Achilles Tendinopathy Clinical Trial
Official title:
Quantitative Sensory Testing Changes Following Talocrural Joint Manipulation in People With Achilles Tendinopathy; A Randomized Controlled Trial
The purpose of this research is to find out how pain sensation may change in the Achilles tendon after the use of manual physical therapy. The testing itself will use a device that gradually produces a sensation of heat or cold on your skin, which we will place directly over your Achilles Tendon. You will let the researcher know when the heat or cold becomes what you would describe as "slight discomfort," at which point the pressure will be stopped. Testing will be completed three (3) times in a row. The device has built-in programming which ensures that the heat or cold applied will be safe, even though it may be briefly uncomfortable. After this first testing the researchers will perform 1-3 repetitions of the ankle joint mobilization/manipulation. This technique involves the researcher providing a small quick stretching movement downwards at the ankle. This is a common therapeutic technique utilized by Physical Therapists, chiropractors, and physicians and is considered very safe. After this treatment we will perform the same measurements of hot and cold discomfort on your Achilles tendon
Status | Recruiting |
Enrollment | 40 |
Est. completion date | September 29, 2024 |
Est. primary completion date | July 1, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Individuals who self-report pain in the back of the heel (Achilles tendon) persisting for at least 3 months. Prior to inclusion in the study, subjects will undergo a brief clinical screen by the investigators to confirm the signs of Achilles tendinopathy. This screen will consist of assessing for tenderness to palpation in the Achilles tendon and the Royal London Hospital Test (Tenderness to pressure is assessed with the subject in maximal active dorsiflexion and is positive if reduced in this position as compared to the resting state.) Exclusion Criteria: - History of any surgery distal to the fibular head on the involved lower extremity - Cortisone injection to the painful Achilles tendon within the last 6 months - History of diagnosed ankle joint or connective tissue instability - Current pregnancy - Age under 18 years of age - Unable or unwilling to give consent for test and/or treatment procedures |
Country | Name | City | State |
---|---|---|---|
United States | Philadelphia College of Osteopathic Medicine-GA | Suwanee | Georgia |
Lead Sponsor | Collaborator |
---|---|
Philadelphia College of Osteopathic Medicine |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Heat and Cold Thresholds | Outcome variables will be mean scores for 3 trials each of heat and cold pain threshold, measured in degrees centigrade, initially and immediately (within 5 minutes) after the intervention or sham intervention, with analysis of threshold change measured in the post-test as compared to the baseline data. | Baseline and 1 hour |
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