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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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COA2021: 20 Year Results of Ceramic-on-Ceramic vs Metal-on-Conventional Polyethylene Implants in THA
①
Synopsis:
One hundred and forty hips scheduled for a total hip arthroplasty were randomized to receive a metal-on-polyethylene bearing (n=69 hips) or a ceramic-on-ceramic bearing (n=71 hips).Outcomes of interest included aseptic revision rate, rate of component loosening, rate of periarticular osteolysis, the Western Ontario and McMaster University (WOMAC) osteoarthritis scores, the incidence of ceramic fracture, and implant survivorship.The minimum follow-up time was 20 years.Results revealed significantly greater survivorship, lower aseptic revision rate, lower rate of periarticular osteolysis, and greater functional scores in the ceramic-on-ceramic group compared to the metal-on-polyethylene group (p<0.05 for all). No cases of...
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Conference Report
6%
②
Synopsis:
351 patients with a meniscus tear and knee osteoarthritis (OA) were randomized to either undergo arthroscopic partial meniscectomy (APM) followed by a physical therapy program or physical therapy alone, in order to compare clinical and functional outcomes. Following treatment over a 12 month period, all patients improved similarly in WOMAC physical-function score, KOOS pain score, and SF-36 physical-activity score.
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Author verified Level 2 RCT
3%
②
Synopsis:
98 patients presenting with shoulder pain and minimal mobilization restrictions were randomized to either a group receiving passive movement of shoulder region joints paired with exercises and advice or a control group receiving only exercise and advice.The results from this study indicated that the addition of passive mobilization of shoulder region joints did not provide any additional benefits to patients. This finding does...
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Author verified Level 2 RCT
3%
①
Synopsis:
23 randomized controlled trials (RCTs) involving 1461 patients were identified to determine whether preoperative interventions for hip and knee osteoarthritis (OA) would provide any benefit before and after joint replacement. The pooled results, albeit low to moderate evidence, indicated that preoperative interventions - particularly exercise - reduced pain in patients with hip and knee OA before prior to joint replacement.
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Author verified Level 1 Meta Analysis
3%
②
Synopsis:
To compare two surgical techniques, 100 patients with full thickness small to medium-sized tears were randomized to either all-arthroscopic (AA) or mini-open (MO) rotator cuff repair.A year after surgery, functional outcome, pain, range of motion, and complications improved for both groups with no statistical difference between them.Patients benefited sooner (6 weeks) with the arthroscopic procedure with a better range of motion.
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Author verified Level 2 RCT
3%
Synopsis:
300 patients with radial head fractures were randomized to receive a mobilization protocol with either early or delayed active elbow rotation.The purpose was to determine whether the difference in timing has an effect on clinical outcome after 2 years.Result indicated that patients with delayed elbow rotation enjoyed significantly better Broberg-Morrey scores, American Shoulder and Elbow Surgeons-Elbow (ASES-E) scores, range of motion (ROM), and visual analogue scale (VAS) pain scores. Additionally in this...
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Conference Report
3%
①
Synopsis:
40 patients with knee osteoarthritis (OA) were randomized to evaluate the effect of Kinesio Taping (KT) on isokinetic quadriceps torque, as compared against a sham intervention.Patients were assessed based on isokinetic quadriceps torque (concentric and eccentric at 90 and 120 degrees/second), standardized stair-climbing task (SSCT) and VAS pain during SSCT. The evidence presented...
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Author verified Level 1 RCT
3%
②
Synopsis:
60 patients (60 shoulders) with a diagnosis of adhesive capsulitis of the shoulder were randomized to traditional therapy either combined with the use of a static progressive stretch device, or to traditional therapy alone.The efficacy of the device was evaluated with respect to clinical and functional outcomes up to 1 year.Results indicated that range of motion significantly improved in the static progressive stretch device group compared to the control group at all follow-up periods up to 1 year.Moreover, improvements in pain and DASH scores were maintained in the stretch device group after 12 months whereas they were not in the control group.
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Level 2 RCT
3%
②
Synopsis:
Data from 5 RCTs was reviewed and pooled to examine the efficacy of dry needling in the treatment of myofascial trigger points (MTrPs).The analysis was based on VAS pain intensity and activity outcomes. The evidence presented...
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Author verified Level 2 Meta Analysis
3%
②
Synopsis:
60 patients undergoing total knee arthroplasty (TKA) were randomized to tourniquet use for the duration of the surgery or for shorter tourniquet application.The purpose of this study was to evaluate the effect of limited tourniquet use as opposed to tourniquet use throughout the procedure with relation to blood loss and postoperative pain.Outcomes were assessed over 14 days postoperatively and no patients were lost during this time.The results indicated that patients who received limited tourniquet application experienced significantly reduced pain over the 14 day postoperative period than standard tourniquet recipients. However, between both...
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Level 2 RCT