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PeerView

You are viewing the most viewed ACE Reports by Physiotherapists over the last 30 days in all specialties.

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Synopsis: 86 women with chronic lower back pain were randomized into either a rhythmic stabilization training (RST) group, a combination of isotonic exercises (COI) group, or a control group.The main outcomes measured throughout the course of the study were lumbar mobility (flexicurve technique), dynamic and static muscle endurance (trunk flexion and trunk extension endurance), functional impairment (Oswestry Low Back Pain Disability Questionnaire), and low back pain intensity (Borg Back Pain Intensity Scale). After the 12... Read More »
Level 2 RCT
6%
Synopsis: 204 employees with anterior cruciate ligament (ACL) injuries were randomized to receive reconstruction based on either hamstring tendon autograft or allograft.The results of the 4 year follow up indicated that there were no significant differences observed in all outcomes measured, which included functional knee ligament testing, KT-2000 arthrometer testing, Harner vertical jump and Daniel 1-legged hop tests, Lysholm score, and the Tegner score. However, it was... Read More »
Level 2 RCT
4%
Synopsis: 44 patients with lower back pain (LBP) and sciatica were randomized to receive either 4 weeks of physical therapy or no physical therapy, along with the selective nerve root block (SNRB) treatment. Results indicated that physical therapy intervention in addition to selective nerve root blocks did not offer any additional benefit over the SNRB alone. Read More »
Level 2 RCT
4%
Synopsis: 56 patients undergoing total hip arthroplasty (THA) were randomized to undergo THA using either a direct anterior approach or posterior approach.The purpose of the study was to determine if the direct anterior approach resulted in improved early functional recovery compared to the posterior approach.The primary outcome of interest was time until discontinuation of an assistive ambulatory device.Results showed that patients treated with a direct anterior approach had significantly shorter use of an assistive ambulatory device, shorter hospital stay, and less post-surgical pain as compared to patients being treated with a posterior approach. No significant differences... Read More »
Level 2 RCT
2%
Synopsis: 48 patients were randomized to assess the effectiveness of home telerehabilitation following total knee arthroplasty (TKA) on improving disability and function.Patients received either usual care or telerehabilitation (conducted by physiotherapists using videoconferencing to the patient’s home through an internet connection) and were assessed after 2 months. Results revealed that... Read More »
Level 2 RCT
2%
Synopsis: 8 ACE Reports (all randomized controlled trials) from the OrthoEvidence database were included in this review/meta-analysis examining the effect of arthroscopic surgery and physical therapy in the treatment of degenerative tears of the meniscus and knee osteoarthritis.The purpose of this review was to determine if any differences in outcome were demonstrated between arthroscopy followed by physical therapy versus physical therapy alone, regarding pain, function, satisfaction, adverse events, or osteoarthritis progression.Pain results were pooled at 3 different time point: 2-3 months, 6 months, and 12-24 months postintervention.At short-term (2-3 months) and long-term (12-24 months) follow-up, pain was similar between groups, with no significant difference observed.There tended to be less pain experienced at 6 months following arthroscopy, however this only reached significance in the KOOS pain outcome and the clinical importance of this observation is unknown.Assessments of functional outcome, either pooled or qualitative, suggested no significant difference between groups as well. The rate of... Read More »
ACE Review
2%
Synopsis: 29 studies were included in this meta-analysis comparing operative and non-operative treatment for acute Achilles tendon ruptures.The primary outcome of interest was the rate of re-rupture.Secondary outcomes included the rate of complications, functional outcomes, time to return to sports and time to return to work.The results revealed a significantly lower rate of re-rupture, but a higher rate of complications, in the operative group compared to the non-operative group.Similar findings to the primary analyses were observed in the sensitivity analyses based on early and late weight bearing status, high quality studies and studies conducted after the year 2000.There were no significant differences in re-rupture rate in studies utilizing accelerated functional rehabilitation. There was no... Read More »
Level 1 Meta Analysis
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... Read More »
Level 2 Meta Analysis
2%
Synopsis: Two hundred and seven studies with 32959 participants were analyzed in this network meta-analysis.The aim of this study was to compare outpatient treatments for managing acute pain from non-low back musculoskeletal injuries.Results revealed that the treatment with the greatest benefit was using topical nonsteroidal anti-inflammatory agents (NSAIDs).Afterwards, oral NSAIDs were beneficial which was followed by acetiminophen with or without diclofenac.The benefits included relieving pain 1-7 days, as well physical functioning , and symptom relief. Moreover, topical NSAIDs demonstrated increase in treatment satisfaction. Fentanyl and acetaminophen... Read More »
Meta Analysis
1%
Synopsis: 40 subjects, 20 with chronic ankle instability (CAI) and 20 with healthy ankles, were randomized into 4 groups; exercise training in both healthy and CAI subjects and control groups in both healthy and CIA subjects.This study assessed if exercise resistance training would lead to improvements in balance.Following the training program there was an improvement in balance in both of the exercise training groups, as determined by a reduction in distance traveled by the center of pressure. These improvements were... Read More »
Level 2 RCT