Abstract:
CLINICAL SCENARIO:Lateral epicondylitis (LE) is a relatively common pathology capable of producing chronic debilitation in a variety of patients. A newer treatment for orthopedic conditions is platelet-rich plasma (PrP) local injection. FOCUSED CLINICAL QUESTION:Is PrP a more appropriate injection therapy for LE than other common injections such as corticosteroid or whole blood? SUMMARY OF KEY FINDINGS:Four studies were included: 1 randomized controlled trial (RCT), 2 double-blind RCTs, and 1 cohort study. Two studies involved comparisons of PrP injection to corticosteroid injection. One of the studies involved a 2-y follow-up while another involved a 1-y follow-up. Another study involved the comparison of PrP injection with whole-blood injection with a 6-mo follow-up. The final study included a PrP-injection group and control group. The 2 studies involving PrP vs. corticosteroid injections with 2-y and 1-y follow-ups both favored PrP over corticosteroid injection in terms of pain reduction and function increases. The third study favored PrP injections over whole-blood injections at 6 mo regarding pain reduction. All studies demonstrated significant improvements with PrP over comparison injections or no injection. Clinical Bottom Line: PrP injections provide more favorable pain and function outcomes than whole blood and corticosteroid injections for 1-2 y after injection. STRENGTH OF RECOMMENDATION:Consistent findings from RCTs suggest level 1b evidence in support of PrP injection as a treatment for LE.
journal_name
J Sport Rehabiljournal_title
Journal of sport rehabilitationauthors
Rodik T,McDermott Bdoi
10-1123/jsr.2014-0198subject
Has Abstractpub_date
2016-02-01 00:00:00pages
77-82issue
1eissn
1056-6716issn
1543-3072pii
2014-0198journal_volume
25pub_type
杂志文章,评审abstract:OBJECTIVE:To determine if there is any benefit to static stretching after performing a dynamic warm-up in the prevention of injury in high school soccer athletes. DESIGN:Prospective cluster randomized nonblinded study. SETTING:12 high schools with varsity and junior varsity boys' soccer teams (24 soccer teams) across...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章,随机对照试验
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更新日期:2017-11-01 00:00:00
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journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2014-0192
更新日期:2015-11-01 00:00:00
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journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
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journal_title:Journal of sport rehabilitation
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更新日期:2007-11-01 00:00:00
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journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
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journal_title:Journal of sport rehabilitation
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更新日期:2020-07-23 00:00:00
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journal_title:Journal of sport rehabilitation
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更新日期:2020-01-01 00:00:00
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journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.17.2.95
更新日期:2008-05-01 00:00:00
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journal_title:Journal of sport rehabilitation
pub_type: 杂志文章,评审
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更新日期:2018-11-01 00:00:00
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journal_title:Journal of sport rehabilitation
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更新日期:2019-10-18 00:00:00
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更新日期:2010-11-01 00:00:00
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journal_title:Journal of sport rehabilitation
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更新日期:2015-05-01 00:00:00
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journal_title:Journal of sport rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1123/jsr.2017-0207
更新日期:2019-03-01 00:00:00
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journal_title:Journal of sport rehabilitation
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doi:10.1123/jsr.2018-0306
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journal_title:Journal of sport rehabilitation
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journal_title:Journal of sport rehabilitation
pub_type: 杂志文章,随机对照试验
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journal_title:Journal of sport rehabilitation
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pub_type: 杂志文章
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