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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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8%
②
Synopsis:
86 women with chronic lower back pain were randomized into either a rhythmic stabilization training (RST) group, a combination of isotonic exercises (COI) group, or a control group.The main outcomes measured throughout the course of the study were lumbar mobility (flexicurve technique), dynamic and static muscle endurance (trunk flexion and trunk extension endurance), functional impairment (Oswestry Low Back Pain Disability Questionnaire), and low back pain intensity (Borg Back Pain Intensity Scale). After the 12...
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Level 2 RCT
5%
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Synopsis:
204 employees with anterior cruciate ligament (ACL) injuries were randomized to receive reconstruction based on either hamstring tendon autograft or allograft.The results of the 4 year follow up indicated that there were no significant differences observed in all outcomes measured, which included functional knee ligament testing, KT-2000 arthrometer testing, Harner vertical jump and Daniel 1-legged hop tests, Lysholm score, and the Tegner score. However, it was...
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Level 2 RCT
5%
Synopsis:
A total of 124 elderly patients with displaced displaced proximal humeral fractures (PHFs) were randomized to receive a reverse shoulder arthroplasty (RA) (n=64) or plate fixation (n=60).The primary outcome of interest was the Constant score at 2-years follow-up.The secondary outcomes of interest were the Oxford Shoulder Score and radiological outcomes.The results demonstrated that a statistically significant difference in Constant scores at 2 years, favour of the reverse shoulder arthroplasty group.Stratified by OTA/AO fracture classification, Constant scores were statistically significantly in favour of the reverse arthroplasty group in type C2 proximal humeral fractures. However in type...
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Conference Report
4%
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Synopsis:
44 patients with lower back pain (LBP) and sciatica were randomized to receive either 4 weeks of physical therapy or no physical therapy, along with the selective nerve root block (SNRB) treatment. Results indicated that physical therapy intervention in addition to selective nerve root blocks did not offer any additional benefit over the SNRB alone.
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Level 2 RCT
4%
②
Synopsis:
56 patients undergoing total hip arthroplasty (THA) were randomized to undergo THA using either a direct anterior approach or posterior approach.The purpose of the study was to determine if the direct anterior approach resulted in improved early functional recovery compared to the posterior approach.The primary outcome of interest was time until discontinuation of an assistive ambulatory device.Results showed that patients treated with a direct anterior approach had significantly shorter use of an assistive ambulatory device, shorter hospital stay, and less post-surgical pain as compared to patients being treated with a posterior approach. No significant differences...
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Level 2 RCT
2%
②
Synopsis:
48 patients were randomized to assess the effectiveness of home telerehabilitation following total knee arthroplasty (TKA) on improving disability and function.Patients received either usual care or telerehabilitation (conducted by physiotherapists using videoconferencing to the patient’s home through an internet connection) and were assessed after 2 months. Results revealed that...
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Level 2 RCT
2%
②
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...
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Level 2 Meta Analysis
2%
Synopsis:
A total of 304 patients with isolated, unstable distal radius fractures who received either receive surgical care (n=187) or casting (n=117) were included in this study.Patients who opted for surgical treatment were randomized to receive either internal fixation with volar plate, external fixation, or percutaneous pinning.Patients who preferred conservative management received casting.The primary outcome of interest included the 24-month Michigan Hand Outcomes Questionnaire (MHQ) Summary score.Secondary outcomes of interest included MHQ domain scores.Outcomes were measured up to 24 months post-treatment.In all patients, the mean MHQ Summary score at 24 months was 86 [95%CI 83, 88] and the mean MHQ ADL score at 24 months was 88 [95%CI 80,88], representing good hand function and return to activities of daily living.No statistically significant differences in any of the MHQ domains at 24 months post-treatment.Internal fixation with volar plate had statistically significantly higher MHQ ADL and satisfaction domain scores compared to the other 3 interventions (p<0.0001) at 6 weeks post-treatment.Patients who underwent external fixation scored significantly lower in these 2 domains compared to the casting and internal fixation with volar plate groups. The external fixation...
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RCT
1%
②
Synopsis:
40 subjects, 20 with chronic ankle instability (CAI) and 20 with healthy ankles, were randomized into 4 groups; exercise training in both healthy and CAI subjects and control groups in both healthy and CIA subjects.This study assessed if exercise resistance training would lead to improvements in balance.Following the training program there was an improvement in balance in both of the exercise training groups, as determined by a reduction in distance traveled by the center of pressure. These improvements were...
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Level 2 RCT
1%
②
Synopsis:
90 patients (79 at follow-up) with a unilateral anterior cruciate ligament (ACL) rupture were randomized to undergo ACL reconstruction using either the non-anatomical double-bundle hamstring autograft technique (naDBH) or the lateralized bone-patellar tendon-bone autograft (LBPTB) technique.At a minimum follow-up of 8 years, the naDBH group yielded significantly better pivot-shift test scores and incidences of degenerative joint changes, compared to the LBPTB group. In this study,...
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Level 2 RCT