Loading...
Visit our Evidence-Based Covid-19 Website and Stay Up to Date with the latest Research.
To focus on specific sub specialties check/uncheck boxes on left
31%
31%
21%
7%
3%
3%
3%
Displaying
100%
23%
Synopsis: 28 patients with knee osteoarthritis (OA) were randomized to the order in which they received either a pair of lateral wedged insoles or an off-the-shelf valgus knee brace for two consecutive weeks in this cross-over randomized trial.A 2 week washout period was used between treatments.The purpose of this study was to determine the biomechanical and clinical effects of these two treatments as assessed using knee kinematics and kinetics parameters, the Western Ontario and McMaster Universities Arthritis Index (WOMAC), and a 100mm visual analogue scale (VAS).Findings indicated a significantly reduced early stance external knee adduction moment (EKAM) in the lateral wedged insoles group compared to the valgus knee brace group, but knee varus angle was significantly reduced in the brace group compared to the insole group.Pain and functional outcomes were comparable between groups. Both treatment methods... Read More »
Author verified Level 2 RCT
7%
Synopsis: This is a meta-analysis of ten randomized controlled trials comparing operative and non-operative treatment for primary patellar dislocation.A total of 510 patients were included, and outcomes were recurrence (at 24-44 months and 72-86 months), function (at 24-44 months) and revision rate (at 72-84 months).A subgroup analysis was also performed on patients < 16 years old (at 24-168 months).Overall, operative management was significantly favoured in terms of recurrent dislocation and function at 24-44 months.There was a trend favouring surgery for recurrence and revision at 72-86 months, though this was non-significant. Read More »
Level 1 Meta Analysis
7%
Synopsis: The authors conducted a multi-centre, assessor blinded, randomized controlled trial.They randomized 40 patients to two groups.Both groups received a conservative physiotherapy protocol.Patients in the intervention group also received a standard wrist splint. Patients in the... Read More »
Level 2 RCT
3%
Synopsis: 50 patients were randomized to compare the functional assessments of two techniques in treating Bankart lesion in traumatic anterior shoulder instability; patients received either an open or arthroscopic procedure. At a mean of 37.5 month follow-up, no clinically relevant differences were seen in the primary outcome measure (Disability of the Arm, Shoulder and Hand score) or any of the secondary outcome measures between the two groups. Read More »
Author verified Level 2 RCT
3%
Synopsis: This meta-analysis identified 6 studies that compared open Bankart repair versus arthroscopic repair with suture anchors as treatment for post-traumatic anterior instability of the shoulder.A total of 501 patients were identified from these 6 studies. Results from this... Read More »
Level 3 Meta Analysis
3%
Synopsis: 101 patients (106 shoulders) were randomized to investigate the efficacy of either an intra-articular injection or periarticular injection in the treatment of symptomatic acromioclavicular joints.Outcome measurements of pain and function were assessed up to 3 weeks post-injection.The results indicated that either injection provided similar, significant improvements in pain and function. There was no... Read More »
Author verified Level 1 RCT
3%
Synopsis: 25 studies were included in this review investigating total elbow arthroplasty (TEA) and open reduction and internal fixation (ORIF) in the treatment of distal humeral fractures.Of the 25 studies included, 24 were deemed to be weak through quality assessment.The results indicated that functional outcome and range of motion appear to be similar following surgery using either TEA or ORIF.Non-progressive radiolucency was observed in 9.8% of TEA cases, and radiographic implant loosening in 4.4% of TEA cases. The two treatments... Read More »
Conference Report
3%
Synopsis: 49 obese patients suffering from chronic low back pain (cLBP) were randomized to receive resistance exercise (TOTRX), lumbar extensor exercise (LEXT), or to a control group (CON), in order to investigate the role of lumbar muscle strength on walking endurance.Patients were monitored over 4 months.The evidence presented in this study demonstrated greater gains in lumbar extensor strength after 4 months with the exercise groups compared to control. Responders (those with... Read More »
Author verified Level 2 RCT
3%
Synopsis: 125 home-dwelling elderly with a high risk for falling were randomized to undergo the Otago Exercise Program (OEP) either through group training (GT) or home training (HT).This study aimed to compare the effects on muscle strength and functional balance.Results indicated a significant improvement in Berg Balance Scale scores at 12 weeks and at 3 months, although improvement at 12 weeks was greater for GT.At 3 months, performance on the Timed Up and Go (TUG) and 30-second sit-to-stand tests were significantly better in the GT groups compared to the HT group, whereas Short Form-36 and Falls Efficacy Scale International scores were comparable. Incidence of falls... Read More »
Author verified Level 2 RCT
3%
Synopsis: 16 trials with 3 randomized controlled trials, 1 quasi-randomized controlled trial, and 12 controlled clinical trials evaluating a total of 827 shoulder treatments were included in this meta-analysis to analyze the effectiveness and safety of arthroscopic versus open Bankart repair in recurrent anterior shoulder dislocations.Pooled results demonstrated that arthroscopic repair resulted in greater recovery of range of motion, but had higher recurrence and re-operation rates than open repair. Rates of adverse... Read More »
Level 2 Meta Analysis