Evidence of conservative treatment for overuse injuries analysis of systematic reviews

Overuse injuries are common among top athletes and people who exercise regularly. Conservative, non-pharmacological methods are used widely to treat overuse injuries and there is a large body of literature, including multiple systematic reviews, evaluating different terms of treatment. This literatu...

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Main Authors: Alanen, Aki-Matti, Suomalainen, Ville
Other Authors: Liikuntatieteellinen tiedekunta, Faculty of Sport and Health Sciences, Terveystieteiden laitos, Department of Health Sciences, University of Jyväskylä, Jyväskylän yliopisto
Format: Master's thesis
Language:eng
Published: 2011
Subjects:
Online Access: https://jyx.jyu.fi/handle/123456789/27175
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author Alanen, Aki-Matti Suomalainen, Ville
author2 Liikuntatieteellinen tiedekunta Faculty of Sport and Health Sciences Terveystieteiden laitos Department of Health Sciences University of Jyväskylä Jyväskylän yliopisto
author_facet Alanen, Aki-Matti Suomalainen, Ville Liikuntatieteellinen tiedekunta Faculty of Sport and Health Sciences Terveystieteiden laitos Department of Health Sciences University of Jyväskylä Jyväskylän yliopisto Alanen, Aki-Matti Suomalainen, Ville Liikuntatieteellinen tiedekunta Faculty of Sport and Health Sciences Terveystieteiden laitos Department of Health Sciences University of Jyväskylä Jyväskylän yliopisto
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description Overuse injuries are common among top athletes and people who exercise regularly. Conservative, non-pharmacological methods are used widely to treat overuse injuries and there is a large body of literature, including multiple systematic reviews, evaluating different terms of treatment. This literature needs summarizing and critiquing. Objective of this study was to evaluate the effectiveness of different methods of conservative treatment on overuse injuries and to provide an analysis of systematic reviews. Published systematic reviews were identified by searching Medline, PEDro, Cochrane and Sportdiscus databases from the year 1996 to July 2010. Reference lists of identified studies were also hand searched. The assessment of quality of the reviews was performed by two individual reviewers according to a specifically designed scale for systematic reviews (Assendelft et al 1995) and only high quality reviews were included into analysis. 47 good or high quality systematic reviews or meta-anayses were included after final assessment. Based on the 47 good or high quality reviews included, no firm conclusions can be drawn on the effectiveness of conservative treatments. There is limited evidence for taping when combined with other modalities and for exercise therapy. There is also limited evidence that physical modalities are not effective with the exception for ESWT. For other interventions evidence is inconclusive because of reporting faults and heterogeneity of studies. There seems to be limited evidence in favor of exercise therapy and taping combined with other interventions in the management of overuse injuries. There is dearth of good quality evidence for the management of overuse injuries. Well conducted RCT’s are in need and developing new clinical assessment tools for diagnosing overuse injuries should be considered.
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spellingShingle Alanen, Aki-Matti Suomalainen, Ville Evidence of conservative treatment for overuse injuries analysis of systematic reviews overuse injury stress injury and cumulative trauma disorder stress fracture periostitis patellofemoral syndrome(PFPS) synovitis capsulitis chronic compartment syndrome tendinosis tendinopathy tendinitis Fysioterapia Physiotherapy 50422 rasitusvammat hoitomenetelmät fysioterapia teippaus
title Evidence of conservative treatment for overuse injuries analysis of systematic reviews
title_full Evidence of conservative treatment for overuse injuries analysis of systematic reviews
title_fullStr Evidence of conservative treatment for overuse injuries analysis of systematic reviews Evidence of conservative treatment for overuse injuries analysis of systematic reviews
title_full_unstemmed Evidence of conservative treatment for overuse injuries analysis of systematic reviews Evidence of conservative treatment for overuse injuries analysis of systematic reviews
title_short Evidence of conservative treatment for overuse injuries analysis of systematic reviews
title_sort evidence of conservative treatment for overuse injuries analysis of systematic reviews
title_txtP Evidence of conservative treatment for overuse injuries analysis of systematic reviews
topic overuse injury stress injury and cumulative trauma disorder stress fracture periostitis patellofemoral syndrome(PFPS) synovitis capsulitis chronic compartment syndrome tendinosis tendinopathy tendinitis Fysioterapia Physiotherapy 50422 rasitusvammat hoitomenetelmät fysioterapia teippaus
topic_facet 50422 Fysioterapia Physiotherapy capsulitis chronic compartment syndrome fysioterapia hoitomenetelmät overuse injury patellofemoral syndrome(PFPS) periostitis rasitusvammat stress fracture stress injury and cumulative trauma disorder synovitis teippaus tendinitis tendinopathy tendinosis
url https://jyx.jyu.fi/handle/123456789/27175 http://www.urn.fi/URN:NBN:fi:jyu-2011061411009
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