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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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①
Synopsis:
One hundred and nineteen patients with insertional Achilles tendinopathy were randomized to received extracorporeal shockwave therapy with eccentric exercise (ESWT +EE) (n=58) or eccentric exercise (EE) and sham therapy (n=61).The primary outcome was function measured by the Victorian Institute of Sports Assessment-Achilles questionnaire (VISA-A).Secondary outcomes of interest included pain scores, the Foot and Ankle Outcome Score (FAOS), the Short Form Health Survey (SF-12), recurrence and failure of treatment.Both groups demonstrated significant improvements from baseline.No differences in the VISA-A, FAOS or SF-12 were found at any time point between groups. The EWST+EE group...
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Level 1 RCT
1%
①
Synopsis:
182/230 patients from the PATH-2 trial responded to this 2-year follow-up study of the PATH-2 trial comparing platelet-rich plasma (PRP; n=88/114) and placebo (92/116).The outcomes of interest included the Achilles Tendon Rupture Score (ATRS), the Patient-Specific Functional Scale (PSFS), and the Short-Form 12 (SF-12) mental and physical component quality of life scores. The results of...
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Level 1 RCT
<1%
②
Synopsis:
103 patients with symptomatic small (<1cm) or medium-sized (1 cm to 3 cm) rotator cuff tears were randomized to be managed with either a surgical repair or a conservative management with physiotherapy. At 1 year, it was observed that the surgery was superior to physiotherapy for small and medium-sized tears of the rotator cuff, with better results on the Constant scale, ASES scale, and reductions in pain.
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Level 2 RCT
<1%
②
Synopsis:
409 patients with non-specific pain/disability in the back and/or neck were randomized to be managed with either naprapthic manual therapy or by evidence based advice only. In the long term (56 weeks), naprapathic manual therapy produced greater improvement in pain and disability compared to advice from a physician on staying active and coping with pain.
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Author verified Level 2 RCT
<1%
②
Synopsis:
136 patients with chronic low back pain were randomized into 3 groups that received a supervised nordic training, unsupervised training or a general advice on management of pain and functionality. At 8 weeks, there was no statistically significant effect of supervised Nordic Walking on the Low Back Pain Rating Scale (LBPRS) or the Patient Specific Function Scale (PSFS) when compared to non-supervised Nordic Walking group or group given advice to remain active.
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Author verified Level 2 RCT
<1%
②
Synopsis:
9 national level volleyball players were randomized to low-level laser therapy (LLLT) or placebo 2 min before undergoing the exercise, causing exertion of biceps muscle.In this crossover designed RCT, the LLLT treatment resulted in a significant increase of submaximal elbow flexions to exhaustion compared to the placebo. Post exercise biochemical...
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Author verified Level 2 RCT
<1%
②
Synopsis:
Jumping athletes in sports, such as volleyball and basketball, are at risk of overuse injuries with a common injury being patellar tendinopathy.62 eligible jumping athletes with patellar tendinopathy for 3-12 months were randomized to receive either extracorporeal shockwave therapy (ESWT) or placebo, to determine the efficacy of EWST in the treatment of this injury. Pain and function...
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Author verified Level 2 RCT
<1%
②
Synopsis:
48 male patients (age range 17-44 yr) undergoing anterior cruciate ligament reconstruction with an ipsilateral bone-patellar tendon-bone
autograft were randomized to start an isometric strengthening of hamstring muscles at 3 or 9 week after surgery. Results of this study indicated that male patients, receiving isokinetic hamstring training in the early postoperative period, exhibited better hamstring strength, improved function, fewer symptoms and more IKDC ratings towards normal knee laxity.
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Author verified Level 2 RCT
<1%
②
Synopsis:
101 patients with an acute grade 1 or 2 ankle sprain were randomized to be managed with an early therapeutic exercise program or a conventional PRICE (protection, rest, ice, compression and elevation) protocol.It was observed that after early incorporating therapeutic exercises during the first week after an ankle sprain brings about significant improvements in physical activity and improved functional status compared to the standard treatment at weeks 1 and 2. At 16-week follow-up,...
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Author verified Level 2 RCT
<1%
②
Synopsis:
To study the optimum exercise regime after anterior cruciate ligament (ACL) reconstruction, 40 patients were randomized to receive post-operative rehabilitation through either progressive eccentric exercise or a standard exercise program.The eccentric exercise program provided the greatest increases in both muscle volume and strength at one year assessment. These improvements led...
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Author verified Level 2 RCT