Shock wave therapy associated with eccentric strengthening versus isolated eccentric strengthening for Achilles insertional tendinopathy treatment: a double-blinded randomised clinical trial protocol

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dc.citation.issue1
dc.citation.volume7
dc.contributor.authorMansur, Nacime Salomão Barbachan [UNIFESP]
dc.contributor.authorFaloppa, Flávio [UNIFESP]
dc.contributor.authorBelloti, Joao Carlos [UNIFESP]
dc.contributor.authorIngham, Sheila Jean McNeill [UNIFESP]
dc.contributor.authorMatsunaga, Fabio Teruo [UNIFESP]
dc.contributor.authorSantos, Paulo Roberto Dias dos [UNIFESP]
dc.contributor.authorSantos, Bruno Schiefer dos [UNIFESP]
dc.contributor.authorCarrazzone, Oreste Lemos [UNIFESP]
dc.contributor.authorPeixoto, Gabriel Theodoro [UNIFESP]
dc.contributor.authorAoyama, Bruno Takeshi [UNIFESP]
dc.contributor.authorTamaoki, Marcel Jun Sugawara [UNIFESP]
dc.coverageLondon
dc.date.accessioned2020-07-31T12:46:51Z
dc.date.available2020-07-31T12:46:51Z
dc.date.issued2017
dc.description.abstractBackground There is no consensus regarding the treatment of Achilles insertional tendinopathies. Eccentric training remains the main choice in the conservative treatment of this illnessen
dc.description.abstracthowever, the good results in the management of non-insertional Achilles tendinopathy were not replicated in the insertional condition. Low energy shock wave therapy has been described as an alternative to these patients, but has yet to be empirically tested. Hypothesis Shock wave therapy, adjunctive to the eccentric strengthening protocol, will improve measures of pain and function. Design Double blind, placebo-controlled, parallel groups, randomised clinical trial. Materials and methods 93 patients with a diagnosis of chronic insertional tendinopathy, referred from primary or secondary healthcare services, will be assessed and enrolled in this study. They will be divided into two groups (randomised by sequentially numbered identical envelopes, which will be administered serially to participants), one containing the combination of low energy shock wave and eccentric exercises, as treatment and the other comprehending the exercises and the placebo treatment (an apparatus placed in the therapeutic head). The assessments will occur in 2, 4, 6, 12 and 24weeks. Patients will be evaluated primarily by the Victorian Institute of Sport Assessment-Achilles questionnaire and secondarily by the visual analogue scale, Algometry, the American Orthopedic Foot and Ankle Society scale, the Foot and Ankle Outcome Score and the 12-item Short Form Health Survey. We will use comparison of two proportions via relative frequency analysis, the Pearson Correlation the (2) test and the analysis of variance for statistical analyses. Discussion This study intends to demonstrate if the association of the eccentric exercise programme with the shock wave therapy can produce good results regarding the treatment of the Achilles insertional tendinopathy. In an attempt to prevent the high costs and complications associated with the surgical intervention, we will try to prove this combination as a viable therapeutic option in the conservative management of this prevalent condition. The strengths of the study are the design and the novelty of the combination of methods. The main limitation is the short follow-up course. Ethics and dissemination The study is registered in the Clinical Trials database (protocol number: 8094833648737701) and was approved by the University Ethics Committee (number: 1373481). Trial registration number 8094833648737701 (NCT02757664)en
dc.description.abstractPre-results.en
dc.description.affiliationUniv Fed Sao Paulo, Dept Orthopaed, Sao Paulo, SP, Brazil
dc.description.affiliationFed Univ Sao Paulo UNIFESP EPM, Orthoped & Traumatol Div Hand Surg & Upper Limb, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespDepartment of Orthopaedics, Universidade Federal de São Paulo (UNIFESP), Sao Paulo, SP, Brazil
dc.description.affiliationUnifespOrthopedics and Traumatology—Division of Hand Surgery and Upper Limb, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil
dc.description.provenanceMade available in DSpace on 2020-07-31T12:46:51Z (GMT). No. of bitstreams: 0 Previous issue date: 2017. Added 1 bitstream(s) on 2020-07-31T13:08:37Z : No. of bitstreams: 1 WOS000395590300091.pdf: 883334 bytes, checksum: 40ee914d8e62d9d20116a9e5f4c127aa (MD5)en
dc.description.sourceWeb of Science
dc.format.extent-
dc.identifierhttp://dx.doi.org/10.1136/bmjopen-2016-013332
dc.identifier.citationBmj Open. London, v. 7, n. 1, p. -, 2017.
dc.identifier.doi10.1136/bmjopen-2016-013332
dc.identifier.fileWOS000395590300091.pdf
dc.identifier.issn2044-6055
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/56411
dc.identifier.wosWOS:000395590300091
dc.language.isoeng
dc.publisherBmj Publishing Group
dc.relation.ispartofBmj Open
dc.rightsAcesso aberto
dc.subjectachillesen
dc.subjecttendinopathyen
dc.subjectinsertionalen
dc.subjectshock waveen
dc.subjecteccentricen
dc.titleShock wave therapy associated with eccentric strengthening versus isolated eccentric strengthening for Achilles insertional tendinopathy treatment: a double-blinded randomised clinical trial protocolen
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