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| The role of eccentric training in the management of Achilles tendinopathy: a pilot study |
| Herrington L, McCulloch R |
| Physical Therapy in Sport 2007 Nov;8(4):191-196 |
| clinical trial |
| 3/10 [Eligibility criteria: Yes; Random allocation: No; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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OBJECTIVE: To investigate the effect of different types of treatment on Achilles tendinopathy, one proposed to increase tensile strength of the tendon, the other a more traditional treatment used in a clinical setting. DESIGN: Repeated measures trial comparing two interventions. SETTING: Sports injury clinic. PARTICIPANTS: Twenty-five participants were randomly allocated to the eccentric group (n = 13) or the control group (n = 12). MAIN OUTCOME MEASURES: The VISA-A questionnaire was used to determine outcomes and was administered to all participants at 0, 4, 8, and 12 weeks. RESULTS: All subjects significantly improved over the 12-week period (p = 0.0001), but the eccentric group demonstrated significantly higher (p = 0.014) VISA-A scores at 12 weeks. CONCLUSION: The study suggests that the addition of a 12-week eccentric exercise programme to conventional treatment of ultrasound and deep transverse frictions is more effective in treating Achilles tendinopathy than conventional treatment alone.
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