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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: 41 patients with multidirectional instability of the shoulder were randomized to rehabilitation with either 12 weeks of the Watson program, which included scapular retraining exercises prior to strengthening exercises, or the Rockwood program.Patients were assessed at 6, 12, and 24 weeks after study initiation for outcome on functional scores, satisfaction, strength, dislocation rate, and adverse event rate.Results on the Western Ontario Shoulder Index significantly favoured the Watson program group after 12 and 24 weeks, and results on the Melbourne Instability Shoulder Score significantly favoured the Watson program group after 24 weeks. Dislocation was recorded... Read More »
RCT
3%
Synopsis: 36 patients diagnosed with rotator cuff tendinopathy were included in this trial to compare the efficacy of 12-week eccentric and conventional exercise programs.Outcomes were evaluated over a 26-week follow-up period and included shoulder function evaluated using the Constant-Murley score, pain, range of motion, and shoulder strength.Both groups demonstrated significant improvements in shoulder function and pain from baseline over the 26-week follow-up.There were no significant differences between the two exercise programs over the 26-week follow-up, indicating that eccentric exercises are an effective form of exercise therapy for rotator cuff tendinopathy.Larger randomized controlled trials are needed to corroborate the findings of this trial. Read More »
Level 2 RCT
3%
Synopsis: 66 patients with plantar fasciitis were randomized to treatment with either dry needling or a corticosteroid injection.Patients were followed up for pain on a visual analog scale (VAS) from 3 weeks to 1 year after treatment.For the first 6 weeks after treatment, pain scores were significantly higher among patients treated with dry needling compared to corticosteroid injection.Pain scores at 3 and 6 months demonstrated no significant difference between groups. In contrast to... Read More »
Level 2 RCT
2%
Synopsis: 45 patients with low back pain were randomized to either four, seven, or ten sessions of acupuncture treatment.The primary purpose of this study was to evaluate feasibility measures, including recruitment rate, randomization rate, compliance, and retention.Secondary outcomes included efficacy measures and adverse event rate.Primary outcomes indicated that a large scale trial is feasible, and estimate of sample size for a subsequent study ranged from 47-53 patients per group. Efficacy results suggested... Read More »
Level 2 RCT
2%
Synopsis: 68 patients who had undergone arthroscopic repair of a full-thickness rotator cuff tear were randomized to either active or placebo transcutaneous electrical nerve stimulation.(TENS).Patients were to self-administer the allocated treatment 4 times per day for the first 7 days after surgery.Outcome measures included pain scores, percocet consumption, compliance, and device-related complications.The active TENS group demonstrated significantly lower pain scores at 12 hours after surgery and on postoperative 7, though non-significant differences between groups were noted at time points in between (36h, 48h, POD 3-6).Percocet consumption was also significant lower in the active TENS group at 12 hours after surgery and at postoperative day 7. Read More »
Level 2 RCT
2%
Synopsis: 93 patients with mild-to-moderate knee osteoarthritis were randomized to either an 8-week neuromuscular exercise (NEMEX) program or treatment with analgesic and anti-inflammatory drugs (PHARMA).Patients were assessed after 2 and 12 months for results on the Knee Injury and Osteoarthritis Index Score (KOOS).Primary outcome was the KOOS ADL scale, which demonstrated no significant difference between groups for change from baseline after 2 or 12 months. The KOOS Symptoms... Read More »
Level 2 RCT
2%
Synopsis: Fourteen studies were included in this meta-analysis evaluating the efficacy of combined hip and knee strengthening exercises programs to either knee strengthening exercises alone or no training in management of patellofemoral pain. Pooled analyses demonstrated larger pain reduction and change in activity among groups managed with the combined strengthening protocols compared to both knee strengthening alone groups and no training groups. Read More »
Level 1 Meta Analysis
2%
Synopsis: 60 patients with an isolated, full-thickness supraspinatus tear were randomized to either receive two postoperative ultrasound-guided injections of platelet-rich plasma or to no adjunct postoperative intervention.Patients were evaluated over a mean of 3.5 years for MRI (Sugaya classification) and clinical outcomes (QuickDASH, Oxford Shoulder Score, and Constant Score).At a mean of 3.5 years, there were no significant differences in clinical scores between groups, with the exception of a greater score on the abduction subscale of the Constant score in the PRP group. MRI outcomes were... Read More »
Level 2 RCT
2%
Synopsis: 25 patients with carpal tunnel syndrome were randomized to treatment with either a single session of radial extracorporeal shockwave therapy or a single corticosteroid injection.Primary outcome was the Boston Carpal Tunnel Questionnaire, including both the Symptoms and Functional scores.Patients were assessed at 1, 4, 12, and 24 weeks after treatment.Within-group reductions from baseline in BCTQ scores were significant from 4 weeks to 24 weeks in the rESWT group, in contrast to only 1 week to 4 weeks in the corticosteroid injection group. The reduction in... Read More »
Level 2 RCT
1%
Synopsis: 50 patients scheduled for total knee arthroplasty were randomized to postoperative cryotherapy through either a continuous cold flow device or bags of crushed ice.Patients were assessed for knee edema, pain, and range of motion over the first 7 days after surgery, as well as blood loss on postoperative day 1. Results demonstrated no... Read More »
Level 2 RCT