Color gamut characteristics of diffractive-light guides of near-eye augmented reality glasses.

We delve into the distinctive color gamut characteristics resulting from color dispersion of surface relief grating (SRG) and wavelength degeneracy of volume holographic optical element (VHOE) in a diffractive light guide. While a laser-like spectrum achieves an impressive 194% sRGB color gamut for both cases, it proves unsuitable for VHOE light guides due to limitations in breaking the field of view (FOV) of the display. Conversely, a broad-band light source, such as LEDs, offers continuous FOV but reduces the common color gamut to 50% sRGB. We then present a newly designed VHOE light guide capable of achieving the common color gamut of 130% sRGB using two multiplexed holograms of each color, closely matching the 133% sRGB achieved by an SRG light guide. This article presents the first theoretical methodology to elucidate color performance of diffractive light guides utilizing VHOEs with holographic multiplexing, affirming their suitability for crafting high-quality near-eye display.

Hyperspectral screen-image-synthesis meter with scattering-noise suppression.

The screen image synthesis (SIS) meter was originally proposed as a high-speed measurement tool, which fused the measured data from multiple sample-rotational angles to produce a whole-field measurement result. However, it suffered from stray light noise and lacked the capability of spectrum measurement. In this study, we propose an SIS system embedded with a snapshot hyperspectral technology, which was based on a dispersion image of the sparse sampling screen (SSS). When a photo was captured, it was transformed and calibrated to hyperspectral data at a specific sample-rotational angle. After the hyperspectral data in all sample-rotational angles were captured, an SIS image-fusion process was then applied to get the whole field hyperspectral data. By applying SSS to the SIS meter, we not only create a screen image synthesis hyperspectral meter but also effectively address the issue of stray-light noise. In the experiment, we analyze its correctness by comparing the hyperspectral value with a one-dimensional spectrum goniometer (ODSG). We also show the 2D color temperature coefficient distribution and compare it with the ODSG. Experimental results also demonstrate the feasibility in terms of both spectrum distribution meter and color coefficient temperature distribution meter.

Passive anti-leakage of blue light for phosphor-converted white LEDs with crystal nanocellulose materials.

A phenomenon known as "blue-light leakage" caused by overheating pcW-LEDs has recently been identified, and it poses a risk to users. This study focuses on investigating and optimizing a solution to address this issue. To tackle the problem of overheating and blue light leakage, we explored the application of a specific thermochromic material called crystal nano cellulose (CNC). We introduced CNC inside the epoxy lens of white LEDs. Importantly, under standard conditions, CNC has a negligible impact on the optical properties of the output white light. However, when overheating conditions arise, leading to blue light leakage, the temperature increase triggers a darkening effect in CNC. This thermochromic behavior of CNC allows it to strongly absorb the blue light, resulting in a significant suppression of the output luminous flux. As a result, the lamp dims, which not only prevents the user's eyes from being exposed to harmful bluish light but also serves as an indicator of aging in the pcW-LED. By implementing CNC as a responsive material in the design of white LEDs, this study offers a practical and effective solution to mitigate the negative effects of blue-light leakage caused by overheating. This improvement enhances the safety and comfort of users while also providing an early warning system for the aging of pcW-LEDs.

Study of banana preservation extension by UVC radiation in precise monitoring LED irradiation cavity.

Ultraviolet C (UVC) radiation has been considered a possible option to alleviate the seriousness of black spots on bananas during preservation which help increase economic efficiency. In this study, using 275 nm UVC light-emitting diodes (LEDs), a preliminary cavity with dimensions of 30 × 30 × 30 cm was designed and fabricated to aid in reducing black spots on bananas with the aim of application in the factory conveyor belts. The UVC irradiance distribution was thoroughly monitored for many sections at different box heights in both simulation and measurement, with a dominant range of 6-9 W/m2 in the middle. Afterward, trials were conducted in vitro and in vivo at different selected UVC doses. The results in vitro revealed that a dose of over 0.36 kJ/m2 has an excellent effect on inhibiting the colonial germination of fungal Colletotrichum musae, a common species of fungi causing black spot disease on bananas. In vivo conditions, with a short exposure time of around 5 s, the black spots on UVC-irradiated banana peel significantly reduced with minimal sensory damage compared to a control banana via observation after seven days from treatment. Finally, the optimal UVC dose is proposed from 0.030 to 0.045 kJ/m2 for the one-time treatment when considering the upper surface of the banana. With flexibility advantage and short exposure time, the fabricated cavity (box) promises to bring a lot of application potential to aid banana preservation in factories and households.

Improving light output by micro-TiO2 scatters in pc-WLED encapsulants.

Phosphor-converted white light emitting diodes (pc-WLEDs) are used worldwide for an extensive amount of applications. The device is a complex combination of various components that introduce various technical issues: materials, electrical, chemical, thermal, and so on. All of these combined to obtain a targeted optical characteristic. While most of the pc-WLEDs are sufficient for basic illumination performance, there are still many issues to improve the pc-WLED performance. In this work, we deal with the incorporation of micron size particles of titanium oxide (TiO2) in silicone encapsulant that contains yttrium aluminum garnet (YAG) phosphor in remote phosphor pc-WLED. Based on the light output and the scattering spatial distribution measurements of the phosphor plates, we have found that several essential performance indices, like the color uniformity, the efficiency, and the amount of phosphor for the pc-WLEDs, can be adjusted by tuning the amount of TiO2 particles and thus be optimized. With a comprehensive model using a Monte-Carlo ray tracing process combined with the Mie scattering theory, two TiO2 loading conditions are revealed. The first one is the sparse condition that the TiO2 particles act as the scattering particles such as to increase the output flux to improve the efficiency of YAG. The second one is the dense condition that the TiO2 particles act more as barrier particles such so to decrease the output flux.

Adolescents with Atopic Dermatitis Have Lower Peak Exercise Load Capacity and Exercise Volume Compared with Unaffected Peers.

Background: Sweating and increased skin temperature caused by exercise can reduce physical activity and the willingness to exercise in adolescents with atopic dermatitis. This study was conducted to investigate the exercise load capacity of adolescents with atopic dermatitis and analyzed their exercise behavior and motivation. Methods: Adolescents with and without atopic dermatitis were assigned to the atopic dermatitis group and control group (n = 27 each). Both groups completed a cardiopulmonary exercise test and questionnaires to assess their exercise capacity, weekly exercise volume, exercise motivation, and self-efficacy, respectively. Results: The ratio of measured forced vital capacity to the predicted forced vital capacity and the peak oxygen consumption of the atopic dermatitis group were significantly lower than those of the control group. The Godin Leisure-Time Exercise Questionnaire scores of the atopic dermatitis group were significantly lower than those of the control group. As for the Behavioral Regulation in Exercise Questionnaire 2, the scores for the introjected and identified regulations of the atopic dermatitis group were significantly lower than those of the control group. Regarding the Multidimensional Self-Efficacy for Exercise Scale, the scheduling efficacy and total scores of the atopic dermatitis group were significantly lower than those of the control group. Conclusions: Adolescents with atopic dermatitis had lower peak exercise capacity and lower weekly exercise volume. Furthermore, they lacked the negative feelings toward inactivity and the self-confidence to plan regular exercise independently. The results of this study suggest that adolescents with atopic dermatitis should be encouraged to engage in regular indoor exercise.

Active thermal-fuse for stopping blue light leakage of white light-emitting diodes driven by constant current.

In this study, we proposed and demonstrated a circuit design for solving problems related to blue light leakage (e.g., eye damage) when phosphor-converted white light-emitting diodes (pcW-LEDs) overheat. This circuit only needs a positive thermal coefficient thermistor, resistor, and diodes in series and parallel; thus, it can easily be integrated into components. Simulations and corresponding experimental results show that this method can accurately suppress the overheating component's injection current and allow for LEDs to work normally after returning to the operating temperature. It thus allows the user's eyes to be actively protected, e.g., to avoid exposure to the bluish light when overheating occurs. In addition, the quenching of luminous flux is a signal to remind the user to replace the LED. The proposed method is low-cost, effective, simple, and useful for increasing the quality of LED lighting and biological safety.

Double-frequency grating shearing interferometer with built-in phase-shifting function for robust multi-level phase retrieval.

In this paper, we propose and demonstrate a novel interferometer and signal process to retrieve two-dimensional signals with multilevel phases. The interferometer is based on a shearing interferometry with double-frequency grating, and phase-shifting interferometry is derived as a built-in function of the lateral displacement of the grating. The interferometer not only retrieves the multilevel phase signals but also eliminates slow-varying phase errors wherever they occur. Owing to the common path algorithm, the new interferometer is more robust in dynamic circumstances for optical testing and data processing. We propose a pre-integral signal process for two-dimensional (2D) data processing to prevent post-phase-integral due to shearing interferometry. The simulation and experiment showed that the proposed interferometer with a pre-integral process has various advantages in signal processing for multilevel phase retrieval, and will be useful for higher data rates in optical data storage and free-space communication.

Mobility Status Plays an Important Role in the Risk of Cardiovascular Rehospitalizations in Patients with Heart Failure Undergoing Cardiac Rehabilitation: A Retrospective Cohort Study.

The aim of this study was to investigate the association between mobility status and cardiovascular rehospitalizations in patients with heart failure undergoing cardiac rehabilitation. This retrospective cohort study included patients with heart failure undergoing cardiac rehabilitation. Mobility status was evaluated using functional ambulation categories (FAC), and each cardiovascular hospitalization was recorded by the case manager. A Poisson regression model was used to analyze the association between mobility status and cardiovascular rehospitalizations. This study included 154 patients with heart failure undergoing cardiac rehabilitation. For cardiovascular rehospitalizations within 6 months, the Poisson regression model reported that the impaired mobility group had a higher risk than the fair mobility group (incidence rate ratio (IRR) = 2.38, 95% CI 1.27-4.46, p = 0.007). For cardiovascular rehospitalizations within 12 months, the Poisson regression model also reported that the impaired mobility group had a higher risk than the fair mobility group (IRR = 1.91, 95% CI 1.16-3.13, p = 0.010). Other covariates, such as LVEF, peak oxygen consumption, and PAOD, could have impacted the risk of cardiovascular rehospitalizations. Among patients with heart failure undergoing cardiac rehabilitation, the impaired mobility group had a twofold risk of cardiovascular rehospitalizations, compared with the fair mobility group within both 6 and 12 months.

Outcomes With Multidisciplinary Cardiac Rehabilitation in Post-acute Systolic Heart Failure Patients-A Retrospective Propensity Score-Matched Study.

Background: Cardiac rehabilitation (CR) is recommended for patients with acute heart failure (HF). However, the results of outcome studies and meta-analyses on CR in post-acute care are varied. We aimed to assess the medium- to long-term impact of CR and ascertain the predictors of successful CR. Methods: In this propensity score-matched retrospective cohort study, records of consecutive patients who survived acute HF (left ventricular ejection fraction <40) and participated in a multidisciplinary HF rehabilitation program post-discharge between May 2014 and July 2019 were reviewed. Patients in the CR group had at least one exercise session within 3 months of discharge; the others were in the non-CR group. After propensity score matching, the primary (all-cause mortality) and secondary (HF readmission and life quality assessment) outcomes were analyzed. Results: Among 792 patients, 142 attended at least one session of phase II CR. After propensity score matching for covariates related to HF prognosis, 518 patients were included in the study (CR group, 137 patients). The all-cause mortality rate was 24.9% and the HF rehospitalization rate was 34.6% in the median 3.04-year follow-up. Cox proportional hazard analysis revealed that the CR group had a significant reduction in all-cause mortality compared to the non-CR group (hazard ratio [HR]: 0.490, 95% confidence interval [CI]: 0.308-0.778). A lower risk of the primary outcome with CR was observed in patients on renin-angiotensin-aldosterone system (RAAS) inhibitors, but was not seen in patients who were not prescribed this class of medications (interaction p = 0.014). Conclusions: Cardiac rehabilitation participation was associated with reduced all-cause mortality after acute systolic heart failure hospital discharge. Our finding that the benefit of CR was decreased in patients not prescribed RAAS inhibitors warrants further evaluation.

GaN-based mini-LED matrix applied to multi-functional forward lighting.

In this paper, we propose and demonstrate to use of a single reflector with 68 segments to project vehicle low beam and high beam with the use of a GaN-based mini-LED matrix, which is a 5 × 6 LED die array. The design of the reflector is based on light field technology in considering etendue from the light source across the segments. The group of the segments with smaller etendue from the LED dies in the bottom 2 rows are used to project low beams. When the other LED dies are turned on, the reflector will project light upward and form the high beam. The selection of the turn-on LED dies in the mini-LED matrix can adjust the width of the illumination pattern so that an adaptive low/high beam can be performed. Besides, to extend the functionality of the headlamp module, we propose to dispense IR phosphor on LED dies in the high-beam zone of the GaN-based mini-LED matrix. Thus the vehicle can emit IR high beam, which can be imaged through a camera and can be incorporated with machine vision for an autonomous vehicle without using a complicated adaptive headlight to avoid glare. The proposed multi-function in spatial and spectral domains will be helpful to various applications with use of a mini-LED matrix.

Single reflector design for integrated low/high beam meeting multiple regulations with light field management.

This paper proposed an effective multi-objective design procedure, called light field management, for a single multi-segment reflector that can simultaneously project low beams and high beams for bicycle and e-bike applications. Furthermore, two different regulations can be met, including the K-mark and the ECE Class B regulations. Through light field management, the etendue and flux density of each segment can be effectively managed, so that the design successfully meets the multiple regulations. In the experimental verification, two mockup samples including a plastic reflector with aluminum coating and an aluminum reflector were fabricated to verify the validity of the design. The experiment showed that the contrast across the cutoff line reached 100 and above, where the brightest point for low beams reached 200 lux and the whole pattern reached 250 lux. The supreme behavior of the head lamp shows that the proposed design procedure is valuable and helpful to an optical designer.

Association between Poststroke Depression and Psychological Crisis: A Retrospective Cross-Sectional Study.

OBJECTIVE: To investigate the association between poststroke depression (PSD) and psychological crisis in patients who have experienced a stroke within 6 months. METHODS: This was a retrospective cross-sectional study that enrolled patients within 6 months after stroke onset. The investigators reviewed medical charts to obtain patients' baseline characteristics, and a psychologist evaluated each patient for depression using the Taiwanese Depression Questionnaire (TDQ) and for psychological crisis using the Triage Assessment System (TAS). A generalized linear model (GLM) was used to analyze the association between the results of the TDQ and TAS. RESULTS: Ninety-seven patients with stroke were included. Age (p = 0.003), time since onset of stroke (p = 0.041), diabetes mellitus (p = 0.004), hypertension (p = 0.016), heart disease (p = 0.005), and TDQ score were significantly different between the hemorrhagic stroke group and the ischemic stroke group. The TDQ score was significantly lower in the hemorrhagic stroke group (p = 0.012). The TDQ score was associated with the TAS total score and each domain score, and the presence of heart disease was associated with poorer TAS score in the behavioral domain (p = 0.016). CONCLUSION: PSD is likely an important component of psychological crisis in stroke patients. For clinicians, a comprehensive psychologic evaluation is necessary to optimize treatment.

The clinical effect of Kinesio taping and modified constraint-induced movement therapy on upper extremity function and spasticity in patients with stroke: a randomized controlled pilot study.

BACKGROUND: Spasticity and impaired hand function are common complication in patients with stroke, and it pose negative impact on quality of life. AIM: We aimed to assess the effect of the combined administration of kinesio taping (KT) and modified constraint-induced movement therapy (mCIMT) on upper extremity function and spasticity in hemiplegic patients with stroke. DESIGN: A randomized controlled pilot study. SETTING: A hospital center. POPULATION: Patient of stroke with hemiplegia for 3-12 months. METHODS: Thirty-five patients were enrolled and allocated into three groups, including the sham KT and mCIMT group, KT group, or KT and mCIMT group. The KT, sham KT, and mCIMT serve as additional therapies (5 days/week for 3 weeks) besides regular rehabilitation (5 days/week for 6 weeks). KT was applied over the dorsal side of the affected hand, while mCIMT was applied to restrain the unaffected upper extremity. The outcomes included the modified Tardieu scale (mTS), Brunnstrom stage, Box and Block Test (BBT), Fugl-Meyer assessment for the upper extremity (FMA-UE), and Stroke Impact Scale version 3.0. Measurements were taken at baseline, immediately after intervention (third week), and 3 weeks later (sixth week). RESULTS: Between baseline and the third week, within-group comparisons yielded significant improvement in the wrist and hand parts of the FMA and BBT of the Sham KT and mCIMT group (P=0.007-0.035); in the hand part of the FMA, BBT, and mTS degree (P=0.005-0.024) of the KT group; and in the Brunnstrom stage of the wrist, FMA-UE, BBT, and mTS degrees (P=0.005-0.032) of the KT and mCIMT group. Between baseline and the sixth week, there was significant difference in the proximal part of the FMA and mTS degree in groups with KT, but an additional improvement on the Brunnstrom stage of the wrist was noted in the KT and mCIMT group. CONCLUSIONS: KT benefits patients with stroke in spasticity reduction and upper extremity function. The combination of KT and mCIMT provides extra benefit in motor performance with a more long-lasting effect. CLINICAL REHABILITATION IMPACT: Kinesio taping could act as potential adjuvant therapy in patient of stroke with hemiplegia.

Electromyographic study assessing swallowing function in subacute stroke patients with respiratory muscle weakness.

BACKGROUND: Dysphagia has been reported to be associated with the descent of the hyolaryngeal complex. Further, suprahyoid muscles play a greater role than infrahyoid muscles in elevation of the hyolarngeal complex. Respiratory muscle training (RMT) can improve lung function, and expiratory muscle strength training can facilitate elevation of the hyoid bone and increase the motor unit recruitment of submental muscles during normal swallowing. This study aimed to investigate the surface electromyography (sEMG) of the swallowing muscles, bilaterally, and the effect of RMT on swallowing muscles in stroke patients with respiratory muscle weakness. METHODS: Forty patients with first episode of unilateral stroke were included in this retrospective controlled trial. After exclusion of 11 patients with respiratory muscle strength stronger than 70% of the predicted value, 15 were allocated to the RMT group and 14 to the control group. However, eventually, 11 patients in RMT group and 11 patients in control group completed the study. The sEMG of the orbicularis oris, masseter, submental, and infrahyoid muscles were recorded during dry swallowing, water swallowing (2 mL), and forced exhalation against a threshold breathing trainer set at different intensities, at baseline and after 6-week RMT. RESULTS: Regarding the sEMG of submental muscles, there were significant between-group differences on the latency of the unaffected side (P = .048), significant change from baseline force on the unaffected side (P = .035), and significant between-side difference (P = .011) in the RMT group during dry swallowing. Significant change in the duration from baseline was observed on the affected side of the RMT group when blowing was set at 50% maximal expiratory pressure (MEP; P = .015), and on the unaffected side of the control group when blowing set at 15% MEP (P = .005). Significant difference was observed in the duration between 50% MEP and 15% MEP after 6-week program in the control group (P = .049). CONCLUSIONS: A 6-week RMT can improve the electric signal of the affected swallowing muscles with more effect on the unaffected side than on the affected side during dry swallowing. Furthermore, RMT with 50% MEP rather than 15% MEP can facilitate greater submental muscle activity on the affected side in stroke patients with respiratory muscle weakness.

Patients with Kawasaki Disease Have Significantly Low Aerobic Metabolism Capacity and Peak Exercise Load Capacity during Adolescence.

INTRODUCTION: Kawasaki disease (KD) is a childhood illness causing blood vessel inflammation. Children with KD have similar cardiopulmonary function to healthy children, but lower moderate-to-vigorous activity and exercise self-efficacy-possibly harming their cardiopulmonary function in adolescence. The purpose of this study is to investigate the cardiopulmonary function, exercise behaviors, exercise motivations, and self-efficacy of adolescents who once had KD. METHODS: adolescents who once had KD and adolescents matched to the KD group in age and sex were enrolled. The cardiopulmonary exercise test was used to assess cardiopulmonary function. Weekly exercise behavior, exercise motivation, and self-efficacy were assessed with questionnaires. RESULTS: this study recruited 50 and 30 participants, respectively, to the KD and control groups. The KD group had a lower ratio of VO2/kg at the anaerobic threshold and peak to the predicted VO2/kg at the peak (p = 0.021 and 0.043, respectively). No significant differences were found in questionnaire scores. The correlations of weekly exercise behavior scores with exercise motivation and self-efficacy scores were stronger in the KD group. CONCLUSIONS: adolescents with KD history had significantly lower aerobic metabolism capacity and peak exercise load capacity than controls. The correlations of amount of weekly exercise with exercise motivation and self-efficacy were stronger in the KD group.

Reduction of phase error on phase-only volume-holographic disc rotation with pre-processing by phase integral.

In this paper, we present a study of observation of phase error of a volume holographic storage disc during the reading process when the disc is rotated or displaced in the theoretical calculation and the corresponding experiment. This additional phase error will dramatically decrease the bit error rate of a phase-only signal, even applying double-frequency shearing interferometry to retrieve the stored phase signal. Then we propose a novel approach to solve the problem. The stored signal is pre-processed by phase integral along the shearing direction so that applying the integral process to decode the phase signal is not necessary in the readout process. The proposed approach effectively reduces the error in phase retrieval and will be useful when applying double-frequency shearing interferometry in the readout process for volume holographic storage.

An edge-lit volume holographic optical element for an objective turret in a lensless digital holographic microscope.

In this paper, we propose and demonstrate the use of an edge-lit volume holographic optical element (EL-VHOE) as a reference waveguide to reduce the volume of a lensless digital holographic microscope. Additionally, a hybrid lensless Fourier transform digital holography is applied to make the EL-VHOE function as an objective turret. It used a spherical wave in the object beam of the EL-VHOE, which served as the reference beam of the microscope. Another sheared spherical wave was used to illuminate the sample. The longitudinal position of the spherical reference beam is changeable. It was shown that the tradeoff between resolution and field of view can be adjusted by changing the longitudinal position of the spherical reference beam. The corresponding experimental results matched the simulational and theoretical predictions. A resolution of approximately 3.11 µm was achieved when the object distance was 6 mm and the longitudinal distance of the spherical reference was 10 mm.

Optical servo with high design freedom using spherical-wave Bragg degeneracy in a volume holographic optical element.

A novel optical sensor is proposed and demonstrated with the use of spherical-wave Bragg degeneracy of a volume holographic optical element. Bragg degeneracy can be performed perfectly for a volume hologram written by two plane waves or spherical waves. But only spherical reference light is useful to perform severe shifting selectivity in one direction and Bragg degeneracy in another direction. The experiment corresponding to theoretical simulation was demonstrated in a volume holographic optical element, which was an optical servo for a collinear volume holographic disc. Through clever design, the displacement response of the tracking beam was observed for a magnification magnitude of 980% to the displacement of the probe beam so that the resolution requirement of the photosensor can be reduced. Besides, a high linearity of the displacement response was observed. To discover the design freedom, a theoretical study of the displacement response was done for the servo by two spherical waves. The linearity, the magnification magnitude, and the diffraction efficiency were examined and the property of the Bragg degeneracy was figured out.

Comparative Effectiveness of Different Nonsurgical Treatments for Patellar Tendinopathy: A Systematic Review and Network Meta-analysis.

PURPOSE: To investigate the functional improvement and pain reduction of different nonsurgical treatments for patellar tendinopathy (PT), a systematic review with network meta-analysis was performed. METHODS: Studies were comprehensively searched for without language restrictions in the CENTRAL, MEDLINE, EMBASE, Web of Science, Physiotherapy Evidence Database, and SPORTDiscus databases from inception to May 2018. Randomized controlled trials about nonsurgical treatments for PT were included. The outcome measurements were the Victorian Institute of Sports Assessment (VISA) scale and pain scores (such as the visual analog scale or Numerical Rating Scale). Study quality was evaluated using the Physiotherapy Evidence Database score. Direct comparisons were performed using pairwise meta-analysis, whereas network meta-analysis was performed using a frequentist method in a multivariate random-effects model. RESULTS: Eleven studies with 430 affected patellar tendons were included in the systematic review. The summary mean difference of improvement in the VISA scale versus the control group for corticosteroid injection was -23.00 (95% confidence interval [CI] -36.73 to -9.27), for leukocyte-rich platelet-rich plasma (LR-PRP) was 13.22 (95% CI 2.37-24.07), for focused extracorporeal shockwave therapy (ESWT) was -1.28 (95% CI -6.25 to 3.68), for radial ESWT was -6.68 (95% CI -20.20 to 6.84), for ultrasound was -0.70 (95% CI -11.23 to 9.83), for autologous blood injection was -0.60 (95% CI -9.30 to 8.10), for dry needling was 17.51 (95% CI -2.57 to 37.60), for topical glyceryl trinitrate was -0.90 (95% CI -13.07 to 11.27), and for skin-derived tendon-like cells was 10.40 (95% CI -1.59 to 22.39). LR-PRP (Surface Under the Cumulative Ranking curve [SUCRA] = 87.5%) or dry needling (SUCRA = 90.5%) was most likely to be ranked the best in terms of improvement on the VISA scale. Compared with the control group, the summary mean difference of the change in pain score for corticosteroid injection was 0.80 (95% CI -3.48 to 5.08), for LR-PRP was -1.87 (95% CI -3.28 to -0.46), for focused ESWT was 0.13 (95% CI -0.68 to 0.93), for radial ESWT was 0.03 (95% CI -1.92 to 1.98), for ultrasound was -0.20 (95% CI -1.49 to 1.09), for autologous blood injection was 0.60 (95% CI -0.73 to 1.93), for dry needling was -0.37 (95% CI -2.71 to 1.97), and for topical glyceryl trinitrate was -0.50 (95% CI -2.55 to 1.55). The treatment most likely to be ranked the best in terms of change in pain score was LR-PRP (SUCRA = 94.9%). CONCLUSIONS: The network meta-analysis demonstrated that LR-PRP has the greatest functional improvement and pain reduction for PT compared with other treatment options. However, the treatment effect estimates can be biased by the possible intransitivity and should not be overestimated. LEVEL OF EVIDENCE: Level I, meta-analysis of Level I studies.