The efficacy of radial shockwave therapy compared with sham shockwave therapy in insertional Achilles tendinopathy. A randomised controlled trial

Monash University0 个研究点目标入组 76 人开始时间: 2020年1月21日最近更新: 2023年3月6日

适应症

试验速览

暂无简介。

•Aged 18 years or older
•>3 months of pain at the insertion of the Achilles to the posterior calcaneal surface
•Primary complaint of insertional Achilles pain on one or both lower limbs
•Clinical diagnosis of insertional Achilles tendinopathy based on the following criteria:
•oGradual onset pain in the relevant area;
•oPain during or after Achilles tendon loading activities (e.g. walking, running)
•Ankle joint examination is normal and passive plantar-flexion is painfree;
•Confirm diagnosis with ultrasound imaging of the Achilles tendon. One or more of the following features present in the insertion area: (i) thickening of the anteroposterior tendon insertion; and/or (ii) hypoechoic regions with or without thickening/fluid within the retrocalcaneal bursa

•Previous rSWT treatment for any condition
•Previous Achilles tendon surgery in the most symptomatic Achilles tendon
•Previous Achilles tendon rupture in the most symptomatic Achilles tendon
•Other ankle conditions including impingement syndrome or any midportion Achilles symptoms that are worse than the insertional Achilles pain
•Tendinopathy caused by inflammatory conditions (e.g. ankylosing spondylitis)
•Neurological disorders (i.e. Parkinson’s syndrome, stroke)
•Inherited connective tissue disorders (i.e. Ehlers- Danlos syndrome, Marfan’s syndrome)
•Use of fluoroquinolone antibiotics within the previous two years
•Injection of local anaesthetic, corticosteroid, platelet rich plasma or other pharmaceutical agent into the Achilles tendon or surrounding area within the previous three months
•Any medical and/or social reason that, in the opinion of the investigators, makes the participant unsuitable for inclusion
•Serious mental health problem that would preclude adherence to study or treatment protocols

发起方