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59%
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5%
2%
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100%
3%
Synopsis: A non-inferiority trial including 356 patients presenting to a general practitioner with traumatic knee complaints were randomized to receive immediate referral for magnetic resonance imaging (MRI) or usual protocol directed by the guidelines provided by the Dutch college of general practitioners.The primary outcome of interest was the Lysholm knee score.Secondary outcomes of interest included the EQ-5D quality of life questionnaire, the Knee Injury and Osteoarthritis Outcome Scale (KOOS), pain on a numeric rating scale (NRS), as well as patient perceived recovery and satisfaction.Follow up was performed at 6 weeks, 3, 6, 9 and 12 months. Results found no... Read More »
Level 2 RCT
2%
Synopsis: 40 patients presenting with non-insertional Achilles tendinopathy were randomized to receive standard physical therapy with or without topical glyceryl trinitrate (GTN) treatment.Follow-up at 6 months indicated both groups made significant improvements; however, there were no differences between groups for ankle osteoarthritis scale (AOS) scores. There were also... Read More »
Level 2 RCT
1%
Synopsis: 21 patients diagnosed with chronic recalcitrant plantar fasciitis were randomized to receive either dextrose prolotherapy (DP) or autologous platelet-rich plasma (PRP) injection therapy.The purpose was to evaluate the efficacies of these treatments and additionally, to assess whether one is more effective.Results at 28 weeks indicated that both treatments significantly improved total Foot Function Index scores versus baseline but no between-group differences were found. Nevertheless, PRP provided... Read More »
Author verified Level 2 RCT
1%
Synopsis: 90 patients with olecranon bursitis were randomized to undergo treatment with either a compression bandage and an NSAID, aspiration and a steroid injection, or aspiration alone.The study was conducted in order to evaluate which treatment method demonstrated the highest rate of symptomatic resolution, which method demonstrated earliest resolution, and which factors were associated with failed treatment.Findings demonstrated similar rates of resolution between groups after 4 weeks, though resolution was achieved significantly faster in the aspiration and steroid injection group compared to the other two groups.Additionally, a longer duration of symptoms prior to treatment was significantly associated with treatment failure. Pain symptoms were... Read More »
Author verified Level 2 RCT
1%
Synopsis: 83 patients with plantar fasciitis were randomized to one of the three following physiotherapy interventions for the purpose of comparing pain, disability, and balance outcomes after 8 weeks: (1) stretching and exercise of hip and foot muscles, (2) stretching and exercises of foot muscles only, and (3) stretching of foot muscles only.Outcomes of interest included a VAS scale for pain, the Foot and Ankle Outcome Score (FAOS), the Star Excursion Balance test (SEBT).Results demonstrated that patients in all study groups significantly improved in all outcomes of interest after completion of eight weeks of allocated therapy. However, no significant... Read More »
Author verified Level 2 RCT
1%
Synopsis: Previous studies have established the success of non-operative treatment following Achilles tendon rupture.37/60 patients were analyzed in this follow-up study comparing an early weight-bearing protocol to standard weight-bearing protocol during dynamic rehabilitative treatment of acute Achilles tendon ruptures.The primary outcome of interest was the Achilles Tendon Rupture Score (ATRS).Secondary outcomes of interest included heel raise height and work, as well as the return to level (heavy, light but active, sedentary) of work and sporting, and the incidence of re-rupture.Follow up was performed at 4.5 years post-operation.At 4.5 years, there were no significant differences between the early weight-bearing and usual care groups in ATRS score, heel raise height or heel raise work.All 37 patients had return to some level of work by the 4.5 year follow up, and 33/37 patients had returned to some level of sporting activity. Three cases of... Read More »
Level 2 RCT
1%
Synopsis: 54 patients with chronic midportion Achilles tendinopathy undergoing an eccentric exercise programme were randomized to receive either a platelet-rich plasma (PRP) injection or a saline injection (placebo), in order to determine whether PRP injections would result in enhanced tendon structure and neovascularisation that could be observed through ultrasonographic methods. Following evaluations over a 24 week period, the results indicated that no significant differences existed in neovascularisation scores between groups and that PRP injections did not contribute to improved tendon structure. Read More »
Author verified Level 1 RCT
1%
Synopsis: 28 young, female basketball players were randomized to receive a 10 week experimental pre-training warm-up program focusing on ankle mobility, core stability training and balance training, or a standard warm-up program involving walking ball-handling and core stability training.The primary outcome of interest was the center of pressure displacement and postural sway during the single-limb stance test.Secondary outcomes of interest included the dorsiflexion long test.Results revealed significant improvement in ankle dorsiflexion from baseline in both ankles, and a significantly lower center of pressure displacement from baseline in the experimental group.The control group did not display any significant improvements in ankle dorsiflexion from baseline, and displayed significant increases in center of pressure displacement as well as surface area on the postural sway test from baseline. All outcomes were... Read More »
Level 2 RCT
1%
Synopsis: Paediatric flexible flatfoot is a very common condition which tends to improve over time in many children.During the period of its persistence, however, it can be quite painful and debilitating.The authors randomized patients to receive a customized arch support for 12 weeks or control (no insoles).Outcomes included radiographic outcomes, pain, function, stair ascent time, and overall mobility. Patients with customized... Read More »
Level 1 RCT
<1%
Synopsis: 48 single or double blinded, prospective, randomized control trails that used human subjects and compared the therapeutic effects of intra-articular hyaluronic acid with intra-articular injection of a placebo to treat osteoarthritis of the knee were analyzed to determine if the qualitative conclusions by authors about the therapeutic effects of hyaluronic acid was affected by industry sponsorship or financial conflicts of interest. Results of the systematic review indicated that industry funding may have an effect on the conclusions provided within the study and that clinicians should be aware of potential financial conflicts of interest in authors reporting on the topic of intra-articular injection of hyaluronic acid for treatment of knee OA. Read More »
Level 2 Meta Analysis