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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:
Thirty patients with partial-thickness tears of the supraspinatus tendon were randomized to receive a platelet-rich plasma injection (n=15) or corticosteroid injection (n=15).The primary outcome of interest was tear size.The secondary outcome of interest was functional outcomes, measured with the American Shoulder and Elbow Surgeons (ASES) score and the Constant Murley (CM) score.Outcomes were measured at 6 months post-injection.The improvement from baseline in tear size at 6 months in the coronal and sagittal views was significantly greater in the platelet-rich plasma group. Similarly, ASES and...
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Level 1 RCT
7%
①
Synopsis:
Sixty-five patients with knee osteoarthritis were randomized to receive either an integrated physiotherapy protocol (n=32) or standard of care (n=33).The primary outcome of interest was pain scores on a Visual Analog Scale (VAS).Secondary outcomes of interest included the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), 40-meter walk test, sit-to-stand test, stair climbing test, timed up and go (TUG), and the functional reach test.The integrated physiotherapy group showed significantly better scores in all outcomes except for the stair climb test, 40-meter fast-paced walk test, and the functional reach test. The control group...
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Level 1 RCT
5%
①
Synopsis:
18 randomized controlled trials with a total of 2,699 patients with sciatica were included in this meta-analysis comparing physiotherapy and non-physiotherapy interventions.Pooled outcomes of interest included pain and disability, at short (<3 months), medium (3-12 months), and long-term (=>12 months) follow-up.A subgroup analysis by comparator type (minimal interventions, substantial/surgical interventions) was performed.No differences in both outcomes at all time points were observed.The subgroup analyses demonstrated that physiotherapy outperformed minimal interventions for pain at long-term time points. Substantial interventions did,...
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Level 1 Meta Analysis
4%
①
Synopsis:
8 randomized controlled trials containing a total of 444 patients with chronic plantar fasciitis were included in this meta-analysis comparing dextrose prolotherapy to other interventions, such as exercise, platelet-rich plasma injection, and extracorporeal shockwave therapy.The pooled outcomes of interest included pain on a Visual Analog Scale (VAS), the Foot Function Index (FFI), the American Orthopaedic Foot and Ankle Society score (AOFAS), and plantar fascia thickness.Dextrose prolotherapy provided a significantly greater reduction in plantar fascia thickness vs.comparators, as well as a greater improvement in foot function in the first 6 months.Whilst overall pooled pain scores were not different between groups, dextrose prolotherapy demonstrated significantly better pooled pain scores vs. nonactive interventions such...
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Level 1 Meta Analysis
4%
①
Synopsis:
Ninety-nine patients with plantar calcaneal spurs were randomized to receive either radial extracorporeal shock-wave therapy (EWST; n=33), focused EWST (n=33), or sham (n=33).Outcomes of interest were pain, disability, and activity limitation, all measured using the foot function index (FFI).Adverse events were also assessed at 1, 5, and 13 weeks post-intervention. Change in baseline...
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Level 1 RCT
4%
①
Synopsis:
5 randomized controlled trials with a total of 268 patients with low back pain were included in this systematic review and meta-analysis assessing the effectiveness of visceral osteopathy manipulation.Pooled outcomes of interest included pain, disability and physical function.The results of all primary outcome analyses found no benefit of visceral osteopathy for pain, disability, and physical function vs.control.In the subgroup analysis by intervention, visceral osteopathy in isolation provided a significant benefit in pain, but there was a limited number of studies and an imbalance in sample sizes between the included groups. More studies are...
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Level 1 Meta Analysis
4%
①
Synopsis:
In this meta-analysis, fifteen randomized controlled trials were included to compare operative (ORIF with locked plates, locked IMN, cemented, uncemented, nonmodular or modular hemiarthroplasty, and reverse shoulder arthroplasty) versus non-operative treatment for proximal humeral fractures.Outcomes of interest were normalized function, pain on the Visual Analog Scale (VAS), and the incidence of reoperation.In the pooled analysis comparing operative treatment with nonoperative treatment, no differences were found between all outcomes. When comparing ORIF...
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Level 1 Meta Analysis
4%
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Synopsis:
71 women with patellofemoral pain were randomized to receive a strength training program (n=36) or strength training plus neuromuscular training (n=25) for 3 months.The primary outcomes of interest were pain, function, and knee kinematics.The secondary outcome of interest was muscular strength and patient satisfaction.Outcomes were assessed after the completion of the 3-month treatment plan. Whilst improvements were...
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Level 1 RCT
4%
①
Synopsis:
In this meta-analysis, eleven randomized controlled trials comparing the efficacy of pilates exercise on pain and disability against other forms of exercise in patients with chronic non-specific low back pain were assessed.Outcomes of interest were pain and function.Subgroup analyses of general exercise and direction-specific exercise on pain favored the pilates group whereas, no differences were apparent between groups when considering spinal stabilization exercises for pain. Additionally, both groups...
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Level 1 Meta Analysis
3%
①
Synopsis:
Fifty-two patients with unilateral flexible flat foot were randomized to receive either a comprehensive exercise program (n=26) or a standard exercise program (n=26).Outcomes of interest were navicular drop height and longitudinal arch angle after 6 weeks.Patients in the comprehensive exercise group presented with better navicular drop height and medial longitudinal arch angle after 6 weeks compared to the standard exercise program.
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Author verified Level 1 RCT