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- Title
Efficacy of Radial Pressure Wave Therapy in athletes with Achilles Tendinopathy: A randomized trial.
- Authors
Ishin Togashi; Masashi Nagao; Hirohumi Nishio; Komatsu Takayuki; Yuki Shiota; Yuji Takazawa
- Abstract
Introduction: Radial pressure wave (RPW) is widely used in clinical practice for tendinopathy and is investigated to have a synergistic effect with exercise therapy.1 However, there are no studies that have examined and compared the additive effect of RPW and exercise therapy although they are not used alone in clinical practice. Objectives: To compare the effects of RPW with exercise therapy versus exercise therapy alone in athletes with Achilles tendinopathy. Study design: Open-label randomized controlled trial. Methods: 18 athletes with Achilles tendinopathy were randomly assigned to the intervention group (n = 9) or the control group (n = 9). The intervention group received a total of four sessions of RPW once a week for 4 weeks. Both groups received instruction from the physiotherapist and performed the exercise therapy daily. Score on the Japanese version of the Victorian Institute of Sports Assessment Scale-Achilles questionnaire (VISA-A-J) were collected at baseline, 4, 16 and 24 weeks after the start of the intervention. Repeated measures analysis was used to assess the difference in an improvement in VISA-A-J variables between the groups over time. Results: VISA-A-J scores improved significantly in both groups over the study period, but there were no differences in treatment efficacy between groups over time (p = 0.675). The mean baseline VISA-A-J scores (95% confidence interval, CI) were 63.4 (54.0 - 72.9) for the intervention group and 59.2 (49.8 - 68.7) for the control group. The VISA-A-J scores of the intervention and control groups improved over time to 76.0 (61.3 - 90.7) and 61.2 (46.5 - 75.9), respectively after four RPW sessions and to 86.8 (75.5 - 98.1) and 79.6 (68.3 - 90.9), respectively, at 24 weeks. Conclusions: The addition of RPW was as effective as exercise therapy alone for athletes with Achilles tendinopathy.
- Subjects
NORWAY; EXERCISE therapy; ACHILLES tendinitis; TREATMENT effectiveness; CONFERENCES &; conventions; ATHLETES; ULTRASONIC therapy
- Publication
International Journal of Sports Physical Therapy, 2024, Vol 19, Issue 6, p775
- ISSN
2159-2896
- Publication type
Article