Journal of athletic training
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Meta Analysis
Exploring the pain in patellofemoral pain: A systematic review and meta-analysis examining signs of central sensitization.
Patellofemoral pain (PFP) has high recurrence rates and minimal long-term treatment success. Central sensitization refers to dysfunctional pain modulation that occurs when nociceptive neurons become hyperresponsive. Researchers in this area of PFP have been increasingly productive in the past decade. ⋯ Signs of central sensitization were present in individuals with PFP, indicating altered pain modulation. The etiologic and treatment models of PFP should reflect the current body of evidence regarding central sensitization. Signs of central sensitization should be monitored clinically, and treatments with central effects should be considered as part of a multimodal plan of care.
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Reference: Claes S, Hermie L, Verdonk R, Bellemans J, Verdonk P. Is osteoarthritis an inevitable consequence of anterior cruciate ligament reconstruction? A meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2013;21(9):1967-1976.
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Review Meta Analysis Comparative Study
Core Stability Exercise Versus General Exercise for Chronic Low Back Pain.
Reference: Wang XQ, Zheng JJ, Yu ZW, et al. A meta-analysis of core stability exercise versus general exercise for chronic low back pain. PLoS One. 2012;7(12):e52082. Clinical Questions: Is core stability exercise more effective than general exercise in the treatment of patients with nonspecific low back pain (LBP)?
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Meta Analysis Comparative Study
Comparison of rectal and aural core body temperature thermometry in hyperthermic, exercising individuals: a meta-analysis.
To compare mean differences in core body temperature (T(core)) as assessed via rectal thermometry (T(re)) and aural thermometry (T(au)) in hyperthermic exercising individuals. ⋯ The T(re) was consistently greater than T(au) when T(core) was measured in hyperthermic individuals before, during, and postexercise. As T(core) increased, T(au) appeared to underestimate T(core) as determined by T(re). Clinicians should be aware of this critical difference in temperature magnitude between these measurement techniques when assessing T(core) in hyperthermic individuals during or postexercise.
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Farion K, Osmond MH, Hartling L, et al. Tissue adhesives for traumatic lacerations in children and adults. Cochrane Database Syst Rev. 2001(4);CD003326. ⋯ This review provides evidence that tissue adhesives are an option to SWC (sutures, staples, adhesive strips) for the management of simple traumatic lacerations. Overall, no significant differences were found in cosmetic scores at the reported assessment periods between tissue adhesives and SWC. At 1 to 3 months, a subgroup analysis significantly favored butylcyanoacrylate over SWC. Tissue adhesives significantly lowered the time to complete the procedure, levels of pain, and rate of erythema. However, the data revealed a significant increase in the rate of dehiscence with the use of tissue adhesives when compared with SWC. The low methodologic quality of the evidence should be considered in the interpretation of the findings.