthritis were randomized to one of three intra-articular injection groups: platelet rich plasma, hyaluronic acid, or ozone.The purpose of this study was to compare visual analog scores (VAS) for pain and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores for pain, stiffness, and function over a 12-month follow-up.The results demonstrated a marked decrease in all outcome measures within the first month in all three groups, followed by a regression at subsequent follow-ups.Between-group differences were identified, with lower scores generally observed in the PRP and HA groups compared to the ozone group at 1, 3, and 6 months.By 12 months, scores in the ozone group had returned to baseline, while scores in the PRP and HA groups were lower, relatively. Also at 12... Read More »
Level 2 RCT
10%
Synopsis: Ten randomized controlled trials were included in this meta-analysis that compared pain and functional outcomes between intraarticular platelet-rich plasma injection (PRP) and either intraarticular hyaluronic acid (HA) injections or saline injections in knee osteoarthritis treatment.Outcomes were assessed at 6 and 12 months postinjection.In comparison to HA injections, PRP injections demonstrated similar pain and functional outcomes at 6 months postinjection, and significantly better pain and functional outcomes at 12 months postinjection.The effect sizes compared to HA for pain and function at 12 months exceeded the MCID, however, these findings should be interpreted with caution as only a few studies could be pooled for these outcomes. Results from one... Read More »
Level 1 Meta Analysis
10%
Synopsis: 6 randomized controlled trials were included in this systematic review to determine if the addition of hydrodilatation to a corticosteroid injection provides an improvement in pain-free range of motion and pain relief in patients with adhesive capsulitis.The results of this systematic review indicated that for range of motion results at 4-6 weeks, one of three studies reported a significant difference in favour of the hydrodilatation group, at 8-12 weeks, two of four studies reported a significant difference in favour of the hydrodilatation group, and at 16-24 weeks, neither of two studies reported a significant difference in favour of the hydrodilatation group. The available evidence... Read More »
Author verified Level 2 Meta Analysis
10%
Synopsis: Open reduction, internal fixation of proximal humerus fractures are technically challenging procedures.The authors in this study randomized 83 patients at two university trauma centres to the deltopectoral or deltoid split approaches for the fixation of Neer II and III proximal humerus fractures.Outcomes assessed included the Quick Disabilities of the Arm, Shoulder and Hand Questionnaire (Q-DASH), the Constant-Murley score, pain, range of motion, and complications.The authors found significantly better functional and pain scores as well as fewer complications in the deltopectoral group.Only range of motion was better in the deltoid split group. The authors conclude... Read More »
Conference Report
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