Eccentric Exercise Versus Eccentric Exercise and Astym for Insertional Achilles Tendinopathy
| Status: | Completed |
|---|---|
| Conditions: | Orthopedic |
| Therapuetic Areas: | Orthopedics / Podiatry |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/21/2016 |
| Start Date: | December 2013 |
| End Date: | December 2015 |
Eccentric Exercise Versus Eccentric Exercise and Astym® in the Management of Insertional Achilles Tendinopathy: A Randomized Controlled Trial
The purpose of this research study is to determine if Astym® treatment is an effective
treatment for patients with Achilles pain. The usual treatment for this condition is a
specific exercise program that has been previously shown to be effective. The research team
is trying to determine if combining Astym with the exercise program is more effective than
exercise program only.
The main hypothesis for this study is that Astym plus eccentric exercise will be more
effective than eccentric exercise alone at improving pain and function in patients with
insertional Achilles tendinopathy.
treatment for patients with Achilles pain. The usual treatment for this condition is a
specific exercise program that has been previously shown to be effective. The research team
is trying to determine if combining Astym with the exercise program is more effective than
exercise program only.
The main hypothesis for this study is that Astym plus eccentric exercise will be more
effective than eccentric exercise alone at improving pain and function in patients with
insertional Achilles tendinopathy.
Inclusion Criteria:
- diagnosis of insertional AT as a primary complaint*
- symptom duration of at least 6 weeks
- VISA-A score of 78 or lower
- he presence of insertional AT will be clinically determined by the primary
investigator using the following criteria: pain at or within 2 cm of the
posterior calcaneal insertion of the Achilles tendon along with localized
tenderness and a subjective report of decreased activity levels secondary to
Achilles pain.
Exclusion Criteria:
- prior treatment with eccentric exercise or Astym for Achilles tendinopathy
- currently taking anticoagulant medication
- usage of fluoroquinolone antibiotics in the previous six months
- previous Achilles surgery on the involved side
- bilateral symptoms
- pregnancy
- worker's compensation or liability cases
- peripheral neuropathy
- signs of lumbar radiculopathy
- inability to complete the required outcomes forms or comply with the recommended
treatment regimen
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