Using of Extracorporeal Shockwave Therapy in Treatment Of Achilles Tendinopathy

Achilles Tendinopathy Clinical Trial

Official title:

Using of Extracorporeal Shockwave Therapy in Treatment Of Achilles Tendinopathy

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04376294
• Other study ID #: P.T.REC/012/002042
• Status: Completed
• Phase: N/A
• Start date: October 1, 2018
• Est. completion date: June 1, 2020

Study information

• Verified date: July 2020
• Source: Cairo University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study was to determine the effect of extracorporeal Shock wave therapy (ESWT) on functional activity and pain in patients with Achilles tendinopathy

Description:

Fifty patients of both sexes with Achilles tendinopathy aged 18-40 years, were assigned randomly into two equal groups. The study group received ESWT in addition to a conservative physical therapy program for four weeks, while the control group received a conservative physical therapy program only. Pain and functional mobility were assessed before and after treatment through a visual analog scale (VAS) and Victorian Institute of sports assessment - Achilles questionnaire (VISA-A), respectively

Recruitment information / eligibility

• Status: Completed
• Enrollment: 50
• Est. completion date: June 1, 2020
• Est. primary completion date: December 31, 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 40 Years

Eligibility

Inclusion criteria

• Clinical history of Achilles tendon pain for at least six months

• A minimum of three months conservative treatment administered without benefit for at least four weeks before ESWT.

Exclusion Criteria:

• Patients underwent physical therapy in the four weeks prior enrollment to study.

• Patients had taken non-steroidal anti-inflammatory medication during the previous week

• Patients had received peritendinous injections of a local anesthetic or corticosteroid within last 4 weeks

• Patients had bilateral Achilles tendinopathy

• Patients with other conditions that could significantly contribute to posterior ankle pain (osteoarthritis, radiculopathy, systemic neurologic conditions)

• Patients having previous injury or surgical treatments of the ankle.

Related Conditions & MeSH terms

• Achilles Tendinopathy
• Tendinopathy

Intervention

Device:
• Extracorporeal Shockwave Therapy(ESWT)
Each session of Extracorporeal Shockwave Therapy(ESWT) consists of 2000 pulses with a pressure of 3 bars (equals an energy flux density of 0.1 mJ/mm²), and treatment frequency of 8 pulses/sec

Other:
• Eccentric training of the calf muscle:
The patients were asked to stand with all their body weight on the injured leg on a wooden step. From an upright body position and standing with all body weight on the forefoot, with the ankle joint in plantar flexion. The calf muscle is loaded by having the patient lower the affected limb down by dorsiflexion the ankle until the plantar aspect of the heel lay below the level of the step, and the ankle is in maximum dorsiflexion.
• Gastrocnemius, soleus, and hamstring stretch
Stretching every muscle for 30 seconds. Each stretch was performed 3 times (holding for 30 seconds and rest for 30 seconds). All these stretches were performed directly after the eccentric exercises twice/day for 7 days/week for weeks

Locations

Country	Name	City	State
Egypt	Cairo university	Giza

Sponsors (4)

Lead Sponsor	Collaborator
Cairo University	Mr.Mohamed Nasser Kise Helmy, Prof.Dr Nadia Abdelazim fayaz, Prof.Dr. Emad Samuel Boles Saweeres

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	The Victorian Institute of Sport Assessment-Achilles questionnaire (VISA-A).	It consists of eight questions that covered the three domains of pain (questions 1-3), function (questions 4-6), and activity (questions 7 and 8.). Questions one to seven are scored out of 10, and question 8 carries a maximum of 30. Scores are summed to give a total out of 100.	15 minutes
Secondary	The visual analog scale (VAS).	The VAS is a continuous scale consists of a horizontal line (HVAS) usually 10 centimeters (10-100 mm) in length. For pain intensity, the scale is most anchored by no pain (score of 0) and pain as bad as it could be or worst imaginable pain (score of 10	15 minutes