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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: Two hundred and seven studies with 32959 participants were analyzed in this network meta-analysis.The aim of this study was to compare outpatient treatments for managing acute pain from non-low back musculoskeletal injuries.Results revealed that the treatment with the greatest benefit was using topical nonsteroidal anti-inflammatory agents (NSAIDs).Afterwards, oral NSAIDs were beneficial which was followed by acetiminophen with or without diclofenac.The benefits included relieving pain 1-7 days, as well physical functioning , and symptom relief. Moreover, topical NSAIDs demonstrated increase in treatment satisfaction. Fentanyl and acetaminophen... Read More »
Meta Analysis
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Synopsis: 115 patients undergoing elective total knee arthroplasty were randomized to receive either TKA using a conventional method or TKA using computer assistance (CAS).This study assessed if CAS provided superior alignment of the knee and improved function and quality of life. The results from... Read More »
Level 1 RCT
3%
Synopsis: 20 patients undergoing total hip arthroplasty were randomized to either a minimal-incision surgery (less than or equal to 8 cm) or surgery with a standard incision of 14 cm to assess difference in circulation and wound complication between these procedures. The results indicated that the minimally invasive surgery was associated with decreased skin blood flow and an increased number of wound complications; however, this finding was not significant. Read More »
Level 2 RCT
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Synopsis: 5 randomized controlled trials were included in this meta-analysis to compare arthroscopic partial meniscectomy to conservative treatment for the management of nonobstructive meniscal tears.Data from included studies was pooled for physical function outcomes, pain, and activity level over multiple time points up to 24-month follow-up.The results from this meta-analysis demonstrated small but significant differences in physical function and pain at 6 months, but no differences at 12 and 24 months. It is unlikely... Read More »
Author verified Level 1 Meta Analysis
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Synopsis: Twenty-eight randomized controlled trials including 2,181 patients undergoing an arthroscopic rotator cuff (RC) repair were included in this next work meta-analysis comparing single row repair, double row repair, and transosseous-equivalent/suture-bridge repair suture techniques in conjunction with an early or late post-operative mobilization protocol.Outcomes of interest included the incidence of re-tear, the American Shoulder and Elbow Surgeons (ASES) score, and range of motion.Results revealed that the use of transosseous-equivalent/suture-bridge repair or double row repair in conjunction with a late rehabilitation mobilization program significantly reduced the risk of re-tear. Moreover, double row... Read More »
Conference Report
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Synopsis: 309 patients, greater than or equal to 50 years, with primary osteoarthritis (OA) were randomized to orally take Lumiracoxib or Rofecoxib for 6 weeks to compare the safety of both modes of treatment. At 6 weeks, the Lumiracoxib was noted to provide a comparable GI safety profile to Rofecoxib in patients with OA. Read More »
Level 2 RCT
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Synopsis: This systematic review with meta-analysis for 36 randomized placebo-controlled trials looked at the efficacy of physical modalities (transcutaneous electrical stimulation - TENS, electro-acupuncture - EA, pulsed electromagnetic fields - PEMF, ultrasound - US, and low level laser treatment - LLLT) in patients with knee osteoarthritis (OA) pain within 1-4 weeks and at follow-up at 1-12 weeks after the treatment.The 36 RCTs identified had 2434 patients with a mean age of 65.1 years (1391 patients received active treatment). Results indicated that... Read More »
Level 1 Meta Analysis
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Synopsis: 83 patients with acute Achilles tendon rupture were randomized to nonoperative treatment by functional bracing or minimally invasive surgical treatment followed by tape bandage.All patients were allowed full weightbearing during recovery period. A clinically important,... Read More »
Level 2 RCT
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Synopsis: 10 randomised control trials were identified from the literature that compared the use of operative and nonoperative treatment for acute ruptures of the Achilles tendon.894 patients were identified from these studies.Meta-analysis revealed that patients who underwent operative treatment were less likely to have a re-rupture (RR 0.44, p=0.002); however, these patients were more likely to suffer other complications. Functional analysis was... Read More »
Author verified Level 1 Meta Analysis
1%
Synopsis: 149 patients (168 heels) with chronic plantar fasciitis were randomized to receive extracorporeal shockwave treatment or conservative treatment consisting of non-steroidal anti-inflammatory drugs, orthotics, physical therapy, an exercise program and/or a local cortisone injection.Over 5 to 6 years, patients in the shockwave group had significantly greater improvements in pain and function than the conservative treatment group.The patients who received shockwave therapy were also significantly less likely to experience a recurrence of symptoms compared to the conservative treatment group. The results therefore... Read More »
Level 2 RCT