Journal of long-term effects of medical implants
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J Long Term Eff Med Implants · Jan 2012
Randomized Controlled Trial Comparative StudyTreatment of adhesive capsulitis of the shoulder with a static progressive stretch device: a prospective, randomized study.
Stress relaxation and static progressive stretch (SPS) are techniques that may be used to nonoperatively restore joint range of motion in the setting of adhesive capsulitis. The purpose of this study was to prospectively compare standard physical therapy alone to a combination of physical therapy with a static progressive stretch orthosis in the treatment of shoulder adhesive capsulitis. A prospective, randomized, blinded, controlled study was conducted with a total of 60 patients diagnosed with shoulder adhesive capsulitis (30 patients in the control group, 30 patients in the treatment group). ⋯ Mean external rotation was 73° and 52°, respectively. DASH scores were significantly better when a static progression stretch orthosis was used (5 vs.15 points). Use of a static progressive stretch orthosis for patients with shoulder adhesive capsulities resulted in significantly better range of motion and DASH scores within 1 month of beginning treatment than physical therapy alone.
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J Long Term Eff Med Implants · Jan 2007
Randomized Controlled TrialSegmental kinematics and adjacent level degeneration following disc replacement versus fusion: RCT with three years of follow-up.
Prospective, randomized and controlled clinical and radiological study. ⋯ The range of motion of the treated segment with prosthesis remained unchanged 3 years after surgery in comparison to the 1-year result. The prosthesis shows a significant segmental motion in contrast to the fusion group at each RSA examination time (p < 0.05). After both procedures, a significant pain reduction in neck and arm was observed, without significant differences between both groups. During the course of the 3 years follow-up, no patients of the prosthesis group required further surgical intervention.