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You are viewing the most viewed ACE Reports by Primary Care Physicians over the last 30 days in all specialties.
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①
Synopsis:
This systematic review and meta-analysis included 21 studies comprising 1,356 patients diagnosed with plantar fasciitis comparing platelet-rich plasma (PRP) therapy versus other conservative treatments.Pooled outcomes of interest were pain (visual analog scale, VAS), plantar fascia thickness (PFT), foot function (Foot Function Index, FFI), and functional scores (American Orthopaedic Foot and Ankle Society, AOFAS).PRP showed significantly greater reductions in pain scores compared to ESWT, CSI, and placebo, and it improved AOFAS scores more than CSI and placebo.However, no consistent superiority was observed in PFT and FFI outcomes. These findings suggest...
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Level 1 Meta Analysis
6%
①
Synopsis:
One hundred patients with ankle osteoarthritis were randomly assigned to receive either intra-articular platelet-rich plasma injections (PRP; n=48) or intra-articular placebo injections (n=52).The primary outcome was the patient-reported American Orthopaedic Foot & Ankle Society (AOFAS) score over 52 weeks.Secondary outcomes included various patient-reported measures assessing pain, function, quality of life, and indirect costs over the same period.The adjusted between-group difference for the patient-reported AOFAS score at 52 weeks favored the placebo group by 2 points (95% CI, 25 to 2; P = .31).With regards to secondary outcomes, there were no statistically significant between-group differences observed as was measured at 52 weeks post procedure. Overall, this indicates...
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Level 1 RCT
6%
①
Synopsis:
One hundred thirty-five patients with moderate-grade adolescent idiopathic scoliosis were randomized to receive nighttime bracing (NB) (n=45), scoliosis-specific exercise (SSE) (n=45), or physical activity alone (PA) as a control (n=45).The primary outcome was treatment success, defined as a Cobb angle progression of 6° or less before skeletal maturity.Secondary outcomes included surgical intervention rates up to 2 years after skeletal maturity.Outcomes were assessed over a median duration of 22.8 months.Overall, the results revealed that NB significantly reduced curve progression compared to PA, while SSE did not show a significant difference. The findings suggest...
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Level 1 RCT
6%
①
Synopsis:
Six studies involving 517 patients with neck pain were included in this systematic review and meta-analysis, comparing cervical manipulations to thoracic or cervicothoracic manipulations.Pooled outcomes of interest included pain intensity, neck disability, and cervical range of motion.The analysis revealed no significant differences in pain reduction, disability improvement, or cervical range of motion between the intervention groups. Moderate to very...
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Level 1 Meta Analysis
6%
①
Synopsis:
10 Randomized controlled trials including 613 patients with lumbar radicular pain were included in this systematic review and meta-analysis comparing the effects of pulsed radiofrequency (PRF) applied to the lumbar dorsal root ganglion versus lumbar epidural injections (LEI).Pooled outcomes assessed pain scores and Oswestry Disability Index (ODI) scores at 1, 3, and 6 months.Results showed that PRF provided superior pain relief at 3 months compared to LEI, though no significant differences in ODI were noted at any time point. The findings suggest...
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Level 1 Meta Analysis
6%
①
Synopsis:
16 studies including 1402 patients with osteoarthritis were included in this systematic review and meta-analysis comparing the effectiveness of yoga interventions versus pharmacological and non-pharmacological treatments.Pooled outcomes of interest included pain and function.Pooled results demonstrated that yoga interventions significantly reduced pain and improved function.Most effective yoga interventions included supervised sessions supplemented with home-based practices. The study suggests...
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Level 1 Meta Analysis
3%
②
Synopsis:
This systematic review with meta-analysis identified 18 studies that investigated the diagnostic accuracy of 3 physical examination tests in detecting a torn tibial meniscus.Fourteen of these studies evaluated McMurray's test, 14 examined joint line tenderness, and 7 examined Apley's test. The results from...
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Level 2 Meta Analysis
3%
②
Synopsis:
21 orthopaedic surgeons participated in this study.14 inexperienced surgeons were randomized to undergo virtual reality (VR) training for shoulder arthroscopy or no training, while 7 experienced surgeons acted as controls.The primary outcomes were 5-parameters based on the VR unit.Results indicated the inexperienced intervention group showed improvement in arthroscopic skills (based on the VR) unit from the first testing period to the second testing period.The experienced surgeons demonstrated comparable outcomes between both testing periods, while the inexperienced control group demonstrated large variations in the outcomes. Further studies are...
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Level 2 RCT
3%
②
Synopsis:
6 randomized controlled trials were included in this systematic review to determine if the addition of hydrodilatation to a corticosteroid injection provides an improvement in pain-free range of motion and pain relief in patients with adhesive capsulitis.The results of this systematic review indicated that for range of motion results at 4-6 weeks, one of three studies reported a significant difference in favour of the hydrodilatation group, at 8-12 weeks, two of four studies reported a significant difference in favour of the hydrodilatation group, and at 16-24 weeks, neither of two studies reported a significant difference in favour of the hydrodilatation group. The available evidence...
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Author verified Level 2 Meta Analysis
3%
②
Synopsis:
208 patients with knee osteoarthritis were randomized to a combined intervention which consisted of three sessions of patellar mobilization and daily home-based nonloaded vastus medialis oblique exercise over 6 months, or to wait-list control for 6 months.Patients were assessed for outcomes related to change in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores, VAS pain score, functional performance tests, and pain-free knee range of motion. Results after 6...
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Author verified Level 2 RCT