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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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①
Synopsis:
This systematic review and meta-analysis included 10 randomized controlled trials involving patients diagnosed with knee osteoarthritis.The study compared arthroscopic surgery to various conservative treatments such as physical therapy, pharmacologic interventions, and placebo.Pooled outcomes of interest included pain relief, functional recovery (WOMAC and SF-36), and patient satisfaction.Results showed no significant differences in pain relief, functional recovery, or patient satisfaction between arthroscopy and conservative treatments. The findings suggest...
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Level 1 Meta Analysis
7%
①
Synopsis:
One hundred nine patients with severe hip osteoarthritis were randomized to receive either total hip replacement (n=53) or supervised resistance training (n=56).The primary outcome of interest was the change in the Oxford Hip Score from baseline to six months, which evaluates pain and function.Secondary outcomes included various dimensions of quality of life, physical activity levels, and functional performance tests.Outcomes were assessed at baseline and six months.Overall, total hip replacement demonstrated significantly greater improvements in hip pain and function compared to resistance training. The findings suggest...
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Level 1 RCT
6%
①
Synopsis:
Sixty-nine patients with chronic plantar fasciitis were randomized to receive, in addition to physical therapy, ultrasound therapy (n=23), radial shock wave therapy (n=23), or a combination of the two (n=23).Outcomes of interest included the Foot Function Index (FFI) and active range of motion of the ankle in dorsiflexion after 4 weeks.All groups significantly improved from baseline to 4 weeks for both outcomes. There were no...
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Level 1 RCT
5%
①
Synopsis:
One hundred eighty-six patients with chronic non-specific neck pain were randomized to receive either UCS manipulation (n=93) or CCT manipulation (n=93).The primary outcome was neck disability, while secondary outcomes included pain intensity and cervical range of motion (CROM).Outcomes were measured at baseline and one week post-intervention.Overall, the study found that the CCT group showed a statistically significant improvement in neck disability compared to the UCS group.However, no significant differences were observed between groups for pain intensity or CROM. The findings suggest...
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Level 1 RCT
4%
①
Synopsis:
Thirty-three randomized controlled trials including 1154 patients with chronic ankle instability were included in this systematic review and meta-analysis comparing strength training, balance training, and a combination of both.Pooled outcomes of interest included self-reported function scores and dynamic balance measures.The combination of strength and balance training showed greater improvements in patient-reported outcomes compared to either intervention alone, with significant improvements in dynamic balance observed only in the balance training group. The findings suggest...
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Level 1 Meta Analysis
4%
①
Synopsis:
This systematic review and meta-analysis included 16 randomized controlled trials (RCTs) with a total of 1,993 patients with knee osteoarthritis.The study compared the effects of platelet-rich plasma (PRP) injections versus various nonoperative treatments, including hyaluronic acid (HA), corticosteroids, and saline.Pooled outcomes of interest were patient-reported symptom relief, pain improvement, reintervention rates, and cartilage status assessed by MRI.The findings showed PRP had significantly better outcomes in symptom relief, reduced reintervention rates, and pain improvement compared to controls, but no significant benefit for cartilage regeneration. These findings suggest...
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Level 1 Meta Analysis
2%
①
Synopsis:
One hundred eighty-three patients with indications for primary uncemented total hip arthroplasty were randomized to receive Trident hemispheric components (n=91) or Trilogy components (n=92).The primary outcome was the prevalence of postoperative noises, with secondary outcomes including quality of life (EQ-5D-3L), pain (EQ-VAS), and activity levels (UCLA scale).Outcomes were assessed at 3 and 12 months postoperatively.Overall, the study found no significant differences in the prevalence of noises between the two groups.Both groups showed comparable improvements in quality of life and functional status. These findings suggest...
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Level 1 RCT
2%
①
Synopsis:
Six studies involving 517 patients with neck pain were included in this systematic review and meta-analysis, comparing cervical manipulations to thoracic or cervicothoracic manipulations.Pooled outcomes of interest included pain intensity, neck disability, and cervical range of motion.The analysis revealed no significant differences in pain reduction, disability improvement, or cervical range of motion between the intervention groups. Moderate to very...
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Level 1 Meta Analysis
2%
①
Synopsis:
Thirty athletes with primary subacromial impingement syndrome were randomized to receive progressive resistance exercises focusing on either shoulder internal rotation (n=15) or shoulder external rotation (n=15), conducted three times per week over six weeks.A control group of 15 healthy athletes received no intervention.The primary outcome was the change in acromiohumeral distance (AHD), with secondary outcomes including pain reduction (VAS) and upper limb disability (DASH questionnaire scores).Outcomes were assessed at baseline and after six weeks.Overall, both intervention groups showed significant improvements in AHD, pain, and disability (p < .001), with no notable differences between internal and external rotation exercises. These findings suggest...
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Level 1 RCT
2%
①
Synopsis:
One hundred ten patients with partial-thickness rotator cuff tears (PTRCTs) were randomized to receive either PRP with normal saline (n=55) or PRP with vitamin C (n=55).The primary outcome was pain reduction, assessed using the Visual Analog Scale (VAS).Secondary outcomes included improvements in the American Shoulder and Elbow Surgeons (ASES) score and the Constant score.Assessments were conducted at baseline, one month, and three months post-injection.Both groups demonstrated significant improvements in pain and functional scores over time.Although group B (PRP + vitamin C) showed slightly greater improvements, the differences were not statistically significant.Overall, the results indicate that PRP injections are effective in reducing pain and improving function within three months, regardless of the addition of vitamin C. These findings support...
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Level 1 RCT