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You are viewing the most viewed ACE Reports by Primary Care Physicians over the last 30 days in all specialties.
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①
Synopsis:
One hundred thirty-five patients with ankle osteoarthritis were randomized to receive either a single corticosteroid injection (n = 61) or a dual injection protocol of corticosteroid plus hyaluronic acid (n = 74).The corticosteroid-only group received one intra-articular injection consisting of corticosteroid, bupivacaine, and saline.The dual group received an initial injection of corticosteroid, hyaluronic acid, bupivacaine, and saline, followed by two additional weekly injections of hyaluronic acid alone.The primary outcome was change in the Ankle Osteoarthritis Scale (AOS).Secondary outcomes included Visual Analogue Scale (VAS), SF-36 scores, and complication rates.Assessments were conducted at baseline, 6 weeks, and 12 weeks.Overall, the results revealed significantly greater improvement in AOS scores in the dual injection group at both 6 and 12 weeks, while VAS scores showed a greater early reduction in the corticosteroid-only group at 6 weeks, with no difference at 12 weeks.No significant group differences were found for SF-36. The study concludes...
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Level 1 RCT
2%
②
Synopsis:
101 patients with an acute grade 1 or 2 ankle sprain were randomized to be managed with an early therapeutic exercise program or a conventional PRICE (protection, rest, ice, compression and elevation) protocol.It was observed that after early incorporating therapeutic exercises during the first week after an ankle sprain brings about significant improvements in physical activity and improved functional status compared to the standard treatment at weeks 1 and 2. At 16-week follow-up,...
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Author verified Level 2 RCT
2%
②
Synopsis:
111 patients with shoulder complaints (SCs) were randomized into one of two treatment groups.The first group was assigned to an education and activation program (EAP) in addition to usual care (UC) and the second group was only assigned to UC.Results indicated that the EAP did not have any significant effects on functional limitations and patient-perceived recovery in acute and sub-acute shoulder complaints when assessed at 6 and 26 weeks. A coincidental relationship...
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Level 2 RCT
2%
①
Synopsis:
80 elderly patients with lateral patellofemoral (PF) osteoarthritis (OA) were randomized in a double blinded fashion to receive either control treatment,which consisted of a BioSkin Q Brace with patellar realigning strap removed, or an active treatment, which consisted of a realigning BioSkin Q brace with the strap applied.The results of the 18-month trial indicated that there were no significant differences in regards to pain, function or stiffness outcomes between the two groups. Additionally, it was...
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Author verified Level 1 RCT
2%
②
Synopsis:
33 women with patellofemoral pain syndrome (PFPS) were randomized to undergo either hip or quadriceps strengthening, prior to functional weight-bearing exercises, to evaluate levels of pain.The results of the 3 month study indicated that women who underwent hip strengthening prior to functional exercises displayed significantly less pain in comparison to the quadriceps strengthening group. All groups were...
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Author verified Level 2 RCT
2%
②
Synopsis:
102 patients who were surgically treated for lumbar spinal stenosis (LSS) were randomized to receive rehabilitation or standard postoperative treatment.The results of the 2 year follow-up indicated that the two groups displayed no significant differences in regards to disability, pain and patient satisfaction. However, all outcomes...
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Author verified Level 2 RCT
2%
②
Synopsis:
20 female participants with excessive hip adduction during running were randomized to either a training group (strength training) or a control group (no intervention but maintained current running distance).The results of 6 week follow-up indicated that the training group displayed significant increases in hip abductor and external rotation strength in comparison to control.However, it was also found that there were no significant changes in hip or knee mechanics during running in the training group.There were also significant changes in hip and knee mechanics during a single leg squat. Presumably, these changes...
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Author verified Level 2 RCT
2%
②
Synopsis:
40 patients scheduled to undergo minor knee arthroplasty were randomized to receive either post-operative cooling and compression or neither.The results of the study indicated that the cooling system significantly decreased temperature of the arthroscopic knee during after surgery. In addition, it...
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Level 2 RCT
2%
②
Synopsis:
50 Danish male professional and amateur soccer teams (n=942) were cluster randomized to receive either eccentric strengthening of the hamstring muscle using the Nordic hamstring muscle exercise (intervention) or the usual training program (control).The results after the 10-week program concluded that the control groups had significantly higher rates of acute hamstring injury in comparison to intervention. In addition, the...
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Author verified Level 2 RCT
2%
②
Synopsis:
43 patients undergoing uncemented total hip arthroplasty (THA) with hydroxyapatite coating and anteverted stem were randomized to undergo one of two procedures postoperatively.The first group participated in early full weight bearing while the second group participated in early partial weight bearing.The primary outcomes were migration of the stem and cup, as well as the penetration of the femoral head. Results at the...
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Level 2 RCT