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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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12%
①
Synopsis:
Thirty patients who underwent anterior cruciate ligament reconstruction were randomized to receive either an 8-week contralateral neuromuscular knee exercise program (n=15) or routine physiotherapy (n=15).The primary outcomes of interest included the Star Excursion Balance Test (SEBT), Balance Error Scoring System (BESS), Stork Balance Stand Test, and the Lysholm questionnaire.The secondary outcome was pain on a Visual Analog Scale (VAS). The neuromuscular knee...
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Author verified Level 1 RCT
12%
①
Synopsis:
A total of 40 patients with Colles fracture were enrolled in a randomized controlled trial to compare the clinical efficacy of instant 3D printed casts versus polymer orthosis.The participants were randomly assigned to an observation group (treated with instant 3D printed cast; n=20) and a control group (treated with polymer orthosis; n=20).Both groups underwent manual reduction and external fixation.Outcome measures, including visual analogue scale (VAS), immobilization effectiveness and satisfaction scores, Disability of the Arm, Shoulder, and Hand (DASH) scores, complications, and imaging data, were assessed at various time points (before immobilization, 2, 6, and 12 weeks after the fracture).The results revealed that the VAS at 2 weeks, immobilization effectiveness and satisfaction scores at 6 weeks, and DASH scores at 2 and 6 weeks were significantly favorable in the observation group compared to the control group. The study concludes...
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Level 1 RCT
12%
①
Synopsis:
Thirty-three randomized controlled trials including 1154 patients with chronic ankle instability were included in this systematic review and meta-analysis comparing strength training, balance training, and a combination of both.Pooled outcomes of interest included self-reported function scores and dynamic balance measures.The combination of strength and balance training showed greater improvements in patient-reported outcomes compared to either intervention alone, with significant improvements in dynamic balance observed only in the balance training group. The findings suggest...
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Level 1 Meta Analysis
11%
①
Synopsis:
Five randomized controlled trials including 275 patients with 283 trigger digits were included in this systematic review and meta-analysis comparing ultrasound-guided tendon release vs.open surgical release.Pooled outcomes of interest included Quick Disability of Arm, Shoulder, and Hand (QDASH) scores, grip strength, Visual Analogue Scale (VAS) scores, days to return to normal activities, and days to stopping analgesia.The pooled results showed that ultrasound-guided release significantly improved QDASH scores within the first month and reduced the days required to return to normal activities.There were no significant differences in grip strength, VAS scores, full-digit flexion, and extension between the two groups. The findings suggest...
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Level 1 Meta Analysis
11%
①
Synopsis:
Twenty-one randomized controlled trials including 2004 patients with intertrochanteric femoral fractures were included in this systematic review and meta-analysis comparing rapid rehabilitation care vs.routine care.Pooled outcomes of interest included postoperative complications, wound infections, wound pain, and length of hospital stay.Pooled results indicated that rapid rehabilitation care significantly reduced postoperative complications, wound infections, and wound pain, and shortened the length of hospital stay compared to routine care. The findings suggest...
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Level 1 Meta Analysis
2%
①
Synopsis:
This systematic review and meta-analysis included 14 randomized controlled trials involving 698 patients with low back pain.The studies compared the effects of respiratory exercises to routine lower back pain treatments.Pooled outcomes of interest included pain intensity and physical disability.The results showed that respiratory exercises significantly reduced pain intensity (p < .00001) and improved physical disability (p < .00001). The main findings...
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Level 1 Meta Analysis
1%
①
Synopsis:
Twenty-five randomized controlled trials including 2,170 patients with anterior cruciate ligament (ACL) injuries were included in this systematic review and meta-analysis comparing bone-patellar tendon-bone (BPTB) autograft versus hamstring tendon (HT) autograft, single-bundle versus double-bundle HT autograft, and metal screws versus bioabsorbable screws.Pooled outcomes of interest included revision rates, graft failure, infection, Lysholm scores, and IKDC scores.The results indicated no significant differences between BPTB and HT autografts overall.However, double-bundle HT autograft showed superior outcomes compared to single-bundle in several parameters, and bioabsorbable screws performed better than metal screws in functionality and failure rates. These findings suggest...
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Level 1 Meta Analysis
1%
①
Synopsis:
Eight randomized controlled trials including 313 patients with chronic neck pain were included in this systematic review and meta-analysis comparing scapular treatment vs.no intervention.Pooled outcomes of interest included pain intensity, neck disability, pressure pain threshold, cervical range of motion, electromyographic activity of neck muscles, and head forward posture.The pooled results showed that scapular treatment significantly improved pain intensity, especially in women, but had no significant effect on neck disability or pressure pain threshold. The main findings...
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Level 1 Meta Analysis
1%
②
Synopsis:
186 patients with a severe lateral ankle sprain (type III) were randomized to treatment to 3 weeks of rigid immobilization with a walking boot followed by 3 weeks of immobilization with a functional brace, or to a functional brace for 6 weeks.The purpose was to compare these two conservative treatment methods for outcomes in pain, function, and ankle stability up to 12 weeks after the injury.AOFAS scores were better for the first 6 weeks in patients receiving the functional brace, and pain and comfort outcomes also benefited within the first few weeks from using a functional brace. By 12 weeks,...
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Author verified Level 2 RCT
1%
①
Synopsis:
Eleven studies, encompassing 749 patients with midshaft clavicle fractures, were included in this systematic review and meta-analysis, which compared the outcomes of intramedullary fixation versus plate fixation in midshaft clavicle fractures.The outcomes of interest included the incidence of postoperative wound infection, surgical incision length, operative time, blood loss, and hospital stay.The analysis revealed that intramedullary fixation demonstrated a lower risk of postoperative wound infection (OR, 5.92; 95% CI, 2.46, 14.27 p < 0.0001), smaller surgical incisions (MD, 6.57; 95% CI, 4.90, 8.25 p < 0.0001), shorter operative time (MD, 17.09; 95% CI 10.42, 23.77 p < 0.0001), less blood loss (MD, 63.62; 95% CI, 55.84, 71.39 p < 0.0001), and a shorter hospital stay (MD, 1.05; 95% CI, 0.84, 1.25 p < 0.0001). However, no statistical...
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Level 1 Meta Analysis