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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: One hundred and seventeen patients with knee osteoarthritis were randomized to receive either a cold rub gel (n=39), heat therapy (n=40), or no intervention (n=38).Outcomes that were assessed in this trial were pain, function in daily living, sport and recreation, and knee-related quality of life using the Knee Injury and Osteoarthritis Outcome Score (KOOS) at 1, 2, 3, and 4 weeks. Both cold rub... Read More »
Level 1 RCT
6%
Synopsis: Eighty-eight patients with first metatarsophalangeal (MTP) joint osteoarthritis were randomized to receive contoured foot orthoses (n=47) or sham insoles (n=41).The primary outcomes of this trial were pain scores in the first MTP during the last week of follow-up using a numerical rating scale (NRS).Secondary outcomes such as pain and function were assessed using the Foot Health Status Questionnaire (FSHQ) and overall average pain using the Numeric Rating Scale (NRS), and quality of life using the Assessment of Quality of Life instrument.Physical activity was also assessed at 12 weeks using the Physical Activity Scale for the Elderly. No significant differences... Read More »
Level 1 RCT
6%
Synopsis: Eighty-nine female patients were randomized to receive either Biodex balance training (n=29), classical training (n=30), or control (n=30). The primary outcome of this trial was to assess dynamic balance after 10 weeks using the Clinical Test of Sensory Interaction and Balance (mCTSIB).Additional outcomes of interest included pain scores at rest, with movement, and at night measured using the Visual Analogue Scale (VAS), physical function determined by the 30-second chair stand test and 40-meter fast-paced walk test, and quality of life measured by the Knee Injury and Osteoarthritis Outcome Score (KOOS).Significantly better overall stability index scores and sway index scores with eyes open were observed in the Biodex balance group vs.the classical and control groups after 10 weeks. All other outcomes... Read More »
Level 1 RCT
5%
Synopsis: A total of 8 studies with 355 distal radius fracture patients were included in this systematic review and meta-analysis investigating the effectiveness of manual therapy for the improvement of wrist function.Outcomes of interest included range of motion, wrist function scores, grip strength, and edema volume.The addition of joint mobilization to supervised physiotherapy was found to result in no difference in range of motion in flexion and extension vs.home exercise.However, the addition of mobilization with movement to an exercise program significantly improved wrist function vs.exercise alone (Patient Rated Wrist Evaluation; Disability of the Arm, Shoulder and Hand). Moreover, the use... Read More »
Level 1 Meta Analysis
5%
Synopsis: Sixty patients who received a lumbar laminectomy for lumbar spinal stenosis were randomized to receive a 6 week physical therapy program plus neural mobilization (n=30) or physical therapy alone (n=30).Outcomes of interest included pain scores (Visual Analog Scale), functional scores (Oswestry Disability Index), and H-reflex latency, measured upon completion of the 6 week intervention period. Results revealed all... Read More »
Level 1 RCT
4%
Synopsis: Twenty-six patients with sacroiliac joint pain were randomized to either the corticosteroid injection group (n=11) or the intra-articular platelet-rich plasma injection (PRP; n=15) group.The two primary outcomes of this trial were pain on the numeric pain rating scale (NPRS) and functional disability using the Oswestry Low Back Pain Disability Questionnaire (ODI), measured at 1, 3, and 6 months. Significant differences were... Read More »
Level 1 RCT
4%
Synopsis: Sixty-two patients with early-stage knee osteoarthritis were randomized to receive either auricular acupressure (n=31) or a sham-acupuncture procedure (n=31).The following outcome measures were assessed: Visual Analogue Scale (VAS) for pain scores, Western Ontario and McMaster Universities Index (WOMAC) for knee symptom scores, and non-steroidal anti-inflammatory drug (NSAID) consumption.Significant differences in VAS and WOMAC scores were apparent at 3 and 7 days post-intervention with better scores in the auricular acupressure group. Significant differences were... Read More »
Level 1 RCT
3%
Synopsis: 114 patients with knee osteoarthritis were randomized to receive 12 days of focused low-intensity pulsed ultrasound therapy (n=57) or pulsed shortwave diathermy (n=57).The primary outcome of interest was functional capacity as measured by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and associated sub-scores (pain; physical function; stiffness).Secondary outcomes of interest included Numeric Rating Scale (NRS) pain scores, timed up-and-go test, range of motion, global rating of changes scores, and adverse events.Outcomes were assessed after the completion of treatment, and at 12 weeks and 24 weeks follow-up.Results revealed significantly better WOMAC scores and sub-scores, NRS scores, global rating of change scores, range of motion, and timed up-and-go test scores in the focused low-intensity pulsed ultrasound therapy group at 12 days (post-treatment). At 12 and... Read More »
Level 1 RCT
3%
Synopsis: One hundred and seven patients with medial compartment osteoarthritis were randomized to receive unicompartmental knee arthroplasty (UKA; n=57) or total knee arthroplasty (TKA; n=50).The primary outcomes of this trial were to assess patient-reported outcomes such as Knee Injury and Osteoarthritis Outcome Score, Joint Replacement (KOOS, JR), Knee Society Score (KSS), Forgotten Joint Score (FJS), range of motion (ROM), and VR-12 global health scores at 6 weeks and 6 months follow-up.Radiographic and surgical complications were also recorded.The results of this trial showed no significant differences in KOOS, JR, KSS, and FJS at 6 weeks and 6 months follow-up. Significant differences were... Read More »
Level 1 RCT
3%
Synopsis: 12 studies including 521 patients with non-specific low back pain were included in this systematic review and meta-analysis comparing physical exercise therapies to control for the improvement of balance.Pooled outcomes of interest included the single leg standing test, center of pressure displacement, center of pressure area, anterior-posterior stability index, limits of stability, and the star excursion balance test. Results revealed significantly... Read More »
Level 1 Meta Analysis