Eccentric loading compared with shock wave treatment for chronic insertional achilles tendinopathy. A randomized, controlled trial. (2008)

PICO

Patient/Population

Chronic (>= 6 month) recalcitrant insertional Achilles tendinopathy (n=50)

Intervention

  • Repetitive radial low-energy shock wave therapy

Comparison

  • Eccentric loading

Outcomes

  • Pain
  • Function
  • Activity

Translatability:   (3/3) Easy                                    

Comments: Eccentric loading as applied in the present study showed inferior results to low-energy shock wave therapy at four months of follow-up.
Limitations: “Given the small size of the trial, the fact that it was not blinded, and the potential biases and confounders, this study falls under the ‘‘hypothesis- generating’’ category.”

Appraisals:

PEDro Scale  – (8/10) Blind subjects: No; Blind therapists: No. (by PEDro – confirmed)

Evidence  – Level I (by the authors)

Metrics and
Journal Details:
scite_ report – 

 SCOPUS CiteScore View  

McMaster REHAB+ View

BTB

Intervention

  • RSWT

Dose

  • 2000 pulses; pressure 2.5 bars (energy flux density of 0.12 mJ/mm2); 8Hz.

Periodicity

  • 1 weekly session for 3 weeks

Local/Technic:

 15-mm-diameter header; standard, commercially ultrasound gel;  at the area of maximal tenderness  in a circumferential pattern, starting at the point of maximum pain.

    Citation: Rompe, J. D., Furia, J., & Maffulli, N. (2008). Eccentric loading compared with shock wave treatment for chronic insertional achilles tendinopathy. A randomized, controlled trial. The Journal of bone and joint surgery. American volume,90(1), 52–61. https://doi.org/10.2106/JBJS.F.01494

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