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yes like the ppt moer detalis in wordPrepare the allotted case study for the assignment. • Download five articles related to the case study and prepare the assignment using these articles. ■ Mention your view of the evidence from the articlesthe ppt is very good bout she need in ppt and word more ditaelis i will pay for you
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Clinical Practice Guidelines
for Lateral Epicondylitis: An
Evidence-Based Approach
Presented by:
Date:
Introduction
Meaning:
It is a prevalent musculoskeletal condition affecting the elbow’s outer part, causing pain and
discomfort.
Other name:
Tennis elbow
Importance of Evidence-Based Guidelines:
They integrate the best available evidence to inform clinical decisions, ensuring optimal
patient care.
Objective:
The presentation will examine a case study of lateral epicondylitis and outline evidencebased conclusions that came from a thorough examination of five pertinent studies,
highlighting a sound treatment strategy.
Case Study Overview
Patient Profile:
To provide context for understanding lateral epicondylitis, our case study involves a patient
with unique demographics, symptoms, and pertinent medical history.
Impact of Lateral Epicondylitis:
The presentation will illustrate how the patient’s daily activities are affected by lateral
epicondylitis, emphasizing the need for successful treatment interventions.
Treatment Approaches:
The presentation will explore the conditions’ treatment methods in detail, shining light on the
techniques used to reduce the patient’s symptom burden and improve their quality of life.
Presentation Structure:
The presentation will use a systematic format in order to preserve clarity, with a particular
emphasis on fact-based conclusions drawn from both the case study and chosen
publications.
Article Selection
Criteria for the 5 Article Selection:
Relevance to the case study
Recent publications in the last 15 years
The credibility of the sources
Importance of Diverse Perspectives:
Since lateral epicondylitis has several facets, our selection of publications ensures a
variety of viewpoints, enhancing our comprehension and analysis.
The rationale for Selection:
The publications were chosen for their methodological rigor and ability to add
significant knowledge to the evidence-based framework we are developing.
Demonstration of Rigor:
The evidence-based approach is strengthened by a thorough evaluation of the
chosen papers to ensure methodological soundness.
Evidence-Based Findings – Article 1
Article title:
“Conservative treatment of lateral epicondylitis: comparison of two different orthotic devices.”
The study assessed the effectiveness of various conservative treatments like:
Physiotherapy
Bracing
Non-steroidal anti-inflammatory drugs (NSAIDs).
Findings indicated that a combination of physiotherapy and bracing demonstrated significant
improvement in:
Pain reduction
Functional outcomes
Relevance to Case Study:
Aligns with the case study’s conservative treatment approach.
Provides evidence supporting the efficacy of specific interventions used in the case study.
Methodological Rigor:
Used an RCT (randomized controlled trial) design.
Used pain and function outcome metrics that had been approved.
Diverse Perspectives:
Contrasts with studies that prioritize pharmacological interventions.
Offers insights into non-pharmacological approaches for lateral epicondylitis
Evidence-Based Findings – Article 2
Article Title:
“Management of lateral epicondylitis: a narrative literature review”.
Various methods of management:
Nonoperative Treatment:
Physiotherapy
activity modification
Counterforce Braces
Anti-Inflammatory Medications
Autologous Blood Injection (ABI) etc.
Operative Treatment
Percutaneous Surgery
Open Surgery
Arthroscopic Surgery
Findings:
Nonoperative treatment remains the priority with 90% success rate
In case nonoperative treatment fails, surgical interventions will be recommended for the patients.
Evidence-Based Findings – Article 3
Title:
“Clinical effectiveness of shockwave therapy in lateral elbow tendinopathy: systematic review and meta-analysis”
Key Insights:
Explored the efficacy of shockwave therapy in reducing pain and improving function.
The results showed that shockwave therapy significantly reduced pain in the short term.
Relevance to Case Study:
Complies with the case study’s analysis of potential alternatives to actions.
Provides arguments in favor of or against including shockwave therapy in the treatment schedule.
Diverse Perspectives:
It is in contrast with studies that only include conventional physical treatment.
Provides proof for unconventional interventions.
Methodological Rigor:
Conducted a thorough analysis and meta-review.
Research involving various patient groups that were included
Evidence-Based Findings – Article 4
Article title:
Risk factors:
Female gender
History of smoking
History of diabetes mellitus
Old age
Relevance to Case Study:
Informs the case study’s consideration of holistic patient care.
Supports the integration of risk factors assessments in the treatment plan.
Diverse Perspectives:
“Risk factors of lateral epicondylitis: A meta-analysis.”
Highlights the interconnectedness of physical and psychosocial aspects.
Methodological Rigor:
Utilized qualitative research methods.
Mantel-Haenszel statistics and random effect models
Evidence-Based Findings – Article 5
Article title:
“Long-term follow-up of arthroscopic treatment of lateral epicondylitis.”
Insights:
Arthroscopic management can produce clinical improvement and have successful long-term outcomes.
At long-term follow-up, the initial high rate of success in patients was maintained.
Removal of pathologic tendinosis tissue arthroscopically is a reliable treatment for recalcitrant lateral epicondylitis.
Relevance to Case Study:
provides guidance for the case study’s long-term management and preventative measures.
proves how crucial it is to include therapeutic exercises in your treatment strategy.
Diverse Perspectives:
In contrast with studies that emphasize acute management.
the importance of long-term care is emphasized..
Methodological Rigor:
Conducted a prospective cohort study.
Followed participants over an extended period.
Own View of the articles’ Evidence
Comprehensive Understanding:
Gives a comprehensive grasp of how to handle lateral epicondylitis in a way that is patient-centered and
evidence-based.
Methodological Rigor Across Studies:
Increases faith in the accuracy of the evidence being given.
Rigorous techniques, such as prospective cohort studies, qualitative research, and randomized controlled
trials.
Risk Factors Meta-Analysis:
Identifies risk factors such as female gender, smoking, diabetes, and old age.
promoters of risk factor evaluations and all-encompassing patient care.
Shockwave Therapy Systematic Review:
Shockwave therapy is an effective alternative since it provides immediate pain relief.
Conservative Treatments Assessment:
In line with case study emphasis, physical therapy and bracing demonstrate effectiveness.
Recommendations and Conclusion
Recommendations:
Prioritizing nonoperative approaches
Considering alternative interventions like shockwave therapy
Incorporation of long-term care strategies.
Trends in the literature:
Prominence of physiotherapy
Risk factor assessments
Sustained clinical improvements through arthroscopic treatment.
Evidence is relevant in informing clinical decisions, fostering optimal patient
care, and adapting treatments based on individualized needs.
The evidence aligns with real-world scenarios, enhancing the effectiveness of
lateral epicondylitis management strategies.
References
Altan, L. A. L. E., & Kanat, E. (2008). Conservative treatment of lateral epicondylitis:
comparison of two different orthotic devices. Clinical rheumatology, 27, 1015-1019.
Bachman, S. (2016). An evidence-based approach to treating lateral epicondylitis using
the Occupational Adaptation model. The American Journal of Occupational
Therapy, 70(2), 7002360010p1-7002360010p5.
Baker Jr, C. L., & Baker III, C. L. (2008). Long-term follow-up of arthroscopic treatment of
lateral epicondylitis. The American journal of sports medicine, 36(2), 254-260.
Karanasios, S., Tsamasiotis, G. K., Michopoulos, K., Sakellari, V., & Gioftsos, G. (2021). Clinical
effectiveness of shockwave therapy in lateral elbow tendinopathy: systematic review and
meta-analysis. Clinical Rehabilitation, 35(10), 1383-1398.
Ma, K. L., & Wang, H. Q. (2020). Management of lateral epicondylitis: a narrative literature
review. Pain Research and Management, 2020.
Sayampanathan, A. A., Basha, M., & Mitra, A. K. (2020). Risk factors of lateral epicondylitis:
A meta-analysis. The Surgeon, 18(2), 122-128.
Clinical Practice Guidelines
for Plantar Fasciitis: An
Evidence-Based Approach
Presented by:
Date:
Introduction
• Description:
•
Plantar fasciitis is characterized by inflammation of the thick band of tissue (plantar fascia) that connects the heel bone to
the toe.
• Peoples affected:
•
Various age groups and activity levels.
• Importance of Evidence-Based Approaches:
•
•
•
•
Know its prevalence
Focus on individual variation
To optimize outcomes
To avoid guesswork
• Objective:
•
• Aim:
•
Objective
Comprehensively explore and understand the evidence-based practices in the management of plantar fasciitis
To dissect recent research findings from key articles, shedding light on the effectiveness of interventions and the nuances of
this prevalent foot condition
• Goal:
•
Empower clinicians with insights that go beyond conventional approaches
• Seek:
•
To instill a deep understanding of the role evidence plays in optimizing patient outcomes, fostering a commitment to
informed decision-making in the clinical management of plantar fasciitis.
• Importance of Understanding Evidence-Based Practices:
•
•
•
•
•
Optimization of treatment outcomes
Precision in patient care
Enhanced collaboration
Professional development
Reduction of guesswork
Case Study Overview
• It undertakes a thorough examination of evidence-based practices in the management of Plantar Fasciitis
• It utilizes recent research findings (articles written in the last 5 years) to navigate the complexities of this common yet
often challenging condition.
• Its objectives include:
•
•
•
Meta-review systematic reviews
Examine best practices
Explore interventions
• Key Points and Challenges:
•
•
•
Navigating systematic review findings
Interpreting consensus recommendations
Diversity in interventions
• Title:
Article 1-Hip Strengthening Exercises
• “The effects of hip strengthening exercises in a patient with plantar fasciitis: A case report.”
• Methodology:
• Randomized controlled trial design.
• Participants diagnosed with plantar fasciitis were assigned to either a hip-strengthening exercise group or a
control group.
• Outcome measures- pain intensity, functional status, and biomechanical parameters.
• Relevance to Case Study:
• Highlights a specific intervention’s positive impact on Plantar Fasciitis.
• Offers insights into the broader spectrum of treatment possibilities.
• Key Findings:
• The hip strengthening exercise group demonstrated significant improvements in pain reduction and
functional outcomes compared to the control group.
• Hip-strengthening exercises incorporation into the treatment plan can be beneficial for individuals with
plantar fasciitis.
Article 2 – Dry Needling Effectiveness
•
•
•
Title:
“Is dry needling effective for the management of plantar heel pain or plantar fasciitis? An updated systematic review and meta-analysis.”
Findings:
•
•
•
focuses on a particular and possibly efficient intervention.
Adds a non-traditional perspective to treatment approaches.
Methodological Rigor:
•
•
•
Supports the efficacy of dry needling as an intervention.
Relevance to Case Study:
•
•
•
Meta-analysis shows significant pain reduction and functional improvement.
Systematic review and meta-analysis of randomized controlled trials.
Rigorous assessment of dry needling effectiveness.
Diverse Perspectives:
•
Introduces an alternative therapeutic approach.
Article 3-Best Practice Guide
•
•
•
Title:
“Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning, and patient values”
Findings:
•
•
•
•
Recommendations derived from expert consensus and existing literature.
Serves as a helpful manual for treating plantar fasciitis for professionals.
Highlights the agreement of experts while providing a methodical approach.
Methodological Rigor:
•
•
•
Provides a framework for assessment and treatment.
Relevance to Case Study:
•
•
•
Outlines a comprehensive approach to managing plantar heel pain, encompassing assessment, diagnosis, and a range of conservative and interventional treatment options.
Developed through a consensus process with a panel of experts.
Incorporates a review of existing literature and clinical experiences.
Diverse Perspectives:
•
incorporates expert advice into evidence-based recommendations.
Article 4 – Endoscopic Plantar Fasciotomy
• Title:
•
“Endoscopic plantar fasciotomy for plantar fasciitis: A systematic review and network meta-analysis of the English
literature. ”
• Key points and relevance:
•
•
•
•
•
•
Addresses the surgical perspective in Plantar Fasciitis management.
Provides evidence on the efficacy of endoscopic plantar fasciotomy
Utilized systematic review and network meta-analysis methodologies.
Rigorous analysis of English literature to ensure comprehensive data integration
Adds a surgical dimension to the discussion on plantar fasciitis management.
Contributes a nuanced perspective on the role and efficacy of endoscopic plantar fasciotomy.
Article 5 – Epidemiology, Evaluation,
Treatment
•
•
•
Title:
“A systematic review of systematic reviews on the epidemiology, evaluation, and treatment of plantar fasciitis.”
Findings:
•
•
•
•
Treatment- Corticosteroid, Platelet-Rich Plasma (PRP), Extracorporeal Shockwave Therapy (ESWT), Needling Therapies, and Low-Level Laser Therapy
(LLLT) etc.
Acts as a foundational article, covering various aspects comprehensively.
Offers evidence-based insights into the condition’s multifaceted nature.
Methodological Rigor:
•
•
•
Provides a holistic perspective on managing Plantar Fasciitis.
Relevance to Case Study:
•
•
•
In-depth exploration of epidemiology -prevalence, risk factors, diagnosis, evaluation, and treatments.
A systematic review that explores a wide range of aspects.
Synthesizes evidence from multiple systematic reviews.
Diverse Perspectives:
•
Comprehensively addresses epidemiological, diagnostic, and therapeutic dimensions.
Conclusion
• The research looked at a variety of therapies, including dry needling, endoscopic plantar
fasciotomy, and hip strengthening exercises, providing a wide range of alternatives for
treating plantar fasciitis.
• The inclusion of expert consensus in best practice guides highlighted a team-based and
knowledgeable approach to treating Plantar Fasciitis.
• We now have a deeper grasp of Plantar Fasciitis thanks to the systematic reviews’
comprehensive analysis of the disease’s epidemiological, diagnostic, and therapeutic
facets.
• The findings emphasized the value of evidence-based procedures, emphasizing their role in
promoting informed decision-making and improving patient outcomes..
References
• Lee, J. H., Park, J. H., & Jang, W. Y. (2019).
The effects of hip strengthening exercises in a patient
with plantar fasciitis: A case report. Medicine, 98(26).
• Llurda-Almuzara, L., Labata-Lezaun, N., Meca-Rivera, T., Navarro-Santana, M. J., Cleland, J. A.,
Fernández-de-Las-Peñas, C., & Pérez-Bellmunt, A. (2021). Is dry needling effective for the
management of plantar heel pain or plantar fasciitis? An updated systematic review and metaanalysis. Pain Medicine, 22(7), 1630-1641.
• Mao, D. W., Chandrakumara, D., Zheng, Q., Kam, C., & King, C. K. K. (2019). Endoscopic plantar
fasciotomy for plantar fasciitis: A systematic review and network meta-analysis of the English
literature. The Foot, 41, 63-73.
• Morrissey, D., Cotchett, M., J’Bari, A. S., Prior, T., Griffiths, I. B., Rathleff, M. S., … & Barton, C. J.
(2021). Management of plantar heel pain: a best practice guide informed by a systematic review,
expert clinical reasoning, and patient values. British journal of sports medicine, 55(19), 1106-1118.
• Rhim, H. C., Kwon, J., Park, J., Borg-Stein, J., & Tenforde, A. S. (2021). A systematic review of
systematic reviews on the epidemiology, evaluation, and treatment of plantar
fasciitis. Life, 11(12), 1287.
Thank You
• Thank you for your time and listening to me.
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