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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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11%
①
Synopsis:
Sixty male patients with unilateral ACL rupture undergoing autologous hamstring tendon reconstruction were randomized to receive either Nordic hamstring exercises with standard rehabilitation (n=30) or conventional rehabilitation alone (n=30).The primary outcome was muscle strength recovery measured by peak torque, total work, and average peak torque at 60°/s and 120°/s.Secondary outcomes included thigh circumference, Lysholm Knee Score, and knee stability tests (Lachman, anterior drawer, KT-1000).Outcomes were assessed preoperatively, and at 12 and 24 weeks postoperatively.Overall, the study showed that the Nordic hamstring group had significantly greater improvements in thigh circumference (p<0.001), hamstring strength (p<0.05 across multiple measures), and Lysholm Knee Score (97.4±3.0 vs 88.9±7.9, p=0.041). The findings suggest...
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Level 1 RCT
8%
①
Synopsis:
Eighty-two patients with chronic low back pain and lumbar disc herniation were randomized to receive ultrasound (n=31), short wave diathermy (n=31), or control therapy with hotpack, TENS, and exercise alone (n=20).The primary outcome was low back pain severity measured by the Visual Analog Scale (VAS).Secondary outcomes included the Modified Oswestry Disability Index (MODI) and health-related quality of life assessed with SF-36.Outcomes were measured immediately post-treatment, at one month, and at three months.Overall, the results showed significant improvements in VAS and MODI across all groups, with sustained disability reduction in the ultrasound and diathermy groups.Quality-of-life parameters such as physical and social function, vitality, and emotional well-being improved mainly in the active treatment groups. These findings suggest...
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Level 1 RCT
7%
①
Synopsis:
Ninety-three patients with severe knee or hip osteoarthritis were randomized to receive either high-intensity interval training (HIIT; n=30), passive heat therapy (Heat; n=30), or home-based exercise (Home; n=33) as prehabilitation before total hip or knee arthroplasty.The primary outcome of interest was peak oxygen consumption (peak 𝑉𝑂2).Secondary outcomes included the anaerobic threshold, physical function measures, and subjective health assessments.Outcomes were assessed over a 12-week period.Overall, the results revealed that HIIT significantly improved peak 𝑉𝑂2V and the anaerobic threshold compared to the other groups.Heat therapy also increased the anaerobic threshold but not peak 𝑉𝑂2. These findings suggest...
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Level 1 RCT
4%
Perioperative Blood Flow Restriction Therapy Program After Anterior Cruciate Ligament Reconstruction
①
Synopsis:
Forty-six patients who sustained an anterior cruciate ligament (ACL) tear and were scheduled for reconstruction were randomized into a group receiving either a blood flow restriction (BFR) therapy program (n=22) or a control group without BFR (n=24).The primary outcome of interest was isometric quadriceps strength at 3 months postoperatively, measured as peak and mean torques during seated leg extension exercises and presented as a ratio of the healthy limb.Secondary outcomes included patient-reported outcomes such as pain, knee function, and physical function, knee range of motion, quadriceps circumference and adverse effects.Outcomes were assessed up to 6 months postoperatively. Overall, the study...
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Level 1 RCT
4%
①
Synopsis:
Seventy patients with rotator cuff tendinopathy were randomized to receive therapeutic ultrasound (n=35) or low-level laser therapy (n=35), each combined with hot packs, TENS, and a structured home-based exercise program for 15 sessions over 3 weeks.The primary outcomes were pain (VAS), function (SPADI, CMS, DASH), and hand grip strength (HGS).Secondary outcomes included depression (BDI), anxiety (BAI), sleep quality (PSQI), and quality of life (SF-36).Assessments were performed at baseline, 1, 4, and 12 weeks.Overall, both groups showed significant improvements in all primary and secondary measures over time, with no between-group differences except for greater HGS improvement in the ultrasound group. These findings suggest...
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Level 1 RCT
2%
①
Synopsis:
Eighty patients undergoing primary unilateral total hip arthroplasty for osteoarthritis, osteonecrosis of the femoral head, or developmental dysplasia of the hip were randomized to receive anterior iliopsoas muscle space block (AIMSB) combined with local infiltration analgesia (LIA) (n=40) or sham AIMSB with LIA (n=40).The primary outcome was cumulative morphine consumption within 24 hours after surgery.Secondary outcomes included pain scores at rest and during motion, time to first rescue analgesia, total morphine and intraoperative opioid use, postoperative recovery milestones, quality of recovery, quadriceps strength, and adverse effects.Outcomes were assessed up to two postoperative days.Overall, the AIMSB group had significantly lower opioid requirements, lower pain scores within the first 24 hours, faster recovery (earlier ambulation and discharge), and improved quality-of-recovery scores without motor weakness or increased complications. The findings suggest...
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Level 1 RCT
2%
①
Synopsis:
One hundred twenty-eight patients with knee osteoarthritis were randomized to receive prolotherapy with 5% dextrose (n=30), 10% dextrose (n=30), 20% dextrose (n=30), or exercise plus hotpack only (n=30).All prolotherapy groups received three injection sessions at weeks 0, 3, and 6, combined with a home exercise program and hotpack therapy.The primary outcome was pain assessed by VAS.Secondary outcomes included WOMAC scores, knee range of motion, timed up and go (TUG) test, and SF-36 quality of life scores.Outcomes were measured at baseline, 6 weeks, and 12 weeks.Overall, results showed that 10% and 20% dextrose groups had significantly greater pain reduction and functional improvements compared with exercise alone, while 20% dextrose also improved knee flexion. The findings suggest...
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Level 1 RCT
2%
Synopsis:
Fourteen studies of patients with extensor mechanism disruption after total knee arthroplasty were included in this systematic review and meta-analysis comparing mesh versus allograft reconstruction.Pooled outcomes of interest included failure rates and prosthetic joint infection.Mesh reconstruction was associated with a lower risk of failure (RR 0.79; p = 0.02), with no significant difference in infection risk (p = 0.09). These findings suggest...
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Conference Report
2%
Synopsis:
Fifty patients undergoing robotic total knee arthroplasty were randomized to receive restricted kinematic alignment (rKA, n=25) or mechanical alignment (MA, n=25).The primary outcomes of interest were range of motion and functional scores (KSS, OKS) at 3 and 6 months.Secondary outcomes included quality of life measures (SF-36 and FJS-12) at one year.Outcomes were assessed at 3 months, 6 months, and 12 months.Overall, the results revealed that rKA patients had greater range of motion and higher KSS and OKS scores at 3 months, and better SF-36 and FJS-12 scores at one year (all p<0.05). These findings suggest...
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Conference Report
2%
Synopsis:
Thirty-one studies with 2,574 revision total knee arthroplasties (1,637 with cones and 937 with sleeves) were included in this systematic review and meta-analysis comparing metaphyseal cones versus sleeves.Pooled outcomes of interest included re-revision rate, re-operation risk, prosthetic joint infection, and extensor mechanism injury.Cones showed higher rates of re-revision (10.9% vs.7.4%), re-operation (17.5% vs.12.2%), and prosthetic joint infection (7.5% vs.5%) compared to sleeves.Extensor mechanism injury was rare but slightly more frequent with cones. Overall, sleeves demonstrated...
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Conference Report