Photobiomodulation and eccentric exercise for Achilles tendinopathy: a randomized controlled trial
Tumilty S, Mani R, Baxter GD
Lasers in medical science · 37 citas
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 independiente
- Universidad u hospital
- University of Otago
- Universidad u hospital
- University of Otago (NZ)
Según 2 financiadores declarados.
Publicación
- Publicado
- 2015-11-26 · Lasers Med Sci · vol. 31 · número 1 · págs. 127–135
- Editorial
- Springer Science+Business Media
- Citado
- 60 citas · más que el 89% de estudios similares · 2.8× el promedio de su campo
- Referencias
- 52 trabajos
- Acceso
- De pago
- Áreas de investigación
- Tendon Structure and Treatment · Laser Applications in Dentistry and Medicine · Lower Extremity Biomechanics and Pathologies
- Palabras clave
- Achilles tendinopathy, low-level laser therapy, eccentric exercise, exercise frequency, adjunctive therapy, VISA-A score, tendinopathy treatment
- MeSH
- achilles tendon, humans, treatment outcome, exercise therapy, double-blind method, light, sports, adolescent, adult, aged, middle aged, female, male, tendinopathy, young adult, low-level light therapy
3 autores
- Steve Tumilty🇳🇿 · autor de correspondenciaUniversity of Otago
- Ramakrishnan Mani🇳🇿University of Otago
- David G. Baxter🇳🇿University of Otago
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
The common regime of eccentric exercise in use for Achilles tendinopathy is somewhat arduous and compliance issues can arise. This is the first study to investigate the effectiveness of a regime of fewer exercise sessions combined with photobiomodulation for the treatment of Achilles tendinopathy.
Methods
A double blind randomized controlled trial and intention-to-treat analysis were performed. Eighty participants, 18-65 years with Achilles tendinopathy and symptoms for longer than 3 months, were included in the trial. Participants randomized into one of four groups; 1 (Placebo + Ex Regime 1) or 2 (Laser + Ex Regime 1) or 3 (Placebo + Ex Regime 2) or 4 (Laser + Ex Regime 2). The primary outcome measure was the Victorian Institute of Sports Assessment-Achilles (VISA-A) questionnaire. Outcomes were collected at baseline, week 4 and week 12.
Results
Sixteen participants were lost to follow-up at 12 weeks, 4 of which due to adverse reactions. As per intention to treat, missing data were imputed, 80 participants were included in the final analysis. For VISA-A at 12 weeks, group 4 achieved significant gains over the other 3 groups: group 1 (18.5 [9.1, 27.9]), group 2 (10.4 [1.5, 19.2]), group 3 (11.3 [3.0, 19.6]). There was a moderate effect size in favour of exercise twice per week (7.2 [-1.8, 16.2], ES .7).
Conclusions
Twice-daily exercise sessions are not necessary as equivalent results can be obtained with two exercise sessions per week. The addition of photobiomodulation as adjunct to exercise can bring added benefit.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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