Extremities

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 […]

Does cartilage loss cause pain in osteoarthritis and if so, how much?

Bacon K, LaValley MP, Jafarzadeh SR, et al Does cartilage loss cause pain in osteoarthritis and if so, how much? Annals of the Rheumatic Diseases 2020;79:1105-1110. Abstract Objectives Although treatment development in osteoarthritis (OA) focuses on chondroprotection, it is unclear how much preventing cartilage loss reduces joint pain. It is also unclear how nociceptive tissues may be involved. Methods Using data from the […]

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 […]

Manipulative Therapy Plus Ankle Therapeutic Exercises for Adolescent Baseball Players with Chronic Ankle Instability: A Single-Blinded Randomized Controlled Trial

by Ho-Jin Shin Int. J. Environ. Res. Public Health 2020, 17(14), 4997; https://doi.org/10.3390/ijerph17144997 Received: 11 June 2020 / Revised: 2 July 2020 / Accepted: 7 July 2020 / Published: 11 July 2020 Abstract Manipulative therapies and exercises are commonly used for the management of chronic ankle instability (CAI), but there is no evidence regarding the […]

The immediate effect of lumbopelvic manipulation on knee pain, knee position sense, and balance in patients with patellofemoral pain: A randomized controlled trial

JBMT VOLUME 24, ISSUE 3, P 71-77, JULY 01, 2020 Alireza Motealleh Abstract Background Patellofemoral pain (PFP) is a common musculoskeletal disorder. Quadriceps and core muscle neuromuscular control impairments are frequently associated with PFP. Lumbopelvic manipulation (LPM) has been shown to improve quadriceps and core muscle activation and decrease their inhibition, but changes in balance […]

Effects of dry needling on symptomatic hallux valgus: A randomized single blind clinical trial

JBMT VOLUME 24, ISSUE 3, P246-251, JULY 01, 2020 Aliye Sadat Kharazmi Abstract Objectives The purpose of the present study was to determine the short and medium effects of dry needling (DN) on myofascial trigger points (MTrPs) in individuals with symptomatic hallux valgus (SHV). Methods A total of 30 female volunteers, aged 25–60, with hallux […]

Osteopathic treatment of patients with shoulder pain. A pragmatic randomized controlled trial

VOLUME 24, ISSUE 3, P21-28, JULY 01, 2020 Florian Schwerla Abstract Background Shoulder complaints are common in the general population. Typically, the diagnosis of a specific pathology is lacking. The objective of this trial was to evaluate the effectiveness of an osteopathic treatment in patients suffering from shoulder pain. Methods A pragmatic randomized controlled trial […]