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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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6%
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
6%
①
Synopsis:
This systematic review and meta-analysis included 21 studies comprising 1,356 patients diagnosed with plantar fasciitis comparing platelet-rich plasma (PRP) therapy versus other conservative treatments.Pooled outcomes of interest were pain (visual analog scale, VAS), plantar fascia thickness (PFT), foot function (Foot Function Index, FFI), and functional scores (American Orthopaedic Foot and Ankle Society, AOFAS).PRP showed significantly greater reductions in pain scores compared to ESWT, CSI, and placebo, and it improved AOFAS scores more than CSI and placebo.However, no consistent superiority was observed in PFT and FFI outcomes. These findings suggest...
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Level 1 Meta Analysis
5%
①
Synopsis:
One hundred thirty-five patients with moderate-grade adolescent idiopathic scoliosis were randomized to receive nighttime bracing (NB) (n=45), scoliosis-specific exercise (SSE) (n=45), or physical activity alone (PA) as a control (n=45).The primary outcome was treatment success, defined as a Cobb angle progression of 6° or less before skeletal maturity.Secondary outcomes included surgical intervention rates up to 2 years after skeletal maturity.Outcomes were assessed over a median duration of 22.8 months.Overall, the results revealed that NB significantly reduced curve progression compared to PA, while SSE did not show a significant difference. The findings suggest...
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Level 1 RCT
5%
①
Synopsis:
Forty-three patients with displaced Lisfranc injuries were randomized to receive open reduction and internal fixation (ORIF, n=22) or primary arthrodesis (PA, n=21).The primary outcome was the Visual Analogue Scale Foot and Ankle (VAS-FA) score at 24 months.Secondary outcomes included subscales of the VAS-FA (pain, function, and complaints) and the American Orthopaedic Foot & Ankle Society (AOFAS) Midfoot Scale, assessed at 6, 12, and 24 months.Overall, the results revealed no significant differences in VAS-FA or AOFAS scores between the two groups across all follow-up points.Both ORIF and PA appear to be viable initial surgical methods for displaced Lisfranc injuries. However, the study...
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Level 1 RCT
5%
①
Synopsis:
One hundred seventy-two patients undergoing total knee arthroplasty for osteoarthritis were randomized to receive either 5 mg melatonin (n=86) or 125 mg vitamin C placebo (n=86).The primary outcome was the Pittsburgh Sleep Quality Index (PSQI).Secondary outcomes included patient-reported measures of pain and physical function, opioid prescriptions, medication compliance, and adverse events.Outcomes were assessed at both 6 weeks and 90 days.Overall, the results showed no significant differences in PSQI or secondary outcomes between the melatonin and placebo groups at either time point. The findings suggest...
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Level 1 RCT
5%
①
Synopsis:
One hundred and one patients undergoing primary total hip arthroplasty were randomized to receive either the direct anterior approach (DAA, n=52) or the mini-posterior approach (MPA, n=49).The primary outcome assessed was the Harris Hip Score (HHS).Secondary outcomes included the 12-Item Short Form Health Survey (SF-12) physical and mental scores, Hip Disability and Osteoarthritis Outcome Score (HOOS) subscores, complication rates, reoperations, and revisions.Outcomes were evaluated over a mean follow-up period of 7.5 years.Overall, results demonstrated no clinically meaningful differences in primary or secondary outcomes, including complication rates and revisions, between the two approaches.
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Level 1 RCT
4%
①
Synopsis:
Ten randomized clinical trials, including 497 patients with rotator cuff disorders, were included in this systematic review and meta-analysis, which compared telemedicine-based rehabilitation with conventional rehabilitation.Outcomes of interest included the Constant-Murley Score (CMS), Quick Disabilities of the Arm, Shoulder, and Hand (Quick DASH) score, range of motion (ROM), and pain levels assessed by the visual analog scale (VAS).The pooled results demonstrated that telemedicine significantly improved shoulder function and pain relief compared to traditional rehabilitation. This suggests that...
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Level 1 Meta Analysis
3%
①
Synopsis:
Eight studies including 548 patients with trigger finger were included in this systematic review and meta-analysis comparing percutaneous A1 pulley release versus open A1 pulley release.Pooled outcomes of interest included revision rates, complication rates, postoperative pain, patient satisfaction, and return to normal activity.The meta-analysis found no statistically significant differences between the two techniques in the need for revision (p = 0.27), complication rates (p = 0.84), or postoperative pain (p = 0.54). The main findings...
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Level 1 Meta Analysis
3%
①
Synopsis:
12 randomized controlled trials (788 patients) comparing the use of a minimally invasive medial midvastus approach (MMV-TKA) versus the standard medial parapatellar total knee arthroplasty (MP-TKA) were included in this systematic review and meta-analysis.Outcomes of interest included the Knee Society Score (KSS), knee pain on a Visual Analog Scale (VAS), knee function on a Normalized Function Scale, knee range of motion (ROM), time to straight leg activity, incidence of loose outboard support belt use, operative time, length of stay, blood loss, and incidence of postoperative complications.KSS scores, VAS pain scores, and knee joint flexural activity at 3 months, and days of straight leg raises were significantly better in the MMV-TKA group.Operative time was significantly shorter in the MP-TKA group. All other outcomes...
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Level 1 Meta Analysis
3%
①
Synopsis:
Eight studies, including 615 patients who underwent total hip arthroplasty (THA), were analyzed in this systematic review and meta-analysis comparing the Direct Anterior Approach (DAA; n=303) to the Postero-Lateral Approach (PLA; n=312).Pooled outcomes of interest included surgical site infection rate, duration of the operation, length of incision, and pain scores using the visual analog scale (VAS) after surgery.The meta-analysis revealed no statistically significant difference in wound infections between DAA and PLA.However, DAA was associated with a shorter incision length, longer operative times, and lower postoperative pain VAS scores within 6 weeks. Additional research is...
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Level 1 Meta Analysis