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Synopsis: 68 patients with chronic recalcitrant non-insertional Achilles tendinopathy, who have undergone unsuccessful management for at least three months, were included in this study.Participants were randomized to receive eccentric exercise training with or without low-energy shock-wave therapy.At 4 month follow-up, both groups demonstrated significant improvements in pain. The group receiving... Read More »
Level 2 RCT
4%
Synopsis: 40 subjects, 20 with chronic ankle instability (CAI) and 20 with healthy ankles, were randomized into 4 groups; exercise training in both healthy and CAI subjects and control groups in both healthy and CIA subjects.This study assessed if exercise resistance training would lead to improvements in balance.Following the training program there was an improvement in balance in both of the exercise training groups, as determined by a reduction in distance traveled by the center of pressure. These improvements were... Read More »
Level 2 RCT
4%
Synopsis: 53 patients with primary adhesive capsulitis (frozen shoulder) were randomized to manipulation under anesthesia (MUA) or steroid injection combined with shoulder distension.The most efficacious treatment for frozen shoulder is still controversial topic; therefore, this study assessed two common treatments to determine the superior treatment.The results indicated that at 2 year follow-up, there were no differences in pain and functional outcomes between the two groups. The authors advised... Read More »
Level 2 RCT
4%
Synopsis: 50 patients with chronic recalcitrant insertional Achilles tendinopathy with failure of prior non-operative management were randomized to undergo management with eccentric loading or repetitive low-energy shock wave therapy for 12 weeks.At 1 year, the group that received shock wave therapy showed significantly better results than the group treated with eccentric loading, in pain reduction and improvement of VISA-A Scores. The improved results... Read More »
Level 2 RCT
4%
Synopsis: 20 patients either with insertional or midportion chronic Achilles tendinopathy were randomized to receive eccentric training or conventional cryotherapy as treatment for this condition. The results indicated that following the 12 week treatment period, eccentric training resulted in reduced paratendinous blood flow, decreased pain, unchanged and preserved oxygen saturation, and reduced postcapillary venous filling pressures. Read More »
Author verified Level 2 RCT
4%
Synopsis: 50 patients who underwent surgery for acute Achilles tendon (AT) rupture were randomized to receive two types of postoperative treatments.One group received early mobilization of the ankle in a brace for 6 weeks, and the other group received immobilization in a below-knee cast in neutral position for 6 weeks.Results at 3 months and 60 weeks showed that both groups had tendon elongation, but the early mobilization group had slightly less compared to the immobilization group. Patients who had... Read More »
Level 2 RCT
4%
Synopsis: 38 patients with Achilles tendinopathy were randomized to undergo one of two treatments to examine the outcomes of function and pain.One group continued Achilles tendon-loading activity while the second group was prohibited from activity for the first 6 weeks.Both groups underwent an Achilles tendon-loading strengthening rehabilitation program for 12 weeks to 6 months.Results indicated no significant differences between the two treatments on the primary outcomes. Patients were able... Read More »
Author verified Level 2 RCT
4%
Synopsis: 75 patients with Achilles Tendinopathy were randomized to receive eccentric calf loading, low energy shock-wave therapy, or a wait-and-see approach to compare the efficacies of theses treatments for this condition.The results at 4 months indicated that treatment of Achilles tendinopathy using eccentric calf loading and low energy shock-wave therapy was more effective compared to a wait-and-see approach.The success rate of those who used these approaches was 50-60%. The wait-and-see approach... Read More »
Level 2 RCT
4%
Synopsis: Nine randomized controlled trials examining the effects of either platelet-rich plasma (PRP), autologous blood injections, sclerosing agents, protease inhibitors, deproteinized hemodialystate, corticosteroids or prolotherapy in the treatment of non-insertional Achilles tendinosis were selected for this review.The purpose of this review was to summarize the effectiveness of various injectable treatments in the management of non-insertional Achilles tendinosis. Results indicated that... Read More »
Level 2 Meta Analysis
4%
Synopsis: 17 randomized controlled trials (RCTs) consisting of 1381 patients with tennis elbow were evaluated to compare 8 types of injection therapies with the goal of determining the efficacy and safety of each.Results indicated that patients treated with autologous blood, platelet-rich plasma, prolotherapy, hyaluronic acid, and botulinum toxin injections experienced significant improvements in pain intensity compared to placebo.There were no significant differences between any of the glucocorticoid, polidocanol, or glycosaminoglycan polysulfate injection therapy groups against a respective placebo, where changes in pain intensity were concerned.Additionally, no serious adverse events were reported in any of the patients, but the most common minor adverse event observed was temporary pain following administration of injections. This meta-analysis strongly... Read More »
Author verified Level 1 Meta Analysis