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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: Three randomized controlled trials were selected for meta-analysis investigating the comparative effects of repair and conservative treatment for rotator cuff tears.Pain and function, assessed on the Constant score, were assessed at 1-year follow-up.Results demonstrated a significantly greater reduction in pain among conservative treatment groups compared to repair groups; change in function after 1 year did not significantly differ between groups. Differences between groups... Read More »
Level 2 Meta Analysis
4%
Synopsis: 504 patients with a grade I or II ankle sprain seeking care in an acute care setting were randomized to usual care, including protection, rest, ice, compression, and elevation (PRICE) with or without participation in a standardized physiotherapy program.The purpose of this study was to evaluate if patients who participated in the physiotherapy program demonstrated significantly better function on the Foot and Ankle Outcome Score (FAOS) over a 6-month follow-up. No significant differences... Read More »
Level 2 RCT
4%
Synopsis: 27 patients with chronic ankle instability were randomized to a 4-week rehabilitation program to be completed with or without the use of ankle destabilization devices.The purpose of this study was to evaluate the effect of ankle destabilization devices on ankle, knee, and hip joint kinematics, vertical ground reaction force, and surface electromyography of the anterior tibialis, peroneus brevis, peroneus longus, and medial gastrocnemius after 4 weeks of therapy.The only significant post-intervention difference observed within the ankle destabilization group for kinematic variables was a significant increase in mid-gait ankle dorsiflexion. Neither group demonstrated... Read More »
Level 2 RCT
3%
Synopsis: Fourteen randomized controlled trials were included in this network meta-analysis on the use of six different non-operative modalities - high-energy focused extracorporeal shockwave therapy, low-energy focused extracorporeal shockwave therapy, radial extracorporeal shockwave therapy, transcutaneous electrical nerve stimulation, therapeutic ultrasound, and ultrasound-guided needling - compared to control intervention for patients with chronic calcific tendinitis of the shoulder. Network meta-analysis indicated that the modalities which demonstrated a significantly greater reduction in pain and calcific deposit resolution relative to control were ultrasound-guided needling, radial extracorporeal shockwave therapy, and high-energy focused extracorporeal shockwave therapy. Read More »
Level 1 Meta Analysis
3%
Synopsis: 51 patients with a radial head fracture with less than 2mm displacement were randomized to either formal outpatient physical therapy or provided a list of exercises to be completed at home.Patients were assessed for time to clinical healing, as well as disability and elbow range of motion over a 1-year follow-up.The only significant difference between groups noted was disability at 6 weeks post-injury, which was significantly smaller in the home exercise group. Otherwise, no significant... Read More »
Conference Report
3%
Synopsis: Ten randomized controlled trials were included in this meta-analysis that compared pain and functional outcomes between intraarticular platelet-rich plasma injection (PRP) and either intraarticular hyaluronic acid (HA) injections or saline injections in knee osteoarthritis treatment.Outcomes were assessed at 6 and 12 months postinjection.In comparison to HA injections, PRP injections demonstrated similar pain and functional outcomes at 6 months postinjection, and significantly better pain and functional outcomes at 12 months postinjection.The effect sizes compared to HA for pain and function at 12 months exceeded the MCID, however, these findings should be interpreted with caution as only a few studies could be pooled for these outcomes. Results from one... Read More »
Level 1 Meta Analysis
3%
Synopsis: 61 patients with shoulder impingement syndrome were randomized to management with either thoracic spinal manipulation (TSM) or a sham-TSM technique.Patients were administered two sessions of the allocated protocol, and assessed prior to the second session, immediately after the second session, and at 3-4 day follow-up.Outcomes included pain, functional measures, scapular kinematics, and scapular muscle electromyography. For pain and... Read More »
Author verified Level 2 RCT
2%
Synopsis: Ten randomized controlled trials and prospective cohort studies were included in this meta-analysis that compared function, complication rate, and reoperation rate between early weight-bearing (within 2 weeks) and late weight-bearing (4-6 weeks) after ankle fracture.At 6 weeks, functional scores significantly favoured early weight-bearing, while functional scores at 1 year were similar between early and late weight-bearing groups. Incidences of nonuion,... Read More »
Conference Report
2%
Synopsis: 115 patients who had undergone the surgical fixation of supination external rotation type 2, 3, or 4 ankle fractures were randomized to three different forms of postoperative management; unprotected weight bearing, protected weight-bearing, and unprotected non-weight-bearing.Functional outcomes were assessed using the Olerud Molander Ankle Score (OMAS) at 6 weeks, 12 weeks, 6 months, and 1 year.At 6 weeks, the unprotected weight-bearing group demonstrated significantly better OMAS scores compared to the other forms of postoperative management. There were no... Read More »
Conference Report
2%
Synopsis: 120 patients with Kellgren-Lawrence grade II-III knee osteoarthritis were randomized to one of three intra-articular injection groups: platelet rich plasma, hyaluronic acid, or ozone.The purpose of this study was to compare visual analog scores (VAS) for pain and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores for pain, stiffness, and function over a 12-month follow-up.The results demonstrated a marked decrease in all outcome measures within the first month in all three groups, followed by a regression at subsequent follow-ups.Between-group differences were identified, with lower scores generally observed in the PRP and HA groups compared to the ozone group at 1, 3, and 6 months.By 12 months, scores in the ozone group had returned to baseline, while scores in the PRP and HA groups were lower, relatively. Also at 12... Read More »
Level 2 RCT