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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: 80 patients with a supraspinatus tear less than 3cm and scheduled for arthroscopic repair were randomized to either 4-week sling immobilization or no sling use after surgery.Patients were assessed for shoulder range of motion, pain, and functional scores, as well as repair integrity and tendon healing on 6-month ultrasound.Clinical measures demonstrated significantly better results for the no sling group for range of elevation at 6 weeks and 3 months, range of external rotation at 6 weeks, and range of internal rotation at 3 months.Visual analog pain scores at 6 months also significantly favoured the no sling group, while the American Shoulder and Elbow Surgeons (ASES) score demonstrated no significant difference between groups. Ultrasound results of... Read More »
Conference Report
4%
Synopsis: 7 studies were included in this meta-analysis comparing supervised and non-supervised post-operative rehabilitation in patients scheduled for total hip replacement (THR).Primary outcomes of interest included patient reported function at end of treatment and 6-12 months follow-up, hip related pain, health related quality of life, and performance-based function. No significant differences... Read More »
Level 1 Meta Analysis
4%
Synopsis: 110 patients scheduled for a primary unilateral total knee arthroplasty (TKA) were randomized to receive an immediate or delayed physiotherapy protocol following surgery.Outcomes of interest included the Knee Injury and Osteoarthritis Outcome Score (KOOS), VR-12 scores, visual analog scale (VAS) pain scores, range of motion, number of therapy visits, the Timed Up and Go (TUG) test, and rate of manipulation.Follow up was performed at 6 weeks and 6 months. Results from the... Read More »
Conference Report
3%
Synopsis: 39 patients with distal radius fractures undergoing open reduction and internal fixation (ORIF) with a volar locking plate were randomized to receive 2 weeks of post-operative immobilization with a plaster splint or no immobilization.The primary outcome of interest was pain as measured on a Visual Analog Scale.Secondary outcomes included tramadol (opioid) use, DASH score, range of motion (wrist flexion-extension; forearm rotation), patient satisfaction, wrist edema and incidence of complications.Follow up was performed up to 6 months. The results from... Read More »
Level 2 RCT
3%
Synopsis: 354 elderly individuals with a fall or fall-related injury in the emergency department were randomized to either a tailored, multifactorial program including physical therapy for fall prevention, or usual care.The purpose of the current study was to evaluate cost-effectiveness of the tailored, mutlifactorial program.Difference in total health care cost was an estimated S$362-increase in the group administered the tailored, mutlifactorial program, with an associated 0.003-increase in quality-adjusted life-years (QALYs) gained.The resulting incremental cost-effectiveness ratio (ICER) of S$120,667/QALY gained was not considered cost-effective against a willingness-to-pay threshold of S$70,000. In a few... Read More »
Level 2 RCT
2%
Synopsis: 72 patients with knee osteoarthritis were randomized to intraarticular injection with either 40mg methylprednisolone or 30m ketorolac.Patients were assessed for improvement over 6-week follow-up in numeric rating scale (NRS) pain scores, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and the Oxford Knee Score (OKS).Results demonstrated significant significant within-group improvement in both groups for NRS pain score and WOMAC scores. However, for OKS... Read More »
Conference Report
2%
Synopsis: 12 studies were included in this meta-analysis, comparing pulsed electromagnetic field (PEMF) therapy to sham therapy for the treatment of osteoarthritis (OA).The outcomes of interest in included pain, function, and adverse events.The pooled results found significantly improved pain and function among PEMF groups compared to sham groups.More specifically, the improvement in pain and function was observed in the treatment of knee and hand OA; no significant differences were observed between PEMF and sham groups for the treatment of cervical OA. There were no... Read More »
Level 1 Meta Analysis
2%
Synopsis: 192 patients with knee osteoarthritis were randomized to three weekly intraarticular injections with either platelet-rich plasma or hyaluronic acid.The focuse of the current study was outcome after 2 and 5 years following treatment.Results for clinical outcome on the International Knee Documentation Committee (IKDC) subjective score, the EuroQoL 5-dimensions (EQ-5D) and the Tegner activity scale demonstrated no significant differences between the PRP group and HA group at 2 or 5 years.Within the first 2 years of treatment, rate of reintervention, including either repeat injection therapy or surgery, was significantly lower in the PRP group compared to the HA group. However, at 5... Read More »
Level 1 RCT
1%
Synopsis: 70 patients scheduled for arthroscopic partial meniscectomy were randomized to postoperative use of either a compartment-unloading knee brace, wedged insole or no treatment.Outcomes of interest included patient reported outcomes (IKDC; KOOS symptom, pain, quality of life, sport and recreation, activities daily living sub-scales; MARX physical activity score; Short Form-12 physical and mental scores).Follow up was performed at 6 weeks, 12 weeks, 6 months and 12 months.The results from the study found significant improvements over time in all outcomes except the SF-12 mental score. In all KOOS... Read More »
Level 2 RCT
1%
Synopsis: 40 overhead sport athletes with pain from shoulder impingement syndrome were randomized to receive dry needling (DN) of myofascial trigger points directly into the upper trapezius muscle, or indirect DN into the infraspinatus muscle.Outcomes of interest included VAS pain score, DASH score, and pressure pain threshold; follow up was performed 3 days after the completion of treatment. Results from the... Read More »
Level 2 RCT