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You are viewing the most viewed ACE Reports by Physiotherapists over the last 30 days in all specialties.

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Testing of noninferiority of PT vs partial meniscectomy on knee fuction in meniscal tear treatment
②
Synopsis: 321 patients with a nonobstructive mensical tear were randomized to either an 8-week physical therapy program or to arthroscopic partial meniscectomy.The primary purpose of this study was to determine if the PT group was noninferior to the APM for outcome on the International Knee Documentation Committee (IKDC) subjective score at a noninferiority margin of 8pts. When analyzed in... Read More »
Author verified Level 2 RCT
6%
Patient-reported pain and function over 52 weeks between unloader brace vs. placebo for knee OA
②
Synopsis: 150 patients with Kellgren-Lawrence or Ahlback grade I-II knee osteosrthritis were randomized to either an active or placebo unloader brace.Patients were followed for 52 weeks for outcome related to patient-reported function on the Knee Society Score (KSS) and Knee Injury and Osteoarthritis Outcome Score (KOOS).In general, changes from baseline to 52 weeks in scores were greater in the unloader brace group compared to placebo brace group, with statistical significance demonstrated for the KOOS pain, sport/rec, and QoL subscales. However, difference between... Read More »
Level 2 RCT
4%
Long-term outcome of surgery favoured over physiotherapy alone for subacromial impingement syndrome
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Synopsis: 87 patients with subacromial impingement were randomized to one of three treatment groups: arthroscopic acromioplasty, open acromioplasty, or to a physiotherapy program.Patients were followed-up for a minimum of 10 years after intervention, with outcomes related to subjective function (Constant score), shoulder range of motion, shoulder strength in abduction, and ultrasonic and radiographic evaluations.At final follow-up, Constant score was significant greater in the open acromioplasty compared to physical therapy alone, and range of motion in elevation was significantly greater in both the arthroscopic and open acromioplasty groups compared to the physical therapy alone. However, range of... Read More »
Level 2 RCT
4%
Low level laser therapy provides significant pain relief for plantar fasciitis by 8 weeks
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Synopsis: 69 patients with unilateral plantar fasciitis were randomized to receive either low level laser therapy (LLLT) or placebo treatment.The purpose of the study was to determine if LLLT resulted in improved patient pain management compared to placebo up to 8 weeks after treatment.The primary outcome of interest was VAS heel pain score, and secondary outcomes included plantar fascia thickness, quality of life (FFI score), and patient satisfaction.Results demonstrated a significantly greater reduction in pain, reduction in plantar fascial thickness and rate of high patient satisfaction compared to the placebo group. No significant difference... Read More »
Level 2 RCT
3%
No difference in 6-month outcome between ESWT and wrist extensor therapy for lateral epicondylitis
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Synopsis: 72 patients with lateral epicondylitis were randomized to treatment with either four weekly sessions of radial extracorporeal shockwave therapy or four weeks of wrist extensor splinting.Patients were assessed for outcome after 4 weeks, 12 weeks, and 24 weeks. No significant between-group... Read More »
Level 2 RCT
2%
Post-Achilles tendon repair elongation unaffected by weightbearing protocol used after surgery
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Synopsis: 75 patients following acute Achilles tendon rupture repair were randomized to one of three postoperative weightbearing protocols: restricted weightbearing to 7 weeks and no ankle mobilization exercises (LWB+IMMOB), restricted weightbearing to 7 weeks with ankle mobilization exercises (LWB+MOB), or complete weightbearing by 5 weeks with ankle mobilization exercises (EWB+MOB).Primary outcome was tendon elongation over 52-week follow-up. Over follow-up, no... Read More »
Level 2 RCT
2%
Decompression of no statistical benefit over sham, and no clinical benefit over exercise for SIS
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Synopsis: 210 patients with shoulder impingement syndrome were randomized to one of three treatment groups: arthroscopic subacromial decompression, diagnostic arthroscopy (sham surgery), or an exercise therapy program.Primary outcomes were pain at rest and pain during activity, and follow-up was performed over 24 months.Analyses demonstrated no statistically significant differences in pain scores between the arthroscopic subacromial decompression group and the diagnostic arthroscopy group. Additionally, while statistically... Read More »
Level 2 RCT
2%
Potential efficacy of glucosamine or chondroitin for pain and functional improvement in OA
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Synopsis: 26 randomized controlled trials were included in this meta-analysis which compared efficacy and safety outcomes of glucosamine monotherapy, chondroitin monotherapy, and combined therapy to placebo.A total of 30 distinct comparison were available among the included studies, with follow-up ranging from 4 weeks to 144 weeks.Pooled estimates demonstrated significant effects of chondroitin on pain and function measures compared to placebo, while glucosamine demonstrated significant a significant effect on stiffness measures.Combined therapy failed to demonstrate a significant effect compared to placebo for any efficacy measures. No significant differences... Read More »
Level 2 Meta Analysis
2%
Comparison of no orthosis, removable orthosis, and plaster cast after miniopen carpal tunnel release
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Synopsis: 249 patients scheduled for mini-open carpal tunnel release were randomized to postoperative management with either no orthosis, a removable orthosis, or cast immobilization for 10-14 days.Patients were assessed for disability, pain, function, and the incidence of complications over a 12-month follow-up. Results demonstrated no... Read More »
Author verified Level 2 RCT
1%
Analyzing the effect of ESWT on pain associated with soft tissue knee disorders
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Synopsis: Nineteen randomized controlled trials were included in this meta-analysis which sought to evaluate the efficacy of extracorporeal shockwave therapy for various soft-tissue knee disorders.Main analyses and various subgroup analyses were performed on results related to treatment success rate, pain reduction from baseline, and functional outcome.Overall, ESWT was associated with greater treatment success rates, pain reduction, and functional outcome compared to control interventions. Radial ESWT demonstrated... Read More »
Level 2 Meta Analysis