Background Chronic lateral epicondylar tendinopathy is frequent in athletes, and platelet-rich plasma (PRP) is being used increasingly in its treatment. Objective To systematically review the ...literature on the efficacy of PRP injections for chronic lateral epicondylar tendinopathy. Methods The databases of PubMed, EMBASE, CINAHL, Medline OvidSP, Scopus, Google Scholar, Web of Science and Cochrane Library were searched in October 2013. Inclusion criteria were a clinical diagnosis of chronic lateral epicondylar tendinopathy, a randomised controlled trial, an intervention with a PRP injection and the outcome measures described in terms of pain and/or function. One author screened the search results and two authors independently assessed the study quality using the Physiotherapy Evidence Database (PEDro) score. A study was considered to be of high quality if its PEDro score was ≥6. A best evidence synthesis was used to identify the level of evidence. Results 6 studies were included, of which four were considered to be of high quality. Three high-quality studies (75%) and two low-quality studies showed no significant benefit at the final follow-up measurement or predefined primary outcome score when compared with a control group. One high-quality study (25%) showed a beneficial effect of a PRP injection when compared with a corticosteroid injection (corticosteroid injections are harmful in tendinopathy). Based on the best evidence synthesis, there is strong evidence that PRP injections are not efficacious in chronic lateral epicondylar tendinopathy. Conclusions There is strong evidence that PRP injections are not efficacious in the management of chronic lateral elbow tendinopathy.
Low-carbohydrate high-fat (LCHF) diets are a highly contentious current topic in nutrition. This narrative review aims to provide clinicians with a broad overview of the effects of LCHF diets on body ...weight, glycaemic control and cardiovascular risk factors while addressing some common concerns and misconceptions. Blood total cholesterol and LDL-cholesterol concentrations show a variable, highly individual response to LCHF diets, and should be monitored in patients adhering to this diet. In contrast, available evidence from clinical and preclinical studies indicates that LCHF diets consistently improve all other markers of cardiovascular risk—lowering elevated blood glucose, insulin, triglyceride, ApoB and saturated fat (especially palmitoleic acid) concentrations, reducing small dense LDL particle numbers, glycated haemoglobin (HbA1c) levels, blood pressure and body weight while increasing low HDL-cholesterol concentrations and reversing non-alcoholic fatty liver disease (NAFLD). This particular combination of favourable modifications to all these risk factors is a benefit unique to LCHF diets. These effects are likely due in part to reduced hunger and decreased ad libitum calorie intake common to low-carbohydrate diets, allied to a reduction in hyperinsulinaemia, and reversal of NAFLD. Although LCHF diets may not be suitable for everyone, available evidence shows this eating plan to be a safe and efficacious dietary option to be considered. LCHF diets may also be particularly beneficial in patients with atherogenic dyslipidaemia, insulin resistance, and the frequently associated NAFLD.
The first when I got a fully funded position from the National Research Council and the second was our first publication in the New England Journal of Medicine. (1) Proving beyond a shadow of doubt ...that exercise prescription is effective therapy in osteoarthritis and (2) the KANON study (Dr Richard Frobell first author, http://www.nejm.org/doi/full/10.1056/NEJMoa0907797) randomised trial showing that about half the patients who suffer ACL rupture can return successfully to competitive pivoting sports if they have a quality rehabilitation programme. Follow-up Follow Ewa Roos on Twitter @ewa_roos Learn about Good Life with Osteoarthritis in Denmark—A physiotherapist delivered intervention including evidence-based patient education and supervised neuromuscular exercise for people with knee and hip pain.
Correspondence to Johann Windt, Experimental Medicine Program, University of British Columbia, 2635 Laurel Street, Vancouver V5Z 1M9, Canada; johannwindt@gmail.com Fondest career memory? Everything ...from developing the playing philosophy to scouting/recruiting players, hiring coaches/staff and setting up the club’s medical and science department! Follow-up Although we normally use the follow-up section to highlight key papers or contributions made by the featured professional, Alan specifically requested that his Follow-up section be used to acknowledge those people who he has crossed paths with thus far: “With any extra space, I want to acknowledge a few key people (in addition to those above) who I have had the good fortune to know and work with up till now—happy now to call them friends and colleagues: (Alphabetical order of surname): Thor Einar Andersen, Clare Ardern, Han Berger, Johann Bilsborough (aka He-Man), Susan Brown, Chris Carling, Aaron Coutts, Rob Duffield, Jan Ekstrand, Maurizio Fanchini, Franco Impellizzeri, Colin Lewin, Robbie Middleby, Mike McGuigan, Mike Newton, Rob Newton.”
The 1996 Olympic games when Kerri Strug landed her vault to secure the gold medal for the US women's gymnastics team. Worst injury you've treated? I treated a patient few years ago with a fractured ...tibial plateau, ACL tear, MCL tear and medial meniscus damage. Karen sets an example of pushing the boundaries in her unique physical therapy practice: by going to the patients' home, gym or office-she really does 'put the patient first in health care'!
According to my colleagues who use it, it has great value. According to my kids it will change, because Twitter is dead. Very good at empowering more junior researchers to own projects and have ...autonomy, while he protects their interests fiercely. Besides research, he is a fantastic clinician with a acumen and exemplary communication skills.
Kim loves parties, and even in the midst of the busy football season and raising four active boys, she can throw together 'intimate' Halloween and Christmas parties for 100+ guests. Incidence of ...sudden cardiac death in athletes: a state-of-the-art review. Incidence, cause, and comparative frequency of sudden cardiac death in National Collegiate Athletic Association athletes: a decade in review.
Fondest career memory? I am only just beginning my sport and exercise medicine (SEM) journey, but most rewarding to date was serving as team doctor for the England U16 Football Team at the 2015 ...Montaigu International Tournament in France-we won! Average weekday morning? I cycle or run to work, and since moving to Melbourne, Australia, where coffee is ingrained into the culture, I must start with at least one latte! How have you made a difference? I am not yet at a stage where I feel I have contributed to the field of SEM but a team of us worked hard to start the undergraduate SEM group for medics and physios in Cardiff (Cardiff Sport and Exercise Medicine Society) and then the UK (Undergraduate Sport and Exercise Medicine Society, USEMS) which helped kickstart the exponential growth of UK undergraduate SEM interest and activity. To the 1966 Football World Cup final to watch England triumph as I fear it may not happen again in my lifetime. Stance on social media? I have five twitter accounts that I contribute to (x1 personal, x2 BJSM, x1 Royal Society Medicine, x1 Undergraduate Sports & Exercise Medicine Society), a Facebook page, a LinkedIn page and...
Working at the 2010 FIFA World Cup in South Africa (the first World Cup in the African continent). Most valuable contribution to the field? I don't think it's up to me to say this, but I hope to have ...contributed a bit to the promotion of injury prevention and sports physiotherapy internationally. After 10 years working as sports PT, I needed a challenge, so I moved (with my family) to the USA and did an MSc at the University of Pittsburgh (2000-2001). Stance on social media? A useful platform that I use to promote sports physiotherapy (Swiss Sports Physiotherapy Association and International Federation of Sports Physical Therapy (IFSPT)) . Bringing evidence that injury prevention in football works for women and men, potentially saving billions of dollars annually if done regularly. Mario is undoubtedly a scientific leader in the field of injury prevention as well as a player and a referee...
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