Electrical DN as an Adjunct to Eccentric Exercise, Stretching + MT for Achilles Tendinopathy

2019 ◽  
Author(s):  
Keyword(s):  
Eccentric Exercise ◽  
Achilles Tendinopathy

BET 2: ECCENTRIC EXERCISE IN THE TREATMENT OF ACHILLES TENDINOPATHY

2009 ◽  
Vol 26 (11) ◽  
pp. 815-818 ◽  
Author(s):  
D. Flint ◽  
S. Pugh ◽  
M. Callaghan
Keyword(s):  
Eccentric Exercise ◽  
Achilles Tendinopathy

C0088 Ultrasound-guided intratissue percutaneous electrolysis, dry-needling, diathermy and eccentric exercise in achilles tendinopathy in runners. a case series

2018 ◽  
Author(s):  
Javier González Iglesias ◽  
Aitor Ruiz de Lara Osacar ◽  
Carlos Fernandez Gonzalez ◽  
Javier Teijeiro López ◽  
Manuel Mira Llopis ◽  
...  
Keyword(s):  
Eccentric Exercise ◽  
Case Series ◽  
Achilles Tendinopathy ◽  
Dry Needling ◽  
Ultrasound Guided

scholarly journals Eccentric Exercise for Achilles Tendinopathy: A Narrative Review and Clinical Decision-Making Considerations

2019 ◽  
Vol 4 (2) ◽  
pp. 34 ◽  
Author(s):  
Dhinu J. Jayaseelan ◽  
John J. Mischke ◽  
Raymond L. Strazzulla
Keyword(s):  
Decision Making ◽  
Eccentric Exercise ◽  
Sports Medicine ◽  
Randomized Clinical Trials ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Health Condition ◽  
Achilles Tendinopathy ◽  
Narrative Review ◽  
Control Group

Background: Achilles tendinopathy is a common health condition encountered in the orthopedic and sports medicine settings. Eccentric exercise is a common intervention in the management of pain and limited function for this patient population, although contemporary evidence suggests additional exercise methods may be effective as well. Study design: Narrative review: Methods: A literature review was performed using the electronic databases Pubmed and PEDRO for articles through February 2019. Randomized clinical trials integrating eccentric exercise, with or without co-interventions, were evaluated. Outcomes related to pain and/or function were considered. A patient case is provided to highlight decision making processes related to clinical prescription of eccentrics for Achilles tendinopathy. Results: After screening titles and abstracts, seven studies were included for full review. Two articles compared eccentric exercise to a control group, four compared eccentrics to the use of modalities, while one used eccentric exercise as part of a multimodal intervention. In each case, eccentric exercise was effective in reducing pain and improving function. In comparison to other forms of exercise or additional interventions, eccentric exercise was frequently not more effective than other options. Discussion: Eccentric exercise has been associated with clinical benefit in improving pain and function for patients with Achilles tendinopathy. Despite the available evidence reporting effectiveness of eccentrics, other options may be equally useful. Appropriate load modification and exercise prescription for patients with Achilles tendinopathy requires systematic clinical reasoning and incorporation of patient values to optimize outcomes.

scholarly journals Manual therapy and eccentric exercise in the management of Achilles tendinopathy

2016 ◽  
Vol 25 (2) ◽  
pp. 106-114 ◽  
Author(s):  
Dhinu J. Jayaseelan ◽  
Michael Kecman ◽  
Daniel Alcorn ◽  
Josiah D. Sault
Keyword(s):  
Manual Therapy ◽  
Eccentric Exercise ◽  
Achilles Tendinopathy

Vibration increases multifidus cross-sectional area versus cryotherapy added to chronic non-insertional Achilles tendinopathy eccentric exercise

2020 ◽  
Vol 42 ◽  
pp. 61-67
Author(s):  
Carlos Romero-Morales ◽  
Pedro Javier Martín-Llantino ◽  
César Calvo-Lobo ◽  
Marta San Antolín-Gil ◽  
Daniel López-López ◽  
...  
Keyword(s):  
Eccentric Exercise ◽  
Achilles Tendinopathy ◽  
Cross Sectional Area ◽  
Sectional Area ◽  
Cross Sectional ◽  
Insertional Achilles Tendinopathy

scholarly journals Efficacy of heel lifts versus calf muscle eccentric exercise for mid-portion Achilles tendinopathy (the HEALTHY trial): study protocol for a randomised trial

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Chantel L. Rabusin ◽  
Hylton B. Menz ◽  
Jodie A. McClelland ◽  
Angela M. Evans ◽  
Karl B. Landorf ◽  
...  
Keyword(s):  
Eccentric Exercise ◽  
Study Protocol ◽  
Randomised Trial ◽  
Achilles Tendinopathy ◽  
Calf Muscle

scholarly journals Real-time sonoelastography evaluation of the Achilles tendon following ultrasound-guided platelet-rich plasma injection and eccentric exercise for the treatment of refractory Achilles tendinopathy

Ultrasound ◽  
2018 ◽  
Vol 27 (3) ◽  
pp. 138-147
Author(s):  
Chin Chin Ooi ◽  
Michal Schneider ◽  
Peter Malliaras ◽  
Meng Ai Png ◽  
Martine Chadwick ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Eccentric Exercise ◽  
Platelet Rich Plasma ◽  
Tendon Healing ◽  
Inverse Correlation ◽  
Strain Ratio ◽  
Achilles Tendinopathy ◽  
Post Treatment ◽  
Tendon Stiffness ◽  
Plasma Injection

The objective of this study was to investigate the feasibility of using sonoelastography to depict Achilles tendon stiffness after platelet-rich plasma injection and eccentric exercise for chronic Achilles tendinopathy, and to correlate sonoelastography findings with clinical outcome up to 12 months after treatment. Forty-five Achilles tendons from 45 patients (33 males, 12 females; mean age 51 years) were examined using sonoelastography and ultrasound at baseline, 4–6 weeks, 6 months and 12 months post-treatment. The strain ratio (between Achilles tendon and Kager's fat) during sonoelastography was obtained. The proportion of tendons with hypoechogenicity and neovascularity were documented. Clinical outcomes were assessed by the Victorian Institute of Sport Assessment-Achilles questionnaire and correlated with sonographic findings. The Victorian Institute of Sport Assessment-Achilles improved significantly from 38.4 (±14.1) at baseline, 77.2 (±12.5) at 6 months ( p < 0.001) to 81.2 (±10.8) at 12 months ( p < 0.001). The strain ratio values were 2.16 (±1.02) at baseline, 2.03 (±0.67) at 4–6 weeks, 1.81 (±0.62) at 6 months and 1.19 (±0.34) at 12 months with a significant reduction observed at 6 months (p = 0.006) and 12 months ( p < 0.001). At 12-month evaluation, none of the tendons regained a normal echotexture. Strain ratio demonstrated a moderately good inverse correlation with Victorian Institute of Sport Assessment-Achilles (r = −0.610, p<0.001) while B-mode and Doppler ultrasound did not show a significant correlation (r = −0.041, p = 0.817, and r = −0.116, p = 0.514). Achilles tendon stiffness shows moderately good correlation with clinical symptom at 12-month post-treatment. Sonoelastography using strain ratio could be a promising ancillary tool for monitoring Achilles tendon healing after treatment.

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