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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:
5 studies, representing 25 tests to diagnose patellofemoral pain syndrome (PFPS), were selected in this meta-analysis/systematic review.To observe the accuracy of clinical and functional tests in determining the presence of PFPS in affected individuals, the tests were evaluated based on sensibility, specificity, positive (LR+) and negative (LR-) likehood ratios, and predictive values.It was observed that the patellar tilt and squatting test indicated a greater trend towards PFPS diagnosis. Furthermore, combination tests...
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Author verified Level 1 Meta Analysis
2%
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
2%
②
Synopsis:
74 patients who underwent arthroscopic ACL reconstruction were randomized to receive either a neuromuscular exercise (NE) program or a standard strength exercise (SE) program.This study compared subjective and objective outcomes at 6 month, 1 and 2 year follow-ups.Significantly improved knee function was found in the NE group at 6 month follow-up, but this difference diminished with further long term follow-ups. The SE group...
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Author verified Level 2 RCT
2%
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
2%
②
Synopsis:
283 patients with disc herniation and resulting sciatica were randomized to either receive early surgery or prolonged conservative treatment for 6 months (followed by surgery if needed).The results indicated that for both groups, similar outcomes were observed at the one year follow up period. However it is...
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Author verified Level 2 RCT
2%
②
Synopsis:
501 patients with intervertebral disc herniation were randomized to receive standard open discectomy with examination of the irritated nerve root or non-operative care.Symptom severity improved significantly more in the surgery group than the non-operative group at 3 months, 1 year and 2 years.Self-reported improvement was also significantly better in the surgery group than in the non-operative group.There were slight but non-significant differences in favour of the surgery group over 2 years for pain, function, disability scores, and patient satisfaction. Although several significant...
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Level 2 RCT
2%
②
Synopsis:
165 patients were randomized to determine the efficacy of a single corticosteroid injection in treating lateral epicondylalgia, both in the presence and absence of physiotherapy.Patients were allocated to one of four groups: corticosteroid with physio, corticosteroid without physio, placebo with physio, or placebo without physio. The results at...
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Author verified Level 2 RCT
2%
①
Synopsis:
Findings of two randomized controlled trials were pooled in order to investigate if method of corticosteroid injection - either image-guided or anatomical landmark guided (blind) - impacted clinical outcome in patients suffering from shoulder pain.Clinical outcomes of pain and function were reported at 6 weeks, and the incidences of adverse events were recorded.Pooled effects illustrated that pain and function at 6 weeks were significantly improved with image-guided injections compared to blind injections. Incidence of adverse...
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Level 1 Meta Analysis
2%
②
Synopsis:
100 patients were randomized to total knee arthroplasty with either patient-specific instrumentation or conventional instrumentation.The purpose was to determine if patient-specific guides offered improved postoperative alignment over conventional methods. The results from...
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Author verified Level 2 RCT
2%
②
Synopsis:
44 frail elderly adults were randomized to treatment either through whole-body vibration (WBV) exercise or a control intervention consisting of usual care, physical therapy, and routine exercises.The effectiveness of each intervention was compared using mobility, balance, and general health outcomes.Over 8 weeks, individuals who underwent whole-body vibration exercise achieved greater and faster improvements in measures of mobility, knee strength, and physical and mental health. Additionally, WBV exercise...
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Author verified Level 2 RCT