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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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Potential efficacy of glucosamine or chondroitin for pain and functional improvement in OA
②
Synopsis: 26 randomized controlled trials were included in this meta-analysis which compared efficacy and safety outcomes of glucosamine monotherapy, chondroitin monotherapy, and combined therapy to placebo.A total of 30 distinct comparison were available among the included studies, with follow-up ranging from 4 weeks to 144 weeks.Pooled estimates demonstrated significant effects of chondroitin on pain and function measures compared to placebo, while glucosamine demonstrated significant a significant effect on stiffness measures.Combined therapy failed to demonstrate a significant effect compared to placebo for any efficacy measures. No significant differences... Read More »
Level 2 Meta Analysis
5%
Comparison of 8-week programs of treadmill, cycle ergometer, and arm ergometer exercise for knee OA
②
Synopsis: 78 patients with knee osteoarthritis were randomized to aerobic exercise via either treadmill exercise, cycle ergometer exercise, or arm ergometer exercise.In addition to randomized treatment, all patients also performed resistance exercises and stretching exercises for 8 weeks.Outcomes were assessed before and after the 8-week programs.All three groups demonstrated significant improvements over time.Group differences were observed for change in the Timed Up and Go test, pain on a visual analog scale, and the Knee Injury and Osteoarthritis Outcome Score (KOOS) sport/rec scale.Differences were specifically between the treadmill exercise group and the arm ergometer group. Change in the... Read More »
Author verified Level 2 RCT
3%
Feasibility demonstrated for larger trial comparing early PT to delayed PT for lumbar radicular pain
②
Synopsis: 80 patients with lumbar radicular syndrome and who had presented to their general practitioner were randomized to either early physical therapy begun within 2 weeks of randomization or to delayed physical therapy started after 6 weeks following randomization.The primary purpose of this study was to explore feasibility measures to inform a potential definitive trial. Results on recruitment,... Read More »
Level 2 RCT
3%
No difference in 6-month outcome between ESWT and wrist extensor therapy for lateral epicondylitis
②
Synopsis: 72 patients with lateral epicondylitis were randomized to treatment with either four weekly sessions of radial extracorporeal shockwave therapy or four weeks of wrist extensor splinting.Patients were assessed for outcome after 4 weeks, 12 weeks, and 24 weeks. No significant between-group... Read More »
Level 2 RCT
2%
Incidence of falls reduced following balance training in patients with osteoporosis
②
Synopsis: Three randomized controlled trials were included in this meta-analysis which evaluated the effect of balance training on fall incidence, functional balance (Berg Balance Scale), and functional performance (Timed Up and Go test) in individuals with osteoporosis.Pooled analysis on fall incidence demonstrated a significantly lower incidence among individuals who participated in balance training compared to individuals who continued activities as usual. No significant differences... Read More »
Level 2 Meta Analysis
1%
1-3 week immobilization period following distal radius fracture improves early function vs 6 weeks
②
Synopsis: 133 patients with a distal radius fracture scheduled for open reduction and internal fixation with a volar plate were randomized to a postoperative immobilization period or either 1 week, 3 weeks, or 6 weeks.Primary outcomes included wrist function, pain, and range of motion in wrist extension and forearm supination.Follow-up was performed at 6 weeks, 12 weeks, and 26 weeks postoperatively.Results demonstrated significantly better results related to the Patient-Rated Wrist Evaluation, visual analog scales for pain, and active range of wrist extension at 6 weeks for patients allocated to immobilization for only 1 or 3 weeks as compared to patients allocated to immobilization for 6 weeks.Differences between the three groups for results at 12 and 26 weeks were not statistically significant. Loss of fracture... Read More »
Level 2 RCT
1%
Improved function and time to union with plating versus sling for mid-shaft clavicle fractures
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Synopsis: 69 patients with a closed, displaced clavicle fracture (Robinson type 2B) were randomized to surgery with open reduction and internal fixation with a plate, or two nonoperative treatment with an arm pouch sling.Patients were followed over 24-month follow-up for union, incidences of nonunion and malunion, complications, and function through the Constant score.Results demonstrated no significant differences in the rate of nonunion between groups, though time to union was significantly shorter in the plate group compared to sling group. Additionally, function at... Read More »
Level 2 RCT
1%
Routine MRI referral by GP not cost-effective among patients with traumatic knee pain complaints
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Synopsis: 356 patients who presented to primary care with traumatic knee symptoms were randomized to either receive a referral for MRI by the general practitioner, or to usual care as per the Dutch clinical guideline with potential referral to an orthopaedic surgeon.The purpose of this study was to determine if a referral for MRI from primary care was a cost-effective treatment pathway for this patient population. Assessment of cost-utility... Read More »
Level 2 RCT
1%
Analyzing the effect of ESWT on pain associated with soft tissue knee disorders
②
Synopsis: Nineteen randomized controlled trials were included in this meta-analysis which sought to evaluate the efficacy of extracorporeal shockwave therapy for various soft-tissue knee disorders.Main analyses and various subgroup analyses were performed on results related to treatment success rate, pain reduction from baseline, and functional outcome.Overall, ESWT was associated with greater treatment success rates, pain reduction, and functional outcome compared to control interventions. Radial ESWT demonstrated... Read More »
Level 2 Meta Analysis
1%
Percutaneous versus open repair of acute Achilles tendon rupture
②
Synopsis: 82 patients with a complete Achilles tendon rupture were randomized to either percutaneous repair or open repair.Follow-up was performed over 12 months after surgery for functional scores, range of motion, complications, and rerupture rate.Results demonstrated no significant differences between groups for any of the assessed outcome measures. No patient in... Read More »
Author verified Level 2 RCT