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You are viewing the most viewed ACE Reports by Primary Care Physicians over the last 30 days in all specialties.
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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...
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Conference Report
2%
①
Synopsis:
Seven randomized controlled trials were included in this meta-analysis evaluating the efficacy of corticosteroid injections in the treatment of enthesopathy of the extensor carpi radialis brevis origin.Included RCTs featured local anesthetic or placebo saline injections as a control.Results demonstrated significantly lower pain at 1 month with corticosteroid versus control injections, but no significant difference at 3 and 6 months. Functional scores and...
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Author verified Level 1 Meta Analysis
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
1%
②
Synopsis:
70 sedentary females with patellofemoral pain syndrome (PFPS) were randomized to one of three groups: no treatment, knee exercise, or a combination of knee and hip exercise group for a period of 1 month to determine the influence of strengthening the hip abductors and lateral rotators on pain and function. After a month of strengthening, both the exercise groups showed a significant improvement in pain and function associated with PFPS, compared to the non-exercise group of patients.
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Level 2 RCT
1%
②
Synopsis:
53 patients with primary adhesive capsulitis (frozen shoulder) were randomized to manipulation under anesthesia (MUA) or steroid injection combined with shoulder distension.The most efficacious treatment for frozen shoulder is still controversial topic; therefore, this study assessed two common treatments to determine the superior treatment.The results indicated that at 2 year follow-up, there were no differences in pain and functional outcomes between the two groups. The authors advised...
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Level 2 RCT
1%
②
Synopsis:
89 patients with patellofemoral pain syndrome were randomized to receive one of three treatments to assess the efficacy of hip adduction exercise in this population.The first group underwent a hip adduction and leg press exercise program, the second group underwent just a leg press exercise program, and the third group received no exercise training.The results from this study, taken over 8 weeks, indicated that both exercise groups demonstrated significant improvements in pain scores and quadriceps leg muscle girth. These findings also...
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Level 2 RCT
1%
②
Synopsis:
36 patients with tibiofemoral osteoarthritis were randomized into three groups to assess the efficacy and compare transcutaneous electrical nerve stimulation in combination with therapeutic exercise to a placebo and control group.TENS treatment has been proposed to improve muscle activation which could provide benefits for this population which often suffers from quadriceps activation failure. The results from...
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Level 2 RCT
1%
②
Synopsis:
178 subjects were randomized to one of two treatment groups or a control group.One group received custom-made in-shoe orthoses, the second group received ready-made in-shoe orthoses, and the third group did not receive any orthoses (control).Outcomes of pain, gross motor skills, exercise efficiency and self-perception were examined.Results from this study did not provide evidence to justify in-shoe orthoses for the management of flexible excess foot pronation in children ages 7-11. No significant differences...
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Level 2 RCT
1%
②
Synopsis:
45 male subjects with patellofemoral pain syndrome (PFPS) were randomized to one of two exercise programs, or no treatment.One group received non-weight-bearing single-joint quadriceps exercise (SJNWBE), one group received weight-bearing multiplejoint quadriceps exercise (MJWBE), and the last group received no exercise prescription. Results showed that...
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Author verified Level 2 RCT
1%
②
Synopsis:
63 patients, over the age of 50, suffering from both rotator cuff injuries and type II SLAP lesions were randomized to undergo repair of both injuries or only the rotator cuff repair. Results, following a minimum follow-up of 2.9 years, indicated that patients who underwent repair of only the rotator cuff had significantly better UCLA scores and ROM.
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Author verified Level 2 RCT