Journal ArticleDOI
Eccentric Loading Versus Eccentric Loading Plus Shock-Wave Treatment for Midportion Achilles Tendinopathy A Randomized Controlled Trial
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TLDR
At 4-month follow-up, eccentric loading alone was less effective when compared with a combination of eccentric loading and repetitive low-energy shock-wave treatment.Abstract:
BackgroundResults of a previous randomized controlled trial have shown comparable effectiveness of a standardized eccentric loading training and of repetitive low-energy shock-wave treatment (SWT) in patients suffering from chronic midportion Achilles tendinopathy. No randomized controlled trials have tested whether a combined approach might lead to even better results.PurposeTo compare the effectiveness of 2 management strategies—group 1: eccentric loading and group 2: eccentric loading plus repetitive low-energy shock-wave therapy.Study DesignRandomized controlled trial; Level of evidence, 1.MethodsSixty-eight patients with a chronic recalcitrant (>6 months) noninsertional Achilles tendinopathy were enrolled in a randomized controlled study. All patients had received unsuccessful management for >3 months, including at least (1) peritendinous local injections, (2) nonsteroidal anti-inflammatory drugs, and (3) physiotherapy. A computerized random-number generator was used to draw up an allocation schedule...read more
Citations
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Book ChapterDOI
Weichteile: Verletzungen und chronische Schäden
Hans Zwipp,Stefan Rammelt +1 more
TL;DR: Das 2.
Journal ArticleDOI
Midportion Achilles tendinopathy--a cardiovascular disease?
The potential role of MMP2 in the response of tendons to mechanical stimulation
TL;DR: Structural changes were observed locally, combined with elevated tissue M MP2 protein levels suggesting a possible contribution of MMP2 to the development of early collagen degradation.
Journal ArticleDOI
Progression criteria in loading exercise programmes in lower limb tendinopathy: a protocol for a systematic review and meta-analysis.
TL;DR: This systematic review will include randomised controlled trials that included patients with Achilles, patellar or gluteal tendinopathy; assessed pain, function or performance; and included at least one group where progressive physical exercise was administered as monotherapy.
Dissertation
The individual and combined effects of exercise and collagenase on the rodent Achilles tendon
TL;DR: Muscle forces directly influence bone adaptation: 1269: Board #5 June 1 9:30 AM – 11:00 AM [Abstract].
References
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Journal ArticleDOI
Heavy-Load Eccentric Calf Muscle Training For the Treatment of Chronic Achilles Tendinosis
TL;DR: The treatment model with heavy-load eccentric calf muscle training has a very good short-term effect on athletes in their early forties.
Journal ArticleDOI
Corticosteroid injections, physiotherapy, or a wait-and-see policy for lateral epicondylitis: a randomised controlled trial.
Nynke Smidt,Daniëlle A W M van der Windt,Willem J. J. Assendelft,Walter Devillé,Ingeborg B C Korthals-de Bos,Lex M. Bouter +5 more
TL;DR: C corticosteroid injections were significantly better than all other therapy options for all outcome measures, and physiotherapy had better results than a wait-and-see policy, but differences were not significant.
Journal ArticleDOI
The VISA-A questionnaire: a valid and reliable index of the clinical severity of Achilles tendinopathy
Jane E. Robinson,Jill Cook,Craig Purdam,Paul J. Visentini,J. Ross,Nicola Maffulli,Jack E. Taunton,Karim M. Khan +7 more
TL;DR: The VISA-A questionnaire is reliable and displayed construct validity when means were compared in patients with a range of severity of Achilles tendinopathy and control subjects and has the potential to provide utility in both the clinical setting and research.
Journal ArticleDOI
Shock wave therapy induces neovascularization at the tendon-bone junction. A study in rabbits.
Ching-Jen Wang,Feng-Sheng Wang,Kuender D. Yang,Lin-Hsiu Weng,Chia-Chen Hsu,Chun-Shun Huang,Lin-Cheng Yang +6 more
TL;DR: In conclusion, shock wave therapy induces the ingrowth of neovascularization associated with early release of angiogenesis‐related markers at the Achilles tendon–bone junction in rabbits, which may play a role to improve blood supply and tissue regeneration at the tendon-bone junction.
Journal ArticleDOI
Eccentric training in patients with chronic Achilles tendinosis: normalised tendon structure and decreased thickness at follow up
TL;DR: Ulasonographic follow up of patients with mid-portion painful chronic Achilles tendinosis treated with eccentric calf muscle training showed a localised decrease in tendon thickness and a normalised tendon structure in most patients.