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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: 6 randomized controlled trials were included in this metaanalysis which sought to evaluate the effect of scapular focused intervention in management of subacromial pain syndrome.Control interventions included non-scapular focused interventions or no treatment.When assessed at the completion of treatment, scapular focused intervention groups demonstrated significantly lower pain and functional disability, and significantly greater range of motion in abduction, when compared to control groups. When compared at... Read More »
Level 1 Meta Analysis
5%
Synopsis: 120 patients with full thickness rotator cuff tears were randomized to receive either 3 weeks of post-surgery immobilization in a sling, or 6 weeks of immobilization in a brace (with an abduction pillow placing the arm in a neutral position).Follow-up was performed at the 6 week time-point, as well as at 3, 6 and 12 months post-surgery.Outcomes reported included the Western Ontario Rotator Cuff (WORC) index, Constant Murley (CM) score, range of movement (ROM), as well as MRI results and patient-reported satisfaction.Sling immobilization for a period of 3 weeks was found to be a non-inferior treatment compared to brace immobilization for a period of 6 weeks, according to primary outcome of WORC index at 12 months. Additionally, patient reported... Read More »
Level 1 RCT
5%
Synopsis: 18 randomized controlled trials were included in this meta-analysis which sought to evaluate the efficacy of cupping intervention for treatment of neck pain.Analyses were separated based on control group: inactive or active intervention.Compared to both inactive control intervention and active control interventions, there was low to very low strength evidence that cupping therapy significantly reduced pain and disability. In addition, when... Read More »
Level 1 Meta Analysis
4%
Synopsis: 82 patients with symptomatic knee osteoarthritis were randomized to either treatment with a topical flaxseed oil preparation or to placebo.Patients were to apply allocated treatment three times daily for 6 weeks.The outcome measure was the Knee Injury and Osteoarthritis Outcome Score (KOOS). Improvement in each... Read More »
Level 2 RCT
4%
Synopsis: 1583 patients with symptomatic knee osteoarthritis were randomized to either glucosamine monotherapy, chondroitin monotherapy, combined glucosamine and chondroitin therapy, celecoxib 200mg daily, or placebo.Patients were assessed over 24 weeks of treatment.In the primary analysis, only the celecoxib group demonstrated a significantly higher rate of patients attaining the primary efficacy endpoint - a reduction of WOMAC pain by a minimum of 20% relative to baseline - compared to placebo. However, when only... Read More »
RCT
4%
Synopsis: 21 patients with stage 1 or 2 adhesive capsulitis were randomized to corticosteroid injection therapy with or without the addition of a 3-month physiotherapy program after injection.Patients were followed for outcome on the Shoulder Pain and Disability Index primarily, as well as for range of motion, pain scores, and satisfaction.Follow-up was performed at 6 weeks, 12 weeks, and 26 weeks.Results demonstrated lower SPADI score at 6 weeks in the group which participated in PT after injection.In addition, range of motion was significantly higher in the PT group in forward flexion at 6 weeks, and in abduction and external rotation at 6 and 12 weeks. Differences between groups... Read More »
Level 2 RCT
3%
Synopsis: 19 randomized controlled trials were included in this network meta-analysis which sought to quantify the effects of various nonoperative modalities and control for treatment of chronic ankle instability.When compared to control, approaches which demonstrated a significant effect size on the star-excursion balance test when assessed post-treatment included balance training plus strength training, balance training plus mobilization, strength training alone, balance training alone, and manual therapy. In addition, combined... Read More »
Level 1 Meta Analysis
3%
Synopsis: 5 randomized controlled trials were included in this meta-analysis which sought to compare effects between kinesiotaping intervention and sham taping in treatment of knee osteoarthritis.Pooled measures included pain at rest, pain on movement, the western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), knee range of motion, and quadriceps strength. Results demonstrated low... Read More »
Level 2 Meta Analysis
3%
Synopsis: 120 patients with Kellgren-Lawrence grade II-IV knee osteoarthritis were randomized to intraarticular injection with either a combination of hyaluronic acid and corticosteroid, or hyaluronic acid alone.Patients were followed-up for 6 months posttreatment for outcome related to pain on a visual analog scale and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC).Between groups, bth VAS pain and WOMAC assessments significantly favoured the HA+CS group compared to the HA alone group at 1 week, 1 month, and 3 months; differences between groups at 6 months were not significant. However, when the... 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