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Synopsis: 47 patients with osteoarthritis of the hand were included in this study to evaluate the effectiveness of balneotherapy treatments (sulphurous water).Participants were randomized to receive balneotherapy or warm tap water baths (control) 15 times over a 3 week period.At the end of treatment and at the 3 month follow-up, participants in the balneotherapy group experienced significantly less pain and superior mean EuroQol health state scores than the control group. These differences were... Read More »
Author verified Level 1 RCT
12%
Synopsis: To compare two techniques in reducing edema, 30 patients with subacute hand/arm edema after a distal radius fracture were randomized to either receive modified Manual Edema Mobilization (MEM) approach or traditional edema treatment.After 9 weeks, both treatments had the same results in active range of motion (AROM), pain, and activities of daily living (ADL) and edema reduction. However, MEM needed... Read More »
Author verified Level 2 RCT
12%
Synopsis: 8 ACE Reports (7 randomized controlled trials and 1 systematic review and meta-analysis, n=694) from the OrthoEvidence database assessing the effectiveness of corticosteroid injections in comparison to control injections (either saline or local anesthesia) for the treatment of lateral epicondylitis were included in this review.The purpose of this review was to determine the impact of corticosteroid injections on pain and physical function in comparison to these control treatments.As such, information and data on platelet-rich plasma (PRP) injection efficacy as a treatment was not included from reports.Statistical pooling of VAS pain scores and Quick DASH scores exhibited that corticosteroid injections provided significant pain relief, compared to control injections only in the short-term (6-12 weeks), while having no functional benefits over control injections at any time point within a 6 month period. Similar results were... Read More »
ACE Review
12%
Synopsis: 54 patients undergoing wrist arthroscopy were randomized to receive combined cryotherapy and compression treatments (Cryo/Cuff) or a standard treatment to evaluate the clinical efficacy of the Cryo/Cuff bandage system.The patients were assessed postoperatively for 21 days for pain, swelling, range of motion, and subjective impairment (DASH). The study indicated... Read More »
Level 2 RCT
12%
Synopsis: 60 patients (60 shoulders) with a diagnosis of adhesive capsulitis of the shoulder were randomized to traditional therapy either combined with the use of a static progressive stretch device, or to traditional therapy alone.The efficacy of the device was evaluated with respect to clinical and functional outcomes up to 1 year.Results indicated that range of motion significantly improved in the static progressive stretch device group compared to the control group at all follow-up periods up to 1 year.Moreover, improvements in pain and DASH scores were maintained in the stretch device group after 12 months whereas they were not in the control group. Read More »
Level 2 RCT
12%
Synopsis: 41 patients with primary frozen shoulder who received treatment with hydrodilatation were randomized to either participate in a 4-week supervised physiotherapy program afterward in addition to a home exercise therapy program, or to home exercises alone.Patients were assessed for shoulder function on the Oxford Shoulder Score, pain, and range of motion at 4 weeks, 3 months, 6 months, and 12-month follow-up. Results demonstrated no... Read More »
Author verified Level 2 RCT
12%
Synopsis: 65 patients with subacromial impingement syndrome were randomized to either active interferential current therapy or sham interferential current therapy.All patients were also administered exercise therapy, cryotherapy, and nonsteroidal anti-inflammatory drug therapy.The treatment period was two weeks, after which patients were assessed for pain, function, and disability measures.Follow-up was also performed at 1 month after the completion of treatment. Results demonstrated no... Read More »
Level 1 RCT
12%
Synopsis: 6 randomized controlled trials were included in this meta-analysis which sought to evaluate the effect of scapular focused intervention in management of subacromial pain syndrome.Control interventions included non-scapular focused interventions or no treatment.When assessed at the completion of treatment, scapular focused intervention groups demonstrated significantly lower pain and functional disability, and significantly greater range of motion in abduction, when compared to control groups. When compared at... Read More »
Author verified Level 1 Meta Analysis
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