Utility of Ultrasonography in Assessing the Effectiveness of Extracorporeal Shock Wave Therapy in Insertional Achilles Tendinopathy.
Yi Cheng,Jian Zhang,Yehua Cai +2 more
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TLDR
Ultrasonography can reveal some changes in the insertion of the Achilles tendon after ESWT, but the outcome of ESWT in IAT cannot be predicted by the variables observed by US.Abstract:
Introduction. The aim of this study was to investigate the utility of ultrasonography (US) for predicting and assessing the effectiveness of extracorporeal shock wave therapy (ESWT) in insertional Achilles tendinopathy (IAT). Methods. A total of 42 patients with an established diagnosis of chronic IAT were examined by US before ESWT and at 4 weeks and 12 weeks after ESWT. The thickness and cross-sectional area (CSA) of the Achilles tendon, size of calcific plaques, tendon structure score, and neovascularization score were measured at each time point. Results. After therapy, Victorian Institute of Sport Assessment-Achilles (VISA-A) scores increased significantly, and the size of calcific plaques decreased (P < 0.05). Neovascularization scores increased at the 4th week and then decreased at the 12th week (P < 0.05). The thickness, CSA, and structure of the Achilles tendon did not change. Variables observed by US at baseline were not associated with changes in VISA-A scores at follow-up. However, the changes in calcific plaque size and neovascularization scores were related to the improvement of VISA-A scores between pre- and posttherapy (P < 0.01). Conclusion. Ultrasonography can reveal some changes in the insertion of the Achilles tendon after ESWT, but the outcome of ESWT in IAT cannot be predicted by the variables observed by US.read more
Citations
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Journal ArticleDOI
Extracorporeal Shock Wave Therapy for Achilles Tendinopathy.
TL;DR: The aim of the paper is to use research reports on ESWT in patients with Achilles tendinopathy to help practising physiotherapists establish the most effective intervention parameters.
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Achilles insertional tendinopathy: state of the art
TL;DR: To improve the knowledge about Insertional Achilles tendinopathy, more evidence should be provided concerning innovative treatments, especially considering growth factors injections and percutaneous surgery.
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The effects of shockwave therapy on musculoskeletal conditions based on changes in imaging: a systematic review and meta-analysis with meta-regression.
Hani Al-Abbad,Hani Al-Abbad,Sophie Ruth Allen,Susan Morris,Jackie Reznik,Erik Biros,Bruce Paulik,Anthony Wright +7 more
TL;DR: SWT altered the morphology of musculoskeletal conditions, potentially reflecting changes in underlying pathophysiological processes, and baseline lesion size was an independent predictor for changes in imaging outcomes.
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Therapeutic Response of Extracorporeal Shock Wave Therapy for Insertional Achilles Tendinopathy Between Sports-Active and Nonsports-Active Patients With 5-Year Follow-up.
TL;DR: ESWT can improve the symptoms of Achilles tendinopathy, and patients with IAT who had greater sports activity levels had better therapeutic responses than nonsports-active patients after 5-year follow-up.
Journal ArticleDOI
Frequency of pathology on diagnostic ultrasound and relationship to patient demographics in individuals with insertional achilles tendinopathy
Jennifer A. Zellers,Bradley C Bley,Ryan T. Pohlig,Nabeel Hamdan Alghamdi,Nabeel Hamdan Alghamdi,Karin Grävare Silbernagel +5 more
TL;DR: Patients with insertional tendinopathy present with multiple underlying pathologies that may account for variable response to treatment and it may be helpful to include imaging to better identify underlying pathology when trying to determine an appropriate treatment strategy.
References
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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
Types and epidemiology of tendinopathy.
TL;DR: Empirical studies are important when planning prevention programs for tendon injuries because of individual sport cultures and different sport habits in different countries, national epidemiologic studies are of importance in each individual country.
Journal ArticleDOI
Ultrasound guided sclerosis of neovessels in painful chronic Achilles tendinosis: pilot study of a new treatment
Lars Öhberg,Haakan Alfredson +1 more
TL;DR: Sclerosing neovessels appears to be an effective treatment for painful chronic Achilles tendinosis, suggesting that neovessel play a key part in causing chronic tendon pain.
Journal ArticleDOI
Tendon pathology in long-standing achillodynia. Biopsy findings in 40 patients.
TL;DR: Changes in the fiber structure and arrangement, as well as increased amounts of interfibrillar GAG, appear to be characteristic morphological features in Achilles tendons with long-standing achillodynia and ultrasonographic widening, which may indicate that achillingnia is due to local disturbances in connective tissue metabolism or circulation or to both.