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PeerView

You are viewing the most viewed ACE Reports by Physiotherapists over the last 30 days in all specialties.

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Synopsis: 105 patients with low back pain (LBP) were randomized to receive treatment with either lumbar stabilization exercises (LSE) or manual therapy (MT).A clinical prediction rule (CPR) predicting successful outcomes based on CPR status following LSE was tested for validity.After 8 weeks, the present study was unable to validate CPR, as the interaction between treatment and CPR status was absent, despite pairwise comparisons suggesting patients with positive statuses to experience less disability following LSE. A modified CPR,... Read More »
Author verified Level 2 RCT
9%
Synopsis: 126 patients who had undergone total hip arthroplasty or hip resurfacing and were deemed appropriate cases for same-day mobilization were randomized to mobilization in the afternoon following surgery (POD 0 group), or on the first postoperative day (POD 1 group).The purpose of this study was to compare time to discharge readiness and overall length of hospital stay between groups. The time to... Read More »
Level 2 RCT
6%
Synopsis: 30 patients with osteoarthritis of the knee were included in the study and randomized to one of three groups: individually tailored exercise group, targeted exercise adherence group, and usual physiotherapy care group.The study was conducted in order to assess the feasibility of the interventions as well as their impact on general physical activity and exercise behavior.It was found that regardless of the varying levels of supervision, progression, and individualization associated with each treatment, factors that patients identified as barriers or facilitators to exercise remained similar. Patient recommendations concerning... Read More »
Conference Report
3%
Synopsis: 173 patients with degenerative disc disease were randomized to determine the segmental movement, disc height, and sagittal alignment following total disc replacement (TDR).Patients received either TDR or multidisciplinary rehabilitation (MDR), and were assessed after 2 years.Results indicated that there was no significant change in the movement of the sagittal plane. Moreover, there was... Read More »
Level 2 RCT
3%
Synopsis: 203 physiotherapists were randomized to either take part in an interactive workshop (IW) course or a conventional education (CE) course on hip and knee osteoarthritis (OA), to compare which was more satisfying and more effective in improving adherence to recommendations found in guidelines. Results displayed that, over a 3 month period, physiotherapists in the IW group were more satisfied with their courses and more willing to follow the guidelines for hip and knee OA, than physiotherapists who completed the CE course. Read More »
Author verified Level 2 RCT
2%
Synopsis: 103 patients with symptomatic small (<1cm) or medium-sized (1 cm to 3 cm) rotator cuff tears were randomized to be managed with either a surgical repair or a conservative management with physiotherapy. At 1 year, it was observed that the surgery was superior to physiotherapy for small and medium-sized tears of the rotator cuff, with better results on the Constant scale, ASES scale, and reductions in pain. Read More »
Level 2 RCT
2%
Synopsis: 8 ACE Reports (7 randomized controlled trials and 1 systematic review and meta-analysis, n=694) from the OrthoEvidence database assessing the effectiveness of corticosteroid injections in comparison to control injections (either saline or local anesthesia) for the treatment of lateral epicondylitis were included in this review.The purpose of this review was to determine the impact of corticosteroid injections on pain and physical function in comparison to these control treatments.As such, information and data on platelet-rich plasma (PRP) injection efficacy as a treatment was not included from reports.Statistical pooling of VAS pain scores and Quick DASH scores exhibited that corticosteroid injections provided significant pain relief, compared to control injections only in the short-term (6-12 weeks), while having no functional benefits over control injections at any time point within a 6 month period. Similar results were... Read More »
ACE Review
2%
Synopsis: 90 patients with degenerative spinal disorders undergoing lumbar spinal fusion were randomized to receive either cognitive-behavioural therapy or standard treatment.The objective of this study was to determine whether or not cognitive-behavioural therapy (CBT) has the ability to affect early postoperative outcomes such as back pain, mobility, analgesic consumption, and hospital stay duration.Findings indicated no significant differences between groups for improvement in postoperative back pain, analgesic consumption, and length of hospitalization. However, mobility was... Read More »
Level 2 RCT
2%
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
2%
Synopsis: Seven RCTs (515 patients) were included in this meta-analysis comparing local injection of platelet rich plasma (PRP) and local injection of corticosteroid for the treatment of lateral epicondylitis.Outcomes of interest included pain on a Visual Analog Scale (VAS), the Modified Mayo Performance Index, the Disability of the Arm, Shoulder and Hand (DASH) score, and the risk of adverse events.Outcomes were analyzed up to 6 months post-treatment.Results revealed significantly favourable VAS pain, Mayo, and DASH in the PRP group compared to the corticosteroid group at all time points. The risk of... Read More »
Level 1 Meta Analysis