Clinical effectiveness of low-level laser therapy as an adjunct to eccentric exercise for the treatment of Achilles' tendinopathy: a randomized controlled trial
Tumilty S, McDonough S, Hurley DA, Baxter GD
Archives of physical medicine and rehabilitation · 42 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2012-04-25 · Arch Phys Med Rehabil · vol. 93 · número 5 · págs. 733–739
- Editorial
- Elsevier BV
- Citado
- 74 citas · más que el 95% de estudios similares · 5.4× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 45 trabajos
- Acceso
- De pago
- Áreas de investigación
- Tendon Structure and Treatment · Laser Applications in Dentistry and Medicine · Myofascial pain diagnosis and treatment
- Palabras clave
- low-level laser therapy, eccentric exercise, Achilles tendinopathy, VISA-A score, pain, tendinopathy treatment, adjunctive therapy
- MeSH
- achilles tendon, humans, pain measurement, combined modality therapy, exercise therapy, single-blind method, adult, middle aged, female, male, tendinopathy, surveys and questionnaires, low-level light therapy
4 autores
- Steve Tumilty🇳🇿 · autor de correspondenciaUniversity of Otago
- Suzanne McDonough🇬🇧University of Ulster
- Deirdre A. Hurley🇮🇪University College Dublin
- David G. Baxter🇳🇿University of Otago
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objective
To investigate the effectiveness of low-level laser therapy (LLLT) as an adjunct to a program of eccentric exercises for the treatment of Achilles' tendinopathy.
Design
Randomized controlled trial with evaluations at baseline and 4, 12, and 52 weeks.
Setting
Primary care clinic.
Participants
Participants with midportion Achilles' tendinopathy were randomly assigned to 2 groups (LLLT n=20: mean age ± SD, 45.6±9.1y; placebo n=20: mean age ± SD, 46.5±6.4y). The 12-week evaluation was completed by 36 participants (90%), and 33 participants (82.5%) completed the 52-week evaluation.
Intervention
Both groups of participants performed eccentric exercises over a 3-month period. In addition, they received either an active or placebo application of LLLT 3 times per week for the first 4 weeks; the dose was 3J per point.
Main outcome measures
The primary outcome was the Victorian Institute of Sport Assessment-Achilles' questionnaire (VISA-A) score at 12 weeks; secondary outcome was a visual analog scale for pain. Outcomes were measured at baseline and 4, 12, and 52 weeks.
Results
Baseline characteristics exhibited no differences between groups. At the primary outcome point, there was no statistically significant difference in VISA-A scores between groups (P>.05). The difference in VISA-A scores at the 4-week point significantly favored the placebo group (F(1)=6.411, sum of squares 783.839; P=.016); all other outcome scores showed no significant difference between the groups at any time point. Observers were blinded to groupings.
Conclusions
The clinical effectiveness of adding LLLT to eccentric exercises for the treatment of Achilles' tendinopathy has not been demonstrated using the parameters in this study.
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