TDN, Manual Therapy and Exercise For the Management of Achilles Tendinopathy
| Status: | Recruiting |
|---|---|
| Conditions: | Orthopedic |
| Therapuetic Areas: | Orthopedics / Podiatry |
| Healthy: | No |
| Age Range: | 18 - 70 |
| Updated: | 7/28/2018 |
| Start Date: | May 2015 |
| End Date: | December 31, 2018 |
| Contact: | Alex M Koszalinski, DPT |
| Email: | alexkoszalinski@yahoo.com |
| Phone: | 330-329-1718 |
Trigger Point Dry Needling, Manual Therapy and Exercise vs Manual Therapy and Exercise For the Management of Achilles Tendinopathy
Conflicting evidence exists regarding the recommendations from the Orthopaedic section of the
American Physical Therapy Association for treatment of Achilles tendinitis. Trigger point dry
needling is effective in reducing pain in several body regions, but no published (TDN)
studies are found reporting the effect on Achilles tendinopathy. The purpose of this study is
to investigate whether a treatment program performed including TDN, manual therapy and
exercise will result in a significant improvement in pain, strength and function compared to
a treatment program including manual therapy and exercise for Achilles tendinopathy. Subjects
with Achilles tendinopathy that receive treatment including TDN, manual therapy and exercise
will demonstrate a significant improvement in pain, strength and functional outcomes compared
to the group that receives manual therapy and exercise.
American Physical Therapy Association for treatment of Achilles tendinitis. Trigger point dry
needling is effective in reducing pain in several body regions, but no published (TDN)
studies are found reporting the effect on Achilles tendinopathy. The purpose of this study is
to investigate whether a treatment program performed including TDN, manual therapy and
exercise will result in a significant improvement in pain, strength and function compared to
a treatment program including manual therapy and exercise for Achilles tendinopathy. Subjects
with Achilles tendinopathy that receive treatment including TDN, manual therapy and exercise
will demonstrate a significant improvement in pain, strength and functional outcomes compared
to the group that receives manual therapy and exercise.
This study is a randomized controlled trial, pretest-posttest control group design comparing
the effect of TDN, manual therapy and exercise to manual therapy and exercise on human
subjects with Achilles tendinopathy following eight treatments in four weeks and a follow up
examination at three months.
the effect of TDN, manual therapy and exercise to manual therapy and exercise on human
subjects with Achilles tendinopathy following eight treatments in four weeks and a follow up
examination at three months.
Inclusion Criteria:
1. pain onset greater than 4 weeks
2. primary region of pain 2-6 cm proximal to the insertion on the calcaneus
3. read and write in english
Exclusion Criteria:
1. Fear of needles or unwilling to have needling performed due to fear or personal
beliefs.
2. Vascular or sensory disturbances in the lower leg which include but is not limited to
injury to the nerve root or peripheral nerve in the affected lower leg, inflammatory
diseases, bleeding or clotting disorders, lymphedema, peripheral vascular or
peripheral arterial disease. Diabetes is included in this group due to the progressive
changes to the sensation and circulation in the lower extremities.
3. Recent infection.
4. Previous surgery to the foot/ankle.
5. Steroid by injection or transdermal delivery to the posterior heel within three
months.
6. Full rupture of the Achilles tendon.
7. Pregnant or may be pregnant.
8. Participants with a work related injury insured by the bureau of worker's compensation
or involved in litigation related to injury of the lower leg, foot or ankle.
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