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Random controlled trial level 1 evidence orthopedics physical therapy

Frederik O Lambers Heerspink, Roy Ag Hoogeslag, Ron L Diercks, Pepijn Jm van Eerden, Inge van den Akker-Scheek, Jos Jam van Raay
BACKGROUND: Subacromial impingement syndrome is a frequently observed disorder in orthopedic practice. Lasting symptoms and impairment may occur when a subsequent atraumatic rotator cuff rupture is also present. However, degenerative ruptures of the rotator cuff can also be observed in asymptomatic elderly individuals. Treatment of these symptomatic degenerative ruptures may be conservative or surgical. Acceptable results are reported for both treatment modalities. No evidence-based level-1 studies have been conducted so far to compare these treatment modalities...
January 26, 2011: BMC Musculoskeletal Disorders
E Cohen, D A Sala
AIM: The recent increase in sports participation in children and adolescents has resulted in the increase of sport-related injuries and the need for rehabilitation. The purposes of this study were to review studies involving rehabilitation of pediatric musculoskeletal sport-related injuries to determine the study design (level of evidence), inclusion of a reference to skeletal immaturity, adequacy of the description of the rehabilitation program and treatment outcome. METHODS: Medline(1950-June 2009), CINAHL(1982-June 2009), Cochrane and journals (sports, physical therapy, pediatric orthopedic) were searched using the terms: physical therapy or rehabilitation plus sports/athletic injuries or individual sports plus pediatrics, adolescent, children, youth and young...
June 2010: European Journal of Physical and Rehabilitation Medicine
Brian K Kwon, Charles G Fisher, Michael C Boyd, John Cobb, Hilary Jebson, Vanessa Noonan, Peter Wing, Marcel F Dvorak
OBJECT: Unilateral facet injuries can be treated with either anterior or posterior fixation techniques with reportedly good outcomes. The two approaches have not been directly compared, however, and consensus is lacking as to which is the optimal method. The primary objective of this study was to determine whether acute postoperative morbidity differed between anteriorly and posteriorly treated patients with unilateral facet injuries. METHODS: Forty-two patients were prospectively randomized to undergo either anterior cervical discectomy and fusion or posterior fixation...
July 2007: Journal of Neurosurgery. Spine
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