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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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Synopsis: 7 studies containing 395 patients with knee osteoarthritis were included in this systematic review and meta-analysis comparing laser acupuncture treatment to sham laser acupuncture for the relief of pain and improvement of function and quality of life.Outcomes of interest included pain on a Visual Analog Scale (VAS), the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis pain, function and stiffness scores, and quality of life questionnaire scores.Outcomes were analyzed at short-term (2 months post-treatment) and long-term (1 year post-treatment) follow ups.Results revealed significantly favourable VAS pain scores at short-term follow up in the laser acupuncture group compared to the sham group. All remaining pooled... Read More »
Level 2 Meta Analysis
7%
Synopsis: 50 patients with chronic, nonspecific neck pain were randomized to an 8-week exercise program of either craniocervical flexion exercises or isometric neck exercises.Patients were assessed at 4 and 8 weeks after enrollment for outcomes of pain on a visual analog scale (VAS), the Neck Disability Index (NDI), and cervical range of motion in flexion-extension, lateral flexion, and rotation.Results demonstrated significant within-group improvement after 4 and 8 weeks in both groups for all of the above measures. The group treated... Read More »
Level 2 RCT
5%
Synopsis: Previous studies have established the success of non-operative treatment following Achilles tendon rupture.37/60 patients were analyzed in this follow-up study comparing an early weight-bearing protocol to standard weight-bearing protocol during dynamic rehabilitative treatment of acute Achilles tendon ruptures.The primary outcome of interest was the Achilles Tendon Rupture Score (ATRS).Secondary outcomes of interest included heel raise height and work, as well as the return to level (heavy, light but active, sedentary) of work and sporting, and the incidence of re-rupture.Follow up was performed at 4.5 years post-operation.At 4.5 years, there were no significant differences between the early weight-bearing and usual care groups in ATRS score, heel raise height or heel raise work.All 37 patients had return to some level of work by the 4.5 year follow up, and 33/37 patients had returned to some level of sporting activity. Three cases of... Read More »
Level 2 RCT
3%
Synopsis: 29 studies were included in this meta-analysis comparing operative and non-operative treatment for acute Achilles tendon ruptures.The primary outcome of interest was the rate of re-rupture.Secondary outcomes included the rate of complications, functional outcomes, time to return to sports and time to return to work.The results revealed a significantly lower rate of re-rupture, but a higher rate of complications, in the operative group compared to the non-operative group.Similar findings to the primary analyses were observed in the sensitivity analyses based on early and late weight bearing status, high quality studies and studies conducted after the year 2000.There were no significant differences in re-rupture rate in studies utilizing accelerated functional rehabilitation. There was no... Read More »
Level 1 Meta Analysis
3%
Synopsis: 70 patients with low back pain and a directional preference observed during a mechanical assessment were randomized to treatment using the McKenzie method or motor control exercises.The purpose of this study was to compare the effects that these two treatments had on the recruitment of the transversus abdominis, obliquus internus, and obliquus externus muscles, as well as their effects on pain intensity, functional outcome, and global perceived effect.Outcomes were reported as changes from baseline to 8-week follow-up.No statistically significant differences were observed in the recruitment of the three abdominal muscles, pain, or function between the treatment groups. However, a statistically... Read More »
Author verified Level 2 RCT
3%
Synopsis: 50 patients receiving a total knee replacement were randomized to receive a home-visit program or an out-patient visit program for post-operative patient assessment by the lead surgeon.Primary outcomes of interest included pain on a Visual Analog Scale (VAS), knee range of motion, the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index, Knee and Function Scores, patient satisfaction and the time to independent gait.Follow up was performed at 2 and 6 weeks post-operation. At 6 weeks... Read More »
Level 2 RCT
2%
Synopsis: Seven randomized controlled trials were included in this meta-analysis evaluating the efficacy of corticosteroid injections in the treatment of enthesopathy of the extensor carpi radialis brevis origin.Included RCTs featured local anesthetic or placebo saline injections as a control.Results demonstrated significantly lower pain at 1 month with corticosteroid versus control injections, but no significant difference at 3 and 6 months. Functional scores and... Read More »
Author verified Level 1 Meta Analysis
2%
Synopsis: 84 patients with frozen shoulder were randomized to perform a self-exercise program delivered conventionally or with the aid of a smartphone application.The primary outcome of interest was pain, measured on a Visual Analog Scale (VAS).Secondary outcomes included range of motion (in forward flexion, abduction, internal rotation, external rotation).Usability questionnaires (TAM-2; USE) were administered to determine the feasibility of the application.The results from the trial found no significant differences between the two groups in VAS pain scores nor range of motion in all measured directions. The usability questionnaires... Read More »
Level 2 RCT
2%
Synopsis: Five randomized controlled trials were included in this meta-analysis which sought to investigate the efficacy of mesenchymal stem cell injections in patients with knee osteoarthritis.Included studies featured various control groups, including placebo injection, hyaluronic acid injection, and no injection, as well as various concomitant treatments, including high tibial osteotomy, microfracture, platelet rich plasma injection and hyaluronic acid injection.Accordingly, clinical heterogeneity was assumed.Data was pooled from 12-24 month time points. Analyses on visual... Read More »
Level 2 Meta Analysis
2%
Synopsis: 72 patients with knee osteoarthritis were randomized to intraarticular injection with either 40mg methylprednisolone or 30m ketorolac.Patients were assessed for improvement over 6-week follow-up in numeric rating scale (NRS) pain scores, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and the Oxford Knee Score (OKS).Results demonstrated significant significant within-group improvement in both groups for NRS pain score and WOMAC scores. However, for OKS... Read More »
Conference Report