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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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Perioperative Blood Flow Restriction Therapy Program After Anterior Cruciate Ligament Reconstruction
①
Synopsis:
Forty-six patients who sustained an anterior cruciate ligament (ACL) tear and were scheduled for reconstruction were randomized into a group receiving either a blood flow restriction (BFR) therapy program (n=22) or a control group without BFR (n=24).The primary outcome of interest was isometric quadriceps strength at 3 months postoperatively, measured as peak and mean torques during seated leg extension exercises and presented as a ratio of the healthy limb.Secondary outcomes included patient-reported outcomes such as pain, knee function, and physical function, knee range of motion, quadriceps circumference and adverse effects.Outcomes were assessed up to 6 months postoperatively. Overall, the study...
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Level 1 RCT
13%
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...
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Meta Analysis
12%
①
Synopsis:
Two hundred and sixteen patients with advanced osteoarthritis scheduled for primary total knee arthroplasty (TKA) were randomized to receive one of three TKA prosthetic designs from the same system: cruciate-retaining (CR; n=72), anterior-stabilized (AS; n=72), or posterior-stabilized (PS; n=72).The primary outcome of interest was the mean score of all five subscales of the Knee injury and Osteoarthritis Outcome Score (KOOS) measured at a two-year follow-up appointment.Secondary outcomes included individual KOOS subscales, Oxford Knee Score, EuroQol five-dimension health questionnaire, EuroQol visual analogue scale, range of motion, and patient satisfaction.Outcomes were assessed up to two years postoperatively.Overall, patients reported similar levels of pain, function, satisfaction, and general health in all three prosthetic design groups. However, the PS...
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Level 1 RCT
12%
①
Synopsis:
23 randomized controlled trials (2284 patients) comparing open versus endoscopic techniques for carpal tunnel release in patients with carpal tunnel syndrome were included in this systematic review and meta-analysis.A subgroup analysis was also conducted on single- versus dual-portal endoscopic treatment.The primary outcomes of interest included complication and reoperation rates.Secondary outcomes included operative time, the incidence of scar tenderness and pillar pain, normalized satisfaction scale, the incidence of complete or near complete symptom relief, Boston Carpal Tunnel Questionnaire (BCTQ) symptom and function, and time to return to work.All outcomes were similar between the two groups except for time to return to work and incidence of scar tenderness (dual-portal vs open) which all favored the endoscopic group.The incidence of nerve injury was significantly lower in the open-technique group. Overall, the endoscopic...
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Level 1 Meta Analysis
11%
①
Synopsis:
A total of sixty-one patients with posterolateral tibial plateau fractures (PTPF) were randomized to receive either conventional surgery (n=30) or surgery using personalised 3D printing technology (n=31).The primary outcome of interest was operative time.Secondary outcomes included intraoperative blood loss, intraoperative fluoroscopy shots, radiographic outcomes, functional outcomes, and fracture complications, assessed 12 months postoperatively. Overall, the study...
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Level 1 RCT
2%
①
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...
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Level 1 Meta Analysis
2%
①
Synopsis:
Four randomized controlled trials (274 patients) comparing high- versus low-dose steroid injections for adhesive capsulitis (frozen shoulder) were included in this systematic review and meta-analysis.Outcomes of interest included pain on a Normalized Pain Scale, shoulder range of motion (ROM), and function on a Normalized Function Scale.All outcomes were similar between the low- and high-dose steroid injection groups at all time points.The results of this meta-analysis showed that there were no additional benefits of using high-dose steroid injections for adhesive capsulitis compared to a low-dose steroid injection.
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Level 1 Meta Analysis
2%
①
Synopsis:
71 patients with primary glenohumeral osteoarthritis undergoing total shoulder arthroplasty (TSA) were randomized to receive either a subscapularis-targeted rehabilitation program (SR; n=36) or a traditional rehabilitation program plus some subscapularis exercises (TR; n=35).The primary outcome of interest was subscapularis strength.The secondary outcomes of interest included peak, average, and time to maximum isometric strength in internal rotation, incidence of positive belly press, bear hug, and lift-off lag, range of motion (ROM), Patient Reported Outcomes Measurement Information System - Upper Extremity Score (PROMIS), and the American Shoulder and Elbow Surgeone (ASES) score.All outcomes were measured at 3 and 6 months and one year. All outcomes were...
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Level 1 RCT
2%
①
Synopsis:
108 elderly patients with lumbar spondylolisthesis were randomized to receive either instrumented posterolateral fusion (n=54) or uninstrumented posterolateral fusion (n=54).The primary outcome of interest was the change in Oswestry Disability Index (ODI) scores after 2 years.Secondary outcomes of interest included back and leg pain on a Visual Analog Scale (VAS), EuroQoL-5D (EQ-5D), Short-Form 36 (SF-36) physical and mental component scores, Zurich Claudication Questionnaire (ZCQ) symptoms and function, length of stay, operative time, total blood loss, drainage volume, autograft weight, and the incidence of fusion and reoperation.There were no differences between the two groups in any of the patient-reported outcome measures at all time points.However, operative time was shorter, and blood loss and drainage volume were significantly lower in the uninstrumented fusion group. The incidence of...
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Level 1 RCT
1%
①
Synopsis:
One hundred and ninety four patients with operative ankle fractures were randomized to undergo early weightbearing (EWB) at 2 weeks postoperatively (n=95) or nonweightbearing (NWB) (n=99) until 6 weeks postoperatively.This was a noninferiority trial design.The primary outcome of interest was the mean difference in the Olerud-Molander ankle score (OMAS) between the two groups at 12 month follow-up.Additional outcomes of interest included time to full weightbearing, time to return to preinjury activities and patient satisfaction.The EWB group demonstrated a noninferior mean difference in the OMAS score when compared to the NWB group.There was no difference in the proportion of patients who were satisfied at 12 month follow-up.The EWB demonstrated shorter time to full weightbearing and return to preinjury activities than the NWB group (p<0.001). No differences in...
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Level 1 RCT