Extremities

Extracorporeal Shockwave Therapy in the Treatment of Trigger Finger: A Randomized Controlled Study

Archives of Physical Medicine and Rehabilitation VOLUME 102, ISSUE 11, P2083-2090.E1, NOVEMBER 01, 2021 Yu-Pin Chen, MD, PhD HIGHLIGHTS • Clinical effectiveness of extracorporeal shockwave therapy (ESWT) for trigger finger (TF) remains unclear. • Wide-focused ESWT could be safe and effective for pain relief and functional improvement in TF. • Dose-related effectiveness of wide-focused ESWT […]

Comparison of the effectiveness of proprioceptive neuromuscular facilitation exercises and shoulder mobilization patients with Subacromial Impingement Syndrome: A randomized clinical trial

Journal of Bodywork and Movement Therapies PREVENTION AND REHABILITATION| VOLUME 30, P42-52, APRIL 01, 2022 Sultan İğrek Published: November 01, 2021 DOI:https://doi.org/10.1016/j.jbmt.2021.10.015 Abstract Introduction The aim of this study was to compare the effectiveness of Proprioceptive Neuromuscular Facilitation (PNF) exercises and shoulder mobilization (SM) in addition to conventional physiotherapy on pain, range of motion (ROM), […]

Evidence for increased neuromuscular drive following spinal manipulation in individuals with subacromial pain syndrome

Clinical Biomechanics Volume 90, December 2021, 105485 Amy K. Hegarty Highlights •  Shoulder muscle activity is a key deficit in those individuals with shoulder pain. •  Spinal manipulation increased shoulder muscle activity in patients with shoulder pain. •  Shoulder muscle activity was related to improved shoulder pain and function. •  Neuromuscular drive mechanism may optimize […]

Effect of Platelet-Rich Plasma Injections vs Placebo on Ankle Symptoms and Function in Patients With Ankle Osteoarthritis

October 26, 2021 A Randomized Clinical Trial Liam D. A. Paget, MD JAMA. 2021;326(16):1595-1605. doi:10.1001/jama.2021.16602 Key Points Question  Do intra-articular platelet-rich plasma injections improve ankle symptoms and function in patients with ankle osteoarthritis? Findings  In this randomized clinical trial that included 100 patients, treatment with 2 intra-articular platelet-rich plasma injections vs placebo injections with saline resulted in […]

Why the Choice of CAM Therapies in Knee Osteoarthritis Matters

– Therapy choices differ among races and genders — but so do benefits and limitations of each approach by Sneha Patel, MD October 12, 2021 Osteoarthritis (OA) is a difficult condition to manage, as treatment options are limited. In a study in ACR Open Rheumatology of Veterans Affairs (VA) patients, Vina and colleagues sought to identify gender […]

Effect of Hypertonic Dextrose Injection on Pain and Shoulder Disability in Patients with Chronic Supraspinatus Tendinosis: A Randomized Double-Blind Controlled Study

Archives of Physical Medicine and Rehabilitation VOLUME 103, ISSUE 2, P237-244, FEBRUARY 01, 2022 Che-Li Lin, MD, PhD Published: October 02, 2021 DOI:https://doi.org/10.1016/j.apmr.2021.07.812 Abstract Objectives To investigate the effect of hypertonic dextrose injection (my note: prolotherapy) on pain and disability in patients with chronic supraspinatus tendinosis. The secondary aim was to evaluate its effect on […]

Chronic Plantar Heel Pain Is Principally Associated With Waist Girth (Systemic) and Pain (Central) Factors, Not Foot Factors: A Case-Control Study

Journal of Orthopaedic & Sports Physical Therapy Published Online: August 31, 2021Volume51Issue9Pages449-458 https://www.jospt.org/doi/10.2519/jospt.2021.10018 Abstract Objective To determine the independent associations of potential clinical, symptom, physical activity, and psychological factors with chronic plantar heel pain. Design Case-control. Methods We investigated associations by comparing 220 participants with chronic (more than 3 months in duration) plantar heel pain […]

Exercise Therapy is Effective for Improvement in Range of Motion, Function, and Pain in Patients With Frozen Shoulder: A Systematic Review and Meta-analysis

Archives of Physical Medicine and Rehabilitation 21 August 2021 Michel G. Mertens MSc Highlights •  Exercise therapy is effective in improving range of motion, function and pain •  The effect of adding stretches to a program with exercises is uncertain •  Adding physical modalities is to a program with exercises not beneficial •  The effect […]

Beyond the Diagnosis: Using Patient Characteristics and Domains of Tendon Health to Identify Latent Subgroups of Achilles Tendinopathy

Journal of Orthopaedic & Sports Physical Therapy Published Online: August 31, 2021Volume51Issue9Pages440-448 https://www.jospt.org/doi/10.2519/jospt.2021.10271 Abstract Objective To identify latent subgroups among patients with Achilles tendinopathy, describe patient characteristics and clinical attributes that defined each subgroup, and develop a clinical classification model for subgroup membership. Design Cross-sectional study. Methods One hundred forty-five participants (men, n = 73; […]

Chronic Plantar Heel Pain is Principally Associated With Waist Girth (Systemic) and Pain (Central) Factors, Not Foot Factors: A Case-Control Study

Journal of Orthopaedic & Sports Physical Therapy Published Online: May 7, 2021 Pages1-29 https://www.jospt.org/doi/10.2519/jospt.2021.10018 Abstract Objectives To determine the independent associations of potential clinical, symptom, physical activity, and psychological factors with chronic plantar heel pain. Design Case-control. Methods We investigated associations by comparing 220 participants with chronic plantar heel pain (>3 months) and 100 age- […]

Non-invasive Management of Soft Tissue Disorders of the Shoulder: A Clinical Practice Guideline from the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration

Eur J Pain. 2021 May 4. doi: 10.1002/ejp.1788. Online ahead of print. Hainan Yu Abstract Objectives: To develop an evidence-based guideline for the non-invasive management of soft tissue disorders of the shoulder (shoulder pain), excluding major pathology. Methods: This guideline is based on high-quality evidence from seven systematic reviews. Multidisciplinary experts considered the evidence of effectiveness, safety, […]

Which treatment is most effective for patients with Achilles tendinopathy?

van der Vlist AC, Winters M, Weir A, et al British Journal of Sports Medicine 2021;55:249-256. Abstract Objective To provide a consistently updated overview of the comparative effectiveness of treatments for Achilles tendinopathy. Design Living systematic review and network meta-analysis. Data sources Multiple databases including grey literature sources were searched up to February 2019. Study […]

One-Year Efficacy of Platelet-Rich Plasma for Moderate-to-Severe Carpal Tunnel Syndrome: A Prospective, Randomized, Double-Blind, Controlled Trial

Archives of Physical Medicine and Rehabilitation VOLUME 102, ISSUE 5, P951-958, MAY 01, 2021 Si-Ru Chen, MD Abstract Objective To assess the therapeutic effect of platelet-rich plasma (PRP) for moderate-to-severe carpal tunnel syndrome (CTS). Design A prospective, randomized, double-blinded, controlled trial (1-year follow-up). Setting Outpatient of local medical center settings. Participants Patients (N=26) who were […]

Hip–Spine Syndrome: When the Hip Does Not Move, the Spine Labors Double

Arthroscopy VOLUME 37, ISSUE 5, P1510-1511, MAY 01, 2021 Editorial Commentary Juan Gómez-Hoyos, M.D. DOI:https://doi.org/10.1016/j.arthro.2021.02.038 Abstract When the hip does not move, the spine labors double. For example, limited hip extension results in lumbar spine hyperextension and an increase in spinal facet joint loading due to premature coupling. Patients who undergo hip surgery show significant […]

Effectiveness of Dry Needling Therapy on Pain, Hip Muscle Strength, and Physical Function in Patients With Hip Osteoarthritis: A Randomized Controlled Trial

Archives of Physical Medicine and Rehabilitation VOLUME 102, ISSUE 5, P959-966, MAY 01, 2021 Abstract Objective To investigate the short-term effects of dry needling (DN) on physical function, pain, and hip muscle strength in patients with hip osteoarthritis (OA). Design A double-blind, placebo-control, randomized controlled trial. Setting Private practice physiotherapy clinic. Participants Patients with unilateral […]

Association of Chronic Pain with Radiologic Severity and Central Sensitization in Hip Osteoarthritis Patients – Full-Text

Journal of Pain Research » Volume 14 Authors Hattori T, Shimo K, Niwa Y, Tokiwa Y, Matsubara T Received 9 December 2020 Accepted for publication 17 March 2021 Published 22 April 2021 Volume 2021:14 Pages 1153—1160 DOI https://doi.org/10.2147/JPR.S296273 Purpose: Pain and joint deformity are the most common symptoms of hip osteoarthritis (OA). However, no significant […]

Diabetes Mellitus Blunts the Symptoms, Physical Function, and Health-Related Quality of Life Benefits of Total Knee Arthroplasty

A Systematic Review With Meta-Analysis of Data From More Than 17,000 Patients Journal of Orthopaedic & Sports Physical Therapy Published Online:April 19, 2021Volume0Issue0Pages1-54 https://www.jospt.org/doi/10.2519/jospt.2021.9515 Abstract Objective To compare physical function, pain, impairments (stiffness, range of motion, and strength), and health-related quality of life (HRQOL) outcomes between patients with and without diabetes mellitus, before and after […]

Major risk of injury for recreational runners

ScienceDaily Top Health|April 12, 2021 Almost half of all recreational runners incur injuries, mostly relating to knees, calves or Achilles tendons, and the level of risk is equally high whatever your age, gender or running experience. These are the findings of a thesis within sport science. Doctoral student Jonatan Jungmalm recruited a little over 200 […]

The effect of lumbar spine manipulation on pain and disability in Achilles tendinopathy. A case report

Journal of Bodywork and Movement Therapies Volume 26, April 2021, Pages 214-219 Christos Savva Abstract Background/purpose Cervical and thoracic spine manipulation has been found to reduce tendon pain and disability in lateral epicondylalgia and rotator cuff tendinopathy. Based on these findings, the application of lumbar spine manipulation may also provide similar improvements in Achilles tendinopathy […]

Diagnostic accuracy of sensory and motor tests for the diagnosis of carpal tunnel syndrome: a systematic review

Published: 07 April 2021 Armaghan Dabbagh BMC Musculoskeletal Disorders volume 22, Article number: 337 (2021) Abstract Background Carpal tunnel syndrome (CTS) is the most common entrapment mononeuropathy of the upper extremity. The previous systematic review of the diagnostic tests for CTS was outdated. The objective of this study was to compile and appraise the evidence […]