Achilles Tendon, Tendinopathy
Conditions
Keywords
Eccentric exercise, Whole body vibration, Cryotherapy
Brief summary
The purpose of this study is to determine the effectiveness of eccentric exercise combined with vibration or cryotherapy in Achilles tendon pathology. The investigators hypothesis is that the combined eccentric exercise is better than the results presented by the exclusive eccentric exercise. This intervention differs from the classic studies in that we maintain the intensity throughout the treatment.
Interventions
12 weeks, 5 days/week, once a day, 2 exercises, 3 sets/exercise, 15 repetition/set. Of excentric exercise of foot plantar flexors. First exercise with knee in extension. Second exercise with knee in flexion. Previously subjects should cool their leg in ice water during sixteen minutes at a temperature of 8ºC (+/-2ºC)
12 weeks, 5 days/week, once a day, 2 exercises, 3 sets/exercise, 15 repetition/set. Of excentric exercise of foot plantar flexors. First exercise with knee in extension. Second exercise with knee in flexion. During the exercise subjects will be subjected to vibration. Vibration parameters: Frequency: 35Hz, Amplitude: 4 millimeters, Force: 3,9G
Sponsors
Universidad Europea de Madrid
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Sports people * Positive initial ultrasound diagnosis * Presence of degenerative changes at achilles mid portion * Chronic Achilles tendon pain, (3/10 VAS) * Pain when walking or running of Achilles tendon, (3/10 VAS) * Pain in load in plantar flexion of Achilles tendon, 3/10 VAS) * Pain in palpation of Achilles, (3/10 VAS) * Morning Stiffness Inclusion Criteria Healthy pople: * Sports people * Negative initial ultrasound diagnosis * No syntomp of achilles tendinophaty
Exclusion criteria
* Receive physical, orthotic or physiotherapeutic treatment * Asociated low back pain, ankle/knee/hip injury that may affect the study * Previous injury or surgery of Achilles tendon. * Pathologies that may limit the joint of ankle * Pregnancy * Obesity * Patients with diabetes and/or other endocrine or metabolic pathologies or neurologic pathologies * Patients diagnosed with cardiovascular disease * Subjets diagnosed with familiar hypercholesterolemia and/or presence of xanthomas or with hyperuricemia * Patients who have received renal transplantation * Subjects who have suffered retinal detachment * Subjects who have received oral contraceptives, statins, corticoids or hormone replacement therapy in the last six months * Subjects who have received treatment wiht fluoroquinolones in the last two years * Subjects who have received treatment with AINE's in the last four weeks
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change at Achilles Tendon Cross Sectional Area | 3 months | Ultrasound diagnosis. |
| Change at Achilles Tendon Thickness | 3 months | Ultrasound diagnosis. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Differences between healthy volunteers and volunteers with Achilles tendinopathy | 2 weeks | Ultrasound diagnosis |
Countries
Spain
Outcome results
None listed