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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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4.5 yr functional outcomes with early weight-bearing in non-operative treatment of Achilles ruptures
②
Synopsis:
Previous studies have established the success of non-operative treatment following Achilles tendon rupture.37/60 patients were analyzed in this follow-up study comparing an early weight-bearing protocol to standard weight-bearing protocol during dynamic rehabilitative treatment of acute Achilles tendon ruptures.The primary outcome of interest was the Achilles Tendon Rupture Score (ATRS).Secondary outcomes of interest included heel raise height and work, as well as the return to level (heavy, light but active, sedentary) of work and sporting, and the incidence of re-rupture.Follow up was performed at 4.5 years post-operation.At 4.5 years, there were no significant differences between the early weight-bearing and usual care groups in ATRS score, heel raise height or heel raise work.All 37 patients had return to some level of work by the 4.5 year follow up, and 33/37 patients had returned to some level of sporting activity. Three cases of...
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Level 2 RCT
5%
Surgery vs conservative treatment or subacromial decompression for rotator cuff tears in the elderly
①
Synopsis:
Six studies (626 patients) were included in this meta-analysis comparing surgical repair to conservative management and subacromial decompression for the treatment of rotator cuff tears in elderly patients.The primary outcome of interest was the Constant-Murley score. Results revealed significantly...
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Level 1 Meta Analysis
4%
①
Synopsis:
The success of non-operative knee osteoarthritis treatments is of great interest to patients and surgeons.The authors in this article randomized 63 patients with knee osteoarthritis to receive extracorporeal shockwave therapy (ESWT) or sham ESWT, and followed their pain, function, and MRI T2 measurements at 5 and 12 weeks.Primary outcome was pain on a 0-10 VAS, and secondary outcomes were the Wester Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Lequesne Index, and T2 relaxation time on MRI.ESWT, compared to placebo, resulted in significantly improved pain and function at 5 and 12 weeks. There was no...
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Level 1 RCT
3%
②
Synopsis:
The authors randomized 38 patients with chronic lower back pain secondary to lumbar disk herniation to a seven-day course of Kinesio-Taping (R) (KT) or placebo taping (PT).Primary outcomes were electromyographic (EMG) activity of the lumbar multifidus and thoracic longissimus muscles.These were measured through flexion- and extension-relaxation ratios (FRRs and ERRs respectively).Secondary outcomes included active trunk flexion range of motion (ROM), pain pressure thresholds (PPT) at L1, L3, and L5 bilaterally, the Quadruple Visual Analogue Scale (QVAS), and the Roland-Morris Low Back Pain and Disability Questionnaire (RMDQ). They found no...
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Level 2 RCT
3%
Synopsis:
Recovery from ankle fracture surgery can be difficult, with 20% of patients having ongoing restrictions 6 months after the injury.In this study, the authors randomized 157 patients with fixed Weber B ankle fractures.Patients were randomized to an early motion and directed exercise (EMADE) physiotherapy program versus usual care in a plaster cast.Outcomes were measured at 12 weeks, and were as follows: Olerud-Molander ankle score (OMAS) and EuroQol 5 Dimensions 5 Levels (EQ-5D-5L).Of 130 patients analyzed, mean OMAS score significantly favoured EMADE group.There were no adverse events. Overall, EMADE may...
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Conference Report
2%
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Synopsis:
Twenty-two children with cerebral palsy were randomized to receive calf strengthening exercises or no calf strengthening exercises along side calf stretching exercises to improve the effectiveness of stretching by increasing tendon stiffness.Outcomes of interest included fascicle length, ankle angle, muscle length, tendon length and tendon stiffness. Results found significantly...
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Level 2 RCT
2%
①
Synopsis:
20 randomized trials were included in this meta-analysis and systematic review evaluating dry needling in the treatment of shoulder and neck pain associated with myofascial trigger points (MTrPs).Dry needling was compared to a control/placebo, wet needling, and other treatments over the short, medium, and long terms. Results found that...
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Level 1 Meta Analysis
1%
②
Synopsis:
17 patients with acute mechanical, idiopathic, unilateral neck pain were randomly assigned into 1 of 2 groups to determine if trigger point dry needling had any effect on neck pain, pressure pain sensitivity, and cervical range of motion 1 week after intervention.Patients received either trigger point dry needling intervention or no intervention at all. The results of...
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Author verified Level 2 RCT
1%
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Synopsis:
42 patients suffering from ACL deficiencies were enrolled in this randomized trial to examine the effects of additional strength exercises to a standard rehabilitation program on leg strength and stability.Patients were randomized to receive either additional open kinetic or closed kinetic chain (OKC, CKC) exercises in combination with a standard therapy. As hypothesized, following...
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Author verified Level 2 RCT
1%
②
Synopsis:
77 patients with shoulder pain due to supraspinatus tendinopathy participated in therapy programs to determine the optimal treatment for tendinopathy due to subacromial impingement.The three therapies included manual therapy along with glenohumeral and scapulothoracic exercises, supervised exercises and home-based exercises. The results show...
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Level 2 RCT