Pilot Investigation to Evaluate Effectiveness of Shockwave Therapy, Photobiomodulation and Physical Therapy in the Management of Non-insertional Achilles Tendinopathy
Study Details
Study Description
Brief Summary
This is a randomized control trial with an elective cross over after three months to evaluate three different treatments in the management of non-insertional Achilles Tendinopathy. The treatment methods include physical therapy, shockwave therapy and photobiomodulation.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
This is a randomized control study with an elective cross over. In part 1 of the study participants will be randomized into one of three treatment arms: 1) physical therapy only; 2) physical therapy and shockwave therapy; 3) physical therapy, shockwave therapy and photobiomodulation. At 3 months, patients can choose to switch to a different treatment arm than they were initially randomized.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Physical Therapy Only
|
Other: Physical Therapy
Participants will enroll in physical therapy and complete an at-home exercise protocol
|
Experimental: Shockwave Therapy and Physical Therapy
|
Device: Shockwave Therapy
Participants will receive shockwave therapy once a week for three weeks
Other: Physical Therapy
Participants will enroll in physical therapy and complete an at-home exercise protocol
|
Experimental: Photobiomodulation, Shockwave Therapy and Physical Therapy
|
Device: Shockwave Therapy
Participants will receive shockwave therapy once a week for three weeks
Device: Photobiomodulation Therapy
Participants will receive photobiomodulation therapy twice a week for three weeks
Other: Physical Therapy
Participants will enroll in physical therapy and complete an at-home exercise protocol
|
Outcome Measures
Primary Outcome Measures
- Calf raises to fatigue [0-6 months]
The number of calf raises to fatigue that the participant is able to be performed by will be recorded at different time points
- Ultrasound measurements [0-6 months]
The cross-sectional area will be measure on the ultrasound
- Victorian Institute of Sports Assessment (VISA-A) Questionnaire [0-6 months]
Victorian Institute of Sports Assessment Questionnaire. The score of the questionnaire ranges from 0-100, where 100 is a person who is completely asymptomatic (better).
Eligibility Criteria
Criteria
Inclusion Criteria:
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A diagnosis of mid-portion Achilles tendinopathy (including both unilateral and bilateral)
-
Running is the pre-injury primary form of physical activity and pre-injury would complete on average 10 miles per week or more of running
-
VISA-A <80 at baseline to be eligible
Exclusion Criteria
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Less than 3 months of symptoms
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Primary insertional Achilles tendinopathy
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Diagnosis of rheumatological disease/connective tissue condition, symptomatic arthritis of foot and ankle, a primary running related injury outside Achilles tendinopathy, other contraindications to PBMT or SWT
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Have received SWT within the past 3 months to their Achilles
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Prior injection within 3 months
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Currently enrolled in PT for more than 4 weeks for their condition
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Women who are pregnant.
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known history of Achilles tendon tear
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currently taking oral steroid or fluoroquinolone class of antibiotics
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Spaulding Rehabilitation Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2021P000025