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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
10%
Synopsis: Five randomized controlled trials were included in this meta-analysis which sought to investigate the efficacy of mesenchymal stem cell injections in patients with knee osteoarthritis.Included studies featured various control groups, including placebo injection, hyaluronic acid injection, and no injection, as well as various concomitant treatments, including high tibial osteotomy, microfracture, platelet rich plasma injection and hyaluronic acid injection.Accordingly, clinical heterogeneity was assumed.Data was pooled from 12-24 month time points. Analyses on visual... Read More »
Level 2 Meta Analysis
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Synopsis: Two hundred and seven studies with 32959 participants were analyzed in this network meta-analysis.The aim of this study was to compare outpatient treatments for managing acute pain from non-low back musculoskeletal injuries.Results revealed that the treatment with the greatest benefit was using topical nonsteroidal anti-inflammatory agents (NSAIDs).Afterwards, oral NSAIDs were beneficial which was followed by acetiminophen with or without diclofenac.The benefits included relieving pain 1-7 days, as well physical functioning , and symptom relief. Moreover, topical NSAIDs demonstrated increase in treatment satisfaction. Fentanyl and acetaminophen... Read More »
Meta Analysis
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Synopsis: Thirteen retrospective studies with 132,633,93 patients were included to analyze predictors with prolonged opioid use in adult patients with acute musculoskeletal injuries in outpatient settings.Results demonstrated risk factors including older age, physical comorbidity, and past or present substance use disorder. The study was... Read More »
Level 2 Meta Analysis
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Synopsis: This meta-analysis identified 6 prospective controlled trials that compared an early functional rehabilitation protocol to traditional immobilization methods in the post-operative rehabilitation of surgically repaired Achilles tendon ruptures.A total of 315 patients were identified from these studies (156 in immobilization group and 159 in early functional group). The results from... Read More »
Author verified Level 2 Meta Analysis
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Synopsis: Fifty one patients were randomized to received either an accelerated rehabilitation protocol or standard rehabilitation protocol following surgical repair of an Achilles tendon rupture.This study aimed to determine the functional difference between standard and accelerated rehabilitation.The difference between groups in Achilles tendon Total Rupture Score (ATRS) at 12 months was not statistically significant, although the accelerated rehabilitation protocol demonstrated significantly better scores in individual subscales of the ATRS. Results for the... Read More »
Author verified Level 2 RCT
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Synopsis: Forty-nine thousand, five hundred and ninety-seven patients aged 60 years or older from Ontario who underwent either total hip arthroplasty or hemi-arthroplasty for the treatment of displaced femoral neck fractures were included in this retrospective study examining clinical outcomes and associated factors with each procedure.A matched cohort of 9,238 patients was used to compare clinical outcomes.Outcomes of interest included the risk of hip dislocation, revision surgery, and death.Results of the study found a higher risk of 1-year revision surgery and dislocation in the total hip arthroplasty group compared to the hemi-arthroplasty group. The risk of... Read More »
Conference Report
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Synopsis: 71 patients with an acute rupture of the anterior cruciate ligament (ACL) were randomized to receive either a bone-patellar tendon (BPT) or a quadruple hamstring tendon (HT) for ACL reconstruction, using an anatomic, non-press fit (non implant) technique.Clinical results from the international knee documentation committee and results from kneeling, knee walking and a single-leg hop test demonstrated superior results from the HT group, although quadriceps strength was superior in the BPT group. Other outcome measures... Read More »
Author verified Level 2 RCT
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Synopsis: 44 patients with lower back pain (LBP) and sciatica were randomized to receive either 4 weeks of physical therapy or no physical therapy, along with the selective nerve root block (SNRB) treatment. Results indicated that physical therapy intervention in addition to selective nerve root blocks did not offer any additional benefit over the SNRB alone. Read More »
Level 2 RCT
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Synopsis: 97 patients with acute Achilles tendon rupture were randomized to have their injury treated either surgically or nonsurgically within 72 hours of the injury.A standardized rehabilitation was followed in all patients. The results with... Read More »
Level 2 RCT