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Essai contrôlé randomisé
Work consisting of a clinical trial that involves at least one test treatment and one control treatment, concurrent enrollment and follow-up of the test- and control-treated groups, and in which the treatments to be administered are selected by a random process, such as the use of a random-numbers table.
Relation(s)
- voir aussi au terme générique : [Descripteurs (mots clés)] Essai clinique
- voir aussi au terme spécifique : [Descripteurs (mots clés)] Essai clinique pragmatique
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Benefits and Harms of Interventions With Surgery Compared to Interventions Without Surgery for Musculoskeletal Conditions: A Systematic Review With Meta-analysis / Soren Skou in Journal of Orthopaedic & Sports Physical Therapy, Vol. 52, 6 (Juin 2022)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > Vol. 52, 6 (Juin 2022) . - p. 312-344
Titre : Benefits and Harms of Interventions With Surgery Compared to Interventions Without Surgery for Musculoskeletal Conditions: A Systematic Review With Meta-analysis Type de document : article de périodique Auteurs : Soren Skou ; [et al.] Année de publication : 2022 Article en page(s) : p. 312-344 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:bénéfice thérapeutique
[Thésaurus HELB]:Paramédical:Chirurgie
[Thésaurus Mesh]Essai contrôlé randomisé
[Thésaurus Mesh]PlaceboRésumé : Objective
To estimate the benefits and harms of interventions with and without surgery for musculoskeletal (MSK) conditions.
Design
Intervention systematic review with meta-analysis of randomized controlled trials (RCTs).
Literature Search
MEDLINE, EMBASE, CINAHL, Web of Science, and CENTRAL, all up to January 7, 2021.
Study Selection Criteria
RCTs (English, German, Danish, Swedish, and Norwegian) of interventions with and without surgery conducted in any setting for any non-fracture MSK condition in adults (mean age: 18+ years) evaluating the outcomes on a continuous (benefits) or count (harms) scale. Outcomes were pain, self-reported physical function, quality of life, serious adverse events (SAEs), and death at 1 year.
Data Synthesis
Random-effects metaanalyses for MSK conditions where there were data from at least 2 trials.
Results
One hundred RCTs (n = 12 645 patients) across 28 different conditions at 9 body sites were included. For 9 out of 13 conditions with data on pain (exceptions include some spine conditions), 11 out of 11 for function, and 9 out of 9 for quality of life, there were no clinically relevant differences (standardized mean difference of 0.50 or above) between interventions with and without surgery. For 13 out of 16 conditions with data on SAEs and 16 out of 16 for death, there were no differences in harms. Only 6 trials were at low risk of bias.
Conclusion
The low certainty of evidence does not support recommending surgery over nonsurgical alternatives for most MSK conditions with available RCTs. Further high-quality RCTs may change this conclusion.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible Changes in the properties of the preferred retinal locus with eccentric viewing training / Shirin E. Hassan in OVS : Optometry & Vision Science, vol. 96, 02 (Février 2019)
[article]
in OVS : Optometry & Vision Science > vol. 96, 02 (Février 2019) . - p.79-89
Titre : Changes in the properties of the preferred retinal locus with eccentric viewing training Type de document : article de périodique Auteurs : Shirin E. Hassan, Auteur ; Nicole Christie Ross, Auteur ; Robert Massof, Auteur Année de publication : 2019 Article en page(s) : p.79-89 Langues : Anglais (eng) Langues originales : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:T:Troubles de la vision:Troubles de la vision / rééducation et réadaptation
[Thésaurus Mesh]Essai contrôlé randomisé
[Thésaurus Mesh]Scotome
[Thésaurus Mesh]Vision faibleMots-clés : maladie maculaire bilatérale scotomes centraux bilatéraux zones rétiniennes locus rétinien locus rétinien préféré Eccentric Viewing Résumé : SIGNIFICANCE This study explores whether eccentric viewing training (EVT) changes the properties of the retinal area used for fixation in subjects with bilateral macular disease. The data presented demonstrate the feasibility of conducting a randomized controlled trial on EVT.
PURPOSE Patients with bilateral central scotomas adopt other retinal area(s) called preferred retinal locus to substitute the blind fovea. EVT is offered with the goal to improve functional vision by learning how to identify and use a more useful retinal area for fixation—a trained retinal locus—and/or to improve fixation stability with their existing preferred retinal locus. An observational study was conducted to determine whether patients change and adopt a new trained retinal locus location and/or if fixation stability improves after EVT.
METHODS Seventy-six patients with bilateral central scotomas received EVT from an experienced rehabilitation therapist. Retinal locations for repeated fixations and sizes of central scotomas of the better eye were recorded before and after EVT with a scanning laser ophthalmoscope. The position and area of the 95% confidence bivariate ellipse that defines the retinal area in which 95% of fixations occur were analyzed.
RESULTS We observed no significant difference between the size of the area of the fitted ellipses before (mean [SD], 26.4° [19.7°]) and after (mean [SD], 24.8° [20.9°]) EVT (P = .54). However, we observed a shift in the preferred retinal locus location after EVT (P < .0001). The mean (SD) shift in the position of the center of fixation after EVT was 7.5° (5.2°; range, 0.45 to 23°). This mean difference was larger than would be expected from average within-subject fixation stability.
CONCLUSIONS The location of the retinal area used for fixation changes after EVT. Fixation stability does not change after EVT. These preliminary data are yet to be confirmed with the use of a control group.
Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Effect of Vision Therapy on Accommodative Lag in Myopic Children: A Randomized Clinical Trial / Martin Ming-Leung Ma in OVS : Optometry & Vision Science, vol. 96, 01 (Janvier 2019)
[article]
in OVS : Optometry & Vision Science > vol. 96, 01 (Janvier 2019)
Titre : Effect of Vision Therapy on Accommodative Lag in Myopic Children: A Randomized Clinical Trial Type de document : article de périodique Auteurs : Martin Ming-Leung Ma ; Jingcheng Shi ; Na Li Année de publication : 2019 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]:M:Myopie:Myopie / thérapie
[Thésaurus Mesh]Accommodation oculaire
[Thésaurus Mesh]Chine
[Thésaurus Mesh]Essai contrôlé randomisé
[Thésaurus Mesh]MyopieMots-clés : thérapie accommodative / de vergence Résumé : SIGNIFICANCE: Accommodative dysfunction has been suggested to be related to the development and progression of myopia. Office-based accommodative/vergence therapy (OBAVT) improved accommodative facility in Chinese myopic children, but it is unclear if such improvement has a role in decreasing myopic progression.
PURPOSE: The purpose of this study was to compare the effects of OBAVT with home reinforcement and officebased placebo therapy (OBPT) as a treatment to improve accommodative functions (i.e., lag, amplitude, and facility) in myopic children with poor accommodative accuracy.
METHODS: This was a prospective, single-masked, randomized clinical trial. Thirty-four Chinese children 8 to 12 years old with myopia and at least 1 diopter of lag of accommodation measured by autorefraction were enrolled.
The participants were randomly assigned to the OBAVT or OBPT group. The primary outcome measure was the change in the monocular lag of accommodation from the baseline visit to the 13-week visit measured by a ShinNippon open-field autorefractor. Secondary outcome measures were changes in accommodative amplitude and monocular accommodative facility.
RESULTS: A total of 33 participants completed the study. After 12 weeks of treatment, there were significant improvements in the lag of accommodation in both the OBAVT and OBPT groups (OBAVT: −0.30 ± 0.29 diopters [P < .001; Cohen’s d effect size, 1.29]; OBPT: −0.24 ± 0.30 diopters [P = .005; Cohen’s d effect size, 1.24]).
There was no statistically significant difference between the improvements in the two groups (P = .50). There was statistically significant improvement in monocular accommodative facility only in the OBAVT group (OBAVT: 7.7 ± 4.7 cycles per minute [P < .001; Cohen’s d effect size, 2.20]; OBPT: 1.9 ± 4.4 cycles per minute [P = .072]).
The change in the OBAVT group was statistically significantly larger than that in the OBPT group (P < .001).
CONCLUSIONS: Office-based accommodative/vergence therapy was no more effective than OBPT in reducing the lag of accommodation in children 8 to 12 years old with low to moderate myopia. It did improve accommodative facility in Chinese myopic children, but it is unclear if such an improvement has a role in decreasing myopic progression.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Effects of Hip Pain Diagnostic Labels and Their Explanations on Beliefs About Hip Pain and How to Manage It: An Online Randomized Controlled Trial / Travis Haber in Journal of Orthopaedic & Sports Physical Therapy, vol. 53,11 (novembre 2023)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > vol. 53,11 (novembre 2023) . - p. 673-684
Titre : Effects of Hip Pain Diagnostic Labels and Their Explanations on Beliefs About Hip Pain and How to Manage It: An Online Randomized Controlled Trial Type de document : article de périodique Auteurs : Travis Haber ; [et al.] Année de publication : 2023 Article en page(s) : p. 673-684 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]:A:Articulation de la hanche:Articulation de la hanche / physiopathologie
[Thésaurus Mesh]Arthrose
[Thésaurus Mesh]Coxarthrose
[Thésaurus Mesh]Essai contrôlé randomiséRésumé : To compare the effects of diagnostic labels and their explanations on people’s beliefs about managing hip pain.
DESIGN: Online randomized controlled trial involving 626 participants.
METHODS: Participants aged ≥45 years with and without hip pain considered a hypothetical scenario (initial doctor consultation for hip pain). They were randomized to receive a diagnostic label and explanation of (1) hip osteoarthritis, (2) persistent hip pain, or (3) hip degeneration. Primary outcomes were the beliefs (1) exercise would damage the hip and (2) surgery is necessary at some stage (scales, 0 = definitely would not/unnecessary, 10 = definitely would/necessary). Secondary outcomes included beliefs about other treatments and care providers.
RESULTS: Compared to hip degeneration, participants who were allocated to hip osteoarthritis and persistent hip pain believed exercise was less damaging (mean difference −1.3 [95% CI: −1.9, −0.7] and −1.8 [−2.3, −1.2], respectively) and surgery less necessary (−1.5 [−2.1, −1.0] and −2.2 [−2.7, −1.6], respectively). Compared to hip osteoarthritis, participants who were allocated to persistent hip pain believed surgery was less necessary (−0.7 [−1.2, −0.1]), but not that exercise was less damaging (−0.5 [−1.1, 0.1]). Compared to hip degeneration, participants who were allocated to hip osteoarthritis and persistent hip pain were less concerned about their hip and believed exercise and care from an exercise and sports physician, rheumatologist, or physiotherapist would be more helpful, and care from an orthopaedic surgeon less helpful.
CONCLUSIONS: People who were allocated a diagnostic label and explanation of hip osteoarthritis or persistent hip pain believed exercise was less damaging and surgery less necessary for a hip problem than hip degeneration.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire EPO topique pour le traitement des plaies du pied diabétique / Saher Hamed in Revue francophone de cicatrisation, vol. 2, n° 2 (Avril-juin 2018)
[article]
in Revue francophone de cicatrisation > vol. 2, n° 2 (Avril-juin 2018) . - p. 56-60
Titre : EPO topique pour le traitement des plaies du pied diabétique Type de document : article de périodique Auteurs : Saher Hamed ; [et al.] Année de publication : 2018 Article en page(s) : p. 56-60 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]Essai contrôlé randomisé
[Thésaurus Mesh]Pied diabétique
[Thésaurus Mesh]Plaies et blessures
[Thésaurus HELB]:Paramédical:gel d'érythropoïétineRésumé : Remedor Biomed a récemment lancé la première étude RemedOr, une étude prospective, multicentrique, en simple aveugle, sur la sécurité et l’efficacité de RMD-G1 topique, une technologie brevetée consistant en l’incorporation d’érythropoïétine reformulée dans un hydrogel de matrice de fibronectine pour le traitement des ulcères du pied diabétique. Le rationnel scientifique du traitement RMD-G1 topique, la population de patients inclus dans l’étude, le régime de traitement quotidien, les sites d’étude impliqués, la durée de la période de traitement et le suivi, ont permis la réalisation de cet essai contrôlé randomisé ambitieux. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité R Périodique Erasme - périodiques Périodiques Disponible Extracorporeal Shockwave Therapy Versus Graston Instrument-Assisted Soft-Tissue Mobilization in Chronic Plantar Heel Pain: A Randomized Controlled Trial / Pelin Pisirici in Journal of the American Podiatric Medical Association, vol. 112, 06 (Novembre 2022)
PermalinkGlaucoma patient preferences for video education on eye drop technique / Davis Scott A. in OVS : Optometry & Vision Science, vol. 96, 05 (Mai 2019)
PermalinkMany High-Quality Randomized Controlled Trials in Sports Physical Therapy Are Making False-Positive Claims of Treatment Effect: A Systematic Survey / Chris Blekley in Journal of Orthopaedic & Sports Physical Therapy, Vol. 50,2 (Février 2020)
PermalinkLa parole et le geste : Revie; l'expérience des infirmières sur une intervention centrée sur les forces et les ressources du patient avec un cancer avancé / Camille Thentz in Revue internationale de soins palliatifs, vol.35, NS (Juin 2021)
PermalinkPer-Protocol, Intention-to-Treat, and Complier Average Causal Effects Analyses in Randomized Controlled Trials: Linking Evidence to Practice / Steven Kamper in Journal of Orthopaedic & Sports Physical Therapy, vol. 51, 6 (Juin 2021)
PermalinkA Pilot Randomized Clinical Trial of Base-in Relieving Prism Spectacle Treatment of Intermittent Exotropia / Allison I. Summers in OVS : Optometry & Vision Science, Vol.100, 07 (Juillet 2023)
PermalinkRepenser la recherche clinique en chirurgie oncologique. De l’opéra-comique au contrôle qualité / Serge Evrard in Bulletin du cancer, vol.103, 1 (Janvier 2016)
PermalinkResponder Analyses: A Methodological Mess / Chad Cook in Journal of Orthopaedic & Sports Physical Therapy, vol. 53,11 (novembre 2023)
PermalinkThe Effectiveness of Trigger Point Dry Needling for Musculoskeletal Conditions by Physical Therapists: A Systematic Review and Meta-analysis / Joshua Cleland in Journal of Orthopaedic & Sports Physical Therapy, Vol. 47, 3 (Mars 2017)
PermalinkThere is a Lack of Clinical Homogeneity in Lower-Limb Tendinopathy Trials: A Scoping Review / Kristian Damgaard Lyng in Journal of Orthopaedic & Sports Physical Therapy, vol. 54,01 (janvier 2024)
PermalinkWhen Treating Coexisting Low Back Pain and Hip Impairments, Focus on the Back: Adding Specific Hip Treatment Does Not Yield Additional Benefits—A Randomized Controlled Trial / Scott A. Burns in Journal of Orthopaedic & Sports Physical Therapy, Vol 51, 12 (Décembre 2021)
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