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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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100%
9%
①
Synopsis:
Sixty male patients with unilateral ACL rupture undergoing autologous hamstring tendon reconstruction were randomized to receive either Nordic hamstring exercises with standard rehabilitation (n=30) or conventional rehabilitation alone (n=30).The primary outcome was muscle strength recovery measured by peak torque, total work, and average peak torque at 60°/s and 120°/s.Secondary outcomes included thigh circumference, Lysholm Knee Score, and knee stability tests (Lachman, anterior drawer, KT-1000).Outcomes were assessed preoperatively, and at 12 and 24 weeks postoperatively.Overall, the study showed that the Nordic hamstring group had significantly greater improvements in thigh circumference (p<0.001), hamstring strength (p<0.05 across multiple measures), and Lysholm Knee Score (97.4±3.0 vs 88.9±7.9, p=0.041). The findings suggest...
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Level 1 RCT
8%
①
Synopsis:
Eighty-two patients with chronic low back pain and lumbar disc herniation were randomized to receive ultrasound (n=31), short wave diathermy (n=31), or control therapy with hotpack, TENS, and exercise alone (n=20).The primary outcome was low back pain severity measured by the Visual Analog Scale (VAS).Secondary outcomes included the Modified Oswestry Disability Index (MODI) and health-related quality of life assessed with SF-36.Outcomes were measured immediately post-treatment, at one month, and at three months.Overall, the results showed significant improvements in VAS and MODI across all groups, with sustained disability reduction in the ultrasound and diathermy groups.Quality-of-life parameters such as physical and social function, vitality, and emotional well-being improved mainly in the active treatment groups. These findings suggest...
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Level 1 RCT
6%
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
5%
①
Synopsis:
Ninety patients with painful trapeziometacarpal osteoarthritis were randomized to receive a single intra-articular injection of platelet-rich plasma (n=45) or saline placebo (n=45).The primary outcome was change in pain on load (NRS 0–100) from baseline to 6 months.Secondary outcomes included change in pain on load at 3 months, pain at rest, Patient-Rated Wrist and Hand Evaluation (PRWHE) score, Disability of the Arm, Shoulder, and Hand (DASH) score, thumb range of motion, and pinch strength at 3 and 6 months.Overall, the results showed no significant difference in pain on load at 6 months between PRP and placebo, and no clinically relevant differences in secondary outcomes. The study concludes...
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Level 1 RCT
4%
①
Synopsis:
Six randomized controlled trials including 602 patients with knee or hand osteoarthritis were included in this systematic review and meta-analysis comparing methotrexate with placebo (five trials) or glucosamine (one trial).Pooled outcomes of interest included pain, physical function, quality of life, adverse events, and osteoarthritis-related biochemical and imaging biomarkers.Methotrexate significantly reduced pain and improved knee function, but did not improve hand function or quality of life, and did not increase adverse events. The findings suggest...
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Level 1 Meta Analysis
4%
①
Synopsis:
Sixty patients with rotator cuff tears undergoing open repair were randomized to receive either gabapentin 600 mg daily in two divided doses starting 3 days before surgery and continuing for 1 week postoperatively (n = 30) or placebo (n = 30).The primary outcome was postoperative pain intensity (NRS) over the first postoperative week.Secondary outcomes included opioid (morphine, oxycodone) consumption, sleep quality and duration, side effects, and patient satisfaction.Outcomes were assessed repeatedly during hospitalization and daily until postoperative day 7.Overall, the gabapentin group had significantly lower pain scores from the first 24 hours to day 4, reduced morphine use in the first 6 hours and oxycodone use over 1 week, longer and better-quality sleep until day 5, and higher satisfaction, without increased adverse effects. These findings suggest...
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Level 1 RCT
4%
①
Synopsis:
Twenty-nine elderly patients (≥80 years) with displaced 3- or 4-part proximal humerus fractures were randomized to receive reverse shoulder arthroplasty (RSA) (n=17) or nonoperative treatment (n=12).The primary outcome was the Constant score.Secondary outcomes included Disabilities of the Arm, Shoulder and Hand (DASH) score, range of motion (ROM), pain (VAS), SF-12, EQ-5D, and radiographic findings.Outcomes were assessed at a mean follow-up of approximately 7.5 years.Overall, the results revealed that RSA achieved significantly higher Constant scores and better ROM, with no significant differences in quality-of-life measures or pain.Radiographically, all nonoperative cases healed in malposition without revision, whereas one RSA patient required revision for dislocation. These findings suggest...
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Level 1 RCT
4%
Perioperative Blood Flow Restriction Therapy Program After Anterior Cruciate Ligament Reconstruction
①
Synopsis:
Forty-six patients who sustained an anterior cruciate ligament (ACL) tear and were scheduled for reconstruction were randomized into a group receiving either a blood flow restriction (BFR) therapy program (n=22) or a control group without BFR (n=24).The primary outcome of interest was isometric quadriceps strength at 3 months postoperatively, measured as peak and mean torques during seated leg extension exercises and presented as a ratio of the healthy limb.Secondary outcomes included patient-reported outcomes such as pain, knee function, and physical function, knee range of motion, quadriceps circumference and adverse effects.Outcomes were assessed up to 6 months postoperatively. Overall, the study...
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Level 1 RCT
3%
①
Synopsis:
Seventy patients with rotator cuff tendinopathy were randomized to receive therapeutic ultrasound (n=35) or low-level laser therapy (n=35), each combined with hot packs, TENS, and a structured home-based exercise program for 15 sessions over 3 weeks.The primary outcomes were pain (VAS), function (SPADI, CMS, DASH), and hand grip strength (HGS).Secondary outcomes included depression (BDI), anxiety (BAI), sleep quality (PSQI), and quality of life (SF-36).Assessments were performed at baseline, 1, 4, and 12 weeks.Overall, both groups showed significant improvements in all primary and secondary measures over time, with no between-group differences except for greater HGS improvement in the ultrasound group. These findings suggest...
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Level 1 RCT
2%
①
Synopsis:
Eighty patients undergoing primary unilateral total hip arthroplasty for osteoarthritis, osteonecrosis of the femoral head, or developmental dysplasia of the hip were randomized to receive anterior iliopsoas muscle space block (AIMSB) combined with local infiltration analgesia (LIA) (n=40) or sham AIMSB with LIA (n=40).The primary outcome was cumulative morphine consumption within 24 hours after surgery.Secondary outcomes included pain scores at rest and during motion, time to first rescue analgesia, total morphine and intraoperative opioid use, postoperative recovery milestones, quality of recovery, quadriceps strength, and adverse effects.Outcomes were assessed up to two postoperative days.Overall, the AIMSB group had significantly lower opioid requirements, lower pain scores within the first 24 hours, faster recovery (earlier ambulation and discharge), and improved quality-of-recovery scores without motor weakness or increased complications. The findings suggest...
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Level 1 RCT