An interventional study of Extracorporeal Shockwave Therapy(ESWT) and Eccentric training of the calf muscle: in Achilles Tendinopathy, sponsored by Cairo University. Completed at 1 site in Egypt. Open to participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2020-07-17.
Sponsored by Cairo University · Not applicable, Interventional, and Treatment
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
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
413 studies on the registry are indexed under Tendinopathy; 64 are open to participants now.
This study's enrollment of 50 is close to the median of 50 across 339 interventional studies indexed under Tendinopathy.
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This group received Extracorporeal Shockwave Therapy(ESWT) + conservative Physical Therapy Treatment (eccentric training + stretching exercise)
Device: Extracorporeal Shockwave Therapy(ESWT) · Other: Eccentric training of the calf muscle: · Other: Gastrocnemius, soleus, and hamstring stretch
This group received conservative physical therapy treatment(eccentric training + stretching exercise) only.
Other: Eccentric training of the calf muscle: · Other: Gastrocnemius, soleus, and hamstring stretch
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
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.
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
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.
Time frame: 15 minutes
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
Time frame: 15 minutes
This study is completed, as verified in Jul 2020. You cannot join it, but the record below documents what was studied.
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Cairo University