Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine
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To determine the effectiveness of low-energy extracorporeal shock wave therapy (ESWT) in the treatment of previously untreated lateral epicondylitis. ⋯ Low-dose ESWT did not have a clinically important effect in reducing pain, improving quality of life, or increasing pain-free grip strength in middle-aged patients with previously untreated unilateral or bilateral lateral epicondylitis.
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Prolotherapy, an injection-based treatment of chronic musculoskeletal pain, has grown in popularity and has received significant recent attention. The objective of this review is to determine the effectiveness of prolotherapy for treatment of chronic musculoskeletal pain. ⋯ There are limited high-quality data supporting the use of prolotherapy in the treatment of musculoskeletal pain or sport-related soft tissue injuries. Positive results compared with controls have been reported in nonrandomized and randomized controlled trials. Further investigation with high-quality randomized controlled trials with noninjection control arms in studies specific to sport-related and musculoskeletal conditions is necessary to determine the efficacy of prolotherapy.
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To investigate the effect of a structured warm-up program in reducing the occurrence of knee and ankle injuries in teenage handball players. ⋯ The rate of acute knee and ankle injuries and all injuries to young handball players was reduced by half by a structured program designed to improve knee and ankle control during play.