Do not use specific exercises of selective strengthening of the vastus medialis obliquus (VMO) in patellofemoral pain syndrome.
Many studies have shown that it is not possible to selectively activate the vastus medialis obliquus (VMO) with respect to vastus medialis longus or even to vastus lateralis. At the same time, no correlation between vastus medialis symptoms and its level of strength...
Do not use ultrasound therapy for rotator cuff tendinopathy, ankle sprains and low back pain.
Some reviews show the ineffectiveness of therapeutic ultrasound in the treatment of these disorders. Its therapeutic efficacy on pain or functionality is not superior to placebo in rotator cuff tendinopathy, while in ankle sprains the effect is clinically negligible,...Do not use mechanical or manual traction, as single treatment or in combination with other treatments, in patients with low back pain, in presence or absence of radicular pain.
Some systematic reviews and international guidelines show that tractions have no or minimal impact on pain intensity, functionality, overall improvement and return to work in patients with low back pain, in presence or absence of radicular pain. Minimal positive...
Do not use continuous passive mobilization (CPM) devices for postsurgical treatment of knee ligament reconstructions or uncomplicated hip or knee arthroplasties.
Some systematic reviews and some recent randomized clinical trials highlight the ineffectiveness of continuous passive mobilization (CPM) in patients following total knee or hip prosthesis surgery or anterior cruciate ligament (ACL) reconstruction. The only studies...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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