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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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①
Synopsis:
17 studies including a total of 1,190 patients were included in this systematic review and meta-analysis assessing the effectiveness of manipulation therapy for chronic neck pain.Outcomes of interest included pain intensity and neck disability (assessed with the Neck Disability Index [NDI]).The results of the meta-analysis found that manipulative therapy, with or without exercise, resulted in significantly lower pain intensity and disability than controls.There was no significant difference in the risk of adverse events between the two groups. The results of...
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Level 1 Meta Analysis
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②
Synopsis:
58 patients were randomized to undergo either a heave slow resistance (HSR) protocol or an eccentric training (ECC) intervention as treatment for mid-portion Achilles tendinopathy.The study was conducted in order to compare the efficacy of HSR with that of ECC as an intervention for this condition.The study found that the two regimens were comparable in pain and function scores, tendon thickness, and patient satisfaction. However, results may...
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Author verified Level 2 RCT
4%
①
Synopsis:
70 patients with chronic plantar fasciitis were randomized to receive a platelet-rich plasma (PRP) injection (n=35) or a corticosteroid injection (n=35).The primary outcome of interest was pain, as measured on a Visual Analog Scale (VAS) and the American Orthopaedic Foot and Ankle Society (AOFAS) score.Outcomes were assessed at 15 days, and 1, 3, and 6 months post-injection.The results revealed significantly lower VAS pain scores with PRP compared to corticosteroids at 1, 3 and 6 months, and significantly better AOFAS scores at 3 and 6 months.The results of this study suggest that PRP can provide longer-term pain control vs.corticosteroids, particularly in the 3-6 month range. However, the methodological...
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Level 1 RCT
3%
①
Synopsis:
26 patients with patellofemoral pain syndrome were randomized to receive a 4-week program of instrument-assisted soft tissue mobilization (IASTM) plus blood flow restriction (BFR) training (n=13) or IASTM alone (n=13).The outcomes of interest included knee pain on a Visual Analog Scale (VAS), Lysholm knee scores, Modified Thomas test (MTT), and knee extensor strength, assessed after 1 treatment and upon completion of treatment.The combination group reported significantly greater pain scores after 1 treatment and after completion of treatment compared to the IASTM only group.However, Lysholm scores were higher in the control group after treatment. No differences in...
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Level 1 RCT
3%
Synopsis:
78 patients with knee or ankle fractures who underwent plate fixation were randomized to receive either 10 weeks of anti-gravity treadmill therapy (n=38) or standard care (8 weeks of non-weightbearing; n=40).The primary outcomes of interest were the Knee injury and Osteoarthritis Outcome Score (KOOS) and Ankle Osteoarthritis Scale (AOS) scores at 6 months.Secondary outcomes included 6 month physical function scores, 12 month fracture healing and complications, and patient satisfaction.The results found no significant differences between the two groups in all clinical outcomes. However, AOS scores...
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Conference Report
2%
①
Synopsis:
40 patients with chronic, non-specific low back pain were randomized to receive an 8-week Back School-based Program (BSP; n=20) or no treatment (n=20).The outcomes of interest included pain intensity (measured with a Visual Analog Scale [VAS]), disability (Roland Morris Disability Questionnaire [RMDQ]), health-related quality of life (Short Form 36 [SF-36]), and kinesiophobia (Tampa Scale of Kinesiophobia [TSK-11]), all measured pre-treatment and post-treatment.The results demonstrated significant clinical improvement in pain, disability, functional aspects of quality of life, and kinesiophobia after 8 weeks of BSP intervention compared to the control group. The results suggest...
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Level 1 RCT
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①
Synopsis:
Thirty patients with shoulder and neck pain were randomized to receive myofascial trigger point (MTrP) dry needling with electromyography guidance (EMG) (n=15) or MTrP dry needling without EMG (n=15).The primary outcomes of this trial were pain intensity and neck disability after 2, 4, 6, and 12 weeks following the intervention.Secondary outcomes of interest included: the number of body regions for MTrPs-referred pain and changes in the amplitude and frequencies of spontaneous muscle activity (SEA).Significant differences were apparent in pain scores 6 and 12 weeks following the intervention with better scores in the DN-EMG and DN-only groups, respectively. The DN-EMG group...
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Level 1 RCT
2%
Synopsis:
65 patients scheduled for a total knee arthroplasty were randomized to receive intravenous hydrocortisone (n=35) or placebo (n=30).The outcomes of interest included physical therapy milestones and pain scores measured with a Numeric Likert scale and the painDETECT scale.The results showed significantly higher rates of achievement on the sit-stand physical therapy milestone in the hydrocortisone group (p=0.01). Moreover, pain scores...
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Conference Report
2%
①
Synopsis:
83 elderly patients with femoral neck fractures were randomized to receive a bipolar hip hemiarthroplasty via a direct anterior approach (DAA; n=40) or an anterolateral approach (ALA; n=43).The outcomes of interest included mobility measured with the Barthel Index, pain on a Visual Analog Scale (VAS), and heterotopic ossification occurrence, all measured up to 1 year post-operation.Pain scores in the first 2 weeks were significantly lower in the DAA group compared to the ALA group.While mobility was significantly better on post-operative day 1 in the DAA group, the ALA group showed superior mobility from week 6 to end of follow-up (1 year post-operation).The rate of heterotopic ossification was also significantly higher in the ALA group in the first 3 months post-operation.The results suggest that DAA may provide superior outcomes in the early post-operative phase, particularly with respect to early mobilization and pain scores. However, mobility may...
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Level 1 RCT
2%
①
Synopsis:
Sixteen randomized controlled trials including a total of 989 elderly patients with chronic low back pain were included in this systematic review and meta-analysis assessing the efficacy of exercise therapy (n=496) vs.a non-exercise control (n=493).Outcomes of interest included pain on a Visual Analog Scale (VAS), function measured by the Oswestry Disability Index (ODI), mobility measured by the Timed Up and Go Test, and quality of life measured by the Short-Form 36 (SF-36).The results of the meta-analysis found exercise therapy to significantly improve pain, function, and physical and mental quality of life compared to control treatments. In particular, strength...
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Level 1 Meta Analysis