Achilles Tendinopathy
Conditions
Brief summary
The purpose of this study was to determine the effect of extracorporeal Shock wave therapy (ESWT) on functional activity and pain in patients with Achilles tendinopathy
Detailed description
Fifty patients of both sexes with Achilles tendinopathy aged 18-40 years, were assigned randomly into two equal groups. The study group received ESWT in addition to a conservative physical therapy program for four weeks, while the control group received a conservative physical therapy program only. Pain and functional mobility were assessed before and after treatment through a visual analog scale (VAS) and Victorian Institute of sports assessment - Achilles questionnaire (VISA-A), respectively
Interventions
DEVICEExtracorporeal Shockwave Therapy(ESWT)
Each session of Extracorporeal Shockwave Therapy(ESWT) consists of 2000 pulses with a pressure of 3 bars (equals an energy flux density of 0.1 mJ/mm²), and treatment frequency of 8 pulses/sec
OTHEREccentric training of the calf muscle:
The patients were asked to stand with all their body weight on the injured leg on a wooden step. From an upright body position and standing with all body weight on the forefoot, with the ankle joint in plantar flexion. The calf muscle is loaded by having the patient lower the affected limb down by dorsiflexion the ankle until the plantar aspect of the heel lay below the level of the step, and the ankle is in maximum dorsiflexion.
OTHERGastrocnemius, soleus, and hamstring stretch
Stretching every muscle for 30 seconds. Each stretch was performed 3 times (holding for 30 seconds and rest for 30 seconds). All these stretches were performed directly after the eccentric exercises twice/day for 7 days/week for weeks
Sponsors
Prof.Dr. Emad Samuel Boles Saweeres
Prof.Dr Nadia Abdelazim fayaz
Mr.Mohamed Nasser Kise Helmy
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Clinical history of Achilles tendon pain for at least six months * A minimum of three months conservative treatment administered without benefit for at least four weeks before ESWT.
Exclusion criteria
* Patients underwent physical therapy in the four weeks prior enrollment to study. * Patients had taken non-steroidal anti-inflammatory medication during the previous week * Patients had received peritendinous injections of a local anesthetic or corticosteroid within last 4 weeks * Patients had bilateral Achilles tendinopathy * Patients with other conditions that could significantly contribute to posterior ankle pain (osteoarthritis, radiculopathy, systemic neurologic conditions) * Patients having previous injury or surgical treatments of the ankle.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The Victorian Institute of Sport Assessment-Achilles questionnaire (VISA-A). | 15 minutes | It consists of eight questions that covered the three domains of pain (questions 1-3), function (questions 4-6), and activity (questions 7 and 8.). Questions one to seven are scored out of 10, and question 8 carries a maximum of 30. Scores are summed to give a total out of 100. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The visual analog scale (VAS). | 15 minutes | The VAS is a continuous scale consists of a horizontal line (HVAS) usually 10 centimeters (10-100 mm) in length. For pain intensity, the scale is most anchored by no pain (score of 0) and pain as bad as it could be or worst imaginable pain (score of 10 |
Countries
Egypt
Outcome results
None listed