There was no significant correlation between acceptable alignment according to radiological parameters and short- or medium-term functional outcome in patients older than 60 years with extra-articular DRF treated conservatively.
[Purpose] Describe the effect of a Physical Therapy (PT) program in function improvement
and pain reduction in patients over 60 years of age with massive and irreparable Rotator
Cuff (RC) tear. [Participants and Methods] Ninety-two patients received a 12 weeks PT
program that consisted in manual therapy and a specific exercises program. Before the
start and at the end of the treatment, the shoulder function was assessed with
Constant-Murley, the upper extremity function with DASH, and the pain during activity with
the visual analog scale (VAS). [Results] At the end of the treatment, Constant-Murley
exhibited an increment of 24.9 points, DASH showed a decrease of 28.7 points, and the VAS,
a decrease of 3.6 cm (p=0.00). [Conclusion] A PT program based on manual therapy and
specific exercises in a short term improves the function and reduces the pain during
activity in patients with a massive and irreparable RC tear.
Background
Systematic reviews allow health decisions to be informed by the best available research evidence. However, their number is proliferating quickly, and many skills are required to identify all the relevant reviews for a specific question.
Methods and findings
We screen 10 bibliographic databases on a daily or weekly basis, to identify systematic reviews relevant for health decision-making. Using a machine-based approach developed for this project we select reviews, which are then validated by a network of more than 1000 collaborators. After screening over 1,400,000 records we have identified more than 300,000 systematic reviews, which are now stored in a single place and accessible through an easy-to-use search engine. This makes Epistemonikos the largest database of its kind.
Conclusions
Using a systematic approach, recruiting a broad network of collaborators and implementing automated methods, we developed a one-stop shop for systematic reviews relevant for health decision making.
Background: Ginger has been proposed as a complementary treatment for musculoskeletal
pain. However, efficacy, type, and safety remains unclear.
Objectives: To determine the effectiveness of consumption or topical application of ginger
for pain relief and knee function improvement in patients with knee osteoarthritis.
Study Design: Systematic review with meta-analysis of randomized clinical trials.
Methods: An electronic search was performed on Medline, Central, CINAHL, PEDro,
SPORTDiscus, and LILACS databases. The eligibility criteria for selecting studies included
clinical trials that compared consumption and/or topical ginger with placebo or other
interventions for the pain relief and knee function in patients with medical diagnosis of knee
osteoarthritis.
Results: Seven clinical trials met the eligibility criteria, and for the quantitative synthesis, 4
studies were included. For the comparison capsules versus placebo, mean difference for pain
was −7.88 mm; 95% confidence interval (CI), 11.92 to 3.85 (P = 0.00), and standard mean
difference for knee function was −1.61 points; 95% CI, −4.30 to −1.09 (P = 0.24). For the
comparison of topical ginger versus standard treatment, standard mean difference for pain
was 0.79 mm; 95% CI, −1.97 to 0.39 (P = 0.19), and standard mean difference for knee
function was −0.51 points; 95% CI, −1.15 to 0.13 (P = 0.12).
Limitations: The current evidence is heterogeneous and has a poor methodologic quality.
Conclusions: There is insufficient evidence to support the use of oral ginger compared with
placebo in the pain relief and function improvement in patients with knee osteoarthritis. For
other comparisons, no statistically significant differences were found.
Key words: Osteoarthritis, knee osteoarthritis, ginger, pain, randomized clinical trial,
systematic review
Introduction: Massive tear of the rotator cuff (DMMR) is a degenerative clinical condition, which corresponds to a 5 cm rupture, or one that compromises two or more tendons of the rotator cuff (MR), generating loss of functionality and disabling pain.Objective: To describe changes in pain and shoulder function following a 6-week program of lateral-imaging and motion imaging therapy and selective glenohumeral activation exercises in subjects with massive rotator cuff tears.Methods: This study is a descriptive research and design of a series of cases, with a sample of 50 participants with diagnosis of rotator cuff mastication. Patients underwent a glenohumeral selective exercise program plus laterality and motion imaging therapy for 6 weeks. The variables of function, pain, abduction ROM and shoulder flexion were measured at sixth week and sixth month of evolution.Results: There were significant differences in pain intensity, shoulder function, AROM flexion and shoulder abduction AROM, after the intervention (p > 0.05). Statistically significant differences were found for all outcome measures between the intervention and the sixth follow-up month (p < 0.05). Only the
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