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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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9%
①
Synopsis:
One hundred patients with chronic midportion Achilles tendinopathy were randomized to receive either exercise therapy combined with ultrasonography-guided corticosteroid injection (n=48) or exercise therapy with placebo injection (n=52).The primary outcome was improvement in the Victorian Institute of Sport Assessment–Achilles (VISA-A) score at 6 months.Secondary outcomes included tendon thickness, pain during activity and in the morning (measured by VAS), and global assessment of treatment response.Outcomes were assessed at baseline and 1, 2, 3, 6, 12, and 24 months.Overall, the results revealed that the corticosteroid group showed a significantly greater improvement in VISA-A scores at 6 months, accompanied by improved tendon morphology and early symptom relief, with no increase in adverse events. These findings suggest...
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Level 1 RCT
7%
①
Synopsis:
Three hundred twenty-one patients with degenerative meniscal tears were randomized to receive arthroscopic partial meniscectomy (n=159) or exercise-based physical therapy (n=162).The primary outcome of interest was patient-reported knee function assessed by the International Knee Documentation Committee (IKDC) questionnaire.Secondary outcomes included radiographic progression of knee osteoarthritis, symptomatic OA, pain during activities, physical functioning (KOOS-PS), and quality of life.Outcomes were assessed at multiple time points up to 5 years.Overall, the results of the study revealed that physical therapy was noninferior to surgery for knee function, with no clinically meaningful differences in OA progression or other secondary outcomes. These findings suggest...
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Level 1 RCT
6%
①
Synopsis:
Seventy-six patients with insertional Achilles tendinopathy were randomized to receive three sessions of radial extracorporeal shockwave therapy (n=38) or sham therapy (n=38), alongside identical education and exercise.The primary outcome was the Victorian Institute of Sports Assessment–Achilles (VISA-A) questionnaire.Secondary outcomes included worst pain (VAS), physical activity, kinesiophobia, pain catastrophizing, pain self-efficacy, and quality of life.Outcomes were assessed at 6 and 12 weeks.Overall, the results revealed no significant between-group differences in primary or secondary outcomes at either time point. These findings suggest...
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Level 1 RCT
5%
①
Synopsis:
One hundred twenty-eight patients with sciatica lasting 4 to 12 months due to lumbar disc herniation were randomized to receive either microdiscectomy (n=64) or 6 months of standardized nonoperative care (n=64).The primary outcome was leg pain intensity at 6 months.Secondary outcomes included back pain, Oswestry Disability Index (ODI), SF-36 quality-of-life scores, employment status, and treatment satisfaction, assessed at multiple time points up to 12 months.Overall, the results of the study revealed that microdiscectomy led to a significantly greater reduction in leg pain at 6 months and consistent improvements in secondary outcomes. These findings suggest...
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Level 1 RCT
5%
①
Synopsis:
Forty-six patients with postoperative shoulder pain following rotator cuff repair (RCR) surgery and active MTrPs were randomized to receive either MTrP-DN plus multimodal rehabilitation (n=23) or sham dry needling (S-DN) plus multimodal rehabilitation (n=23).The primary outcome was the Numeric Pain Rating Scale (NPRS) for shoulder pain, while secondary outcomes included the Shoulder Pain and Disability Index (SPADI), shoulder ROM, and strength measures.These outcomes were assessed at baseline and after 4 weeks of intervention.Overall, the study found no statistically significant differences between the groups for the primary or secondary outcomes.Within-group improvements were observed in both groups, but the effect size of adding MTrP-DN was small. The main findings...
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Level 1 RCT
5%
①
Synopsis:
Seventy-nine patients with greater trochanteric pain syndrome unresponsive to conservative treatment were randomized to receive a single ultrasound-guided injection of leukocyte-rich platelet-rich plasma (n=39) or saline placebo (n=40).The primary outcome of interest was the iHOT-12 score.Secondary outcomes included VAS for pain, EQ-5D index, EQ-5D VAS, and mHHS scores.Outcomes were assessed at 3, 6, and 12 months.Overall, the results of the study revealed no significant differences in any outcome measures between the PRP and placebo groups at any follow-up point. This suggests that...
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Level 1 RCT
4%
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
4%
①
Synopsis:
Five hundred three patients with unilateral primary frozen shoulder were randomized to receive manipulation under anaesthesia with steroid injection (n=201), arthroscopic capsular release with or without steroid injection (n=203), or early structured physiotherapy with steroid injection (n=99).The primary outcome was the Oxford Shoulder Score (OSS) at 12 months.Secondary outcomes included the QuickDASH, pain intensity (Numeric Rating Scale), perceived extent of recovery, and quality of life (EQ-5D-5L).Outcomes were assessed at baseline, 3, 6, and 12 months.Overall, the results revealed that all three treatments resulted in substantial improvements in OSS, but none were clinically superior.Arthroscopic capsular release had slightly higher OSS at 12 months but also more adverse events and higher costs.Manipulation under anaesthesia was the most cost-effective. These findings suggest...
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Level 1 RCT
3%
Dry Needling of the Upper Trapezius Muscle to the Usual Physiotherapy for Managing Chronic Neck Pain
①
Synopsis:
Thirty patients with chronic neck pain were randomized to receive either dry needling of the upper trapezius muscle combined with usual physiotherapy (n=15) or usual physiotherapy alone (n=15).The primary outcomes were pain intensity (Visual Analog Scale) and disability (Neck Disability Index).Secondary outcomes included neck active range of motion (AROM) and depression (Beck’s Depression Inventory).Outcomes were assessed at baseline, immediately post-intervention (3 weeks), and at 7 weeks post-randomization.Overall, the results of the study revealed that while pain intensity was significantly lower in the control group immediately post-intervention, disability was significantly lower in the dry needling group at follow-up.The dry needling group also showed improved AROM (extension, flexion, and side bending) and lower depression scores at follow-up. 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