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Physical therapy, orthopedics, systematic review, meta-analysis,randomised controlled trial

S Negrini, J C De Mauroy, T B Grivas, P Knott, T Kotwicki, T Maruyama, J P O'Brien, M Rigo, F Zaina
Idiopathic scoliosis (IS) is a three-dimensional deformity of the spine and trunk. The most common form involve adolescents. The prevalence is 2-3% of the population, with 1 out of 6 patients requiring treatment of which 25% progress to surgery. Physical and rehabilitation medicine (PRM) plays a primary role in the so-called conservative treatment of adolescents with IS, since all the therapeutic tools used (exercises and braces) fall into the PRM domain. According to a Cochrane systematic review there is evidence in favor of bracing, even if it is of low quality...
February 2014: European Journal of Physical and Rehabilitation Medicine
Toby O Smith, Fujian Song, Simon T Donell, Caroline B Hing
PURPOSE: Conservative management of patellar dislocation can result in recurrent instability in up to 60% of patients. Surgery is therefore advocated in an attempt to reduce the incidence of recurrent dislocation and instability. The purpose of this study was to compare the clinical outcomes of operative to non-operative treatment strategies for patients following patellar dislocation. METHODS: A systematic review of published and unpublished literature was undertaken...
June 2011: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
H-R Weiss, D Goodall
Traditionally, the treatment options for adolescent idiopathic scoliosis (AIS), the most common form of scoliosis, are exercises; in-patient rehabilitation; braces and surgery. The outcomes of treatments are usually compared with the natural history or observation (non-intervention). The aim of this paper was to provide a synopsis of all treatment options in the light of evidence based practice (EBP). A systematic review was carried out using the most encompassing databases available. Literature has been searched for the outcome parameter ''rate of progression'' and only prospective controlled studies that have considered the treatment versus the natural history have been included...
June 2008: European Journal of Physical and Rehabilitation Medicine
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