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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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7%
①
Synopsis:
Eleven randomized controlled trials evaluating either leukocyte-rich platelet-rich plasma (LR-PRP) or leukocyte-poor platelet-rich plasma (LR-PRP) compared to control injections in patients with lateral epicondylitis.The outcomes of interest were pain scores and clinical effectiveness.The LP-PRP group demonstrated no significant improvements in pain scores compared to control injections.The LR-PRP group demonstrated significantly greater reductions in pain compared to the control group at long-term follow-up.There was no difference in the proportion of patients who achieved treatment success in the LP-PRP group compared to the control group. However, patients who...
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Level 1 Meta Analysis
7%
①
Synopsis:
50 patients with de Quervain disease were randomized to receive a steroid injection into the extensor pollicis brevis subcompartment only (n=25) or into both the abductor pollicis longus and extensor pollicis brevis subcompartments (n=25).The outcomes of interest included pain on a Visual Analog Scale (VAS) and the incidence of injection-related complications.Results revealed no significant differences in VAS pain scores between the two groups up to 12 weeks follow up.The incidence of skin hypopigmentation was significantly lower in the single-compartment injection group vs. the dual-compartment injection...
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Level 1 RCT
7%
①
Synopsis:
One hundred and seventeen patients with knee osteoarthritis were randomized to receive either a cold rub gel (n=39), heat therapy (n=40), or no intervention (n=38).Outcomes that were assessed in this trial were pain, function in daily living, sport and recreation, and knee-related quality of life using the Knee Injury and Osteoarthritis Outcome Score (KOOS) at 1, 2, 3, and 4 weeks. Both cold rub...
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Level 1 RCT
7%
①
Synopsis:
Sixty-two patients with early-stage knee osteoarthritis were randomized to receive either auricular acupressure (n=31) or a sham-acupuncture procedure (n=31).The following outcome measures were assessed: Visual Analogue Scale (VAS) for pain scores, Western Ontario and McMaster Universities Index (WOMAC) for knee symptom scores, and non-steroidal anti-inflammatory drug (NSAID) consumption.Significant differences in VAS and WOMAC scores were apparent at 3 and 7 days post-intervention with better scores in the auricular acupressure group. Significant differences were...
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Level 1 RCT
3%
②
Synopsis:
50 patients with chronic recalcitrant insertional Achilles tendinopathy with failure of prior non-operative management were randomized to undergo management with eccentric loading or repetitive low-energy shock wave therapy for 12 weeks.At 1 year, the group that received shock wave therapy showed significantly better results than the group treated with eccentric loading, in pain reduction and improvement of VISA-A Scores. The improved results...
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Level 2 RCT
3%
②
Synopsis:
46 patients (60 patellar tendons) were randomized to assess the efficacy of ultrasound-guided injection of autologous skin-derived, tenocyte-like cells in treating refractory patellar tendinosis.Patients received either injection with collagen-producing cells suspended in autologous plasma or injection with autologous plasma alone (control). The assessment at...
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Level 2 RCT
3%
②
Synopsis:
Nine randomized controlled trials examining the effects of either platelet-rich plasma (PRP), autologous blood injections, sclerosing agents, protease inhibitors, deproteinized hemodialystate, corticosteroids or prolotherapy in the treatment of non-insertional Achilles tendinosis were selected for this review.The purpose of this review was to summarize the effectiveness of various injectable treatments in the management of non-insertional Achilles tendinosis. Results indicated that...
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Level 2 Meta Analysis
3%
②
Synopsis:
Fifty-eight recreational runners with chronic Achilles tendinopathy at the midsection of the tendon were randomly assigned into 1 of 3 groups to determine if whole body vibration training resulted in greater improvements in pain, structural changes, muscle flexibility, and strength of the triceps surae muscle-tendon unit than those obtained through eccentric training or a wait and see approach.The results of the study indicated that pain improvements at the midsection of the tendon were greater in the vibration and eccentric training groups than in the wait and see group.However, improvements in pain at the musculotendinous junction were greater in the eccentric training group than in both of the other treatment methods. More sonographic improvements...
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Level 2 RCT
3%
Synopsis:
Seven randomized controlled trials evaluating operative and nonoperative management of Achilles tendon ruptures were included in this meta-analysis.The purpose was to determine if the two treatment options differed in functional outcome over 2 years postintervention.The results indicated that while functional outcome was significantly better following surgery at 3 months, there was no significant difference between operative and conservative management at 6, 12, and 24 months.There also was no significant difference observed between groups regarding range of motion. The incidence of...
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Conference Report
3%
②
Synopsis:
7 randomized controlled trials (RCTs) were included in this meta-analysis comparing functional mobilization and immobilization rehabilitation techniques for patients with an acute Achilles tendon rupture.The objective of this meta-analysis was to evaluate the effects of controlled early motion (n=3 RCTs), controlled early weight-bearing (n=1 RCT), and the combined effect of controlled early motion and early weight-bearing (n=3 RCTs) in this patient population.Outcomes included re-rupture rates, complication rates, strength, the range of motion, duration of sick leave, return to sport after one year, and overall patient satisfaction.Findings indicated that all measured outcomes were statistically comparable between mobilization and immobilization rehabilitation techniques. However, additional trials...
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Level 2 Meta Analysis