Achilles Tendinopathy Clinical Trial
Official title:
Investigation of the Effectiveness of Shockwave Therapy, Photobiomodulation, and Physical Therapy in the Management of Non-insertional Achilles Tendinopathy
The goal of this clinical trial is to learn more about and compare the effectiveness of standard of care (SOC) physical therapy (PT), PT with photobiomodulation therapy (PBMT; low-level laser therapy), PT with shockwave therapy (SWT; high-energy acoustic wave therapy), and PT with PBMT and SWT, to improve function, decrease pain, and resolve symptoms in individuals with non-insertional Achilles tendinopathy. The main question it aims to answer is: • What is the most effective treatment method for non-insertional Achilles tendinopathy? Participants will Researchers will compare PT, PT + SWT, PT + SWT and PBMT to assess the most effective treatment for Achilles tendinopathy.
Non-insertional Achilles Tendinopathy (AT) is a common overuse injury in adults who are both athletes and nonactive. Tendinopathy occurs when there is either a failed healing response or the failure of normal turnover or remodeling response, and results in pain and limited movement. In the military, lower-extremity injuries due to overuse, (e.g., AT) are the most common category of injuries. The most common treatment of choice for AT is exercise loading programs, however eccentric strengthening (ECC) may only improve symptoms in approximately 60% of patients. Laser-induced photobiomodulation (PBM) has been shown to increase cell proliferation and metabolism, which may aid in the repair and remodeling process. Studies have found that PBM was effective in the treatment of AT. Extracorporeal shockwave therapy (ESWT) is a process in which energy is delivered to the muscles or tendons for pain relief. Current literature supports the use of ESWT as an effective treatment for AT in combination with ECC. Overall, studies indicate that ESWT and photobiomodulation therapy (PBMT) will be effective in treating tendon injuries such as AT, however, these treatment methods have not been evaluated in comparison or combination with each other. The sub-section of AT amongst Active-Duty personnel has very limited research and given the high prevalence, should be addressed. Therefore, our study will compare three different treatment arms utilizing traditional physical therapy (PT), PT plus ESWT, PT plus PBMT, and PT plus ESWT and PBMT. Both self-reported questionnaires and measured outcomes will be used to assess the most effective treatment for AT. ;
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT04221711 -
Safety and Efficacy of Repetitive Peripheral Magnetic Stimulation in Patients With Achilles Tendinopathy
|
N/A | |
Completed |
NCT06057779 -
The Effect of Loading Speed and Intensity During Exercise on the Immediate Structural Changes in the Achilles Tendon
|
N/A | |
Active, not recruiting |
NCT00835939 -
Treatment for Achilles Tendinopathy
|
Phase 2/Phase 3 | |
Completed |
NCT04059146 -
Tendinopathy Education on the Achilles
|
N/A | |
Active, not recruiting |
NCT06030908 -
Outcome After Surgical Reconstruction of the Achilles Tendon Insertion.
|
||
Recruiting |
NCT04423900 -
Smart Phone-Based Application for Evaluation and Rehabilitation of HindFoot Pain
|
N/A | |
Completed |
NCT04632979 -
Backward Running on a Negative Slope as a Treatment for Achilles Tendinopathy in Runners
|
N/A | |
Terminated |
NCT03264326 -
Efficacy of BFR Training Combined With Eccentric Exercise as Assessed by SWE in Subjects With Chronic AT
|
N/A | |
Completed |
NCT04941469 -
Effectiveness of Specifically Optimized Off-the-counter Foot Orthosis for the Subtle Cavus Foot
|
N/A | |
Completed |
NCT04376294 -
Using of Extracorporeal Shockwave Therapy in Treatment Of Achilles Tendinopathy
|
N/A | |
Recruiting |
NCT06056440 -
Efficacy of a Physical Rehabilitation Program Using Virtual Reality in Patients With Chronic Tendinopathy (Virtendon-Rehab)
|
N/A | |
Recruiting |
NCT06172218 -
AM for Refractory Achilles Tendinopathy
|
N/A | |
Recruiting |
NCT05105269 -
Managing Achilles Pain II
|
||
Completed |
NCT06297317 -
Longitudinal Changes in Achilles Tendon and Medial Gastrocnemius Muscle Architecture During a 156-km Ultradistance Trail Running Event
|
||
Recruiting |
NCT06100822 -
Managing Chronic Tendon Pain by Metformin
|
Phase 1 | |
Completed |
NCT03067545 -
Do Simple Running Technique Changes Reduce Pain and Change Injury Causing Mechanics
|
N/A | |
Recruiting |
NCT01583504 -
High Volume Saline Injections for Achilles Tendinopathy
|
N/A | |
Completed |
NCT04816188 -
Heel Pain in Adolescents: A Pilot Study on the Effectiveness of Exercise Therapy and Activity Modification
|
N/A | |
Completed |
NCT05125198 -
Translation, Cultural Adaptation and Validation of Urdu Version of VISA-A Questionnaire
|
||
Recruiting |
NCT05592990 -
A Study to Investigate the Safety, Tolerability and Preliminary Efficacy of NGI226 Microparticles in Patients With Achilles Tendinopathy
|
Phase 2 |