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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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①
Synopsis:
Forty-six patients with postoperative shoulder pain following rotator cuff repair (RCR) surgery and active MTrPs were randomized to receive either MTrP-DN plus multimodal rehabilitation (n=23) or sham dry needling (S-DN) plus multimodal rehabilitation (n=23).The primary outcome was the Numeric Pain Rating Scale (NPRS) for shoulder pain, while secondary outcomes included the Shoulder Pain and Disability Index (SPADI), shoulder ROM, and strength measures.These outcomes were assessed at baseline and after 4 weeks of intervention.Overall, the study found no statistically significant differences between the groups for the primary or secondary outcomes.Within-group improvements were observed in both groups, but the effect size of adding MTrP-DN was small. The main findings...
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Level 1 RCT
5%
①
Synopsis:
One hundred and nineteen patients with insertional Achilles tendinopathy were randomized to received extracorporeal shockwave therapy with eccentric exercise (ESWT +EE) (n=58) or eccentric exercise (EE) and sham therapy (n=61).The primary outcome was function measured by the Victorian Institute of Sports Assessment-Achilles questionnaire (VISA-A).Secondary outcomes of interest included pain scores, the Foot and Ankle Outcome Score (FAOS), the Short Form Health Survey (SF-12), recurrence and failure of treatment.Both groups demonstrated significant improvements from baseline.No differences in the VISA-A, FAOS or SF-12 were found at any time point between groups. The EWST+EE group...
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Level 1 RCT
4%
Dry Needling of the Upper Trapezius Muscle to the Usual Physiotherapy for Managing Chronic Neck Pain
①
Synopsis:
Thirty patients with chronic neck pain were randomized to receive either dry needling of the upper trapezius muscle combined with usual physiotherapy (n=15) or usual physiotherapy alone (n=15).The primary outcomes were pain intensity (Visual Analog Scale) and disability (Neck Disability Index).Secondary outcomes included neck active range of motion (AROM) and depression (Beck’s Depression Inventory).Outcomes were assessed at baseline, immediately post-intervention (3 weeks), and at 7 weeks post-randomization.Overall, the results of the study revealed that while pain intensity was significantly lower in the control group immediately post-intervention, disability was significantly lower in the dry needling group at follow-up.The dry needling group also showed improved AROM (extension, flexion, and side bending) and lower depression scores at follow-up. These findings suggest...
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Level 1 RCT
4%
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
4%
Functional brace improves early function and is more cost-effective than casting in Achilles rupture
①
Synopsis:
High quality evidence has revealed that non-operative management of acute Achilles tendon rupture achieves optimal outcomes in most patients.Among non-operative treatment options, the most commonly used are functional bracing (walking boot with heel wedges) and casting in equinus position.There has been a recent move towards early mobilization and more use of functional bracing over casts in a number of different areas, and it is unclear if there is a benefit in favour of either strategy in the context of Achilles tendon ruptures.In this study, the authors randomized patients to plaster cast versus functional bracing, and performed an accompanying economic evaluation.They found that patients treated with functional brace had significantly better functional scores at eight weeks, and that bracing was dominant from a cost-effectiveness perspective, with modest savings and slightly better utility. There was no...
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Level 1 RCT
4%
Synopsis:
One hundred twenty-seven patients undergoing outpatient total hip arthroplasty with the direct anterior (DA) approach were prospectively randomized and compared to fifty-one patients undergoing outpatient total hip arthroplasty with the direct lateral (DL) approach.The primary outcome of interest was the overall cost from a Canadian healthcare payer perspective.Secondary outcomes included costs from a societal perspective, encompassing patient-incurred costs, productivity losses, and informal care.Cost data were collected during hospitalization and via patient-reported diaries after discharge.Overall, the results of the study revealed no significant differences in healthcare payer costs (DA: $7910.19 vs DL: $7847.17, p=0.80) or societal costs (DA: $14657.21 vs DL: $14581.21, p=0.96). These findings suggest...
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Conference Report
3%
①
Synopsis:
This systematic review and meta-analysis included 23 randomized controlled trials with 1073 patients diagnosed with frozen shoulder comparing various electrophysical agents—such as extracorporeal shockwave therapy (ESWT), ultrasound (US), and laser therapy—to conservative or sham treatments.The pooled outcomes of interest included pain, function, disability, range of motion, quality of life, and time to recovery. Pooled results demonstrated...
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Level 1 Meta Analysis
3%
①
Synopsis:
Three hundred twenty-one patients with degenerative meniscal tears were randomized to receive arthroscopic partial meniscectomy (n=159) or exercise-based physical therapy (n=162).The primary outcome of interest was patient-reported knee function assessed by the International Knee Documentation Committee (IKDC) questionnaire.Secondary outcomes included radiographic progression of knee osteoarthritis, symptomatic OA, pain during activities, physical functioning (KOOS-PS), and quality of life.Outcomes were assessed at multiple time points up to 5 years.Overall, the results of the study revealed that physical therapy was noninferior to surgery for knee function, with no clinically meaningful differences in OA progression or other secondary outcomes. These findings suggest...
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Level 1 RCT
2%
②
Synopsis:
159 patients scheduled for total knee or total hip arthroplasty were randomized to patient education via an automated text messaging service (StreaMD; SMS bot group) or standard preoperative clinic appointment and perioperative instructions (control group).The purpose of this study was to determine if the SMS bot group demonstrated greater daily postoperative exercise compared to the control group over the first 6 weeks after surgery.Results demonstrated a statistically significant longer duration of daily exercise in the SMS bot group compared to the control group. In addition, significant...
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Level 2 RCT
2%
Comparison of Ligament Z-Plasty and Conventional Surgery for the Treatment of Carpal Tunnel Syndrome
①
Synopsis:
One hundred nine patients with moderate to severe carpal tunnel syndrome were randomized to receive either ligament Z-plasty (n=55) or conventional surgery (n=54).The primary outcome was the incidence of pillar pain at 3 weeks and 6 months postoperatively.Secondary outcomes included changes in grip strength, pinch strength, and Boston Carpal Tunnel Questionnaire (BCTQ) scores.Follow-up assessments occurred at 3 weeks and 6 months.Overall, the results showed a significantly lower incidence of pillar pain at 3 weeks and greater improvements in pinch strength at 3 weeks and grip and pinch strength at 6 months in the Z-plasty group. The findings suggest...
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Level 1 RCT