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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:
One hundred and nineteen patients with insertional Achilles tendinopathy were randomized to received extracorporeal shockwave therapy with eccentric exercise (ESWT +EE) (n=58) or eccentric exercise (EE) and sham therapy (n=61).The primary outcome was function measured by the Victorian Institute of Sports Assessment-Achilles questionnaire (VISA-A).Secondary outcomes of interest included pain scores, the Foot and Ankle Outcome Score (FAOS), the Short Form Health Survey (SF-12), recurrence and failure of treatment.Both groups demonstrated significant improvements from baseline.No differences in the VISA-A, FAOS or SF-12 were found at any time point between groups. The EWST+EE group...
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Level 1 RCT
6%
①
Synopsis:
One hundred five patients with clinically diagnosed knee osteoarthritis were randomized to receive a 6-week internet-based exercise and education program (n=48) or routine self-management care (n=57).The primary outcome of interest was change in self-reported knee pain using a numerical rating scale at 6 weeks.Secondary outcomes included physical function tests (30-second sit-to-stand, Timed Up-and-Go), WOMAC subscales (pain, stiffness, physical function), muscle strength, and quantitative sensory testing.Outcomes were assessed at baseline and 6 weeks.Overall, the results of the study revealed a significantly greater improvement in pain, function, and hamstring strength in the internet-based intervention group compared to usual care. These findings suggest...
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Level 1 RCT
5%
①
Synopsis:
Fifty-one college students with chronic patellar tendinopathy were randomized to receive either combined heavy slow resistance (HSR) training and high-dose therapeutic ultrasound (TUS) (n=17), HSR alone (n=17), or TUS alone (n=17).The primary outcome of interest was the VISA-P score.Secondary outcomes included VAS pain scores, Y-Balance Test, Modified Thomas Test, maximum isometric muscle strength, horizontal jump distance, and musculoskeletal ultrasound measures.Outcomes were assessed at baseline, post-intervention (8 weeks), and at 16 weeks for VISA-P.Overall, the results of the study revealed that the combined group demonstrated the greatest improvement in VISA-P scores, pain reduction, quadriceps flexibility, and muscle strength. The findings suggest...
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Level 1 RCT
5%
①
Synopsis:
Ninety-three patients with severe knee or hip osteoarthritis were randomized to receive either high-intensity interval training (HIIT; n=30), passive heat therapy (Heat; n=30), or home-based exercise (Home; n=33) as prehabilitation before total hip or knee arthroplasty.The primary outcome of interest was peak oxygen consumption (peak 𝑉𝑂2).Secondary outcomes included the anaerobic threshold, physical function measures, and subjective health assessments.Outcomes were assessed over a 12-week period.Overall, the results revealed that HIIT significantly improved peak 𝑉𝑂2V and the anaerobic threshold compared to the other groups.Heat therapy also increased the anaerobic threshold but not peak 𝑉𝑂2. These findings suggest...
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Level 1 RCT
4%
①
Synopsis:
One hundred forty-two patients with full-thickness small to large rotator cuff tears were randomized to receive either abduction brace immobilization (n=65) or sling immobilization (n=66) for 6 weeks following arthroscopic rotator cuff repair.The primary outcome was the Pittsburgh Sleep Quality Index (PSQI) at 6 weeks postoperatively.Secondary outcomes included anxiety (Self-rating Anxiety Scale), pain levels, patient satisfaction, functional scores (ASES), and tendon healing assessed via ultrasonography at 6 weeks and 1 year.
Overall, the results of the study revealed that at 6 weeks, the sling group had significantly better sleep quality, less anxiety, less pain, and higher satisfaction compared to the brace group.However, no differences were found in any outcomes at 1 year, including tendon healing. These findings suggest...
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Level 1 RCT
4%
①
Synopsis:
80 patients with distal radius fractures were randomized to receive either a 4-week (n=40) or a 6-week immobilization program.The primary outcome of interest was Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) scores at one year.Secondary outcomes of interest included QuickDASH scores at 3 and 6 months, incidence of adverse events, and range of motion in radial and ulnar deviation, dorsiflexion, and palmar flexion.All outcomes were comparable between the two groups at all time points. Therefore, a shorter...
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Level 1 RCT
3%
①
Synopsis:
One hundred forty adults with chronic low back pain were randomized to receive either 12 weekly, live-streamed virtual hatha yoga classes (n=71) or were placed on a wait-list control (n=69).The primary outcomes were changes in pain intensity and back-related function (Roland Morris Disability Questionnaire score) at 12 weeks.Secondary outcomes included pain medication use, sleep quality, and sustained outcomes at 24 weeks.Overall, the results revealed that participants in the yoga group experienced significantly greater reductions in pain intensity and disability scores at both 12 and 24 weeks, along with less analgesic use and improved sleep quality. These findings suggest...
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Level 1 RCT
2%
①
Synopsis:
84 patients over 18 years of age with isolated rib fractures were included in this single center, prospective, placebo controlled, double blind trial.Patients were randomly allocated to receive either 10% lidocaine spray (LS; n=29), etofenamate spray (ES; n=28) or placebo spray (PS; n=27).The primary outcome of interest was pain intensity measured using a numerical rating scale (NRS) at baseline, and 15, 30, 60 and 120 minutes.Other outcomes of interest included rescue medication requirements and adverse events.Study findings suggest that all three groups demonstrated similar NRS scores, with no significant difference in pain reduction found at any timepoint.The maximum reduction was seen in the LS group between baseline and 120 minutes, however this difference was not statistically significant.It was also seen that the need for rescue medication was lowest in the LS group; a difference that was found to be clinically significant but not statistically significant. Importantly, only one...
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Author verified Level 1 RCT
2%
①
Synopsis:
Five randomized controlled trials (189 patients) comparing platelet-rich plasma (PRP) against conservative treatment for chronic Achilles tendinopathy were included in this systematic review and meta-analysis.Outcomes of interest included the Victorian Insitute of Sport Assessment (VISA-A) score, pain during activity on a Visual Analog Scale (VAS), and Achilles tendon thickness.VISA-A scores at 6 weeks favored the PRP group.Tendon thickness also favored the PRP group. All other outcomes...
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Level 1 Meta Analysis
2%
①
Synopsis:
Seven hundred sixteen adults with chronic neck pain were randomized to receive individualized acupuncture at higher sensitive acupoints (HSA) (n=169), lower sensitive acupoints (LSA) (n=168), sham acupoints (SA) (n=170), or no treatment on a waiting list (WL) (n=176).All acupuncture groups received 10 sessions over 4 weeks.The primary outcome was the change in visual analogue scale (VAS) pain score from baseline to 4 weeks.Secondary outcomes included measures of pain, function, quality of life, and psychological well-being assessed every 4 weeks through 24 weeks.Overall, the study found that HSA and LSA groups had significantly greater pain reduction compared to SA and WL groups at 4 weeks and sustained through 24 weeks; however, the differences did not meet the 10-point minimal clinically important difference (MCID). These results suggest...
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Level 1 RCT