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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: Twelve studies were included in this meta-analysis and systematic review to determine the effects of exercise therapy in the management of meniscal lesions as a non-operative treatment and as a modality for rehabilitation following meniscectomy compared to other treatments.This summary focused on the results from the meta-analyses conducted in this publication.When exercise therapy alone was compared to isolated meniscectomy/meniscal repair, exercise therapy demonstrated significantly greater strength in extension at 3 months, and no significant differences in short- and long-term pain and function.When exercise therapy was assessed as a rehabilitative treatment following meniscectomy/meniscal repair, standard exercise therapy demonstrated no significant differences in short-term pain and short- and long-term function when compared to alternative exercise therapies (early range of motion, isokinetic exercise, etc). There was limited... Read More »
Level 1 Meta Analysis
3%
Synopsis: 73 patients with rotator cuff tendinopathy were randomized to one of three study treatment groups: (1) hypertonic dextrose prolotherapy injection directly to affected entheses, (2) saline injection directly to affected entheses, or (3) saline injection superficial to affected entheses.The purpose of this study was to investigate the clinical benefits of dextrose prolotherapy when compared to control groups by observing improved patient-reported pain scores, patient satisfaction scores, and ultrasound grading of regenerative effect. Results demonstrated that... Read More »
Author verified Level 2 RCT
3%
Synopsis: 57 patients with chronic neck pain (CNP) were randomized to undergo either a progressive neck exercise program (PNEP) or interactive behavioral modification therapy (IBMT).The purpose of this study was to determine whether the addition of cognitive-behavioral (CB) principles to a standardized exercise regimen would provide greater pain and disability reduction compared to an exercise regimen without CB.Patients were assessed 6 months after the start of treatment. Findings indicated similar... Read More »
Author verified Level 2 RCT
2%
Synopsis: 109 young, active patients with acute non-specific low back pain were included in this study to evaluate the efficacy of kinesiotape for reducing pain and disability.Patients were randomized to receive kinesiotape treatment for a 12-day period in addition to minimal care, or minimal care alone.Both groups demonstrated significant reductions in pain compared to baseline values at 12 days and 4 weeks.Between-group comparisons indicated that patients in the kinesiotape group demonstrated significantly less pain at 12 days and 4 weeks.The kinesiotape group had significantly lower disability scores at 12 days compared to the control group and consumed significantly fewer analgesics in the periods of 1-4 and 5-8 days. Read More »
Level 2 RCT
2%
Synopsis: 109 patients with mild to moderate osteoarthritis of the medial compartment of the knee were included in this study to determine the effect lateral wedge insoles have on hip and ankle joint space width.Patients were randomized to a lateral wedge orthosis or a neutral wedge orthosis for use over a 36-month period.Only 45 patients were available at final follow-up (31 Lateral wedge, 14 neutral wedge).Both groups demonstrated significant reductions in joint space width at the index hip and contralateral hip compared to baseline, however, there were no differences between groups.There were no differences in ankle joint space width within either group or between groups.While this study indicates that lateral wedge insoles do not appear to have a negative effect on hip and ankle joint space width over a 36-month period, the results should be interpreted with caution due to the substantial loss to follow-up. Read More »
Author verified Level 2 RCT
2%
Synopsis: 129 patients with chronic low back pain were randomised to undergo either an acupressure intervention or a physical therapy intervention for one month.The primary outcomes examined were pain, function, and disability (Roland and Morris disability questionnaire, Modified Oswestry disability questionnaire). The results indicated... Read More »
Level 2 RCT
2%
Synopsis: 51 patients who had undergone primary total hip arthroplasty were randomized to 10-day postoperative standard-of-care (SoC) rehabilitation with or without the addition of fascial manipulation (FM) intervention.The purpose of this study was to compare changes in the hip range of motion, functional performance on the Timed-Up-and-Go (TUG) test, verbal numeric scale for pain, and the Harris Hip Score between groups. Results demonstrated a... Read More »
Level 2 RCT
1%
Synopsis: 55 patients with acute whiplash associated disorders were included in this trial to investigate the effectiveness of individually tailored behavioral programs in the management of these conditions.Patients were randomized to one of the three following groups: a 7-week individually tailored behavioral medicine program delivered over the internet or face-to-face, or a control group treated with standard therapy.The purpose of this study is to determine the effects of the patient-specific programs on pain-related disability, pain intensity, self-efficacy in daily activities, catastrophizing, and fear of re-injury after a 12-month follow-up.Findings indicated that an individually tailored behavioral medicine program may be more effective than the current standard treatment of self-care in improving self-efficacy in daily activities and reducing pain-related disabilities, fear of movement or reinjury, and incidence of catastrophizing. Patients who received... Read More »
Level 2 RCT
1%
Synopsis: 99 middle-aged patients were randomized to compare an exercise program alone to arthroscopic partial meniscectomy plus a postoperative exercise program in the treatment of degenerative medial meniscus tears.The exercise program was completed over 8 weeks, with outcomes in pain and function being assessed at the completion of the program, and again at 6 months. The results indicated... Read More »
Author verified Level 2 RCT
1%
Synopsis: 60 community-dwelling older adults were included in this trial to determine the potential effect of chiropractic care on the risk of falls in the elderly.Included patients were randomized to receive 12 weeks of chiropractic care or usual care and were evaluated using measures of sensorimotor function over the 12 weeks period.The results of this study indicated that chiropractic care led to significant improvements in measures of sensory motor function such as; joint position sense error, choice stepping reaction time, sound-induced flash illusion, as well as the physical component of the health-related quality of life survey when compared to the control (usual care) group. These results suggest... Read More »
Level 2 RCT