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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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4.5 yr functional outcomes with early weight-bearing in non-operative treatment of Achilles ruptures
②
Synopsis:
Previous studies have established the success of non-operative treatment following Achilles tendon rupture.37/60 patients were analyzed in this follow-up study comparing an early weight-bearing protocol to standard weight-bearing protocol during dynamic rehabilitative treatment of acute Achilles tendon ruptures.The primary outcome of interest was the Achilles Tendon Rupture Score (ATRS).Secondary outcomes of interest included heel raise height and work, as well as the return to level (heavy, light but active, sedentary) of work and sporting, and the incidence of re-rupture.Follow up was performed at 4.5 years post-operation.At 4.5 years, there were no significant differences between the early weight-bearing and usual care groups in ATRS score, heel raise height or heel raise work.All 37 patients had return to some level of work by the 4.5 year follow up, and 33/37 patients had returned to some level of sporting activity. Three cases of...
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Level 2 RCT
3%
Immediate MRI referral vs. usual care in general practice in patients with traumatic knee complaints
②
Synopsis:
A non-inferiority trial including 356 patients presenting to a general practitioner with traumatic knee complaints were randomized to receive immediate referral for magnetic resonance imaging (MRI) or usual protocol directed by the guidelines provided by the Dutch college of general practitioners.The primary outcome of interest was the Lysholm knee score.Secondary outcomes of interest included the EQ-5D quality of life questionnaire, the Knee Injury and Osteoarthritis Outcome Scale (KOOS), pain on a numeric rating scale (NRS), as well as patient perceived recovery and satisfaction.Follow up was performed at 6 weeks, 3, 6, 9 and 12 months. Results found no...
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Level 2 RCT
3%
①
Synopsis:
Traditionally, patients undergoing total hip arthroplasty (THA) have been advised to avoid certain movements that would put them at risk for dislocation.This has been of particular concern with the posterolateral, which has historically been associated with the highest dislocation rates.In recent years, however, improvements in surgical technique and implants (e.g.larger heads) have dramatically reduced dislocation rates.Thus, it is unclear if hip precautions are still necessary.The authors randomized 408 patients to standard care and patients who still had hip precautions while awake, but had no restrictions on sleeping position.Primary outcome was dislocation at 8 weeks, secondary outcomes were deep infection, pulmonary embolism, deep vein thrombosis, pain, function, and health-related quality of life.There were no significant differences on any outcomes between the two groups. The trial was...
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Level 1 RCT
3%
②
Synopsis:
28 young, female basketball players were randomized to receive a 10 week experimental pre-training warm-up program focusing on ankle mobility, core stability training and balance training, or a standard warm-up program involving walking ball-handling and core stability training.The primary outcome of interest was the center of pressure displacement and postural sway during the single-limb stance test.Secondary outcomes of interest included the dorsiflexion long test.Results revealed significant improvement in ankle dorsiflexion from baseline in both ankles, and a significantly lower center of pressure displacement from baseline in the experimental group.The control group did not display any significant improvements in ankle dorsiflexion from baseline, and displayed significant increases in center of pressure displacement as well as surface area on the postural sway test from baseline. All outcomes were...
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Level 2 RCT
3%
②
Synopsis:
Twenty-two children with cerebral palsy were randomized to receive calf strengthening exercises or no calf strengthening exercises along side calf stretching exercises to improve the effectiveness of stretching by increasing tendon stiffness.Outcomes of interest included fascicle length, ankle angle, muscle length, tendon length and tendon stiffness. Results found significantly...
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Level 2 RCT
2%
①
Synopsis:
20 randomized trials were included in this meta-analysis and systematic review evaluating dry needling in the treatment of shoulder and neck pain associated with myofascial trigger points (MTrPs).Dry needling was compared to a control/placebo, wet needling, and other treatments over the short, medium, and long terms. Results found that...
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Level 1 Meta Analysis
1%
②
Synopsis:
17 patients with acute mechanical, idiopathic, unilateral neck pain were randomly assigned into 1 of 2 groups to determine if trigger point dry needling had any effect on neck pain, pressure pain sensitivity, and cervical range of motion 1 week after intervention.Patients received either trigger point dry needling intervention or no intervention at all. The results of...
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Author verified Level 2 RCT
1%
②
Synopsis:
42 patients suffering from ACL deficiencies were enrolled in this randomized trial to examine the effects of additional strength exercises to a standard rehabilitation program on leg strength and stability.Patients were randomized to receive either additional open kinetic or closed kinetic chain (OKC, CKC) exercises in combination with a standard therapy. As hypothesized, following...
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Author verified Level 2 RCT
1%
②
Synopsis:
77 patients with shoulder pain due to supraspinatus tendinopathy participated in therapy programs to determine the optimal treatment for tendinopathy due to subacromial impingement.The three therapies included manual therapy along with glenohumeral and scapulothoracic exercises, supervised exercises and home-based exercises. The results show...
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Level 2 RCT
1%
①
Synopsis:
Paediatric flexible flatfoot is a very common condition which tends to improve over time in many children.During the period of its persistence, however, it can be quite painful and debilitating.The authors randomized patients to receive a customized arch support for 12 weeks or control (no insoles).Outcomes included radiographic outcomes, pain, function, stair ascent time, and overall mobility. Patients with customized...
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Level 1 RCT