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PeerView

You are viewing the most viewed ACE Reports by Physiotherapists over the last 30 days in all specialties.

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Synopsis: A total of forty-five patients were randomized to either receive the traditional posterior approach for patients undergoing Total Hip Arthroplasty (THA) or the Supercapsular Percutaneously-Assisted Total Hip (SuperPATH) approach which is a new and less invasive procedure causing less blood loss and scarring.This was a prospective randomized controlled trial conducted between April 2017 to March 2019 and patients were followed-up 12 months after surgery.The primary outcome consisted of patients ability to return to function, measured with the Timed Up and Go test, Timed Stair Climb test and Oxford Hip Scores.Secondary outcomes of interest consisted of pain measures (e.g., narcotic consumption, Visual Analogue Scale (VAS)).Peri-operative measures were also included (e.g., length of stay, blood loss, components position, operative time, time before discontinuation of mobility aids, return to work, and complications).Results demonstrated that return to work was earlier by 2 weeks in the SuperPATH approach, as well as the time to discontinuation of mobility aids.In addition, despite relatively similar pain scores in the 2 approaches, the patients who had undergone the SuperPATH approach consumed less opioids. Operative time was... Read More »
Conference Report
6%
Synopsis: One hundred and two patients from 2012 to 2018 with massive rotator cuff tears were randomized to receive a latissimus dorsi tendon transfer or a rotator cuff repair.The outcome of interest was acromiohumeral distance, which was assessed at 6, 12 and 24 months post-operation. Results revealed no... Read More »
Conference Report
5%
Synopsis: Ninety-seven patients undergoing lumbar disc arthroplasty for the treatment of symptomatic degenerative disc disease were analyzed in this study assessing 1- and 2-year post-operative clinical outcomes.Outcomes of interest included back pain, complication rate, Oswestry Disability Index scores, quality of life measures, and patient satisfaction. Results of the... Read More »
Conference Report
5%
Synopsis: Forty-nine thousand, five hundred and ninety-seven patients aged 60 years or older from Ontario who underwent either total hip arthroplasty or hemi-arthroplasty for the treatment of displaced femoral neck fractures were included in this retrospective study examining clinical outcomes and associated factors with each procedure.A matched cohort of 9,238 patients was used to compare clinical outcomes.Outcomes of interest included the risk of hip dislocation, revision surgery, and death.Results of the study found a higher risk of 1-year revision surgery and dislocation in the total hip arthroplasty group compared to the hemi-arthroplasty group. The risk of... Read More »
Conference Report
4%
Synopsis: 34 patients were included in this crossover trial which evaluated the effects of tetrahydrocannabinol (THC), cannabidiol (CBD, a 1:1 mixture of THC and CBD, and placebo sublingual spray in management of patients with chronic pain.Patients were randomized to the order in which they received each treatment for 1 week over a 4-week period, after which a 2nd cycle of 1-week treatments over 4 weeks was administered.The participants were compared on pain severity (VAS), sleep duration and quality, and adverse events. The results demonstrated... Read More »
Level 2 RCT
4%
Synopsis: 120 patients with full thickness rotator cuff tears were randomized to receive either 3 weeks of post-surgery immobilization in a sling, or 6 weeks of immobilization in a brace (with an abduction pillow placing the arm in a neutral position).Follow-up was performed at the 6 week time-point, as well as at 3, 6 and 12 months post-surgery.Outcomes reported included the Western Ontario Rotator Cuff (WORC) index, Constant Murley (CM) score, range of movement (ROM), as well as MRI results and patient-reported satisfaction.Sling immobilization for a period of 3 weeks was found to be a non-inferior treatment compared to brace immobilization for a period of 6 weeks, according to primary outcome of WORC index at 12 months. Additionally, patient reported... Read More »
Author verified Level 1 RCT
3%
Synopsis: 48 patients, younger than 65 and with hip disease were randomized to undergo either a hip resurfacing (HR) or total hip arthroplasty (THA) procedure. At 3 month follow up, both groups had improved functional scores matching non-operated individuals; however, the HR did not provide better clinical outcomes when compared to the large-head total hip arthroplasty. Read More »
Author verified Level 2 RCT
2%
Synopsis: 109 young, active patients with acute non-specific low back pain were included in this study to evaluate the efficacy of kinesiotape for reducing pain and disability.Patients were randomized to receive kinesiotape treatment for a 12-day period in addition to minimal care, or minimal care alone.Both groups demonstrated significant reductions in pain compared to baseline values at 12 days and 4 weeks.Between-group comparisons indicated that patients in the kinesiotape group demonstrated significantly less pain at 12 days and 4 weeks.The kinesiotape group had significantly lower disability scores at 12 days compared to the control group and consumed significantly fewer analgesics in the periods of 1-4 and 5-8 days. 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: 60 patients with an acute anterior shoulder dislocation were randomized to either physician-guided self-reduction using the Boss-Holzach-Matter technique, or to physician-administered reduction using the Spaso technique.Patients were assessed for pain severity experienced during reduction and for the rate of successful reduction.Results demonstrated significantly lower patient-rated pain during reduction using the self-administered Boss-Holzach-Matter technique in comparison to the physician-administered Spaso technique. The rate of... Read More »
Author verified Level 2 RCT