Extremities

Effects of low-level and high-intensity laser therapy as adjunctive to rehabilitation exercise on pain, stiffness and function in knee osteoarthritis: A systematic review and meta-analysis

Ahmad MA Physiotherapy | March 29, 2021 Researchers aimed at ascertaining if and how low-level (LLLT) or high-intensity laser therapy (HILT) combined with rehabilitation exercise (LLLT + E or HILT + E) affects pain, stiffness and function in knee osteoarthritis (KOA). They searched five databases (PubMed, Web of Science, CINAHL, PEDro and SPORTDiscus) resulting in […]

The analgesic effect of joint mobilization and manipulation in tendinopathy: a narrative review

Journal of Manual & Manipulative Therapy Published online: 26 Mar 2021 Christos Savva ABSTRACT Objective: To summarize the available literature with regards to the potential analgesic effect and mechanism of joint mobilization and manipulation in tendinopathy. Results: The effect of these techniques in rotator cuff tendinopathy and lateral elbow tendinopathy, applied alone, compared to a […]

Anterior cruciate ligament abnormalities are associated with accelerated progression of knee joint degeneration in knees with and without structural knee joint abnormalities: 96-month data from the osteoarthritis initiative

Gersing AS, Schwaiger BJ, Nevitt MC, et al. Osteoarthritis and Cartilage |March 26, 2021 The present study was sought to correlate progression over 8 years in knee compositional cartilage degeneration and structural joint abnormalities in knees with different types of anterior cruciate ligament (ACL) abnormalities over 8 years. Researchers evaluated baseline MR images of the […]

Group-based exercise, individually supervised exercise and home-based exercise have similar clinical effects and cost-effectiveness in people with subacromial pain: a randomised trial

Journal of Physiotherapy Available online 17 March 2021 David Høyrup Christiansen Abstract Question What are the relative effects of group-based exercise, individual exercise and home-based exercise on clinical outcomes and costs in patients with subacromial pain? Design Multicentre, three-arm, randomised controlled trial with concealed allocation and intention-to-treat analysis. Participants A total of 208 patients referred […]

Motion-Control Shoes Reduce the Risk of Pronation-Related Pathologies in Recreational Runners: A Secondary Analysis of a Randomized Controlled Trial

Journal of Orthopaedic & Sports Physical Therapy Published Online: February 28, 2021 Volume 51 Issue 3 Pages135-143 https://www.jospt.org/doi/10.2519/jospt.2021.9710 Abstract Objective To investigate whether motion-control shoes reduce the risk of pronation-related injuries in recreational runners. Design Secondary analysis of a randomized controlled trial of the effect of shoes on running injuries. Methods Three hundred seventy-two recreational […]

Treating Heel Pain in Adults: A Randomized Controlled Trial of Hard vs Modified Soft Custom Orthotics and Heel Pads

Archives of Physical Medicine and Rehabilitation VOLUME 102, ISSUE 3, P363-370, MARCH 01, 2021 Deborah A.R. Seligman, MSc, BSc (OT) Abstract Objectives This study compared the effectiveness of soft vs hard orthotics in treating heel pain and plantar fasciitis in adults. It also compared the level of function after orthotic use, cost, and number of […]

Cun-Zhi Liu, MD, PhD, on Acupuncture in Patients With Knee Osteoarthritis

Electric and manual acupuncture both outperformed a sham equivalent by Scott Harris Contributing Writer, MedPage Today 2/9/2021 Among patients with knee osteoarthritis, both manual and electro-acupuncture outperformed sham acupuncture in reducing pain and improving function, new randomized controlled trial data showed. Of 480 patient participants recruited for the trial, efficacy was evaluated in 442. The […]

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, […]

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 […]

The effect of running on knee joint cartilage: A systematic review and meta-analysis

Physical Therapy in Sport Volume 47, January 2021, Pages 147-155 Xueping Dong Highlights ·  A meta-analysis was done to evaluate the effect of running on knee cartilage. ·  A short-term adverse effect on COMP was caused by running. ·  Running has more advantages than disadvantages to knee cartilage. ·  Runners could follow the moderate principle […]

Real Acupuncture Beat Sham for Osteoarthritis Knee Pain

Heidi Splete December 03, 2020 Electro-acupuncture resulted in significant improvement in pain and function, compared with sham acupuncture, in a randomized trial of more than 400 adults with knee OA. The socioeconomic burden of knee OA (KOA) remains high, and will likely increase with the aging population and rising rates of obesity, wrote first author Jian-Feng […]

Lifestyle Mods May Head Off Gout

— Four addressable factors appear key by Kristen Monaco, Staff Writer, MedPage Today November 24, 2020 Reducing four particular risk factors for gout could slash incident cases in men, researchers reported. Over a 26-year period, about 77% (95% CI 56%-88%) of men likely could have avoided gout if they likewise avoid four major risk factors […]

ACR 2020: Corticosteroid Injections Do Not Hasten Progression of Knee Osteoarthritis

November 9, 2020—It does not appear that corticosteroid injections for the management of pain associated with knee osteoarthritis contribute to worsening of the condition, according to research presented at the American College of Rheumatology Virtual Convergence 2020, which took place online from November 5 to 9. “Cortisone injections have been used for a long time […]

Diagnosing Carpal Tunnel Syndrome: Diagnostic Test Accuracy of Scales, Questionnaires, and Hand Symptom Diagrams—A Systematic Review

Armaghan Dabbagh, PT, MSc1, Joy C. MacDermid, PT, PhD13, Joshua Yong, OT, MSc4, Luciana G. Macedo, PT, PhD2, Tara L. Packham, OT, PhD2 Journal of Orthopaedic & Sports Physical Therapy Published Online: October 31, 2020 Volume 50 Issue 11 Pages622-631 https://www.jospt.org/doi/10.2519/jospt.2020.9599 Abstract Objective To summarize and evaluate research on the accuracy of clinical diagnostic scales, […]

The association of an increasing waist circumference and risk of incident low physical function in adults with knee osteoarthritis

Christiansen MB, Thoma LM, Master H, et al The Journal of Rheumatology|October 5, 2020 The present study was conducted to explore an 8-year variation in waist circumference (WC) with the risk of incident low physical function over 1 year in adults with, or at risk of, knee osteoarthritis. Researchers applied data from the Osteoarthritis Initiative. […]

The effects of shoes and insoles for low back pain: a systematic review and meta-analysis of randomized controlled trials

Res Sports Med. 2020 Sep 21;1-16. doi: 10.1080/15438627.2020.1798238. Online ahead of print. Lingjun Kong PMID: 32954802 DOI: 10.1080/15438627.2020.1798238 Abstract The aim of this review was to examine the effects of shoes and insoles on low back pain (LBP). Seven electronic databases were searched from their inception to May 2020. The methodological quality of the 14 […]

Curcuma Longa Effective for Knee Osteoarthritic Pain

October 01, 2020 Annals of Internal Medicine TAKE-HOME MESSAGE This randomized controlled trial examined the use curcumin over 12 weeks for treatment of osteoarthritis. Use of curcumin improved pain for patients, but did not improve effusion volumes or relaxation time of the lateral femoral cartilage when compared with placebo. Curcumin is presented as a potential […]

Diagnosing Carpal Tunnel Syndrome: Diagnostic Test Accuracy of Scales, Questionnaires, and Hand Symptom Diagrams—A Systematic Review

Journal of Orthopaedic & Sports Physical Therapy Published Online:September 16, 2020Volume0Issue0Pages1-47 https://www.jospt.org/doi/10.2519/jospt.2020.9599 Abstract Objective To summarize and evaluate research on the accuracy of clinical diagnostic scales, questionnaires and hand symptom diagrams/maps (HSD) used for diagnosis of carpal tunnel syndrome (CTS). Design Systematic review of diagnostic test accuracy. Literature Search A comprehensive literature search of MEDLINE, […]

Relationship Between Intensity of Neck Pain and Disability and Shoulder Pain and Disability in Individuals With Subacromial Impingement Symptoms: A Cross-Sectional Study

JMPT VOLUME 43, ISSUE 7, P691-699, SEPTEMBER 01, 2020 Thiele de Cássia Libardoni, PT, MSc Abstract Objective This study aimed to verify a possible relationship between shoulder disability and shoulder pain intensity and the variables related to cervical-spine dysfunction, and determine which of these can differentiate moderate to severe shoulder pain (>4 on a numerical […]

The Utilization of Joint Mobilization As Part of a Comprehensive Program to Manage Carpal Tunnel Syndrome: A Systematic Review

Journal of Manipulative and Physiological Therapeutics Josiah D. Sault, DPT Dhinu J. Jayaseelan, DPT John J. Mischke, DPT Andrew A. Post, DPT Published:August 26, 2020DOI:https://doi.org/10.1016/j.jmpt.2020.02.001 Abstract Objective The purpose of this review is to identify the role of joint mobilization for individuals with Carpal tunnel syndrome (CTS). Methods A systematic search of 5 electronic databases […]