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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:
Sixty-four patients with chronic ankle instability were randomized to receive either conventional rehabilitation (control group, CG, n=31) or conventional rehabilitation plus Maitland joint mobilization (experimental group, EG, n=32).The primary outcome of interest was pain reduction, assessed using the Visual Analogue Scale (VAS).Secondary outcomes included ankle ROM (dorsiflexion, plantar flexion, and varus), Y-balance test results, and Foot and Ankle Ability Measure (FAAM) scores for daily living and sports.Outcomes were assessed before and after an 8-week intervention.Overall, the results revealed significant improvements in all measured outcomes for both groups (P < .05), but the EG demonstrated superior improvements compared to CG (P < .05). These findings suggest...
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Level 1 RCT
6%
①
Synopsis:
Seventy-two patients with shoulder tendinopathies were randomized to receive therapeutic exercise (n=36) or myofascial trigger point therapy (n=36).The primary outcome was pain intensity assessed by the Numerical Rating Scale.Secondary outcomes included pressure pain threshold and range of motion in multiple directions.Outcomes were measured at baseline and after 10 treatment sessions over five weeks.Overall, both interventions significantly improved pain intensity and range of motion.However, therapeutic exercise demonstrated a greater reduction in pressure-induced pain compared to myofascial trigger point therapy. These findings suggest...
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Level 1 RCT
5%
①
Synopsis:
Seventy patients with partial thickness rotator cuff tears were randomized to receive either a physiotherapist-supervised exercise program (n=35) or a physiotherapist-prescribed home exercise program (n=35), both consisting of glenohumeral joint range of motion, stretching, and strengthening exercises performed twice a week for eight weeks.The primary outcomes of interest were the modified Constant-Murley Score (mCMS) for shoulder function and the Hospital Depression and Anxiety Scale (HADS) for psychosocial health.Secondary outcomes included pain intensity (VAS), active range of motion (AROM), Pain Catastrophizing Scale, Pittsburgh Sleep Quality Index, Short Form-12, and the Global Rating of Change Scale.Outcomes were assessed at baseline and after the intervention.Overall, both groups showed significant improvements in all measures; however, supervised exercises resulted in greater improvements in activity-related pain (P=0.004), shoulder flexion (P=0.01), abduction (P=0.02), and pain catastrophizing (P=0.005). The findings suggest...
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Level 1 RCT
4%
①
Synopsis:
Thirty-four patients with plantar fasciitis were randomized to receive kinesiology tape (KT) treatment (n=17) or a sham tape intervention (n=17).The primary outcome was pain reduction, measured using a visual analog scale (VAS), assessed daily for up to five days while wearing the tape and 24 hours after removal.Secondary outcomes included pain trends over time and potential post-treatment effects.Overall, the study found that KT significantly reduced pain from the first day of application, with the most significant pain difference observed on the second day.However, pain increased after tape removal, though it remained lower than baseline levels. The study concluded...
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Level 1 RCT
4%
①
Synopsis:
Six studies involving 422 patients with chronic midportion Achilles tendinopathy were included in this systematic review and meta-analysis comparing PRP injections with nonoperative treatments.Pooled outcomes included VISA-A scores and maximal Achilles tendon (AT) thickness across three time points (3, 6, and 12 months).No significant differences were observed in functional outcomes (VISA-A score) or tendon thickness between PRP and control groups at any time point (e.g., short-term VISA-A, p = 0.29; intermediate-term AT thickness, p = 0.20). This review suggests...
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Level 1 Meta Analysis
3%
①
Synopsis:
One hundred nine patients with severe hip osteoarthritis were randomized to receive either total hip replacement (n=53) or supervised resistance training (n=56).The primary outcome of interest was the change in the Oxford Hip Score from baseline to six months, which evaluates pain and function.Secondary outcomes included various dimensions of quality of life, physical activity levels, and functional performance tests.Outcomes were assessed at baseline and six months.Overall, total hip replacement demonstrated significantly greater improvements in hip pain and function compared to resistance training. The findings suggest...
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Level 1 RCT
3%
①
Synopsis:
Seventy-six patients with chronic mid-portion Achilles tendinopathy were randomized to receive either 24 weeks of daily GTN ointment (n=37) or placebo ointment (n=39), both combined with a 12-week eccentric exercise program.The primary outcome was improvement in the Victorian Institute of Sports Assessment–Achilles (VISA-A) scores at 24 weeks.Secondary outcomes included pain severity, physical function, calf muscle function, pressure pain thresholds, and tendon thickness changes assessed at 6, 12, and 24 weeks.Overall, both groups showed significant improvements in VISA-A scores and other outcomes, but there were no statistically significant differences between the groups. The findings suggest...
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Level 1 RCT
2%
①
Synopsis:
Four randomized controlled trials (274 patients) comparing high- versus low-dose steroid injections for adhesive capsulitis (frozen shoulder) were included in this systematic review and meta-analysis.Outcomes of interest included pain on a Normalized Pain Scale, shoulder range of motion (ROM), and function on a Normalized Function Scale.All outcomes were similar between the low- and high-dose steroid injection groups at all time points.The results of this meta-analysis showed that there were no additional benefits of using high-dose steroid injections for adhesive capsulitis compared to a low-dose steroid injection.
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Level 1 Meta Analysis
2%
①
Synopsis:
Forty-eight patients with surgically repaired Achilles tendon ruptures were randomized to receive either standard loading (n=24) or delayed loading (n=24).The primary outcome of interest was the heel-rise height difference between the injured and uninjured sides at one year.Secondary outcomes included tendon length measured with MRI, muscle fascicle length and pennation angle of the gastrocnemius medialis, Doppler activity, Achilles tendon Total Rupture Score (ATRS), and isometric muscle strength.Outcomes were assessed for up to one year.Overall, the results of the study revealed no significant difference in heel-rise height deficit between the two groups.However, the delayed group had less Doppler activity at 12 weeks and a better ATRS at 52 weeks. These findings suggest...
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Level 1 RCT
2%
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