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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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Comparing immediate effect of a neoprene brace with vs without patellar hole for knee osteoarthritis
②
Synopsis:
108 patients with knee osteoarthritis were randomized to application of either a neoprene knee brace with a patellar hole, or a neoprene knee brace without a patellar hole.Participants were first assessed for pain and functional performance measures prior to application of the brace.Then, following application of the brace, the participants were assessed on the outcome measures again.Results reported significant within-group improvement in each VAS pain scores, TUG test times, and 8-meter walk test times in both groups. Statistical analyses on...
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Level 2 RCT
3%
①
Synopsis:
36 randomized controlled trials were included in his meta-analysis which examined the use of platelet rich plasma (PRP) versus varying control interventions for various soft-tissue orthopaedic injuries and conditions, predominantly elbow tendinopathy and plantar fasciitis.Pooled results among patients with elbow tendinopathy demonstrated a lack of significant difference in pain or functional measures between PRP and control groups at 3 months, but significant differences in favour of PRP groups at 6 months.In patients with plantar fasciitis, pooled results demonstrated a lack of significant difference in pain scores between PRP and control at 3 months, while 6-month results significantly favoured PRP groups.When outcome on the AOFAS functional score were considered, pooled results significantly favoured PRP groups at 3 and 6 months. When effects were...
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Level 1 Meta Analysis
2%
②
Synopsis:
174 patients with an unstable ankle fracture and scheduled for open reduction and internal fixation were randomized to a perioperative protocol of either compression therapy or standard bandaging and elevation.The primary purpose of this study was to determine if there was a significant difference in the rate of infection between the two perioperative patient management strategies. Results demonstrated no...
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Level 2 RCT
2%
①
Synopsis:
120 patients with full thickness rotator cuff tears were randomized to receive either 3 weeks of post-surgery immobilization in a sling, or 6 weeks of immobilization in a brace (with an abduction pillow placing the arm in a neutral position).Follow-up was performed at the 6 week time-point, as well as at 3, 6 and 12 months post-surgery.Outcomes reported included the Western Ontario Rotator Cuff (WORC) index, Constant Murley (CM) score, range of movement (ROM), as well as MRI results and patient-reported satisfaction.Sling immobilization for a period of 3 weeks was found to be a non-inferior treatment compared to brace immobilization for a period of 6 weeks, according to primary outcome of WORC index at 12 months. Additionally, patient reported...
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Level 1 RCT
2%
Comparing gastrocnemius recession plus stretching vs. stretching alone for chronic plantar heel pain
②
Synopsis:
40 patients with plantar heel pain and previously failed response to conservative treatment were randomized to a proximal medial gastrocnemius recession procedure followed by stretching exercise or to stretching exercise only.The primary outcome of interest was the American Orthopedic Foot and Ankle Society (AOFAS) ankle hindfoot score at 12 months.Secondary outcomes included the AOFAS score at 3 months, Visual Analog Scale (VAS) pain score, Short Form 36 (SF-36) health survey, and Achilles performance test.Results demonstrated significantly better AOFAS ankle-hindfoot score and VAS pain score at 3 and 12 month, as well as SF-36 scores at 12 months, among the group who underwent proximal medial gastrocnemius recession procedure when compared patients allocated to stretching alone. Achilles performance test...
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Level 2 RCT
2%
②
Synopsis:
50 patients with chronic, nonspecific neck pain were randomized to an 8-week exercise program of either craniocervical flexion exercises or isometric neck exercises.Patients were assessed at 4 and 8 weeks after enrollment for outcomes of pain on a visual analog scale (VAS), the Neck Disability Index, and cervical range of motion in flexion-extension, lateral flexion, and rotation.Results demonstrated significant within-group improvement after 4 and 8 weeks in both groups for all of the above measures. The group treated...
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Level 2 RCT
1%
②
Synopsis:
80 patients with an isolated knee cartilage lesion were randomized to undergo either autologous chondrocyte implantation (ACI) or microfracture (MFx).The purpose of this study was to compare clinical outcome measures and rate of failure (defined as a need for a secondary surgery due to symptom return) between groups over a 15-year follow-up.The rate of radiographic osteoarthritis development was also assessed.The results demonstrated no significant differences between groups in Lysholm, visual analog pain scale, Short Form 36-Item Physical Component score, and the incidence of failure after 15 years, the clinical scores of survivors (non-failures) in both groups demonstrated improvement from baseline values. Among survivors (non-failures),...
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Author verified Level 2 RCT
1%
Synopsis:
14 randomized controlled trials were included in this systematic review and meta-analysis to evaluate the use of corticosteroid injections in the management of rotator cuff tendinosis in comparison to a placebo.The primary outcome of interest for this meta-analysis was pain assessed at 3 months (12 weeks).A subgroup analysis was also performed to compare the efficacy of single vs multiple injections.The results of this study indicated that corticosteroid injections provided greater reductions in pain at 4 and 8 weeks compared to placebo, however, these differences were small and not clinically relevant.There were no differences observed between groups at 12 weeks.Additionally, there were no differences observed between single and multiple injections of a corticosteroid.
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Author verified Meta Analysis
1%
②
Synopsis:
321 patients with a nonobstructive mensical tear were randomized to either an 8-week physical therapy program or to arthroscopic partial meniscectomy.The primary purpose of this study was to determine if the PT group was noninferior to the APM for outcome on the International Knee Documentation Committee (IKDC) subjective score at a noninferiority margin of 8pts. When analyzed in...
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Author verified Level 2 RCT
1%
Wrist immobilization in supination not superior to no forearm restriction for distal radius fracture
②
Synopsis:
46 patients with distal radius fractures and scheduled for open reduction and internal fixation with a volar plate were randomized to either postoperative immobilization either in maximal supination with a sugar-tong splint or in a neutral position and no restricted forearm movement in a volar splint.Orthoses were applied for 2 weeks after surgery, followed by all patients receiving a removable brace.The outcomes of interest included wrist range of motion (ROM), grip strength, Visual Analog Scale (VAS) pain score, Patient-Rated Wrist Evaluation (PRWE) score, and the Disability of the Arm, Shoulder and Hand (DASH) score at 2- and 6-week follow-up.The results from this study found no significant differences between groups in wrist ROM, grip strength, VAS pain score, PRWE score or DASH score. The study was...
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Level 2 RCT