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current trends for osteoarthritis conservative treatment

Wei-Ju Chang, Kim L Bennell, Paul W Hodges, Rana S Hinman, Matthew B Liston, Siobhan M Schabrun
INTRODUCTION: Osteoarthritis (OA) is a major health problem and a leading cause of disability. The knee joint is commonly affected, resulting in pain and physical dysfunction. Exercise is considered the cornerstone of conservative management, yet meta-analyses indicate, at best, moderate effect sizes. Treatments that bolster the effects of exercise, such as transcranial direct current stimulation (tDCS), may improve outcomes in knee OA. The aims of this pilot study are to (1) determine the feasibility, safety and perceived patient response to a combined tDCS and exercise intervention in knee OA, and (2) provide data to support a sample size calculation for a fully-powered trial should trends of effectiveness be present...
August 21, 2015: BMJ Open
J Heisel
This article gives a current overview of non-operative procedures in cases of osteoarthritis of the knee, e.g. with special medications, local physiotherapy and gymnastic therapy including ergotherapy and aids for activities of daily living (ADL).
May 2014: Der Orthop├Ąde
Jennifer Moriatis Wolf, Steven Delaronde
PURPOSE: Multiple procedures have been described for trapeziometacarpal (TM) osteoarthritis with varying levels of evidence support. The purpose of this study was to evaluate current trends in the treatment of TM arthritis by surveying active members of the American Society for Surgery of the Hand. METHODS: We sent an online questionnaire to the e-mail addresses of 2,326 active members of the American Society for Surgery of the Hand, consisting of 5 treatment and 2 demographic questions...
January 2012: Journal of Hand Surgery
A K Akodu, S O Giwa, S R A Akinbo, U A Ahmed
BACKGROUND: Although total knee arthroplasty (TKA) is considered the treatment of choice for patients with intractable pain and substantial functional disabilities who have not had acceptable relief and functional improvement after conservative treatment. It was found out that patients with total knee arthroplasty need physiotherapy intervention for pre-operative and post-operative management. OBJECTIVES: To take a critical look at the importance of TKA following destruction of the knee joint, its indications and contraindications and to ascertain the current trend involved in the physiotherapy management of TKA...
April 2011: Nigerian Quarterly Journal of Hospital Medicine
Geert A Buijze, Job N Doornberg, John S Ham, David Ring, Mohit Bhandari, Rudolf W Poolman
BACKGROUND: There is a current trend in orthopaedic practice to treat nondisplaced or minimally displaced fractures with early open reduction and internal fixation instead of cast immobilization. This trend is not evidence-based. In this systematic review and meta-analysis, we pool data from trials comparing surgical and conservative treatment for acute nondisplaced and minimally displaced scaphoid fractures, thus aiming to summarize the best available evidence. METHODS: A systematic literature search of the medical literature from 1966 to 2009 was performed...
June 2010: Journal of Bone and Joint Surgery. American Volume
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