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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: 16 randomized trials with a total of 968 patients scheduled for total knee arthroplasty were included in this systematic review and meta-analysis comparing prehabilitation exercise therapy and control.The primary outcome of interest was the improvement in knee function within the first year post-operation: data was assessed pre-operation, 1 day to 4 weeks post-operation, at 3 months post-operation, and at 6-12 months post-operation.Results found that prehabilitation resulted in significantly better knee function up to 3 months post-operation. However, the quality... Read More »
Level 1 Meta Analysis
8%
Synopsis: Two hundred patients with subacromial impingement were randomized to receive the usual nonoperative care (n=100) or a large dose of shoulder strengthening in addition to usual care (n=100).The primary outcome of interest was the Shoulder Pain and Disability Index (SPADI) at 4 months follow-up.Other outcomes of interest included shoulder strength, range of motion, health-related quality of life and the Patient Acceptable Symptom State (PASS).No significant or clinically relevant between group differences were found for any outcome at 4 months follow-up. At 4 months... Read More »
Level 1 RCT
8%
Synopsis: Thirty patients with lower cervical spine spondylotic radiculopathy were randomized to receive either a three-point bending cervical extension traction plus stretching exercise (n=15) or stretching exercise alone (control; n=15) for 10 weeks.Outcomes of interest were pain intensity measured using the Numerical Pain Rating Scale (NPRS), the absolute rotational angle (ARA), and the peak-to-peak amplitude of the dermatomal somatosensory evoked potentials (DSSEPs). Pain scores, ARA,... Read More »
Author verified Level 1 RCT
7%
Synopsis: Eleven randomized controlled trials with a total of 972 patients were included in this meta-analysis comparing early and delayed anterior cruciate ligament reconstruction.The primary outcomes of interest were functional outcomes and the risk of complications.Additional outcomes included operative time.The results of this study found no differences in pooled operative time, range of motion, knee stability, Tegner score, or retear and infection between the two groups.Lysholm scores at 1 & 2 years and IKDC scores at 6 months, however, were significantly in favour of the early reconstruction group, but were limited to 1-2 studies per timepoint in the pooled analyses. The results of... Read More »
Level 1 Meta Analysis
7%
Synopsis: Thirty-four patients with chronic mechanical neck pain (CMNP) were randomized to receive either dry needling with a standard exercise program (n=17) or an exercise program alone (n=17).Outcomes of interest were the Neck Disability Index (NDI), pain scores, Beck Depression Inventory (BDI), and SF-36 (general health, physical functioning, role function, vitality, emotional well-being, social function, quality of life, and bodily pain).The post-test scores were similar between the two groups when comparing NDI, NPRS, BDI, and SF-36 components. The NDI, NPRS,... Read More »
Level 1 RCT
5%
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... Read More »
Level 1 RCT
4%
Synopsis: Eleven randomized controlled trials with a total of 828 patients were included in this meta-analysis comparing acupotomy vs.conventional therapy for the treatment of tenosynovitis of the hand flexor tendon.The outcomes of interest included effective rate, cure rate, and Visual Analog Scale (VAS) pain scores.The results of this study found significantly favourable pooled effective rate, cure rate, and VAS pain scores in the acupotomy group vs.the control group. No safety outcomes... Read More »
Level 1 Meta Analysis
4%
Synopsis: Three randomized controlled trials with a total of 602 patients with chronic low back pain were included in this meta-analysis comparing mindfulness-based stress reduction interventions with control (health education; cognitive behavioural therapy; usual care; no treatment).The primary outcome of interest was pooled physical function, measured with the Roland and Morris Questionnaire.Outcomes were pooled at 8 weeks and 6 months follow-up. Results revealed significantly... Read More »
Level 1 Meta Analysis
3%
Synopsis: Two hundred and seventy patients with lumbar facet joint pain were randomized to receive a radiofrequency denervation intervention (n=135) or a conservative treatment program (drugs, physical exercise, and rehabilitation; n=135).The primary outcome of interest was pain on a Numeric Rating Scale (NRS) and the proportion of patients with a minimally important pain reduction.Secondary outcomes of interest included the Oswestry Disability Index (ODI) and the Macnab clinical efficacy evaluation.Results revealed superior results in all outcomes in the radiofrequency group vs. control up to... Read More »
Level 1 RCT
3%
Synopsis: Two hundred patients with symptomatic osteoarthritis of the knee were randomized to receive either Thai medicinal plant-4 (TMP-4) cream (n=100) or diclofenac gel (n=99).Outcomes that were assessed in this trial were Visual Analog Scale (VAS) scores for knee pain and stiffness, 10-step stair climb test, timed up and go, and Knee Injury and Osteoarthritis Outcome Score (KOOS) at 2 and 4 weeks. The results of... Read More »
Level 1 RCT