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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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Operative versus nonoperative treatment for full-thickness rotator cuff tears
①
Synopsis: Three randomized controlled trials were included in this meta-analysis comparing pain and functional improvement between operative and nonoperative treatment for full-thickness rotator cuff tears.Follow-up was 12 months in each study. Results demonstrated that... Read More »
Author verified Level 1 Meta Analysis
4%
AAOS2018: Repair vs. either decompression alone or conservative treatment for rotator cuff tear
Synopsis: Five randomized controlled trials were included in this meta-analysis comparing the outcomes of surgical repair and either subacromial decompression or conservative treatment. Meta-analysis of functional outcome scores demonstrated significantly favourable results of repair compared to both subacromial decompression alone or conservative treatment. Read More »
Conference Report
2%
Steroid injection into rotator interval favoured over IA & subacromial injection for frozen shoulder
Synopsis: 97 patients with symptomatic primary adhesive capsulitis for less than 9 months were included in this trial to compare the efficacy of three sites for corticosteroid injections.Patients were randomized to receive an injection of 1mL 40mg/mL triamcinolone acetonide with 2mL 2% lidocaine within the rotator interval along the coracohumeral ligament, in the intraarticular space, or in the subacromial space.All injections were performed under ultrasound guidance. At 12 weeks,... Read More »
Author verified RCT
2%
AAOS2018: Home exercises appear sufficient in rehab of radial head fracture, formal PT unnecessary
Synopsis: 51 patients with a minimally displaced radial head fracture were randomized to either a supervised outpatient physical therapy program or home-based exercise program.Patients were assessed for self-reported disability, time to clinical union, and elbow range of motion over a 1-year follow-up.Self-reported disability scores were significantly higher in the formal PT group compared to the home exercise group at 6 weeks, while differences between groups at 3 months and 1 year were not significant. Elbow range of... Read More »
Conference Report
2%
PRP injection more effective than corticosteroid injection after 12 weeks for gluteal tendinopathy
①
Synopsis: 80 patients with grade 2-3 gluteal tendinopathy were randomized to intratendinous injection of either platelet-rich plasma or corticosteroid (betamethasone).Patients were assessed over a 12-week follow-up for results on the modified Harris Hip Score.Results at 12 weeks demonstrated significantly higher scores on the mHHS in the PRP group compared to the CS group. Additionally, the rate... Read More »
Author verified Level 1 RCT
1%
AAOS2018: Similar 24-mo outcome between early mobilization & immobilization after arthroscopic RCR
Synopsis: 206 patients scheduled for arthroscopic rotator cuff repair were randomized to either early shoulder mobilization after surgery or sling immobilization for the first 6 weeks after surgery.Patients were assessed over the first 24 months postoperatively. Results demonstrated no... Read More »
Conference Report
1%
AAOS2018: Neuromuscular electrical stimulation does not affect atrophy after Achilles repair
Synopsis: 40 patients scheduled for Achilles tendon repair were randomized postoperatively to either neuromuscular electrical stimulation (NMES) or sham NMES.Patients were followed up over 12 weeks for patient-reported function, cross-sectional calf muscle volume on MRI, and calf circumference. Results demonstrated no... Read More »
Conference Report
1%
Manual therapy targeting intervertebral foramen vs exercise for cervical radiculopathy
①
Synopsis: 36 patients with cervical radiculopathy (CR) were randomized to either receive manual therapy and exercise with a focus on increasing the size of the intervertebral foramen (IVF) of the affected nerve root, or a similar treatment without this specific aim.The purpose of the study was to compare these two interventions.The primary outcome, Neck Disability Index, as well as the secondary outcomes of QuickDASH and a numeric rating scale score, indicated no significant difference between the two groups when assessed at 4 and 8 weeks. Both groups demonstrated... Read More »
Author verified Level 1 RCT
1%
Mosaicplasty demonstrates favourable long-term results over microfracture for cartilage defects
②
Synopsis: 40 patients with focal full-thickness articular chondral defects of the knee were randomized to surgery through either mosaicplasty or microfracture.Patients were assessed over a minimum of 15-year follow-up for the Lyshlom score, the rate of eventual knee arthroplasty, and if they would undergo the procedure again.Findings at 15 years demonstrated significantly better results on the Lysholm score in the mosaicplasty group compared to the microfracture group. A total of... Read More »
Level 2 RCT
1%
Boss-Holzach-Matter self-reduction of anterior shoulder dislocation versus Spaso technique
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