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Trajectories of Adherence to Home-Based Exercise Recommendations Among People With Low Back Pain: A Longitudinal Analysis
CONCLUSIONS: Three adherence trajectories to exercise recommendations were identified in patients with low back pain. However, baseline characteristics cannot identify a patient's trajectory group.IMPACT: Despite the presence of distinct trajectories of adherence in patients with low back pain, physical therapists should not attempt to place a patient in a trajectory group at the start of treatment. Instead, adherence should be closely monitored as treatment progresses and supported when required as part of an ongoing process.PMID:37669137 | DOI:10.1093/ptj/pzad091
Source: Physical Therapy - September 5, 2023 Category: Physiotherapy Authors: Remco M Arensman Martijn W Heymans Corelien J J Kloek Raymond J W G Ostelo Cindy Veenhof Tjarco Koppenaal Martijn F Pisters Source Type: research

Comparison between ultrasound-guided pericapsular nerve group block and anterio quadratus lumborum block for total hip arthroplasty: a double-blind, randomized controlled trial
CONCLUSIONS: PENG block may provide slightly more effective postoperative analgesia than AQL block during the early recovery period after primary THA.PMID:37667929 | DOI:10.26355/eurrev_202308_33404
Source: Pharmacological Reviews - September 5, 2023 Category: Drugs & Pharmacology Authors: Q-R Wang T Ma J Hu J Yang P-D Kang Source Type: research

No Difference Between One-shot Co-injection of Corticosteroids and Hyaluronic Acid in a Three-injection Regimen for Knee Osteoarthritis: A Randomized, Double-blind Trial
CONCLUSION: We found that a single co-injection of corticosteroids along with HA did not confer any additional benefit regarding patient-reported outcomes or physical function compared with a three-injection regimen of HA. Therefore, we do not recommend a one-shot co-injection of corticosteroids alongside the three-injection regimen of HA for patients with knee OA, and because prior research found HA to be ineffective, HA should not be used with or without corticosteroids for patients with knee OA.LEVEL OF EVIDENCE: Level I, therapeutic study.PMID:37669538 | DOI:10.1097/CORR.0000000000002793
Source: Clinical Orthopaedics and Related Research - September 5, 2023 Category: Orthopaedics Authors: Ru-Lan Hsieh Wen-Chung Lee Source Type: research

Trajectories of Adherence to Home-Based Exercise Recommendations Among People With Low Back Pain: A Longitudinal Analysis
CONCLUSIONS: Three adherence trajectories to exercise recommendations were identified in patients with low back pain. However, baseline characteristics cannot identify a patient's trajectory group.IMPACT: Despite the presence of distinct trajectories of adherence in patients with low back pain, physical therapists should not attempt to place a patient in a trajectory group at the start of treatment. Instead, adherence should be closely monitored as treatment progresses and supported when required as part of an ongoing process.PMID:37669137 | DOI:10.1093/ptj/pzad091
Source: Health Physics - September 5, 2023 Category: Physics Authors: Remco M Arensman Martijn W Heymans Corelien J J Kloek Raymond J W G Ostelo Cindy Veenhof Tjarco Koppenaal Martijn F Pisters Source Type: research

A Comparative Study of Morphine and Clonidine as an Adjunct to Ropivacaine in Paravertebral Block for Modified Radical Mastectomy
Conclusion Morphine in the PVB provides better postoperative analgesia. The consumption of rescue analgesia was significantly reduced in the morphine group as compared to the clonidine group. The procedure also proved to be safe as no complication was encountered in the PVB in our study.PMID:37667700 | PMC:PMC10475293 | DOI:10.7759/cureus.42950
Source: Cancer Control - September 5, 2023 Category: Cancer & Oncology Authors: Mukesh Kumar Rajni Gupta Prateek Kumar Dinkar Haider Abbas Source Type: research

Comparing letrozole and mifepristone pre-treatment in medical management of first trimester missed miscarriage: a prospective open-label non-inferiority randomised controlled trial
CONCLUSIONS: Letrozole is non-inferior to mifepristone as a pre-treatment, followed by misoprostol, for the medical treatment of first-trimester missed miscarriage.PMID:37667661 | DOI:10.1111/1471-0528.17646
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 5, 2023 Category: OBGYN Authors: Libei Du Hang Wun Raymond Li Kristina Gemzell-Danielsson Zhiqiang Zhang Yanhong Du Wenju Zhang Bo Xu Xiaozhong Wang Yaokai Wang Wenjuan Wan Ying Chang Weiyu Diao Yanli Wang Li Zhang Pak Chung Ho Source Type: research

Comparison between ultrasound-guided pericapsular nerve group block and anterio quadratus lumborum block for total hip arthroplasty: a double-blind, randomized controlled trial
CONCLUSIONS: PENG block may provide slightly more effective postoperative analgesia than AQL block during the early recovery period after primary THA.PMID:37667929 | DOI:10.26355/eurrev_202308_33404
Source: Pharmacological Reviews - September 5, 2023 Category: Drugs & Pharmacology Authors: Q-R Wang T Ma J Hu J Yang P-D Kang Source Type: research

No Difference Between One-shot Co-injection of Corticosteroids and Hyaluronic Acid in a Three-injection Regimen for Knee Osteoarthritis: A Randomized, Double-blind Trial
CONCLUSION: We found that a single co-injection of corticosteroids along with HA did not confer any additional benefit regarding patient-reported outcomes or physical function compared with a three-injection regimen of HA. Therefore, we do not recommend a one-shot co-injection of corticosteroids alongside the three-injection regimen of HA for patients with knee OA, and because prior research found HA to be ineffective, HA should not be used with or without corticosteroids for patients with knee OA.LEVEL OF EVIDENCE: Level I, therapeutic study.PMID:37669538 | DOI:10.1097/CORR.0000000000002793
Source: Clinical Orthopaedics and Related Research - September 5, 2023 Category: Orthopaedics Authors: Ru-Lan Hsieh Wen-Chung Lee Source Type: research

Comparing letrozole and mifepristone pre-treatment in medical management of first trimester missed miscarriage: a prospective open-label non-inferiority randomised controlled trial
CONCLUSIONS: Letrozole is non-inferior to mifepristone as a pre-treatment, followed by misoprostol, for the medical treatment of first-trimester missed miscarriage.PMID:37667661 | DOI:10.1111/1471-0528.17646
Source: BJOG : An International Journal of Obstetrics and Gynaecology - September 5, 2023 Category: OBGYN Authors: Libei Du Hang Wun Raymond Li Kristina Gemzell-Danielsson Zhiqiang Zhang Yanhong Du Wenju Zhang Bo Xu Xiaozhong Wang Yaokai Wang Wenjuan Wan Ying Chang Weiyu Diao Yanli Wang Li Zhang Pak Chung Ho Source Type: research

Total hip arthroplasty in active and advanced tubercular arthritis: a systematic review of the current evidence
ConclusionTHA is a safe and effective surgical intervention in patients with active and advanced TB arthritis of hip. It is recommended that the surgery be performed under cover of multi-drug anti-tubercular regimen. In patients with active sinus tracts, abscesses and TIS, surgery may be accomplished in a multi-staged manner. The clinical (range of motion, deformity correction, walking ability and pain scores), radiological (evidence of radiological reactivation and implant incorporation) and function outcome (as assessed by HHS) significantly improve after THA in these patients.
Source: International Orthopaedics - September 5, 2023 Category: Orthopaedics Source Type: research

Platelet-rich plasma for jumper's knee: a comprehensive review of efficacy, protocols, and future directions
ConclusionJumper's knee is commonly managed conservatively, but there is a lack of consensus on further treatment options. PRP treatment holds promise in promoting tissue healing and repair. However, standardized protocols for PRP preparation and administration, as well as optimal dosage and number of injections, require further investigation to enhance its efficacy. Continued research efforts are necessary to ascertain the precise role of PRP and its refinement in the management of patellar tendinopathy.
Source: European Journal of Orthopaedic Surgery and Traumatology - September 5, 2023 Category: Orthopaedics Source Type: research

Outcomes of Pain Management Training for the Fourth- and Fifth-Year Medical Students
In this study, we assessed students' understanding of pain management based on the results of pretests and posttests performed before and after their practicum. These tests were administered from November 2019 to April 2022 to 263 fourth- and fifth-year medical students who took the clinical pain study class. The test results were compared in terms of the percentage of correct answers and the total score for each question using McNemar's chi-square test and paired t-tests, respectively. The results showed a significant improvement in the mean of the total score, confirming the improvement in medical students' knowledge (6....
Source: Pain Research and Management - September 4, 2023 Category: Anesthesiology Authors: Ayano Saeki Yumiko Takao Keiichiro Suzuki Munetaka Hirose Source Type: research

Effectiveness of Dry Needling in Improving Pain and Function in Comparison with Other Techniques in Patients with Chronic Neck Pain: A Systematic Review and Meta-Analysis
Pain Res Manag. 2023 Aug 23;2023:1523834. doi: 10.1155/2023/1523834. eCollection 2023.ABSTRACTThe purpose of this systematic review and meta-analysis was to assess the short-, mid-, and long-term effectiveness of dry needling in improving pain and functional capacity of patients with chronic neck pain. Search strategy was performed on PubMed, Web of Science, Scopus, PEDro, and Cochrane Library Plus biomedical databases. The risk of bias was assessed using the RoB2 tool. Randomised controlled clinical trials in which at least 1 of the groups received dry needling were included. 662 studies were found; 14 clinical trials wer...
Source: Pain Research and Management - September 4, 2023 Category: Anesthesiology Authors: Mar Hern ández-Secorún Hugo Abenia-Bened í Sergio Borrella-Andr és Isabel Marqu és-García Mar ía Orosia Lucha-López Pablo Herrero Isabel Iguacel Jos é Miguel Tricás-Moreno C ésar Hidalgo-García Source Type: research

Incarcerated gravid uterus  - A systematic review
Eur J Obstet Gynecol Reprod Biol X. 2023 Aug 17;19:100227. doi: 10.1016/j.eurox.2023.100227. eCollection 2023 Sep.ABSTRACTIncarcerated gravid uterus (IGU) is a serious complication of pregnancy that leads to adverse obstetric outcomes. The aim of this review was to describe this entity in detail. We also aimed to understand if pregnancies with predisposing risk factors that increase the risk of developing IGU had a difference in their clinical manifestations, treatment, and obstetric outcomes. The PubMed, MEDLINE, Embase, Scopus databases and clinicaltrials.gov were searched from inception to July 2023. Case reports and se...
Source: Reproductive Biology - September 4, 2023 Category: Reproduction Medicine Authors: Sujatha Narayanamoorthy Allix Hillebrand Rakshitha Pendam Rodney McLaren Source Type: research