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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:
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
9%
①
Synopsis:
One hundred five patients with clinically diagnosed knee osteoarthritis were randomized to receive a 6-week internet-based exercise and education program (n=48) or routine self-management care (n=57).The primary outcome of interest was change in self-reported knee pain using a numerical rating scale at 6 weeks.Secondary outcomes included physical function tests (30-second sit-to-stand, Timed Up-and-Go), WOMAC subscales (pain, stiffness, physical function), muscle strength, and quantitative sensory testing.Outcomes were assessed at baseline and 6 weeks.Overall, the results of the study revealed a significantly greater improvement in pain, function, and hamstring strength in the internet-based intervention group compared to usual care. These findings suggest...
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Level 1 RCT
8%
①
Synopsis:
Fifty-one college students with chronic patellar tendinopathy were randomized to receive either combined heavy slow resistance (HSR) training and high-dose therapeutic ultrasound (TUS) (n=17), HSR alone (n=17), or TUS alone (n=17).The primary outcome of interest was the VISA-P score.Secondary outcomes included VAS pain scores, Y-Balance Test, Modified Thomas Test, maximum isometric muscle strength, horizontal jump distance, and musculoskeletal ultrasound measures.Outcomes were assessed at baseline, post-intervention (8 weeks), and at 16 weeks for VISA-P.Overall, the results of the study revealed that the combined group demonstrated the greatest improvement in VISA-P scores, pain reduction, quadriceps flexibility, and muscle strength. The findings suggest...
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Level 1 RCT
6%
①
Synopsis:
80 patients with distal radius fractures were randomized to receive either a 4-week (n=40) or a 6-week immobilization program.The primary outcome of interest was Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) scores at one year.Secondary outcomes of interest included QuickDASH scores at 3 and 6 months, incidence of adverse events, and range of motion in radial and ulnar deviation, dorsiflexion, and palmar flexion.All outcomes were comparable between the two groups at all time points. Therefore, a shorter...
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Level 1 RCT
3%
①
Synopsis:
One hundred forty-two patients with full-thickness small to large rotator cuff tears were randomized to receive either abduction brace immobilization (n=65) or sling immobilization (n=66) for 6 weeks following arthroscopic rotator cuff repair.The primary outcome was the Pittsburgh Sleep Quality Index (PSQI) at 6 weeks postoperatively.Secondary outcomes included anxiety (Self-rating Anxiety Scale), pain levels, patient satisfaction, functional scores (ASES), and tendon healing assessed via ultrasonography at 6 weeks and 1 year.
Overall, the results of the study revealed that at 6 weeks, the sling group had significantly better sleep quality, less anxiety, less pain, and higher satisfaction compared to the brace group.However, no differences were found in any outcomes at 1 year, including tendon healing. These findings suggest...
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Level 1 RCT
3%
①
Synopsis:
Two hundred forty patients with chronic midportion Achilles tendinopathy were randomized to receive either a single platelet-rich plasma (PRP) injection (n=121) or a sham subcutaneous dry needle injection (n=119).The primary outcome was the VISA-A score at 6 months, which assesses pain, function, and activity limitations related to Achilles tendinopathy.Secondary outcomes included the VISA-A score at 3 months, pain via visual analog scale (VAS), and health-related quality of life using EQ-5D-5L at multiple follow-up points (2 weeks, 3 months, and 6 months).Overall, the results of the study revealed no significant difference between the PRP and sham groups in any of the measured outcomes, including the primary VISA-A score at 6 months. These findings suggest...
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Level 1 RCT
3%
①
Synopsis:
Fourteen randomized controlled trials including 1,341 patients with hand osteoarthritis were included in this systematic review and meta-analysis comparing exercise-based rehabilitation versus nonexercise intervention or no intervention.Pooled outcomes of interest included pain, function, stiffness, grip strength, pinch strength, and quality of life.In the immediate term (<24 weeks), exercise-based rehabilitation demonstrated improvements in pain, function, stiffness, and grip strength, but no significant effect on pinch strength or quality of life.However, long-term benefits (≥24 weeks) were not observed. The findings suggest...
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Level 1 Meta Analysis
3%
①
Synopsis:
One hundred forty adults with chronic low back pain were randomized to receive either 12 weekly, live-streamed virtual hatha yoga classes (n=71) or were placed on a wait-list control (n=69).The primary outcomes were changes in pain intensity and back-related function (Roland Morris Disability Questionnaire score) at 12 weeks.Secondary outcomes included pain medication use, sleep quality, and sustained outcomes at 24 weeks.Overall, the results revealed that participants in the yoga group experienced significantly greater reductions in pain intensity and disability scores at both 12 and 24 weeks, along with less analgesic use and improved sleep quality. These findings suggest...
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Level 1 RCT
2%
Greater Quality of Life But Longer Operative Time With THA vs HA for Displaced Femoral Neck Fracture
①
Synopsis:
Sixteen randomized controlled studies containing a total of 3084 patients were included in this meta-analysis including patients with displaced femoral neck fractures undergoing total hip arthroplasty (THA; n=1521) or hemiarthroplasty (HA; n=1563).Pooled outcomes of interest included the following: incidence of revision, functional outcomes (evaluated using the Harris hip score), incidence of mortality, health-related quality of life (QoL; evaluated using the EuroQol-5 Dimensions [EQ-5D] Index), incidence of periprosthetic fracture, incidence of dislocation, and operative time.Subgroup analyses was conducted by level of risk of bias.Revision surgery, incidence of mortality and dislocation were all analyzed at 12-60 months follow-up, where as the rest of the outcomes were assessed at 12-36 months.Pooled results revealed that health-related quality of life, evaluated using EQ-5D Index, was statistically significantly in favour of the THA group vs.HA (p=0.001).However, pooled operative time was statistically significantly shorter in the HA group vs THA (p=0.001). All other pooled...
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Author verified Level 1 Meta Analysis
2%
①
Synopsis:
Ninety-three patients with severe knee or hip osteoarthritis were randomized to receive either high-intensity interval training (HIIT; n=30), passive heat therapy (Heat; n=30), or home-based exercise (Home; n=33) as prehabilitation before total hip or knee arthroplasty.The primary outcome of interest was peak oxygen consumption (peak 𝑉𝑂2).Secondary outcomes included the anaerobic threshold, physical function measures, and subjective health assessments.Outcomes were assessed over a 12-week period.Overall, the results revealed that HIIT significantly improved peak 𝑉𝑂2V and the anaerobic threshold compared to the other groups.Heat therapy also increased the anaerobic threshold but not peak 𝑉𝑂2. These findings suggest...
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Level 1 RCT