Tendinopathy Clinical Trial
Official title:
Assessing the Efficacy of Ultrasound-Guided Needle Tenotomy/PRP Injection in the Treatment of Tendinopathy With Real Time Shear Wave Elastography
The purpose of this prospective study is to utilize a real-time ultrasound modality known as real-time Shear Wave Elastography (SWE) to first study the viscoelastic properties of tendons, such as the Achilles, patellar, quadriceps, epicondylar, and rotator cuff, to understand the functional differences between normal/asymptomatic vs tendinotic/symptomatic tendon states. The secondary aim will be to assess the degree of tendon healing after percutaneous tenotomy (a minimally invasive technique that can be used to treat tendinosis) and Platelet-Rich Plasma (PRP) targeting mid-substance tendinopathy. Utilizing a quantitative tool to assess healing response to percutaneous tendon fenestration and PRP injection may have significant clinical implications because it will provide insight into the mechanism of tendon healing.
Status | Recruiting |
Enrollment | 75 |
Est. completion date | November 2023 |
Est. primary completion date | November 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility | Inclusion Criteria for Asymptomatic Volunteers: - Patients presenting at the study location with lower extremity pain without tendon involvement Inclusion Criteria for Symptomatic Volunteers: - Patients presenting at the study location with a clinical diagnosis of tenalgia - Diagnosis of tendinopathy confirmed by ultrasound Exclusion Criteria: - Pregnancy - History of tendinopathy or surgery and morphologic abnormalities - History of systemic, metabolic, endocrine diseases, or psoriasis - History of treatment with corticosteroids, estrogens, long term quinolone antibiotics, and cholesterol drugs |
Country | Name | City | State |
---|---|---|---|
United States | Emory Orthopaedics and Spine Center | Atlanta | Georgia |
Lead Sponsor | Collaborator |
---|---|
Emory University |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in tendinopathy assessed by SWE | Shear wave elastography imaging will be used to assess the degree of tendon healing after percutaneous tenotomy and PRP injection. Markers for healing assessed by SWE will be determined in Part 1 of this study. | Baseline, Month 3, Month 6 | |
Primary | Change in tendinopathy assessed by B mode sonographic imaging | Qualitative measures to assess the degree of tendon healing after percutaneous tenotomy and PRP injection will be measured by B mode sonographic imaging. | Baseline, Month 3, Month 6 | |
Primary | Change in Victorian Institute of Sport Assessment - Achilles (VISA-A) Score | The VISA-A scale assesses the severity of chronic Achilles tendinopathy. This 8-item, self-administered questionnaire asks about Achilles tendon pain, daily living function, and sporting activity. Total scores can range from 0 to 100, with 0 representing worst pain and function and 100 signifying no pain or limitations to function. Scores below 70 indicate the presence of Achilles tendinopathy. | Month 6, Month 9, Month 12 | |
Primary | Change in Victorian Institute of Sport Assessment - Patellar Tendon (VISA-P) Score | The VISA-P scale assesses patellar tendinosis. This 8-item, self-administered questionnaire asks about symptoms, pain, function, and sporting activity. Total scores can range from 0 to 100, with 0 representing worst pain and function and 100 signifying no pain or limitations to function. | Month 6, Month 9, Month 12 | |
Primary | Change in The Foot & Ankle Disability Index (FADI) Score | The FADI is a self-report instrument assessing function related to the foot and ankle. The FADI has 26 items that are scored on a 5-point scale where 0 = unable to do and 4 = no difficulty at all. Total raw scores range from 0 to 104 and scores are converted to percentages, where 100% indicates no dysfunction. | Month 6, Month 9, Month 12 | |
Primary | Change in The Foot & Ankle Disability Index (FADI) Sport Score | The FADI Sport is a self-report instrument assessing function related to the foot and ankle in athletes. The FADI Sport has 8 items that are scored on a 5-point scale where 0 = unable to do and 4 = no difficulty at all. Total raw scores range from 0 to 32 and scores are converted to percentages, where 100% indicates no dysfunction. | Month 6, Month 9, Month 12 |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT05054920 -
Eccentric Versus Concentric Exercises for Rotator Cuff Tendinopathy in Patients With Rheumatoid Arthritis
|
N/A | |
Completed |
NCT03307499 -
NeoPatch Used as Adjunct in Foot and Ankle Tendon Surgery
|
N/A | |
Completed |
NCT02499484 -
Topical Glyceryl Trinitrate (GTN) and Eccentric Exercises in the Treatment of Midportion Achilles Tendinopathy
|
N/A | |
Completed |
NCT01944150 -
Association of Transcutaneous Electrical Nerve Stimulation and Hypnosis
|
N/A | |
Recruiting |
NCT04578418 -
Effect of Collagen Supplementation on Tendinopathy
|
N/A | |
Completed |
NCT03262181 -
The Acute Effects of an Isometric Loading Intervention on Lower Extremity Landing Biomechanics in Individuals With Patellar Tendinopathy
|
N/A | |
Completed |
NCT03502434 -
A Repeat Insult Patch Test (RIPT) Study Evaluating the Sensitization Potential of Topical SM04755 Solution in Healthy Volunteers
|
Phase 1 | |
Recruiting |
NCT04278833 -
Comparative Effectiveness of Particulate Versus Nonparticulate Steroid Injections for Musculoskeletal Conditions
|
Phase 4 | |
Completed |
NCT05897866 -
Sayed Issa's Hybrid Shoulder Arthroscopic-Open Surgical Management (HSSM)
|
N/A | |
Recruiting |
NCT05603468 -
Effect of PRP vs Corticosteroid in Rotator Cuff Tendinopathy Subtypes in Arthroscopic Repair
|
Phase 4 | |
Not yet recruiting |
NCT06056440 -
Efficacy of a Physical Rehabilitation Program Using Virtual Reality in Patients With Chronic Tendinopathy (Virtendon-Rehab)
|
N/A | |
Terminated |
NCT01544244 -
The Global Shoulder Concept (GSC) Method Versus Classic Physical Therapy for Shoulder Tendinitis
|
N/A | |
Recruiting |
NCT04144946 -
Identification of Early Changes in Patellar Tendinopathy Using Ultra-high Field Strength MRI
|
||
Terminated |
NCT02978833 -
Platelet-rich Plasma vs. Whole Blood for Gluteus Medius Tendinopathy
|
Phase 4 | |
Completed |
NCT03229291 -
A Study Evaluating the Safety, Tolerability, and Pharmacokinetics of Multiple Ascending Doses of SM04755 Following Topical Administration to Healthy Subjects
|
Phase 1 | |
Recruiting |
NCT04058509 -
Clinical Predictors of Extracorporal Shockwave Therapy Efficacy in Patients Presenting With Lateral Hip Pain
|
N/A | |
Withdrawn |
NCT02981394 -
Clinical Outcomes of Autologous Bone Marrow Aspirate Concentrate Injections for Musculoskeletal Conditions
|
||
Active, not recruiting |
NCT02600910 -
Natural History of Shoulder Pathology in Manual Wheelchair Users
|
||
Completed |
NCT04793971 -
Minimal Invasive Treatment of Achilles Tendinopathy: Focus on Percutaneous Release (Maffulli)
|
||
Not yet recruiting |
NCT01225497 -
Eccentric Exercise for Chronic Mid-portion Achilles Tendinopathy
|
N/A |