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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: Eleven randomized controlled trials were included in this systematic review and meta-analysis which investigated the efficacy of trigger point dry needling for shoulder and upper extremity pain associated with myofascial trigger points.Two studies compared trigger point dry needling of active and latent trigger points to trigger point dry needling of active trigger points alone; meta-analysis demonstrated a greater reduction in pain and increase in pressure pain threshold among groups administered dry needling of both active and latent trigger points.Meta-analysis of these studies demonstrated no significant difference in increase in grip strength. Among the other... Read More »
Level 2 Meta Analysis
5%
Synopsis: 65 patients with subacromial impingement syndrome were randomized to either active interferential current therapy or sham interferential current therapy.All patients were also administered exercise therapy, cryotherapy, and nonsteroidal anti-inflammatory drug therapy.The treatment period was two weeks, after which patients were assessed for pain, function, and disability measures.Follow-up was also performed at 1 month after the completion of treatment. Results demonstrated no... Read More »
Level 1 RCT
4%
Synopsis: 97 patients scheduled for total knee arthroplasty were randomized to postoperative cryotherapy through either a cold-compression system (cTreatment; Waegener) or standard cold packs.Patients were assessed at 2, 4, and 6 days postoperatively for primary outcomes of knee circumference and knee range of motion. Results after 6... Read More »
Level 2 RCT
3%
Synopsis: 6 randomized controlled trials were included in this systematic review to determine if the addition of hydrodilatation to a corticosteroid injection provides an improvement in pain-free range of motion and pain relief in patients with adhesive capsulitis.The results of this systematic review indicated that for range of motion results at 4-6 weeks, one of three studies reported a significant difference in favour of the hydrodilatation group, at 8-12 weeks, two of four studies reported a significant difference in favour of the hydrodilatation group, and at 16-24 weeks, neither of two studies reported a significant difference in favour of the hydrodilatation group. The available evidence... Read More »
Author verified Level 2 Meta Analysis
3%
Synopsis: 8 randomized controlled trials were included in this systematic review to determine the effect of balance and proprioceptive training on outcomes following total knee and hip arthroplasty.Both studies that assessed preoperative and postoperative training programs were included.The results of this meta-analysis indicated that prehabilitation with balance and proprioception training exercises in total knee and total hip arthroplasty had little impact on the improvement of postoperative outcomes. In contrast, postoperative... Read More »
Level 2 Meta Analysis
3%
Synopsis: 206 patients scheduled for arthroscopic rotator cuff repair were randomized to either early shoulder mobilization after surgery or sling immobilization for the first 6 weeks after surgery.Patients were assessed over the first 24 months postoperatively. Results demonstrated no... Read More »
Conference Report
3%
Synopsis: Four studies - three randomized trials and one nonrandomized trial - which investigated the effect of the addition of taping to physiotherapy versus physiotherapy alone in the treatment of subacromial impingement were included in this systematic review.Due to clinical heterogeneity, a meta-analysis was unable to be performed.For most outcome measures, including pain at rest, pain on movement, patient-reported disability, and range of motion, there was at least one study which provided data in support of taping versus control. Nonetheless, there was... Read More »
Author verified Level 2 Meta Analysis
2%
Synopsis: 19 patients who demonstrated mechanical deficit between 6-48 months post-anterior cruciate ligament reconstruction were randomized to 8-week programs of either body weight-supported, high repetition jump training or standard body weight jump training.Patients were assessed at 4, 8, and 16 weeks for clinical scores, functional performance in a single-legged hop distance task, kinematic and kinetic parameters during a single-legged landing task, and knee joint effusion rate. The only significant... Read More »
Level 2 RCT
2%
Synopsis: 18 patients with a displaced (>2mm) base of the 5th metatarsal fracture were randomized to be treated with either open reduction and internal fixation (ORIF) or nonoperative management with a short leg cast.The purpose of this study was to compare clinical measures of pain and function, time to union, and restoration of injured metatarsal length between groups.Follow-up was performed for an average of 8.5 weeks.Results demonstrated no significant differences in pain or functional scores, despite a significantly shorter time to union in the operative group. Read More »
Level 2 RCT
1%
Synopsis: Ten studies were included in this meta-analysis which compared functional outcome, complication rate, and revision rate after ankle fracture fixation between early weightbearing (within 2 weeks of surgery) and late weightbearing (4-6 weeks after surgery).Function significantly favoured EWB groups at 6 weeks, while no significant difference was observed between EWB and LWB groups when function was pooled at 1 year postoperatively. Incidences of complications... Read More »
Conference Report