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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: Previous studies have established the success of non-operative treatment following Achilles tendon rupture.37/60 patients were analyzed in this follow-up study comparing an early weight-bearing protocol to standard weight-bearing protocol during dynamic rehabilitative treatment of acute Achilles tendon ruptures.The primary outcome of interest was the Achilles Tendon Rupture Score (ATRS).Secondary outcomes of interest included heel raise height and work, as well as the return to level (heavy, light but active, sedentary) of work and sporting, and the incidence of re-rupture.Follow up was performed at 4.5 years post-operation.At 4.5 years, there were no significant differences between the early weight-bearing and usual care groups in ATRS score, heel raise height or heel raise work.All 37 patients had return to some level of work by the 4.5 year follow up, and 33/37 patients had returned to some level of sporting activity. Three cases of... Read More »
Level 2 RCT
4%
Synopsis: A non-inferiority trial including 356 patients presenting to a general practitioner with traumatic knee complaints were randomized to receive immediate referral for magnetic resonance imaging (MRI) or usual protocol directed by the guidelines provided by the Dutch college of general practitioners.The primary outcome of interest was the Lysholm knee score.Secondary outcomes of interest included the EQ-5D quality of life questionnaire, the Knee Injury and Osteoarthritis Outcome Scale (KOOS), pain on a numeric rating scale (NRS), as well as patient perceived recovery and satisfaction.Follow up was performed at 6 weeks, 3, 6, 9 and 12 months. Results found no... Read More »
Level 2 RCT
4%
Synopsis: Traditionally, patients undergoing total hip arthroplasty (THA) have been advised to avoid certain movements that would put them at risk for dislocation.This has been of particular concern with the posterolateral, which has historically been associated with the highest dislocation rates.In recent years, however, improvements in surgical technique and implants (e.g.larger heads) have dramatically reduced dislocation rates.Thus, it is unclear if hip precautions are still necessary.The authors randomized 408 patients to standard care and patients who still had hip precautions while awake, but had no restrictions on sleeping position.Primary outcome was dislocation at 8 weeks, secondary outcomes were deep infection, pulmonary embolism, deep vein thrombosis, pain, function, and health-related quality of life.There were no significant differences on any outcomes between the two groups. The trial was... Read More »
Level 1 RCT
4%
Synopsis: 28 young, female basketball players were randomized to receive a 10 week experimental pre-training warm-up program focusing on ankle mobility, core stability training and balance training, or a standard warm-up program involving walking ball-handling and core stability training.The primary outcome of interest was the center of pressure displacement and postural sway during the single-limb stance test.Secondary outcomes of interest included the dorsiflexion long test.Results revealed significant improvement in ankle dorsiflexion from baseline in both ankles, and a significantly lower center of pressure displacement from baseline in the experimental group.The control group did not display any significant improvements in ankle dorsiflexion from baseline, and displayed significant increases in center of pressure displacement as well as surface area on the postural sway test from baseline. All outcomes were... Read More »
Level 2 RCT
3%
Synopsis: Twenty-two children with cerebral palsy were randomized to receive calf strengthening exercises or no calf strengthening exercises along side calf stretching exercises to improve the effectiveness of stretching by increasing tendon stiffness.Outcomes of interest included fascicle length, ankle angle, muscle length, tendon length and tendon stiffness. Results found significantly... Read More »
Level 2 RCT
2%
Synopsis: Data from 8 studies (3 RCTs, 1 clinically controlled trial, 3 cohort studies, and 1 case series), published between January 2011 and January 2013, was systematically evaluated to investigate the benefits of proximal exercise in improving pain and function in patients with Patellofemoral pain syndrome (PFPS), when compared to benefits associated with knee exercise.The evidence presented in this systematic review indicated that proximal exercise programs resulted in a consistent reduction of pain and function in the treatment of Patellofemoral pain syndrome, while knee exercise therapy exhibited variable outcomes. All included studies... Read More »
Author verified Level 2 Meta Analysis
2%
Synopsis: Paediatric flexible flatfoot is a very common condition which tends to improve over time in many children.During the period of its persistence, however, it can be quite painful and debilitating.The authors randomized patients to receive a customized arch support for 12 weeks or control (no insoles).Outcomes included radiographic outcomes, pain, function, stair ascent time, and overall mobility. Patients with customized... Read More »
Level 1 RCT
2%
Synopsis: Eight-four elderly patients surgically treated for a hip fracture were randomized to receive an upper-body in-bed yoga program or an abdominal deep breathing exercise regimen.The outcomes of interest included forced volume capacity (FVC), peak cough flow (PCF), the Barthel Index and the incidence of complications.Follow up was performed after 1 and 4 weeks of treatment.The results revealed significantly favourable PCF and Barthel Index scores after 1 week of treatment in the yoga group compared to the control group.After 4 weeks of treatment, FVC, PCF and Barthel index scores were significantly in favour of the yoga group. 1 case of... Read More »
Level 2 RCT
1%
Synopsis: 32 patients, between the ages of 18 and 30 years, who were clinically diagnosed with unilateral patellofemoral pain syndrome through the identification of anterior or retro-patellar knee pain during activity were included in this study.Patients were randomly assigned into 1 of 2 groups to compare a Closed Kinetic Chain (CKC) exercise program with additional hip strengthening to a CKC program without additional hip strengthening to investigate their effects on pain and hip abductor/lateral rotator peak torque.Results of the study indicated that 6 week CKC programs without additional hip strengthening exercises have similar effects in improving hip muscle torque in patients with patellofemoral pain syndrome (PFPS) as CKC exercises with additional hip strengthening exercises. However, it was... Read More »
Level 2 RCT
1%
Synopsis: Fourteen studies (12 RCTs, 2 non-RCTs) were included in this systematic review and meta-analysis examining the effect of augmented feedback training during jump landing training on bio-mechanical parameters associated with anterior cruciate ligament (ACL) injury.Data was analyzed at two different time-points: immediately post-test and delayed post-test (at least 24 hours after last training session).Results revealed significantly favourable improvements in peak knee and hip flexion angle and peak vertical ground reaction force in the augmented feedback group compared to the control group.The significant improvement in peak knee flexion angle and peak vertical ground reaction force was sustained in the delayed post-test meta-analyses. No significant differences... Read More »
Level 2 Meta Analysis