Isometric Contraction-Based Pain Modulation Versus Eccentric Strengthening in Treating Achilles Tendinopathy
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 38
- 试验地点
- 1
- 主要终点
- NUMERIC PAIN RATING SCALE (NPRS):
研究概览
简要总结
Achilles tendinopathy is a common overuse injury that leads to pain and functional limitations. Traditional rehabilitation focuses on eccentric strengthening, which has been widely studied for its benefits in promoting tendon remodeling and improving strength. However, recent research suggests that isometric contractions may offer superior pain modulation effects, especially in the early stages of rehabilitation.
详细描述
This study aims to compare the effectiveness of isometric contraction-based pain modulation versus eccentric strengthening in treating Achilles tendinopathy. Isometric exercises involve maintaining a static muscle contraction, which has been shown to reduce pain through neuromuscular mechanisms, potentially making it a valuable alternative or complement to eccentric loading.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Clinically Diagnosed with Achilles Tendinopathy using MRI
- •At least 3 months incidence period of Achilles Tendinopathy
- •Must be able to attend all treatment sessions and follow-up assessments.
- •Ability to walk independently without any assistive devices.
排除标准
- •Severely restricted ROM of ankle
- •Patients who underwent surgery for Achilles tendinopathy
- •Patients who had undergone previous surgery of lower limb extremity
- •Those using ankle orthosis
- •Patients with systemic diseases affecting ankle (osteoarthritis, rheumatoid arthritis, and osteoporosis)
- •Individuals with neurological disorders affecting the lower limbs.
- •Systemic Conditions like diabetes, cardiovascular diseases.
研究组 & 干预措施
Eccentric Strengthening (Alfredson's Protocol for Achilles Tendinopathy )
干预措施: Eccentric Strengthening (Alfredson's Protocol for Achilles Tendinopathy ) (Combination Product)
Isometric Contraction-Based Pain Modulation Protocol for Achilles Tendinopathy
干预措施: Isometric Contraction-Based Pain Modulation Protocol for Achilles Tendinopathy (Diagnostic Test)
结局指标
主要结局
NUMERIC PAIN RATING SCALE (NPRS):
时间窗: 12 Months
The Numeric Pain Rating Scale is a widely used, reliable, and user-friendly tool for assessing an individual's level of pain (NPRS). The patient is required to rate their level of discomfort using a self-reported scale with a range of 0 to 10, where ""0"" indicates no pain and ""10"" indicates the most excruciating pain.
PRESSURE ALGOMETRY:
时间窗: 12 Months
The pressure pain threshold (PPT), or the lowest force that causes pain in a particular body part, can be objectively measured using pressure algometry. To test sensitivity and identify shifts in pain perception, a portable instrument called a pressure algometer gently and gradually applies pressure to tissue, such as muscles or tendons. Pressure Algometry offers a methodical, objective way to measure pain sensitivity, which is commonly utilized in clinical and research contexts. It is frequently used to evaluate tenderness and pain in musculoskeletal issues, myofascial pain, and tendinopathy. Pressure algometry is a widely used tool to assess mechanical pain sensitivity by applying controlled pressure to a specific area and measuring the pain threshold. Its reliability is well-established, with intra-rater reliability coefficients ranging from 0.70 to 0.94, depending on the site of application and methodological consistency .
次要结局
未报告次要终点
研究者
Muhammad Naveed Babur
Principal Investigator
Superior University