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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: 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
4%
Synopsis: 12 randomized controlled trials were included in this meta-analysis comparing outcomes between surgical intervention and control groups, comprised of either nonoperative management or sham surgery, for patients with shoulder impingement.Results for pain demonstrated no significant differences between groups.Results for function in the short-term also demonstrated no significant difference between groups. Results for function... Read More »
Conference Report
3%
Synopsis: 5 studies were included in this systematic review and meta-analysis comparing patient reported outcomes in patients with femoroacetabular impingement (FAI) receiving structured physiotherapy or unmonitored, unstructured physiotherapy.PubMed, EMBASE, and the Cochrane Library were searched for relevant articles. Pooled results revealed... Read More »
Conference Report
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Synopsis: Data from 5 RCTs was reviewed and pooled to examine the efficacy of dry needling in the treatment of myofascial trigger points (MTrPs).The analysis was based on VAS pain intensity and activity outcomes. The evidence presented... Read More »
Author verified Level 2 Meta Analysis
2%
Synopsis: 61 patients with lateral ankle sprain were randomized to receive manual recovery of range of motion and proprioceptive exercises alongside either non-invasive interactive neurostimulation (NIN) therapy or sham NIN therapy.Outcomes of interest included the inability walking scale (IWS), pain on a Visual Analog Scale (VAS), etoricoxib 60mg daily intake, return to sport and complications.Follow up was performed up to 4 months post-operation.Results revealed significantly favourable IWS scores after 5 sessions and 30 days post-treatment, VAS pain scores 30 days post-treatment, etoricoxib daily intake after 10 sessions and 30 days post-treatment, and proportion of patients returning to sport after 2 months in the NIN group compared to the sham group. No cases of... Read More »
Level 2 RCT
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Synopsis: 334 patients scheduled for a total knee arthroplasty were randomized to receive 6 weeks of therapist-led physiotherapy or home-based physiotherapy.The primary outcome of interest was Oxford Knee Score (OKS) at 1 year post-operation.Secondary outcomes of interest included the worst and average pain scores, OKS scores, EQ-5D scores, ability to perform tasks and patients satisfaction.Follow up was performed at 6 weeks, 6 months and 1 year post-operation.OKS throughout 1 year follow-up was significantly in favour of the therapist-led group.Patient satisfaction with pain relief, the ability to perform daily functional tasks and the ability to perform heavy functional tasks were significantly in favour of the therapist-led group.No differences in worst or average pain score or EQ-5D scores were observed between groups. Incremental cost-effectiveness ratio... Read More »
Conference Report
2%
Synopsis: 133 patients with a distal radius fracture scheduled for open reduction and internal fixation with a volar plate were randomized to a postoperative immobilization period for 1 week, 3 weeks, or 6 weeks.Primary outcomes included wrist function, pain, and range of motion in wrist extension and forearm supination.Follow-up was performed at 6 weeks, 12 weeks, and 26 weeks postoperatively.Results demonstrated significantly better results related to the Patient-Rated Wrist Evaluation, visual analog scales for pain, and active range of wrist extension at 6 weeks for patients allocated to immobilization for only 1 or 3 weeks as compared to patients allocated to immobilization for 6 weeks.Differences between the three groups for results at 12 and 26 weeks were not statistically significant. Loss of fracture... Read More »
Level 2 RCT
2%
Synopsis: 32 patients with a syndesmosis injury following ankle fracture and underwent syndesmotic screw fixation were randomized to either screw removal or screw retention after 3 months.Patients were assessed for functional outcome on the Foot and Ankle Outcome Score (FAOS) after 1 year.Only 16 patients were available for analysis, but results demonstrated no significant difference in FAOS score at 1 year between groups. Almost half of... Read More »
Conference Report
2%
Synopsis: Four studies - three randomized trials and one nonrandomized trial - which investigated the effect of the addition of taping to physiotherapy versus physiotherapy alone in the treatment of subacromial impingement were included in this systematic review.Due to clinical heterogeneity, a meta-analysis was unable to be performed.For most outcome measures, including pain at rest, pain on movement, patient-reported disability, and range of motion, there was at least one study which provided data in support of taping versus control. Nonetheless, there was... Read More »
Author verified Level 2 Meta Analysis
2%
Synopsis: 58 patients with trigger finger were randomized to receive a single session of dry needling therapy or no intervention.Outcomes of interest included pain on a Visual Analog Scale (VAS), Disability of the Arm, Shoulder and Hand (DASH) score, pinch grip strength, A1 pulley thickness and tendon thickness.Follow up was performed 1 week after treatment. Results from this... Read More »
Level 2 RCT