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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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Synopsis: 29 studies were included in this meta-analysis comparing operative and non-operative treatment for acute Achilles tendon ruptures.The primary outcome of interest was the rate of re-rupture.Secondary outcomes included the rate of complications, functional outcomes, time to return to sports and time to return to work.The results revealed a significantly lower rate of re-rupture, but a higher rate of complications, in the operative group compared to the non-operative group.Similar findings to the primary analyses were observed in the sensitivity analyses based on early and late weight bearing status, high quality studies and studies conducted after the year 2000.There were no significant differences in re-rupture rate in studies utilizing accelerated functional rehabilitation. There was no... Read More »
Level 1 Meta Analysis
8%
Synopsis: 7 studies were included in this meta-analysis comparing carpal tunnel release (CTR) with vs, without a flexor retinaculum release (FRR) for the treatment of carpal tunnel syndrome (CTS).Outcomes analyzed included grip strength, symptom severity score (SSS), functional status score (FSS), and complications. The results from... Read More »
Level 2 Meta Analysis
8%
Synopsis: Five randomized controlled trials were included in this meta-analysis which sought to investigate the efficacy of mesenchymal stem cell injections in patients with knee osteoarthritis.Included studies featured various control groups, including placebo injection, hyaluronic acid injection, and no injection, as well as various concomitant treatments, including high tibial osteotomy, microfracture, platelet rich plasma injection and hyaluronic acid injection.Accordingly, clinical heterogeneity was assumed.Data was pooled from 12-24 month time points. Analyses on visual... Read More »
Level 2 Meta Analysis
4%
Synopsis: 24 patients suffering from acute neck pain and meeting 4 out of 6 clinical prediction rule (CPR) criteria for thoracic thrust joint manipulation (TJM) treatment for neck pain where randomized into either a group receiving cervical TJM or Thoracic TJM, followed by 3 sessions of a standardized exercise program.The results indicated that cervical TJM resulted in greater reduction in self reported pain, neck disability index score (NDI), and results on the Fear-Avoidance Beliefs Questionnaire-Physical Activities (FABQ-PA). These results demonstrate... Read More »
Level 2 RCT
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Synopsis: 111 patients with either unilateral or bilateral hip osteoarthritis were randomized to be treated with one of three injection protocols; platelet rich plasma, hyaluronic acid, or combined platelet rich plasma and hyaluronic acid.Patients were administered three weekly intra-articular injections of the allocated treatment, were followed-up for 12 months post-injection and assessed clinically using a visual analog scale for pain, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and the Harris Hip Score (HHS). Results demonstrated significantly... Read More »
Level 2 RCT
4%
Synopsis: One hundred and fifty-one patients with knee osteoarthritis (OA) who received either cooled radiofrequency ablation (CRFA; n=76) therapy or intra-articular corticosteroid (IAS; n=4/75) injections were included in this 12 month follow-up study.After 6 months, patients in the IAS group were offered the opportunity to cross over to CRFA therapy (n=58/75).The primary outcomes of interest included the proportion of patients with at least a 50% reduction in numeric rating scale (NRS) pain score at 12 months.Secondary outcomes of interest included the change in Oxford Knee Score (OKS), the global perceived effect of improvement, opioid consumption, and the incidence of adverse and serious adverse events.Follow-up was performed at 12 months from the point of randomization; patients who crossed-over to CRFA at 6 months were therefore monitored for another 6 months.Results demonstrated that 65% of patients in the CRFA group and 49% of patients in the cross-over group experienced a minimum 50% reduction in NRS pain score from baseline.Moreover, NRS pain scores and OKS scores were significantly improved from baseline in the CRFA and cross-over group.The mean opioid consumption was not significantly different from baseline in the CRFA group.Also, 75% of patients in the CRFA group and 57% of patients in the cross-over group perceived an improvement in health at final follow-up. A total of... Read More »
Level 2 RCT
4%
Synopsis: The authors conducted a multi-centre, assessor blinded, randomized controlled trial.They randomized 40 patients to two groups.Both groups received a conservative physiotherapy protocol.Patients in the intervention group also received a standard wrist splint. Patients in the... Read More »
Level 2 RCT
2%
Synopsis: 121 young active patients (age range 18-35) with acute MRI verified ACL injury were randomized to management with either early ACL reconstruction with structured rehabilitation or structured rehabilitation and a delayed ACL reconstruction if indicated. At 2 year follow up, it was observed that the standard rehabilitation (with late ACL repair) lead to the same clinical outcomes (of pain, and function) as early ACL reconstruction with standard rehabilitation. Read More »
Author verified Level 2 RCT
2%
Synopsis: 3792 soldiers were cluster randomized to receive either no educational program or a psychosocial educational program, PSEP, designed to improve low back pain beliefs.This study assessed the use of PSEP to improve LBP beliefs, which have been associated with its occurrence and ability to recover. The results from... Read More »
Author verified Level 2 RCT
2%
Synopsis: 4 trials containing level one evidence were identified comparing repair of full-thickness rotator cuff tears with or without subacromial decompression (SAD).Meta-analysis of the results indicated that there were no differences in shoulder specific outcomes and the re-operation rates between patients that underwent repair with or without SAD. Disease specific quality... Read More »
Author verified Level 1 Meta Analysis