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, alleviate residual symptoms and treat accompanying diseases ( 3 , 5 , 7 , 9 , 10 , 11 ). These programs can include physiotherapy (exercise therapy with stretching and strength training), cognitive-behavioral therapy and multidisciplinary protocols
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States where $134.5 billion is spent on CNP and CLBP management ( 15 ). The most prevalent conservative therapeutic approaches used for CNP and CLBP are pharmacotherapy and physiotherapy. In terms of drug therapies, non-steroidal anti-inflammatory drugs
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standard scales: The Physiotherapy Evidence Database (PEDro) scale ( 28 , 29 , 30 ) for studies with randomized groups. It was valid and reliable to evaluate the internal validity of a study and the adequacy of the statistical information for
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balance Surgical trauma to the patella tendon Implant malalignment Postoperative factors Inadequate physical medicine and rehabilitation (physiotherapy) combined with a poorly motivated patient Inadequate pain control Preoperative
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treat sacro-iliac micro-traumatic pain? Physiotherapy Despite the widespread use of non-operative solutions for treatment of SIJ micro-traumatic pain (physical therapy, manual manipulations or stabilization exercises), there is no clear evidence of
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. Physiotherapy and rehabilitation in haemophilic patients are important to return to the normal status of joint motion, to regain the muscle strength, to obtain the optimal functional levels and to improve the patients’ quality of life. 6 , 7 Primary
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, nonoperative management is recommended initially. This may include physiotherapy (intrinsic and gastrocnemius muscle stretching), modification of activities, use of appropriate (wide-fitting) footwear, injections (local anaesthetic, steroid, alcohol
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shown that IA corticosteroid injections are significantly associated with the development of postoperative infection ( 20 , 21 , 22 ). Conservative treatment Physiotherapy (PT) and splinting play an important role in the treatment of stiffness
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Sport Traumatology and Biomechanics Unit Department of Traumatology, Orthopaedics and Hand Surgery, Poznań University of Medical Science, Poznań, Poland
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); Treatment: conservative (physiotherapy, medication, splinting, radiotherapy) vs operative – treatment effectiveness. An improvement of ROM of at least 20° in flexion and/or internal rotation (IR) and/or external rotation (ER) or information from the author
Department of Clinical Research, University of Southern Denmark, Odense, Denmark
University College Absalon, Center of Nutrition and Rehabilitation, Department of Physiotherapy, Region Zealand, Denmark
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Department of Clinical Research, University of Southern Denmark, Odense, Denmark
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Odense Patient data Explorative Network (OPEN), Odense, Denmark
Centre for Evidence-Based Medicine Odense (CEBMO), Odense University Hospital, Odense, Denmark
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Department of Clinical Research, University of Southern Denmark, Odense, Denmark
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Excessive anterior pelvic tilt is suspected of causing femoroacetabular impingement, low back pain, and sacroiliac joint pain. Non-surgical treatment may decrease symptoms and is seen as an alternative to invasive and complicated surgery. However, the effect of non-surgical modalities in adults is unclear. The aim of this review was to investigate patient- and observer-reported outcomes of non-surgical intervention in reducing clinical symptoms and/or potential anterior pelvic tilt in symptomatic and non-symptomatic adults with excessive anterior pelvic tilt, and to evaluate the certainty of evidence.
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MEDLINE, EMBASE, Web of Science and Cochrane (CENTRAL) databases were searched up to March 2019 for eligible studies. Two reviewers assessed risk of bias independently, using the Cochrane Risk of Bias tool for randomized trials and the ROBINS-I tool for non-randomized studies. Data were synthesized qualitatively. The GRADE approach was used to assess the overall certainty of evidence.
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Of 2013 citations, two randomized controlled trials (RCTs) (n = 72) and two non-RCTs (n = 23) were included. One RCT reported a small reduction (< 2°) in anterior pelvic tilt in non-symptomatic men. The two non-RCTs reported a statistically significant reduction in anterior pelvic tilt, pain, and disability in symptomatic populations. The present review was based on heterogeneous study populations, interventions, and very low quality of evidence.
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No overall evidence for the effect of non-surgical treatment in reducing excessive anterior pelvic tilt and potentially related symptoms was found. High-quality studies targeting non-surgical treatment as an evidence-based alternative to surgical interventions for conditions related to excessive anterior pelvic tilt are warranted.
Cite this article: EFORT Open Rev 2020;5:37-45. DOI: 10.1302/2058-5241.5.190017
