Comparisons

Arthroscopic partial meniscectomy versus exercise therapy for degenerative meniscal tears

Arthroscopic partial meniscectomy versus exercise therapy for degenerative meniscal tears: 10-year follow-up of the OMEX randomised controlled trial Bjørnar Berg Abstract Objective To evaluate radiographic knee osteoarthritis (OA) progression, development of knee OA, patient-reported outcomes and knee muscle strength at 10-year follow-up after arthroscopic partial meniscectomy (APM) or exercise therapy for degenerative meniscal tears. Methods […]

Topical Diclofenac vs Oral Ibuprofen for Acute Low Back Pain

March 21, 2024 Annals of Emergency Medicine TAKE-HOME MESSAGE This randomized placebo-controlled trial evaluated the use of diclofenac gel versus oral ibuprofen for acute low back pain in the emergency department and found that topical diclofenac gel was significantly less effective in relieving pain and improving function 2 days after prescription compared with oral ibuprofen 400 […]

Chiropractic spinal manipulation and likelihood of tramadol prescription in adults with radicular low back pain: a retrospective cohort study using US data

BMJ Open. 2024 May 1;14(5):e078105. doi: 10.1136/bmjopen-2023-078105. Robert James Trager PMID: 38692725 DOI: 10.1136/bmjopen-2023-078105 Abstract Objectives: Patients receiving chiropractic spinal manipulation (CSM) for low back pain (LBP) are less likely to receive any opioid prescription for subsequent pain management. However, the likelihood of specifically being prescribed tramadol, a less potent opioid, has not been explored. […]

Acupuncture versus tricyclic antidepressants in the prophylactic treatment of tension-type headaches: an indirect treatment comparison meta-analysis

J Headache Pain. 2024 Apr 29;25(1):67. doi: 10.1186/s10194-024-01776-5. Qing-Feng Tao PMID: 38679721 PMCID: PMC11057108 DOI: 10.1186/s10194-024-01776-5 Abstract Background: Acupuncture showed better improvement than sham acupuncture in reducing attack frequency of tension-type headache (TTH), but its effectiveness relative to first-line drugs for TTH is unknown, which impedes the recommendation of acupuncture for patients who are intolerant […]

Cervical manipulation versus thoracic or cervicothoracic manipulations for the management of neck pain. A systematic review and meta-analysis

Musculoskelet Sci Pract. 2024 Mar 11:71:102927. doi: 10.1016/j.msksp.2024.102927. Online ahead of print. Andoni Carrasco-Uribarren PMID: 38492291 DOI: 10.1016/j.msksp.2024.102927 Abstract Background: Cervical and thoracic thrust or non-thrust manipulations have shown to be effective in patients with neck pain, but there is a lack of studies comparing both interventions in patients with neck pain. Objective: To investigate […]

Cost of chiropractic versus medical management of adults with spine-related musculoskeletal pain: a systematic review

Chiropractic & Manual Therapies Published: 06 March 2024 Ronald Farabaugh Abstract Background The cost of spine-related pain in the United States is estimated at $134.5 billion. Spinal pain patients have multiple options when choosing healthcare providers, resulting in variable costs. Escalation of costs occurs when downstream costs are added to episode costs of care. The […]

Comparison of Manual Therapy Technique to Therapeutic Exercise in the Treatment of Patients With Subacromial Impingement Syndrome: A Randomized Clinical Trial

Journal of Manipulative & Physiological Therapeutics Zeynab Azin, MSc Fahimeh Kamali, PhD Nasrin Salehi Dehno, PhD Sara Abolahrari-Shirazi, PhD Published: September 29, 2023DOI:https://doi.org/10.1016/j.jmpt.2023.06.002 Abstract Objective The purpose of this study was to compare the effects of manual therapy to therapeutic exercise on shoulder pain, disability, and range of motion (ROM) in patients with subacromial impingement […]

Physical Therapy vs Arthroscopic Partial Meniscectomy for Patients With Degenerative Meniscal Tears

July 21, 2022 JAMA Network Open TAKE-HOME MESSAGE This 5-year follow-up of the ESCAPE trial examined the long-term (3–5 years) effects of arthroscopic partial meniscectomy versus exercise-based physical therapy (PT) in patients with degenerative meniscal tears. The authors assessed patient-reported knee function and the progression of knee osteoarthritis using radiographs for more than 5 years […]

Mediterranean and Low-Fat Diet for Long-Term Secondary Prevention of Cardiovascular Disease

May 23, 2022 The Lancet TAKE-HOME MESSAGE The authors of this study conducted a single-center, randomised clinical trial to compare the effect of a Mediterranean versus low-fat diet for secondary prevention in 1002 patients with established coronary heart disease. Multivariable hazard ratios for a composite of major cardiovascular events (myocardial infarction, revascularisation, ischaemic stroke, peripheral […]

Clinical observation of chiropractic manipulation in the treatment of degenerative scoliosis

Zhongguo Gu Shang. 2022 May 25;35(5):442-7. (China journal of orthopaedics and traumatology) doi: 10.12200/j.issn.1003-0034.2022.05.007. Lu-Guang Li 1, Jing-Hua Gao 1, Chun-Yu Gao 1, Wu Sun 1, Jie Luo 1, Ke-Xin Yang 1, Jie Yu 1, Jian-Guo Li 1, Bao-Jian Wang 1, Wei Yang 1, Ming-Hui Zhuang 1 PMID: 35535532 DOI: 10.12200/j.issn.1003-0034.2022.05.007 Abstract Objective: To observe […]

Cost Study Backs PT Over Steroid Shots in Knee Osteoarthritis

— Better efficacy and no pricier over time by John Gever, Contributing Writer, MedPage Today January 24, 2022 Although physical therapy for osteoarthritis of the knee costs more than an intra-articular steroid injection, it’s cost-effective when clinical outcomes a year later are taken into account, researchers said. A secondary analysis of data from 156 participants […]

Spinal Manipulation and Electrical Dry Needling in Patients With Subacromial Pain Syndrome: A Multicenter Randomized Clinical Trial

Journal of Orthopaedic & Sports Physical Therapy Published Online:January 31, 2021Volume51Issue2Pages72-81 https://www.jospt.org/doi/10.2519/jospt.2021.9785 Abstract Objectives To compare the effects of spinal thrust manipulation and electrical dry needling (TMEDN group) to those of nonthrust peripheral joint/soft tissue mobilization, exercise, and interferential current (NTMEX group) on pain and disability in patients with subacromial pain syndrome (SAPS). Design Randomized, […]

Strength training is as effective as stretching for improving range of motion: A systematic review and meta-analysis

AUTHORS José AfonsoRodrigo Ramirez-CampilloJoão MoscãoTiago RochaRodrigo ZaccaAlexandre MartinsAndré A. MilheiroJoão FerreiraHugo SarmentoFilipe Manuel Clemente Abstract Background: Range of motion (ROM) is an important feature of sports performance and health. Stretching is usually prescribed to improve promote ROM gains, but evidence has suggested that strength training (ST) also improves ROM. However, it is unclear if its […]

Comparison of Treatments for Frozen Shoulder: A Systematic Review and Meta-analysis

December 16, 2020 Dimitris Challoumas, MD JAMA Netw Open. 2020;3(12):e2029581. doi:10.1001/jamanetworkopen.2020.29581 Key Points Question Are any treatment modalities for frozen shoulder associated with better outcomes than other treatments? Findings In this meta-analysis of 65 studies with 4097 participants, intra-articular corticosteroid was associated with increased short-term benefits compared with other nonsurgical treatments, and its superiority appeared […]

Low-carb or low-fat: Which is healthier?

Connie Capone|August 12, 2020 Over the years we’ve seen countless diet fads come and go, each one promising to help us shed unwanted pounds with ease, but many of these get-thin-quick diets are like get-rich-quick schemes—they tend to help us lose dollars quicker than weight. On the other hand, low-carb and low-fat diets with names […]

Manual Therapy Versus Surgery for Carpal Tunnel Syndrome: 4-Year Follow-up From a Randomized Controlled Trial

César Fernández-de-las-Peñas Physical Therapy, pzaa150, https://doi.org/10.1093/ptj/pzaa150 Published: 06 August 2020 Abstract Objective No study has investigated the effects longer than 1-year of manual therapy in carpal tunnel syndrome (CTS). The purpose of this study was to investigate the effects of manual therapy versus surgery at 4-year follow-up and to compare the post-study surgery rate in […]

Effectiveness of spinal manipulation and myofascial release compared with spinal manipulation alone on health-related outcomes in individuals with non-specific low back pain: randomized controlled trial

Physiotherapy Volume 107, June 2020, Pages 71-80 Taise AngeliBoff Abstract Objective To investigate the effectiveness of spinal manipulation combined with myofascial release compared with spinal manipulation alone, in individuals with chronic non-specific low back pain (CNLBP). Design Randomized controlled trial with three months follow-up. Setting Rehabilitation clinic. Participants Seventy-two individuals (between 18 and 50 years […]

Observational retrospective study of the association of initial healthcare provider for new-onset low back pain with early and long-term opioid use – Full Text

BMJ Open 2019;9:e028633. doi: 10.1136/bmjopen-2018-028633 First published September 20, 2019. Lewis E Kazis1, Omid Ameli1,2, James Rothendler1, Brigid Garrity1, Howard Cabral3, Christine McDonough4, Kathleen Carey1, Michael Stein1, Darshak Sanghavi2, David Elton5, Julie Fritz6, Robert Saper7 Abstract Objective This study examined the association of initial provider treatment with early and long-term opioid use in a national […]

Effectiveness of Foot Orthoses Versus Corticosteroid Injection for Plantar Heel Pain: The SOOTHE Randomized Clinical Trial

Published: Journal of Orthopaedic & Sports Physical Therapy, 2019 Volume:49 Issue:7 Pages:491–500 DOI: 10.2519/jospt.2019.8807 Background Plantar heel pain is a common foot complaint that causes significant disability and poorer health-related quality of life. Foot orthoses and corticosteroid injection are effective treatments for plantar heel pain; however, it is unclear whether one is more effective than […]

Ultrasonography Provides a Diagnosis Similar to That of Nerve Conduction Studies for Carpal Tunnel Syndrome

Dionysios Drakopoulos, MD; Evanthia Mitsiokapa, MD; Erineos Karamanis, MD; Vasilios Kontogeorgakos, MD; Andreas F. Mavrogenis, MD Orthopedics. 2019;42(5):e460-e464https://doi.org/10.3928/01477447-20190604-02 Posted June 13, 2019 Abstract Carpal tunnel syndrome (CTS) is the most common peripheral entrapment neuropathy. Its diagnosis is based on clinical symptoms and neurophysiological evaluation. Recently, ultrasonography has been introduced as a promising noninvasive diagnostic alternative. […]