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You are viewing the most viewed ACE Reports by Sports Medicine Specialists over the last 30 days in all specialties.
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5%
①
Synopsis:
482 patients with a first-time traumatic anterior shoulder dislocation were randomized to receive either one session of advice + supporting materials + the option to self-refer to physiotherapy (n=240) or the same advice + supporting materials plus an additional program of physiotherapy (n=242).The primary outcome of interest was the Oxford shoulder instability score (OSIS) at 6 months.Secondary outcomes of interest included the Disablities of the Arm, Shoulder, and Hand (QuickDASH) score, EuroQol-5 Dimensions (EQ-5D-5L) score, and the incidence of complications.Outcomes were assessed at 6 weeks, 3, 6, and 12 months.Overall, the results of the study revealed no significant differences in OSIS scores between the two groups at six months.All secondary outcomes were similar between the two groups at all time points. The additional program...
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Author verified Level 1 RCT
5%
①
Synopsis:
One hundred twenty-eight patients with lumbar spinal stenosis were randomized to receive spinal manipulation, electrical dry needling, and conventional physical therapy (MEDNCPT group, n=65) or conventional physical therapy alone (CPT group, n=63).The primary outcome of interest was pain reduction measured by the Numeric Pain Rating Scale (NPRS).Secondary outcomes included disability (Oswestry Disability Index, Roland Morris Disability Index), global rating of change (GROC), and medication intake.Outcomes were assessed at 2 weeks, 6 weeks, and 3 months.Overall, the results of the study revealed that patients in the MEDNCPT group experienced significantly greater reductions in pain and disability at the 3-month follow-up compared to the CPT group. The 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:
Twenty-seven randomized controlled trials that compared the safety and efficacy of platelet-rich plasma (PRP), bone marrow aspirate concentrate (BMAC), and hyaluronic acid (HA) were included in this meta-analysis.Outcomes of interest included the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), pain on a Visual Analog Scale (VAS), International Knee Documentation Committee (IKDC), and Lequesne Index Score (LEQ).WOMAC, IKDC, and VAS scores favored PRP against HA.Similarly, in the network meta-analyses comparing BMAC and HA, WOMAC, IKDC, and VAS scores favored BMAC. No differences were...
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Author verified Level 1 Meta Analysis
3%
①
Synopsis:
Seventy-two patients with nonsurgically treated, displaced, 2-part proximal humerus fractures were randomized to receive either physiotherapist-supervised exercises once a week for 10 weeks (n=37) or unsupervised home-based exercises (n=35).The primary outcome of interest was the Disability of the Arm, Shoulder, and Hand (DASH) score at 3 months.Secondary outcomes included the DASH score at 12 months, Constant-Murley Score, 15D health-related quality of life instrument, Visual Analog Scale (VAS), General Self-Efficacy Scale (GSE), and the Pain Catastrophizing Scale (PCS), with assessments at 3 and 12 months.Overall, the study found no clinically significant differences between the supervised and unsupervised groups in primary or secondary outcomes. These findings suggest...
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Level 1 RCT
3%
①
Synopsis:
Forty patients undergoing total knee arthroplasty were randomized to receive either intensive elastic resistance training (n=20) or a conventional physiotherapy protocol (n=20).The primary outcome of interest was self-administered physical function, assessed through the WOMAC questionnaire.Secondary outcome measures included pain intensity, kinesiophobia, catastrophizing, self-efficacy, range of motion, inflammatory markers (procalcitonin and C-reactive protein), and timed up-and-go (TUG) test.Outcomes were assessed at 24, 48, and 72 hours after surgery.Overall, the results of the study revealed that the intervention group showed significant improvements in physical function, pain intensity, and psychosocial variables compared to the control group. These findings suggest...
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Level 1 RCT
3%
①
Synopsis:
Eighty patients undergoing total knee arthroplasty were randomized to receive either liposomal bupivacaine (n=40) or conventional bupivacaine (n=40) in adductor canal blocks.The primary outcome of interest was pain scores within 72 hours postoperatively.Secondary outcomes included opioid consumption and length of hospital stay.Outcomes were assessed over a period of 72 hours post-surgery.Overall, the results of the study revealed that patients in the liposomal bupivacaine group had significantly lower opioid consumption during the 72-hour period, but there were no significant differences in pain scores or hospital stay between the groups. The findings suggest...
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Level 1 RCT
3%
①
Synopsis:
Four hundred and thirty-nine patients with bicortical scaphoid waist fracture were randomized to receive an open or percutaneous surgical fixation, or cast immobilization for 6-10 weeks.The primary outcome of interest was the Patient Rated Wrist Evaluation (PRWE) total score at 52 weeks post-treatment.Secondary outcomes of interest included PRWE pain and function sub-scale scores, Short Form 12 (SF-12) mental and physical component scores, degree of bone union, range of motion, grip strength, and the incidence of adverse events.Whilst significantly favourable PRWE total scores at 12 weeks, PRWE function scores at 6 and 12 weeks, and grip strength at 6 weeks were significantly in favour of the surgery group (during the period when the cast was still being worn), no significant differences were observed between the groups in all outcomes at 52 weeks. The exception included...
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Level 1 RCT
3%
①
Synopsis:
One hundred eighty patients undergoing ACL reconstruction (ACLR) were randomized to receive either 15 tablets (n=60), 25 tablets (n=58), or 35 tablets (n=62) of 5-mg oxycodone.The primary outcome of interest was postoperative pain control measured using the visual analog scale (VAS).Secondary outcomes included opioid consumption, patient satisfaction, and functional outcomes measured by International Knee Documentation Committee (IKDC) scores.Outcomes were assessed at intervals up to three months postoperatively.Overall, the results of the study revealed no significant difference in pain scores, opioid consumption, or patient satisfaction between groups. Prescribing fewer opioid...
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Level 1 RCT
3%
①
Synopsis:
Fifty patients undergoing unilateral elective hip arthroscopy were randomized to receive either intravenous dexamethasone (n=27) or a placebo (n=23).The primary outcome of interest was postoperative pain.Secondary outcomes included opioid consumption, nausea scores, vomiting events, and adverse events up to 12 weeks postoperatively.Outcomes were assessed at 6 hours postoperatively and on postoperative days 1 and 2.Overall, the results revealed that dexamethasone significantly reduced postoperative opioid consumption by 40% and vomiting events, without significant differences in postoperative pain levels. The study concludes...
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Level 1 RCT