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You are viewing the most viewed ACE Reports by Occupational Therapists over the last 30 days in all specialties.
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Synopsis:
112 patients with trigger finger were randomized to percutaneous release of the A1 pulley with or without the addition of a steroid injection.Patients were assessed after 3 weeks and 3 months for outcome on a patient global impression of improvement scale, modified Quinnell grade, and pain on a visual analog scale. Results demonstrated significantly...
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Level 2 RCT
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Synopsis:
59 patients diagnosed with the condition lateral epicondylitis (LE), were randomised into three groups to undergo either physical therapy, a single corticosteroid injection, or extracorporeal shock wave treatment (ESWT), to determine which technique was the most effective in treating LE.Following assessments measured over 6 months, results displayed that all three methods used for LE treatment had positive outcomes regarding reduction in pain and an increase in grip strength in early stages. However, there were...
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Level 2 RCT
8%
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Synopsis:
82 patients with persisting (over 3 months) unilateral lateral epicondylitis participated in this study to compare muscle energy techniques (MET) to corticosteroid steroid injections (CSI) in the treatment of lateral epicondylitis.Patients participated in 8 sessions of muscle energy technique over the course of 4 weeks or were administered a single injection of triamcinolone acetonide and lidocaine.Patients were assessed at 6, 26 and 52 week follow-ups.Both treatments resulted in improved pain and function throughout the one year study period.CSI patients experienced accelerated results in the first 6 post-treatment weeks. However after 1...
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Author verified Level 2 RCT
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Synopsis:
5 randomized trials evaluating the effect of post-discharge rehabilitation exercises following a total hip arthroplasty (THA) were included in this review.The purposes of this meta-analysis/systematic review were to (1) examine the effectiveness of physical therapy exercises following THA and (2) determine whether supervised and home-based exercise regimens are comparable with respect to strength, gait, function, and quality of life.Results indicated that the prescription of exercise following THA resulted in significantly better hip abductor strength, gait speed, and cadence, but not hip flexor, hip extensor, or knee extensor strength. There were no...
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Author verified Level 1 Meta Analysis
8%
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Synopsis:
80 patients with lateral epicondylitis were randomized to either autologous blood injection or corticosteroid (methylprednisolone) injection.The purpose of this study was to compare these injection therapies for pain, function, and grip strength over 6 months post-injection.Results within the first 2 weeks - 1 month of injection demonstrated favourable outcome with corticosteroid injection. However, results at...
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Author verified Level 2 RCT
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Synopsis:
77 patients who underwent total hip arthroplasty (THA) were randomized to either formal outpatient physical therapy (Group I) or a patient-directed home-based exercise program (Group II).The purpose of this study was to determine the efficacy of formal outpatient physical therapy in regards to functional outcomes. Findings indicated non-significant...
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Conference Report
8%
Synopsis:
33 patients with trapeziometacarpal osteoarthritis were randomized to two intraarticular injections of either platelet-rich plasma or corticosteroid.Patients were assessed for pain on a visual analog scale after 3 months and 12 months. Results demonstrated a...
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Conference Report
8%
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Synopsis:
234 patients with carpal tunnel syndrome were randomized to a single injection of 20mg methylprednisolone acetate or 6 weeks of nightly splinting.Patients were assessed primarily for outcomes on the Boston Carpal Tunnel Questionnaire at 6 weeks and 6 months.In addition, cost-utility analysis was performed.Results for the BCTQ Symptom Severity Score and Functional Status Score significantly favoured the CS injection group compared to the nightly splinting group at 6 weeks, while differences at 6 months were not significant. On a 6-month...
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Author verified Level 2 RCT
8%
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Synopsis:
171 elderly patients with knee osteoarthritis were randomized to receive home-based exercise therapy alongside health education, or health education only.The primary outcomes of interest were the WOMAC pain and stiffness scores.Secondary outcomes included the five times sit to stand test (FTSST), the timed up and go test, the 6-minute walking test (6MWT), and the arthritis impact measurement scales 2 - short form (AIMS2-SF) body, symptom, emotional, society and total scores.Follow up was performed 12 weeks after the initiation of treatment. The results of...
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Level 2 RCT
8%
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Synopsis:
50 patients who underwent an open carpal tunnel release surgical procedure for the treatment of carpal tunnel syndrome were randomized to receive 4 weeks of a touchscreen-based exercise therapy delivered on the ReHand tablet application, or a paper-delivered home-based exercise therapy.Treatment programs were performed at least 5 times per week.The primary outcome of interest was functional ability, measured with the QuickDASH questionnaire.Secondary outcomes included pain (measured on a Visual Analog Scale), dexterity (measured with the nine hole peg test) and grip strength.Results from the study revealed a significantly larger improvements in QuickDASH score in the tablet app group compared to the control group. However, there were...
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Level 2 RCT