ClinicLens specialt
42 items automatically indexed in this specialt.
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OBJECTIVE: To assess whether adding psychologically informed education (PIE) videos to usual care physical therapy (PT) improved function (primary outcome) and pain-related beliefs, pain intensity, and physical activity (secondary outcomes) in adolescents with atraumatic leg pain
Open articleOrthopedics
Local cryotherapy is widely used to support recovery after exercise-induced muscle damage, but the optimal timing of cold application remains unclear. This study evaluated whether immediate or delayed local cooling influences recovery from exercise-induced muscle fatigue. Forty-e
Open articleOrthopedics
This study aims to evaluate the feasibility, safety, and peri-implant bone formation of augmenting a proximal femoral nail (PFN) helical blade with a calcium sulfate/hydroxyapatite (CaS/HA) biomaterial combined with systemic zoledronic acid (ZA). This single-center, two-arm, para
Open articleOrthopedics
This study aims to compare the efficacy of conventional rehabilitation alone, conventional rehabilitation combined with balance acupuncture (BA) and conventional rehabilitation plus BA and unconscious proprioception training in chronic ankle instability (CAI) patients. This singl
Open articleOrthopedics
In this meta-analysis, we discuss the clinical efficacy of closed reduction with in situ fixation for valgus-impacted femoral neck fractures (VIFNFs) by contrasting postoperative functional recovery and complication profiles. We performed a systematic literature search in PubMed,
Open articleOrthopedics
Evidence on prophylactic interventions to prevent heterotopic ossification (HO) around the knee is scarce. We conducted a scoping review to map reported indications, interventions, and outcome reporting. We followed a prospectively developed protocol and searched four major datab
Open articleOrthopedics
Anterior cruciate ligament reconstruction (ACLR) is a commonly performed procedure aimed at restoring knee stability and function following ligament injury. Although hamstring tendon (HT) autografts are widely used, concerns regarding donor-site morbidity and graft-related limita
Open articleOrthopedics
Posterior lumbar interbody fusion (PLIF) and interspinous stabilization (ISS) are both used to treat lumbar spinal stenosis (LSS), but their comparative effectiveness and safety remain debated. Evidence comparing these approaches has evolved with the introduction of newer ISS dev
Open articleOrthopedics
This study investigated the effects of different velocity loss (VL) thresholds during squat exercise at 80% of one-repetition maximum (1RM) on post-activation performance enhancement (PAPE) in basketball players. Nineteen male collegiate basketball players completed three familia
Open articleOrthopedics
Despite the relevance of neuromuscular electrical stimulation (NMES) dosimetry, it is unclear whether increasing the self-reported tolerated amplitude enhances acute neuromuscular responses. To investigate the acute effects of varying NMES amplitude and type of induced contractio
Open articleOrthopedics
Meniscal tears are a common cause of knee morbidity and a frequent indication for arthroscopy. Whether clinical examination, magnetic resonance imaging (MRI), or both should be the first-line diagnostic test remains contested. We searched PubMed, CINAHL Complete, Medline, and Web
Open articleOrthopedics
Existing guidelines for the management of atlanto-occipital dislocation (AOD) recommend occipitocervical fusion (OCF) for these low frequency, high-consequence injuries. Recent literature has questioned this guidance and provided case examples of successful non-operative manageme
Open articleOrthopedics
To examine the effectiveness of virtual reality-assisted neuromuscular training interventions on agility performance and injury prevention indicators in basketball athletes compared to conventional training approaches. A 12-week controlled laboratory experiment was conducted with
Open articleOrthopedics
This study aims to assess the efficacy of erector spinae plane block (ESPB) for postoperative analgesia in patients undergoing total hip arthroplasty (THA) under spinal anesthesia. In this randomized-controlled trial, a total of 30 patients (American Society of Anesthesiologists
Open articleOrthopedics
This randomized controlled trial examined whether augmenting traditional Baduanjin (BDJ) exercise with blood flow restriction (BFR) enhances quadriceps muscle function and postural stability in sedentary young men. A total of 38 participants were randomly assigned to either BDJ o
Open articleOrthopedics
Lumbar canal stenosis is a common degenerative disorder that causes pain and functional alterations. Epidural steroid injections (ESIs) are often used to treat the symptoms of this condition; however, treatment protocols can vary significantly, and no standardized practice for th
Open articleOrthopedics
Shoulder pain is frequently treated with corticosteroid injections administered via ultrasound-guided (USG) or landmark-guided (LMG) approaches. Despite the widespread use of these injections, consensus on their comparative efficacy is lacking due to conflicting results reported
Open articleOrthopedics
Chronic low back pain (CLBP) is a major global health challenge. While nonpharmacological therapies are recommended, patient compliance is often hindered by kinesiophobia. Virtual reality (VR) offers an immersive, distraction-based approach, but the comparative effectiveness of d
Open articleOrthopedics
Guided exercise is central to rehabilitation for chronic nonspecific low back pain. Telerehabilitation enables remote delivery of guided exercise, but its effectiveness vs other rehabilitation modalities remains uncertain. This review systematically assessed the comparative effic
Open articleOrthopedics
Fear of movement is a significant psychological factor in musculoskeletal disorders and can negatively affect clinical outcomes. Several assessment tools are currently available to measure fear of movement. This systematic review aimed to analyze and compare the psychometric prop
Open articleOrthopedics
For patients with chronic low back pain (CLBP), telerehabilitation (TR) has been suggested as an alternative to conventional rehabilitation. However, evidence from pragmatic trials comparing TR with routine clinical rehabilitation is still limited. To investigate whether TR is no
Open articleOrthopedics
The aim of the study was to evaluate effectiveness of nurse-led preoperative education in reducing kinesiophobia and improving mobilization indicators among older adult patients undergoing total knee arthroplasty. This randomized controlled study was conducted with a total of 120
Open articleOrthopedics
Anterior shoulder instability is a common condition, frequently seen in young and active individuals. For patients with critical glenoid bone defects (≥15%), Bankart repair has limited effectiveness and bony augmentation surgery is often required. However, traditional bone grafts
Open articleOrthopedics
This study aimed to investigate the acute effects of dynamic stretching (DS) combined with different blood flow restriction (BFR) pressures on explosive performance in healthy young males, and to examine whether these effects differed across estimated arterial occlusion pressure
Open articleOrthopedics
This study aimed to compare the efficacy and safety of oliceridine versus hydromorphone for patient-controlled intravenous analgesia (PCIA) following lower limb fracture surgery. A total of 126 adult patients scheduled for lower limb fracture surgery were enrolled and randomly as
Open articleOrthopedics
Postoperative delirium is a prevalent complication in elderly surgical patients and is associated with adverse outcomes, including prolonged hospitalization and long-term cognitive impairment. Dexmedetomidine, a highly selective α2-adrenergic receptor agonist, has pharmacological
Open articleOrthopedics
Anterior cruciate ligament reconstruction (ACLR) is complicated by high failure rates in young, active individuals, which is associated with worse outcomes and higher rates of osteoarthritis (OA). Failure of ACLR limits activity, reduces quality of life and substantially increase
Open articleOrthopedics
Background and Objectives: Ultrasound-guided sciatic and saphenous nerve blocks are widely used as analgesic alternatives for multimodal analgesia. However, how to objectively quantify the opioid- and anaesthetic-sparing effects of an additional peripheral nerve block in patients
Open articleOrthopedics
Background and Objectives: The method of femoral canal opening during intramedullary fixation may influence the biological response to surgery. The aim of this study was to compare the early biological responses associated with mechanical canal opening and manual canal opening du
Open articleOrthopedics
Myofascial pain syndrome (MPS) is a major cause of chronic neck pain, with tissue ischemia implicated as a contributing factor. This prospective, single-arm interventional study evaluated the analgesic effect of ultrasound-guided fascia hydrorelease (US-FHR) performed around arte
Open articleOrthopedics
The aim of this study was to investigate the effectiveness of adding non-immersive virtual reality-based exercise to a conventional rehabilitation program for pain, functionality, balance, and quality of life in patients with knee osteoarthritis. This randomized controlled clinic
Open articleOrthopedics
Adolescent idiopathic scoliosis (AIS) is a prevalent spinal deformity that impairs physical function and quality of life. While supervised exercise is recommended for moderate cases, its effectiveness remains debated. This meta-analysis evaluates the impact of exercise therapy on
Open articleOrthopedics
The mechanistic rationale for treating the foot in anterior knee pain (AKP) is well established in the biomechanics literature; however, translating it into a clinically actionable evidence-supported rehabilitation protocol has proven difficult. This investigation pursued two aim
Open articleOrthopedics
Evidence suggests that both intravenous and intraoperative topical application of magnesium sulfate can improve pain management after total knee arthroplasty (TKA). However, the optimal method of magnesium sulfate administration remains unclear, and no studies have evaluated the
Open articleOrthopedics
Knee osteoarthritis (OA) is a common musculoskeletal condition linked to aberrant joint loading, pain, and reduced function. While effective rehabilitation should target both local knee problems and the entire kinetic chain, direct comparisons between proximal (core stability) an
Open articleOrthopedics
While trunk strength training is well established in marksmanship sports, it is not known whether unstable or stable training regimes are more effective in air pistol athletes. The aim of this study was to investigate whether unstable trunk core strength training (UTCST) elicited
Open articleOrthopedics
Forward head posture (FHP), considered a neuromusculoskeletal disorder, includes those associated with breastfeeding. Pilates is recognized for improving posture, flexibility, and core strength. To investigate the effect of Pilates on craniovertebral angle (CVA), cervical spine m
Open articleOrthopedics
OBJECTIVE: The primary aim was to quantify changes in structural and functional nerve parameters following carpal tunnel release. The secondary aims were to describe recovery trajectories and describe the regenerative capacity of the median nerve. DESIGN: Prognosis systematic rev
Open articleOrthopedics
Obesity and diabetes are risk factors for developing osteoarthritis and associated with worse outcomes following total hip (THA) and total knee arthroplasty (TKA). Glucagon-like peptide-1 receptor agonists (GLP-1as) improve glycaemic control and promote weight loss. The aim of th
Open articleOrthopedics
Uphill running is widely used in athletic training to improve lower-limb strength, jumping performance, running ability, and aerobic capacity. However, randomized controlled trials (RCTs) have reported inconsistent findings, and no prior review has focused exclusively on uphill r
Open articleOrthopedics
This pilot study explored the safety and efficacy of invasive laser acupuncture (ILA) using two wavelengths (650 and 830 nm) compared with a sham laser in patients with knee osteoarthritis (KOA). This randomized, parallel-arm, patient- and outcome assessor-blinded, placebo-contro
Open articleOrthopedics
This randomized controlled trial (RCT) aimed to compare clinical and radiological outcomes of cemented acetabular component in primary total hip arthroplasty (THA) in patients aged under 60 years with and without autologous impaction bone grafting (IBG). A single-centre, triple-b
Open article