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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: Seven randomized controlled trials evaluating the efficacy of exercise therapy and/or manual therapy relative to control intervention for patients with hip osteoarthritis were included in this meta-analysis.Control groups among the included studies ranged from usual care from general practitioners, patient education, and waiting list control.High-quality evidence indicated that exercise therapy significantly improved pain and physical function post-treatment and at follow-up compared to control interventions. While manual therapy... Read More »
Level 2 Meta Analysis
5%
Synopsis: Six randomized controlled trials (231 patients) were included in this analysis comparing short-term pain and functional outcome between a specific exercise program and general exercise program in the management of patients with subacromial impingement syndrome.Compiling data at 4-8 week follow-up, results demonstrated no significant differences between the two strategies in pain during activity, or in functional outcome. Further high-quality trials... Read More »
Level 1 Meta Analysis
4%
Synopsis: 28 randomized controlled trials assessing the effect of exercise interventions on the walking ability of patients with knee osteoarthritis were included in this meta-analysis.The purpose of this study was to quantitatively compare exercise therapy to a control group receiving no intervention or psychoeducational interventions (in terms of total distance walked, amount of time spent walking, and gait speed).The results displayed that the exercise intervention significantly improved total distance walked, the amount of time spent walking, and gait velocity when compared to control. It was noted... Read More »
Level 1 Meta Analysis
3%
Synopsis: 56 patients with pes anserinus tendino-bursitis were randomized to two treatment groups: one group received 3 weeks of kinesiotaping, while the other received 10 days of naproxen 250mg three times daily plus daily physical therapy sessions.The purpose of this study was to compare pain, swelling, and adverse events from pre- to post-treatment.Results demonstrated a significant reduction in pain and swelling in both groups, though reductions were significantly greater in the KT group compared to the NSAID plus PT group. Adverse events were... Read More »
Level 2 RCT
3%
Synopsis: Twenty-six (26) randomized controlled trials were included in this systematic review and meta-analysis evaluating the efficacy of spinal manipulative therapy (SMT) compared to either active control comparators or sham treatment in the management of acute low back pain.Observational studies were also included to evaluate the safety of SMT.Results demonstrated significant effects in favour of SMT at 3-6 weeks for both pain and function.Eight of the 26 RCTs from the efficacy analyses were included in comparison of adverse events, and complemented by another 3 RCTs and 5 prospective cohort studies which only reported data on adverse events.There was high-quality evidence that transient musculoskeletal pain adverse events may be experienced following SMT, though a few studies which compared rates between treatment groups suggested similar incidences between manual therapy with and without SMT, or between SMT and sham treatment. No serious adverse... Read More »
Level 1 Meta Analysis
3%
Synopsis: 56 patients with chronic ankle instability were randomized to a 4-week program of proprioception and strengthening exercises, with or without the addition of manual therapy sessions (mobilization) during the program.Patients were followed up for visual analog scale (VAS) pain, the Cumberland Ankle Instability Tool, pressure-pain threshold at the anterior talofibular ligament, calcaneofibular ligament, tibial malleolus and fibular malleolus, ankle range of motion, and ankle strength in plantar flexion and dorsiflexion at the completion of the programs and at 1 month follow-up.Both groups demonstrated significant improvement in all outcomes. The addition of... Read More »
Level 2 RCT
3%
Synopsis: 41 patients with primary frozen shoulder who received treatment with hydrodilatation were randomized to either participate in a 4-week supervised physiotherapy program afterward in addition to a home exercise therapy program, or to home exercises alone.Patients were assessed for shoulder function on the Oxford Shoulder Score, pain, and range of motion at 4 weeks, 3 months, 6 months, and 12-month follow-up. Results demonstrated no... Read More »
Level 2 RCT
1%
Synopsis: 109 patients with a moderate, dorsally displaced distal radius fracture (Colles') were randomized to two different conservative management protocols after closed reduction.One group was treated with plaster cast immobilization for 10 days followed by elastic bandaging, while the other group was treated with 1 month (range 4-5 weeks) of plaster cast immobilization. Radiographic results found... Read More »
Author verified Level 2 RCT
1%
Synopsis: Twelve studies were included in this meta-analysis and systematic review to determine the effects of exercise therapy in the management of meniscal lesions as a non-operative treatment and as a modality for rehabilitation following meniscectomy compared to other treatments.This summary focused on the results from the meta-analyses conducted in this publication.When exercise therapy alone was compared to isolated meniscectomy/meniscal repair, exercise therapy demonstrated significantly greater strength in extension at 3 months, and no significant differences in short- and long-term pain and function.When exercise therapy was assessed as a rehabilitative treatment following meniscectomy/meniscal repair, standard exercise therapy demonstrated no significant differences in short-term pain and short- and long-term function when compared to alternative exercise therapies (early range of motion, isokinetic exercise, etc). There was limited... Read More »
Level 1 Meta Analysis
1%
Synopsis: 111 patients with Kellgren-Lawrence grade I-IV symptomatic knee osteoarthritis were randomized to three weekly intraarticular injections of either leukocyte-poor platelet-rich plasma (LP-PRP) or hyaluronic acid.Patients were assessed for pain and function over a 52-week follow-up.The primary outcome measure, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain score, demonstrated no significant difference between groups at any time point.In contrast, pain scores on a visual analog scale (VAS) demonstrated significantly lower pain in the LP-PRP group compared to the HA group at 24- and 52-week follow-up. Similarly International Knee... Read More »
Author verified Level 2 RCT