LOGIN
PeerView
You are viewing the most viewed ACE Reports by Physiotherapists over the last 30 days in all specialties.
Displaying
100%
9%
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...
Read More »
Level 1 RCT
5%
Synopsis:
One hundred twenty-seven patients undergoing outpatient total hip arthroplasty with the direct anterior (DA) approach were prospectively randomized and compared to fifty-one patients undergoing outpatient total hip arthroplasty with the direct lateral (DL) approach.The primary outcome of interest was the overall cost from a Canadian healthcare payer perspective.Secondary outcomes included costs from a societal perspective, encompassing patient-incurred costs, productivity losses, and informal care.Cost data were collected during hospitalization and via patient-reported diaries after discharge.Overall, the results of the study revealed no significant differences in healthcare payer costs (DA: $7910.19 vs DL: $7847.17, p=0.80) or societal costs (DA: $14657.21 vs DL: $14581.21, p=0.96). These findings suggest...
Read More »
Conference Report
5%
②
Synopsis:
186 patients with a severe lateral ankle sprain (type III) were randomized to treatment to 3 weeks of rigid immobilization with a walking boot followed by 3 weeks of immobilization with a functional brace, or to a functional brace for 6 weeks.The purpose was to compare these two conservative treatment methods for outcomes in pain, function, and ankle stability up to 12 weeks after the injury.AOFAS scores were better for the first 6 weeks in patients receiving the functional brace, and pain and comfort outcomes also benefited within the first few weeks from using a functional brace. By 12 weeks,...
Read More »
Author verified Level 2 RCT
5%
Functional brace improves early function and is more cost-effective than casting in Achilles rupture
①
Synopsis:
High quality evidence has revealed that non-operative management of acute Achilles tendon rupture achieves optimal outcomes in most patients.Among non-operative treatment options, the most commonly used are functional bracing (walking boot with heel wedges) and casting in equinus position.There has been a recent move towards early mobilization and more use of functional bracing over casts in a number of different areas, and it is unclear if there is a benefit in favour of either strategy in the context of Achilles tendon ruptures.In this study, the authors randomized patients to plaster cast versus functional bracing, and performed an accompanying economic evaluation.They found that patients treated with functional brace had significantly better functional scores at eight weeks, and that bracing was dominant from a cost-effectiveness perspective, with modest savings and slightly better utility. There was no...
Read More »
Level 1 RCT
3%
②
Synopsis:
159 patients scheduled for total knee or total hip arthroplasty were randomized to patient education via an automated text messaging service (StreaMD; SMS bot group) or standard preoperative clinic appointment and perioperative instructions (control group).The purpose of this study was to determine if the SMS bot group demonstrated greater daily postoperative exercise compared to the control group over the first 6 weeks after surgery.Results demonstrated a statistically significant longer duration of daily exercise in the SMS bot group compared to the control group. In addition, significant...
Read More »
Level 2 RCT
3%
Comparison of Ligament Z-Plasty and Conventional Surgery for the Treatment of Carpal Tunnel Syndrome
①
Synopsis:
One hundred nine patients with moderate to severe carpal tunnel syndrome were randomized to receive either ligament Z-plasty (n=55) or conventional surgery (n=54).The primary outcome was the incidence of pillar pain at 3 weeks and 6 months postoperatively.Secondary outcomes included changes in grip strength, pinch strength, and Boston Carpal Tunnel Questionnaire (BCTQ) scores.Follow-up assessments occurred at 3 weeks and 6 months.Overall, the results showed a significantly lower incidence of pillar pain at 3 weeks and greater improvements in pinch strength at 3 weeks and grip and pinch strength at 6 months in the Z-plasty group. The findings suggest...
Read More »
Level 1 RCT
3%
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...
Read More »
Level 1 RCT
2%
②
Synopsis:
76 patients with Dupuytren's contracture and a palpable nodule were randomized to one of four groups; 0.25mg collagenase clostridium histolyticum (CCH) injection, 0.40mg CCH injection, 0.60mg CCH injection, or placebo injection.Patients were assessed over 8-week follow-up nodule size and hardness, pain, patient satisfaction, and investigator-rated improvement.After 8 weeks, reduction in nodule size was significantly greater in the 0.40mg and 0.60mg CCH groups compared to placebo, and reduction in nodule hardness was significantly greater in the 0.25mg, 0.40mg, and 0.60mg CCH groups compared to placebo. Composite responder rate...
Read More »
Level 2 RCT
2%
Faster return to work, but no other differences with early vs. delayed mobilization in Achilles tear
①
Synopsis:
Achilles tendon ruptures can be treated both operatively and non-operatively.With either technique, patients can be either be immobilized initially, or allowed some weight-bearing and range of motion, otherwise known as "Early" or "Functional" rehabilitation.While early mobilization may have benefits in terms of return to activity and function, it is unclear whether it is also associated with adverse events.In this study, the authors assessed 14 randomized controlled trials which compared these protocols. Overall, on a...
Read More »
Level 1 Meta Analysis
2%
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...
Read More »
Level 1 RCT